Best Medical Practice Loan Lenders (2026): What Eight Banks Actually Publish, and What They Leave for the Phone Call

Eight practice lenders, side by side

Why no one posts rates, and what you can know anyway

Bank of America answers the question on its own FAQ: practice loan rates “vary depending on loan purpose and term,” so call. The same is true everywhere. A five-year equipment note, a ten-year acquisition loan, and a 25-year real estate loan are three different prices, and each moves with your credit, the practice’s cash flow, and whether there is collateral.

What is public is the benchmark. Variable-rate business loans are priced as a spread over the Prime Rate, which was 7.00% as of October 27, 2026 (Federal Reserve, via FRED; see where our rates come from). It moves when the Federal Reserve moves. TD Bank’s current promotion shows how the spread works in practice: Prime + 0% on a new conventional line of credit up to $1 million, and Prime + 3.00% on an SBA-guaranteed line, for applications from August 1 to October 31, 2026. That three-point gap between a conventional and an SBA line at the same bank is worth remembering when someone tells you SBA money is cheaper.

Lender by lender

How to choose

• •Starting from scratch: Bank of America and U.S. Bank say the most about startups. Check Bank of America’s specialty list first; if yours isn’t on it, that answers the question. U.S. Bank offers interest-only payments during ramp-up.
• •Buying a practice on the East Coast: TD Bank, for the published $12 million capacity and 100% financing plus working capital.
• •You want a fixed payment: Wells Fargo is the only lender that leads with fixed rates. Bank of America offers a rate lock before closing.
• •Buying or building your office: Live Oak names real estate and construction as its specialty and lends nationwide. U.S. Bank publishes 25-year real estate terms.
• •Dermatology, optometry, or plastic surgery: ask Bank of America about the 50% administration-fee discount through your specialty society.
• •A working line of credit this fall: TD’s Prime + 0% promotion runs through October 31, 2026.
• •KeyBank and Chase publish too little about practice lending to recommend on the page alone. They make sense mainly if you already bank there.

Whichever you pick, get a second written term sheet. The banks with dedicated healthcare groups compete for these loans, and a competing offer is the only negotiating tool that works.

Questions to ask every lender

Since the pages leave these out, the first call has to cover them. Ask for the answers in a written term sheet.

• 1.“What is the rate, is it fixed or variable, and if variable, what is the spread over Prime and how often does it reset?”
• 2.“What are all the fees: origination, administration, documentation, and any SBA guarantee fee?”
• 3.“Is there a prepayment penalty, and how is it calculated?” This matters more than a quarter point of rate if you expect to refinance or sell.
• 4.“What collateral and personal guarantee do you require? Is there a lien on my home?”
• 5.“How much working capital is included, and is there an interest-only period?”
• 6.“Do I have to move my business checking and merchant services to you, and what do those cost?” PNC and TD’s promotion both tie the loan to a business checking account.
• 7.“What are the covenants?” Debt-service coverage tests and limits on owner distributions are common in business loans and rarely mentioned up front.

Before you apply

Bank of America says a completed application is the main document needed to start, with tax returns requested depending on the loan. In practice every lender will eventually want the same file: personal and business tax returns, a personal financial statement, your license and CV, and, for an acquisition, the seller’s returns and production reports. For a startup, add a business plan with a realistic ramp; our medical practice business plan guide covers what lenders look for.

Decide the structure before you sign. Whether the practice is a PLLC or a professional corporation changes who the borrower is and what you guarantee personally. If you are weighing purchase against a fresh start, read buying vs. starting a medical practice; for the SBA route, see SBA vs. conventional loans for medical practices.

Sources

• •Bank of America Practice Solutions
• •TD Bank Healthcare Practice Solutions Group
• •U.S. Bank Practice Finance
• •Wells Fargo Practice Finance
• •PNC Healthcare Business Banking
• •Live Oak Bank Healthcare Lending
• •Key for Doctors practice financing
• •Chase for Business (health care)

Each page read September 20, 2026. TD Bank’s promotional terms are from the disclosures on its Healthcare Practice Solutions page and apply to applications received August 1 to October 31, 2026.