Medical Practice Financing: Why Most Financing Misses the Point - and the Forward-Looking Fix. Published September 14, 2026 Fayetteville's healthcare market is expanding: Cape Fear Valley Health secured $48 million in revenue bonds, while PAM Health announced a 42-bed rehabilitation hospital expected to create approximately 200 jobs. Against this backdrop, Medical Practice Financing: Why Most Financing Misses the Point - and the Forward-Looking Fix matters to independent practices, dental groups, clinics, supply companies, and EMS organizations. The answer is straightforward: most financing is backward-looking, relying on historical statements, collateral, and personal credit. The forward-looking fix is AR-Backed Working Capital: a non-notification lending model based on the aggregate total of your accounts receivable. Accounting is history. Financing is Forward Looking. Traditional underwriting may overlook revenue already earned but not yet collected. White Coat Financial Partners evaluates cash position, payer timing, and strategic capital needs so your financing reflects where the business is going: not merely where it has been. Recent healthcare expansion across North Carolina, including FirstHealth's $50 million Hoke County project, reinforces the need for disciplined financial planning. AR-Backed Working Capital keeps owners in control. Lending is based on total AR, not individual claims. You retain billing, collections, and patient relationships. White Coat Financial Partners does not contact patients or take possession of receivables. Repayment follows cash flow, with no compounding factor fees or open-ended discount rates. Structures can scale from solo practices to multi-location groups and are not based solely on personal credit scores. Pairing this facility with forward-looking medical practice financing and Lean Six Sigma consulting can shorten billing cycles and reduce the long-term need for financing. Equipment leasing preserves strategic capacity. Leasing pays for equipment usage rather than ownership, limiting depreciation and ownership risk. Depending on structure, an operating lease may appear as an expense on the P&L rather than a liability on the balance sheet, preserving debt capacity and debt-to-equity ratios. Purchase options also support upgrades to imaging, diagnostics, and AI tools. IRS Section 179 benefits may apply (check with your tax advisor to see if you qualify). Build a forward-looking capital plan. For confidential, white-glove guidance, contact White Coat Financial Partners or call 910-688-5077. Gain clarity, certainty, and strategic advantage. 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. Connect with Stuart on LinkedIn. September 14, 2026 Stuart D. Anderson White Coat Financial Partners

Golden leaf awards Fayetteville State $500,000 for nursing expansion. Photo by Rama / Wikimedia Commons, Licensed under CC BY -SA 2.0. License Link: https://creativecommons.org/licenses/by-sa/2.0/fr/ FAYETTEVILLE, N.C. - Fayetteville State University has received $500,000 from the Golden LEAF Foundation to expand simulation training capacity at the Lloyd College of Health, Science and Technology School of Nursing, providing additional clinical learning resources as the university prepares for continued growth in the program. The Golden LEAF Board of Directors approved the award Aug. 6 through its Open Grants Program. Funding will support the purchase of high-fidelity simulation technology for an additional laboratory space, allowing nursing students to practice clinical decision-making, patient assessment, and treatment in realistic, controlled settings before working directly with patients. "The Golden LEAF Foundation has long understood that meaningful economic development starts with investing in the people and institutions that serve North Carolina communities," said Chancellor Darrell T. Allison. "We are grateful to President and Chief Executive Officer Scott T. Hamilton, Board Chair Brian Raynor and the entire board for their continued investment in our region. This partnership expands Fayetteville State University's ability to create pathways into critical professions while contributing to the long-term vitality of the communities we serve." "Access to a skilled healthcare workforce is essential to the long-term economic growth of North Carolina communities," said Golden LEAF President, Chief Executive Officer Scott T. Hamilton. "Golden LEAF is proud to support Fayetteville State University as it expands high-quality nursing education and provides students with the hands-on training needed to enter this critical profession. This investment will help strengthen the pipeline of nurses prepared to meet employer demand in Southeastern North Carolina and other economically distressed areas of our state." The funding comes as FSU prepares to serve more nursing students. The North Carolina Board of Nursing recently approved the university to double its prelicensure Bachelor of Science in Nursing enrollment capacity to 300 students, creating a corresponding need for additional clinical learning space and resources. "Simulation allows students to develop clinical judgment, communication and patient care skills in an environment where they can learn, practice and build confidence before providing hands-on care," said Christy Swinson, DNP, associate dean of the School of Nursing. "The Golden LEAF investment allows us to expand those learning opportunities while maintaining the quality and rigor of our nursing education." Beyond the classroom, the funding supports a workforce pipeline already responsive to local needs. Approximately 80% of FSU registered nursing graduates from the past three years remain in North Carolina, with roughly 70% living in some of the region's most economically distressed communities. Cape Fear Valley Health has hired 66 FSU nursing graduates over the past three and a half years alone. "This progress is a testament to the outstanding leadership of Dr. Christy Swinson and the exceptional work of our faculty and staff, whose dedication to student success continues to move Bronco Nursing forward," said Erin N. White, Ph.D., dean of the Lloyd College of Health, Science and Technology. "For us, expansion is not simply about enrolling more students; it is about graduating more highly prepared nurses, and we are deeply grateful for the investments in that vision."

Cape Fear Valley Health receives $1.6 million grant to support maternal and infant health. 5 hours ago FAYETTEVILLE, NC - Cape Fear Valley Health has received a $1.6 million grant from The Duke Endowment to support maternal and infant health initiatives across North Carolina and South Carolina. The multiyear Maternal Infant Health Carolinas initiative will focus on improving maternal and infant health outcomes, strengthening care coordination and advancing health equity. Cape Fear Valley Health will participate in H.E.A.R. (Healing, Equity, Advocacy and Respect) 4 Mamas and Babies, a text- and phone-based screening and referral program developed by the Medical University of South Carolina. The program is designed to identify medical, behavioral health and social needs during pregnancy and throughout the postpartum year. Participants can be connected with services addressing issues including maternal depression, anxiety, substance use disorders, chronic health conditions, intimate partner violence and social needs. The Duke Endowment selected Cape Fear Valley Health and four other health systems to form a regional network. Participants will receive training, technology support, evaluation resources and technical assistance through a center led by MUSC in collaboration with the University of North Carolina at Chapel Hill. Cape Fear Valley Health will also work with local health care providers, public health agencies and community organizations to connect families with medical, behavioral health and social support services. The health system plans to establish a community advisory board to provide feedback and help identify local resource gaps. Cape Fear Valley Health said the grant will help address maternal health challenges in Cumberland County, including disparities and preterm birth rates. The initiative is intended to develop long-term strategies for improving maternal and infant health outcomes and connecting families with support throughout pregnancy and the postpartum period.