Happy elderly woman receiving quality care

Turn Your Medicare & Medicaid Receivables Into Working Capital

Access up to 85% of your outstanding government receivables. Lower rates, automated processing, and the capital you need to invest in growth and care.

Fast Access
Same-day funds after approval
300-400+ BPS Savings
Lower interest rates
Automated Process
AI-powered underwriting
Up to 85% AR
Maximum capital access

For Skilled Nursing Facilities

Stop letting cash flow challenges hold you back. Access the capital you've already earned—when you need it most.

Access Up to 85% of Outstanding AR

Unlock working capital tied up in Medicare and Medicaid receivables. Get additional working capital to invest in your facilities.

Access $8.5M on $10M in receivables

Fast Access After Approval

Once approved, get same-day access to funds. Our AI-enabled platform automates underwriting of hundreds of thousands of transactions, dramatically speeding up the approval process.

Same-day funds after approval

Save 300-400+ Basis Points

Reduce your interest rates significantly compared to traditional specialty lenders. Add 300-400+ basis points to your bottom line.

300-400+ BPS to your bottom line
Elderly patient with therapy cat receiving quality care

Real Impact for Your Facility

For a facility with $10M in outstanding Medicare/Medicaid AR, Onza can provide $8.5M in working capital, add significant savings to your bottom line, and get you funded within days of approval.

Calculate Your Savings

For Regional Banks & Alternative Lenders

A reliable new asset class with government-backed collateral, competitive returns, and automated servicing.

Gov-backed security

Government-Backed Collateral

Medicare and Medicaid receivables provide ultimate creditworthy collateral. The most reliable payer backing your loans.

Competitive returns

Attractive Returns

Earn competitive returns on government-backed receivables with significantly lower risk than traditional lending.

New asset class

Diversify Your Lending Base

Expand into a new asset class and meet regulatory requirements. Grow your traditional lending base while supporting your community.

Instant underwriting

Automated Underwriting You Can Trust

Our AI-enabled platform underwrites hundreds of thousands of transactions with auditable EHR data. Real-time monitoring and servicing.

Modern corporate buildings representing institutional stability

$139B+ in Medicare & Medicaid Receivables Outstanding Every Year

Tap into a massive, growing market with government-backed collateral and predictable cash flows.

Partner With Us

How It Works

Our MMRBS (Medicare Medicaid Receivable Backed Securities) Machine automates the entire lending lifecycle.

1

AI-Enabled Underwriting

Our platform integrates with your EHR to automatically underwrite millions of transactions using public CMS data, private borrower data, and proprietary benchmarks.

2

Automated Origination

Standardized process and documentation ensure collateral perfection. Match SNFs with regional banks and alternative lenders through our marketplace.

3

Real-Time Servicing & Monitoring

Continuous collateral monitoring, credit adjustments, and loan servicing. Full transparency for both borrowers and lenders.

Caregiver providing compassionate support to elderly patient

Our Mission

Quality care depends on capital

Access to a well-funded skilled nursing facility transformed my grandmother's final years—giving her dignity, comfort, and quality care. We found an excellent facility, but I learned firsthand how challenging it is for SNF providers to maintain quality care while managing the financial realities of waiting sometimes months for Medicare and Medicaid reimbursements.

Quality care requires capital to hire skilled staff, maintain facilities, and invest in better outcomes. Yet the providers who dedicate themselves to our most vulnerable patients often struggle with cash flow constraints that limit their ability to deliver the care they want to provide.

Our team brings several decades of experience serving some of the largest skilled nursing facilities in the country, participating as one of the largest collateralized lending participants in the US, and running SOX-compliant accounting infrastructure for some of the largest public firms in healthcare and life sciences.

Trusted Track Record

Our team brings decades of experience from leading organizations across healthcare, finance, and technology

Annexus Health logo
Tapestry Health logo
Progressive Rehab Solutions logo
Vellum logo
EY logo
Harvard Business School logo
Stanford University logo
Harvard Innovation Lab logo
Tang Capital Management logo
Condor Software logo
SVI logo
Fidelity Private Shares logo
Blackstone logo
J.P. Morgan logo
Notable logo
Uber logo
WeWork logo