Medical and dental practices in Odessa wrestle with extended insurance reimbursement cycles that can stretch 90 days while payroll, rent on Medical Center Drive, and vendor invoices arrive monthly. Many clinics serve a mix of private insurance, Medicare, and self-pay oil-field workers whose coverage lapses between contracts, creating unpredictable revenue dips. Traditional banks hesitate when accounts receivable dominate the balance sheet and malpractice premiums spike. Physician practice loans must align draw schedules with claim cycles, not generic retail calendars, so working capital arrives before the next payroll run.