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Funding for your situation

Medical practice with an existing advance: how a second position is reviewed.

What decides whether a medical practice with an open advance can add more funding, what a review compares, and a worked example.

✓ Checking what you qualify for does not affect your credit score.

What makes this moment different

A medical practice that took an advance for exam table and equipment and now needs capital for something else is in good company. Flu season and school physical months are heavy, with other stretches quieter. What matters to a reviewer is how the account behaved under the first debit.

Merchant Fund Express is a funding marketplace: you apply once, and the file is matched to the structure that fits it. The sections below show what this situation usually costs, how a funder reads it, and what to prepare.

Typical useMore capital with an advance already open
TimelineSame-day decision on a complete file; funding typically the next business day after signing
CreditMinimum FICO is 500; better credit means better offers
DocumentsAbout three months of business bank statements and a short application

Insurance and self-pay mix, with remittances arriving weeks after the visit. A reviewer sees that pattern in the statements before reading a word of the application.

Equipment is part of the picture. A failure such as a ultrasound repair or a refrigeration for vaccines can run $5,600 to $5,600 and interrupt revenue while it is down.

The documents that usually matter most for a medical practice are equipment or build-out quote and accounts receivable aging, alongside the bank statements.

Flu season and school physical months are heavy, with other stretches quieter. For a medical practice, that rhythm decides when a funding request reads best and how it should be repaid.

What gets compared

The first advance

Balance, debit and payment history, and what it financed: exam table and equipment.

Deposits at a medical practice

Insurance and self-pay mix, with remittances arriving weeks after the visit.

Room on the account

Negative days, NSFs and the average daily balance, read against flu season and school physical months are heavy, with other stretches quieter.

Which product fits

Second position, renewal or refinance, depending on how much has been paid down.

A worked example: the debit against deposits

ItemIllustrative amount
Position 1: taken for exam table and equipment (remaining balance, illustrative)$84,000
Position 1 weekly debit$4,500
Average weekly deposits at a medical practice (illustrative)$45,000
Debit as a share of weekly depositsabout 10%
New need under discussion: a ultrasound repair or a new exam room (illustrative)$66,000
Whether a second position fitsdecided by negative days, NSFs and the average daily balance

What a review compares. The remaining balance, the share of deposits already committed and how the account has behaved. Read negative days and NSFs and second position funding.

Source: worksheet by Merchant Fund Express. Illustrative only: these figures are not an offer, and real amounts depend on your file and the funder.

What decides the answer

Number of open positions and how long each has been paid
Total debits as a share of deposits
Negative days, NSFs and average daily balance
Whether the existing funder allows another position
Receivable timing from payors
Credentialing status for new providers

These are the same factors described on revenue and deposit requirements and time in business. Merchant Fund Express walks you through how your own file reads before you apply.

What to have ready

Three months of business bank statements
A completed application
A government-issued ID for the owner
Equipment or build-out quote
Accounts receivable aging

A complete file is what makes a same-day decision possible. If something is missing, tell us and we will work around it.

Common mistakes to avoid

Hiding an open position; it is visible on the statements
Taking a second advance for a ultrasound repair without checking what it does to the first
Ignoring the first agreement's terms on additional financing
Sizing the new request to the busy season when flu season and school physical months are heavy, with other stretches quieter.

Related funding structures

Second position funding: For businesses that already carry one advance and need more room.
MCA refinance: Restructures an existing advance into a more manageable payment shape.
Renewals: Options when an existing advance is paid down and more capital is needed.
Working capital loans: Lump-sum capital sized on your deposits, for a defined need with a clear payback.
How funders read a medical practice: Industry-specific notes on what the file needs.
Medical practice funding guide: The full industry guide, with every product and topic.
Medical practice funding in Florida: State-level funding page for this industry.
Existing positions and stacking: A closely related situation, explained in detail.
First position vs second position: A closely related situation, explained in detail.
Negative days and NSFs: A closely related situation, explained in detail.
Factor rate calculator: Run your own numbers before accepting an offer.
More funding situations: Other growth, operating and recovery moments.

Common questions

Can a medical practice with an open advance get more funding?

Often, depending on position count and account behavior. Look at second position funding, renewals and MCA refinance. Merchant Fund Express reviews the file the same day it is complete.

How is a second position different from a renewal?

A second position sits behind the first on the same revenue. A renewal comes after the first is substantially paid down. See first position vs second position.

What documents does a medical practice need?

Three months of business bank statements, the existing agreement or a payoff letter, and equipment or build-out quote.

What credit score do I need?

The minimum FICO is 500, and better credit means better products and terms. See credit score requirements for how the tiers work.

See what you qualify for

Merchant Fund Express gives a same-day decision on a complete file. Applying takes a few minutes and will not affect your credit score.

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