Keelpark Capital Group, a small-business funding broker in Jackson, Tennessee, helps Madison County medical and dental practices finance clinical equipment, fund fit-outs with term loans and cover the wait for insurance payments with working capital. Madison County had 80 physician offices and 38 dentist offices with employees in 2023 (Census CBP). Lending partners decide and set terms.
| Typical needs | Imaging and clinical equipment, dental chairs, fit-outs, claims timing |
|---|---|
| Funding types discussed | Equipment financing, term loans, working capital, lines of credit |
| Madison County outpatient care | 249 employer establishments in 2023 (Census CBP, NAICS 621) |
| Physician and dentist offices | 80 and 38 employer establishments in 2023 (Census CBP) |
| Who decides | The lending partner, not Keelpark Capital Group |
| Address | 109 N Church St, Jackson, TN 38301 · (731) 252-4018 |
Health care in Madison County's economy
Health care and social assistance had the largest payroll of any sector in Madison County in 2023, about $700.3 million (U.S. Census Bureau, County Business Patterns 2023). Within it, ambulatory health care, the outpatient side that includes physician, dentist and other practitioner offices, had 249 employer establishments, 3,612 paid employees and about $267.5 million in payroll (same source).
| Type | Employer establishments | Paid employees | Fewer than 5 employees |
|---|---|---|---|
| Offices of physicians (NAICS 6211) | 80 | 1,536 | 36.2% |
| Offices of dentists (NAICS 6212) | 38 | 407 | 18.4% |
| All ambulatory health care (NAICS 621) | 249 | 3,612 | 39.4% |
Source: U.S. Census Bureau, County Business Patterns 2023. The county also had 503 ambulatory health care businesses with no paid employees in 2024, including 160 physician and 12 dentist offices (U.S. Census Bureau, Nonemployer Statistics 2024); different program, different year.
Dental offices and physician offices are built differently
The counts suggest different shapes. Dividing employees by establishments, physician offices averaged roughly 19 people and dental offices roughly 11, our own calculation from the 2023 counts (U.S. Census Bureau, County Business Patterns 2023). Fewer than one in five dental offices had under five employees.
For funding, that matters less than what each practice buys. Dental offices tend to ask about chairs, imaging and sterilization equipment and about adding operatories; physician practices ask about diagnostic equipment, exam-room build-outs and electronic records systems.
Imaging, chairs and clinical equipment
Healthcare equipment financing, medical device financing and chiropractic equipment financing all work the same basic way: equipment financing secured by the equipment, as a loan, a lease or an equipment finance agreement. Technology that dates quickly can suit a lease; equipment you will use for many years often suits ownership.
Ask what the financed amount includes. Installation, training, software licenses and service contracts are sometimes included and sometimes not.
Fit-outs and added capacity
Dental office financing and medical clinic financing often mean space: a new location, added treatment rooms or a renovation. A project with a defined cost usually fits a term loan. Bring the contractor's budget, the equipment list and a realistic view of how the added capacity will be filled.
Working capital while claims are paid
Practices often wait weeks between treating a patient and being paid by insurers, while wages and rent are due on schedule. A working capital loan sized to that gap, or a line of credit for recurring timing gaps, is the usual answer. Partners will look at deposits and, sometimes, at the practice's payer mix and claims history.
Starting a new practice
A practice with no operating history has fewer options, because many lending partners want to see deposits first. Professional-practice lenders and SBA-backed loans are more common at that stage, and the Tennessee SBDC office in Jackson, TN offers free planning help.
Comparing offers for clinical equipment
- Compare the total of all payments, not just the monthly figure
- Check the end-of-lease terms: fixed buyout or fair market value
- Ask whether the vendor's own financing ties you to service contracts
- Look for personal guarantees and blanket liens beyond the equipment
How Keelpark Capital Group helps practices
Tell us what the practice is buying or building and how it is paid. We explain which funding type fits and send the request to partners that fund medical and dental practices.
The Jackson, TN page has local registration steps and free advising, and other industries are listed together.
By Keelpark Capital Group · Updated