Old Fashioned Capital bridges the gap between services rendered and payment received — so transplant surgeons, Part 135 operators, and medical service providers never have to choose between the mission and making payroll.
"The surgery was scheduled at 2 AM. Capital shouldn't be what slows any part of that chain down."
— Founding Principle, Old Fashioned CapitalYour team completes the flight, surgery assist, procurement, or medical service. You invoice the hospital or transplant center as you normally would.
Send us the invoice and payor details. We review the receivable — typically same-day. No lengthy application. No hard asset collateral. No personal guarantees.
Capital is deployed against your receivable — typically the same day. Your crew, your aircraft, your team gets paid. The mission continues without interruption.
When the transplant center or hospital pays — on their 30 or 45-day cycle — the receivable clears. Clean, simple, and built around how hospital billing actually works.
You dispatch at midnight for a heart. Fuel, crew, landing fees — all due now. The hospital bill won't clear for 45 days. We eliminate that gap entirely.
You fly out, harvest, and return. Your fee is billed to the transplant center — but you have a practice, staff, and expenses that run daily. We advance against your receivable.
If your receivable is payable by a hospital, health system, or transplant center — and you're waiting 30 to 45 days to get paid for time-sensitive work — we want to talk.
We don't question whether the hospital will pay. They will. We simply ensure that their payment cycle doesn't become your cash flow problem — or worse, a capacity constraint on life-saving care.
Capital shouldn't be the reason a life-saving operation is slower, smaller, or less capable.
The transplant ecosystem is a marvel of coordination — surgeons, pilots, logistics teams, and hospitals working in near-perfect synchrony against brutal time constraints. But the financial infrastructure supporting these providers hasn't kept up. Payment terms designed for routine hospital vendors get applied to people who are operating more like emergency responders.
Old Fashioned Capital was built on a simple premise: the businesses that support transplant medicine deserve a financial partner who actually understands their work, their risk, and their receivables. We're not a bank. We're not a factor. We're a purpose-built capital partner for a very specific, very important corner of healthcare.
We take our name seriously. Old fashioned values — a handshake matters, your word is your bond, you serve the mission before the margin. Applied to a modern capital structure that actually works for how transplant care gets delivered.
We integrate into your existing billing workflow without disruption. Your relationship with the hospital stays yours. Your invoicing doesn't change. We sit quietly in the middle — funding you now, collecting later.
Your team performs the flight, surgery assist, or medical service. You document it as you always do.
You create your invoice to the hospital or OPO. Standard billing, your format, your terms.
Submit the invoice to us. We advance capital against the receivable — same day. You get paid. We hold the receivable.
Payment flows from the hospital to us on their normal 30–45 day schedule. The loop closes. You're already onto the next mission.
No cash flow gaps. No turning down flights because payroll is thin. Capital that scales with your volume.
For hospital payors on standard 30-day net terms. We fund immediately and collect when the cycle closes. Flat, predictable fee structure.
Transplant centers and academic medical centers often run extended billing cycles. We accommodate that reality with terms that reflect it — without penalizing you.
Tell us about your operation. If you're rendering services to hospitals and waiting to get paid, we'd like to talk. Most providers are funded within 24 hours of our first conversation.
We respond to every inquiry within one business day. Usually faster.