Perko

Best credit cards for a medical clinic (September 2026)

Updated September 27, 2026 from verified card data.

This is what Perko's ranking produces for a medical clinic with this spend - dining: 1500; travel: 2500; groceries: 1200; other: 5000 monthly (business: the clinic: medical supplies $25,000/mo, software $3,000/mo, utilities $2,000/mo, other $15,000/mo) - and these goals: Maldives in business class, Park Hyatt. Every figure comes from verified card terms and the same engine that builds individual reports; the cards are ranked by what they add on this spend, the spend plan sequences them under the issuer rules we track, and a card that reaches a named program but loses on the numbers is listed, not recommended. Your own numbers will move every line.

Run it on your numbers - it takes a minute and your report is free.

the clinic

Capital One Spark Miles Select for Business

Adds about $30,024 a year, with no annual fee.

With transfer bonuses timed: about $9,010 to $9,010 more a year, moving these points to Japan Airlines Mileage Bank during a bonus window (recorded 1 time in the last two years). Perko Pro tells you when one opens.

Apply / learn more

If your travel goals matter more: the Sapphire Preferred for Business adds about $16,105 a year and its points reach World of Hyatt But Costs $13,919/Yr Against Capital One Spark Miles Select for Business, Beyond the $6,004 Threshold - the Numbers Card Stays Primary, about $13,919 a year less than the pick above.

Show the other cards we checked (4)
CardAdds / yrYear oneFee
Capital One Spark Miles Select for Business bonus offer unconfirmed - excluded from year-one figure Apply / learn more$30,024$30,024$0
Capital One Venture Business Credit Card current public offer observed Sep 21 Apply / learn more$29,929$34,099$95
Capital One Spark Miles for Business Apply / learn more$29,629$33,799$395
Capital One Venture X Business Card Apply / learn more$29,629$33,799$395
Sapphire Preferred for Business bonus offer unconfirmed - excluded from year-one figure; current public offer observed Sep 14; listed for reach only: adds world of hyatt but costs $13,919/yr against Capital One Spark Miles Select for Business, beyond the $6,004 threshold - the numbers card stays primary Apply / learn more$16,105$16,105$95listed for reach

Your personal spending

American Express Green Card

Adds about $6,402 a year after its $150 fee; $7,602 in the first year with the welcome bonus.

With transfer bonuses timed: about $1,970 to $1,970 more a year, moving these points to British Airways Club Avios during a bonus window (recorded 1 time in the last two years). Perko Pro tells you when one opens.

Apply / learn more

If your travel goals matter more: the Chase Sapphire Reserve Credit Card adds about $5,757 a year and its points reach World of Hyatt, about $645 a year less than the pick above.

Show the other cards we checked (4)
CardAdds / yrYear oneFee
American Express Green Card current public offer observed Sep 14 Apply / learn more$6,402$7,602$150
American Express Gold Card (medium confidence) current public offer observed Sep 14 Apply / learn more$6,263$9,263$325
Capital One Venture Rewards Credit Card outside your ecosystem - listed for comparison Apply / learn more$6,710$8,795$95
Capital One Venture X Rewards Credit Card current public offer observed Sep 21; outside your ecosystem - listed for comparison Apply / learn more$6,410$8,495$395
Chase Sapphire Reserve Credit Card current public offer observed Sep 21; goals finalist (co-equal): adds world of hyatt; $953/yr less ongoing than Capital One Venture Rewards Credit Card, inside the $1,342 threshold; outside your ecosystem - listed for comparison Apply / learn more$5,757$8,757$795goals finalist

Your timeline

Open these in this order. Why more than one card: no single card earns its top rate on everything you spend, each new card brings its own welcome bonus, and every application lands on one credit file, so they are spaced out to keep approvals likely.

  1. Now: Capital One Spark Miles Select for Business for the clinic - welcome bonus after $3,000 of spending within 3 months. Apply
  2. Month 4: American Express Green Card - welcome bonus after $3,000 of spending within 6 months. Apply
  3. Month 10: American Express Gold Card - welcome bonus after $6,000 of spending within 6 months. Apply

Perko emails you when each step comes due, after checking the card is still available, and Perko Pro adds transfer-bonus alerts on the points these cards earn. Pro is free during the preview.

Your spend plan

Computed from the same rates, caps and valuations as the ranking. Order and timing follow the issuer rules we track; confirm current terms when you apply.

Capital One Venture Business Credit Card left out of the plan: it earns Capital One Miles like Capital One Spark Miles Select for Business and beats it on no category you spend in

Routing - the clinic

SpendCardWhen
other ($42,000/mo)Capital One Spark Miles Select for Business at 2xNow - month 12
software ($3,000/mo)Capital One Spark Miles Select for Business at 2xNow - month 12

Bonus - Capital One Spark Miles Select for Business: $3,000 in 3 months; your routed spend (about $45,000/mo) gets there in month 1

Routing - personal

SpendCardWhen
other ($5,000/mo)American Express Green Card at 1xMonth 4 - month 12
travel ($2,500/mo)American Express Green Card at 3xMonth 4 - month 12
dining ($1,500/mo)American Express Green Card at 3xMonth 4 - month 9
dining ($1,500/mo)American Express Gold Card at 4xMonth 10 - month 12 (new card)
groceries ($1,200/mo)American Express Green Card at 1xMonth 4 - month 9
groceries ($1,200/mo)American Express Gold Card at 4xMonth 10 - month 12 (new card)

Bonus - American Express Green Card: $3,000 in 6 months; your routed spend (about $10,200/mo) gets there in month 1

Bonus - American Express Gold Card: $6,000 in 6 months; your routed spend (about $2,700/mo) gets there in month 3

Your points should live in Amex Membership Rewards

It is the most effective currency for what you want to do: it books your programs directly, and it earns well on your spend. Native means a currency books any seat that airline sells; partner-only means just the award seats an airline releases to its partners, which are scarce in business class.

EcosystemReachesBest cards earn / yr
Chase Ultimate RewardsUnited Airlines: native
Southwest Airlines: native
World of Hyatt: 1:1
$21,862
Amex Membership Rewards your ecosystemUnited Airlines: partner
Southwest Airlines: no route
World of Hyatt: no route
$38,802
Capital One milesUnited Airlines: partner
Southwest Airlines: no route
World of Hyatt: no route
$36,734
Cash backno transfers, no windows to watch; every dollar is a dollar$13,248

Amex Membership Rewards reaches your goals as well as anything and earns $16,940 a year more on your spend than Chase Ultimate Rewards.

Worth a conversation: your report shows about $36,426 a year of upside. A one-hour professional assessment works from this report - entity structure, timing, the questions a report cannot answer. See how it works.

Every route we checked

How to actually redeem

Run it on your numbers - it takes a minute and your report is free.