November 4, 2026 | 1:00 p.m. ET
Title tag: Medical Practice Financing | White Coat Financial Partners
Meta description: How do I finance my practice’s growth as health systems expand? See how North Carolina practices can use receivables to fund capacity, services and equipment.
“How do I finance my practice's growth when the health systems keep expanding?” In 2026, that question is getting louder for independent practices across North Carolina, and this week it became concrete for Guilford County: Novant Health broke ground on a new multispecialty medical plaza in southeast Greensboro. Medical practice financing built on receivables gives independent practices a way to answer with capacity of their own, before the new building ever opens its doors.
Key takeaway: The competitive bar in Guilford County just moved. Practices that can move quickly may be better positioned to keep patients, and receivables can help fund that response without a new traditional bank loan application. With AR-Backed Working Capital, a practice can access capital based on its total receivables and plan for added capacity, extended hours, services or equipment.
What just broke ground in southeast Greensboro
On October 26, Novant Health and Mount Zion Development Company broke ground on Novant Health Zion Hills Medical Plaza, a future multispecialty medical office building next to Mount Zion Baptist Church on Alamance Church Road. The plaza is expected to open in spring 2028. Its planned services include primary care, women’s health, pediatric care, diabetes management, heart and vascular care, advanced imaging and an on-site community health worker. Novant expects the project to create more than 60 full-time jobs in Guilford County. (Novant Health; Triad Talk Network)
Care is already available at the church campus while construction is underway: Novant’s mobile care cruiser provides primary care and diabetes management on Tuesdays from 9 a.m. to 4 p.m., and a virtual-care kiosk connects people with a Novant clinician. The plaza is part of Mount Zion Development Company’s plan to redevelop approximately 65 acres of church-owned land. Novant reports more than 25 outpatient clinic locations across Guilford County and a network of more than 900 locations, including 21 hospitals and nearly 800 physician clinics.
Why a system plaza changes the math for independent practices nearby
Convenience shapes where patients seek care. A new location combining primary and specialty services with advanced imaging may offer patients an appealing one-stop option. Some patients will still choose the physician they trust, but every nearby practice now competes on access, scheduling and the services it can provide.
The spring 2028 opening gives independent practices a runway. Use that time to assess demand, identify bottlenecks and decide whether to extend hours, add services, expand staffing or upgrade equipment. Practices that strengthen their own access advantage while patient habits are still forming can respond from a position of clarity, not urgency.
How medical practice financing works without a traditional bank loan
AR-Backed Working Capital uses the aggregate sum due across a practice’s total accounts receivable, not individual claims, as the basis for financing. This is an asset-based approach to capital planning: a practice can put eligible receivables to work rather than waiting for every payer to remit before making growth decisions. Learn more about accounts receivable financing in North Carolina.
In this non-notification lending model, the practice remains in full control of billing and collections. White Coat Financial Partners does not take possession of receivables, contact patients or intervene in the billing process; patients are not asked to redirect payment. Financing is based on billing volume and total receivables, not on an owner's personal credit score. The structure is available to solo practices and multi-location groups.
Repayment terms are scheduled to align with cash flow, with no compounding interest or open-ended discount rate. Approval takes 24 to 48 hours based on the practice's billing volume and receivables. There are no personal guarantees riding on the agreement, and the structure creates no new balance-sheet liability.
Pairing capital with process improvement
Cash alone does not win the convenience race. Operational speed matters too. Extended-hours scheduling, a smoother check-in process and cleaner claims can help a practice make better use of new capacity and strengthen its financial health.
White Coat Financial Partners’ practice management consulting can pair Lean Six Sigma process improvement with denial management to identify workflow friction, reduce avoidable claim issues and improve the billing cycle. For owners planning the next stage of growth, healthcare CFO services can support cash position analysis, forecasting and strategic capital management. The goal is to measure where time and revenue are being lost, then prioritize improvements, not assume a particular result.
Equipment leasing can complement working capital when the response calls for imaging or exam-room equipment. A lease pays for use rather than ownership, helping a practice reserve cash for operations while accessing technology it needs. Upgrade options at the end of the term keep newer imaging, diagnostic and AI technology within reach as it advances. On financial statements, the lease appears as an expense to income rather than a debt to assets, because a doctor's lease pays for usage rather than ownership. Under IRS Section 179, lessees may deduct the full lease payment as a business expense in the year of payment (check with your tax advisor to see if you qualify).
What this means for North Carolina practices
Greensboro and Guilford County are the epicenter this week, but the strategic question applies statewide. In Raleigh, Charlotte, Fayetteville, Wilmington, Greenville, Jacksonville and Goldsboro, healthcare businesses are assessing how to keep pace as systems and competitors invest in capacity.
The independent playbook is consistent: assess your cash position, model the investment required and consider moving eligible receivables into working capital before a new facility opens, not after patients have already shifted their routines. Forward-looking financial planning gives owners more time to choose a measured response and protect their strategic advantage.
Make the cash forecast forward looking
“Accounting tells you where you’ve been; financing helps decide where you’re going. With unmatched expertise and white-glove services, we help healthcare businesses look ahead. Systems are breaking ground on next year’s market share today. A practice can either watch the crane or start moving receivables into working capital now.”
— Stuart D. Anderson, Founder & President of White Coat Financial Partners, Inc.
Frequently asked questions about medical practice financing
How much medical practice financing can a practice qualify for without a bank loan?
Eligibility and available capital are based on billing volume and total receivables, not on personal credit. The approach scales from solo practices to multi-location groups.
Will my patients know about the financing?
No. It is a non-notification model: the practice retains its billing and collections, patients are not contacted, and there is no “please pay us instead” letter.
How fast is approval?
Approval takes 24 to 48 hours. Repayment terms are aligned to cash flow, with no compounding interest and no new balance-sheet liability.
When should a Greensboro practice start preparing for the Zion Hills plaza opening?
Start now, during construction. The expected spring 2028 opening creates a runway to assess demand and prepare capacity, hours and services while patients’ habits are still in motion.
Take the Next Step
Build a forward-looking plan for your practice’s cash position, capacity and equipment needs. Contact White Coat Financial Partners to discuss medical practice financing in North Carolina or call 910-688-5077.
Contact us now to start your journey toward greater financial clarity, certainty and strategic advantage.
About the Author
Stuart D. Anderson is the founder and President of White Coat Financial Partners, a Fayetteville, NC-based firm providing specialized financial and advisory services for healthcare professionals and organizations. With deep expertise in AR-backed working capital, equipment leasing, M&A brokerage, and Lean Six Sigma process optimization, Stuart helps medical practices unlock capital, streamline operations, and achieve long-term financial stability.
White Coat Financial Partners, Inc.
109 Hay Street, Suite 202
Fayetteville, NC 28301
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