Dr. Patel operates a three-chair practice on NW 27th Avenue near the Miami Gardens city limit, ten minutes from Carol City. Her lease renews in four months, and the landlord wants $4,000 more per year. She finds a 2,200-square-foot space in a medical plaza closer to Miami Lakes with better parking and visibility, but the build-out, plumbing for three operatory wet-walls, electrical for compressors and vacuum, cabinetry, flooring, signage, will cost $180,000. She also wants to replace two aging delivery units and add a pan-ceph unit, another $70,000. Her practice grossed $820,000 last year, nets about $240,000, and she has $60,000 in savings.
She calls Alder Funding. We confirm she's been in business four years, reviews are strong, patient retention above 80 percent, and payer mix is two-thirds PPO, one-third cash/Medicaid. We propose an SBA 7(a) loan for the $180,000 tenant improvement and $70,000 equipment, totaling $250,000, structured over ten years. The SBA allows longer amortization, keeping monthly payments manageable while her patient base transitions to the new location. We submit to three lenders in our network experienced with dental relocations. One approves in three weeks. Dr. Patel signs the lease, construction starts, and she opens the new office six months later without depleting her emergency reserve.