Healthcare practice financing in Colorado

Each value carries the Colorado authority that published it. Everything else is a summary of official Colorado material, and a specific structure still needs a lawyer's read. Verified

Source: SBA 7(a) and 504 approval files, fiscal year 2025. Verified

Lending in Colorado concentrates in AURORA, $11.1 million over 8 approvals at $1.4 million average, with the remaining cities thinner and slower to appraise. Verified

Absent categories are ones CMS does not certify in Colorado. Where a dataset is still to be pulled, the table says so and nothing is inferred in its place. Directional

ARAPAHOE leads Colorado with 23 certified providers, ahead of Jefferson at 11. Where certification clusters, credit files move on precedent; away from the cluster they move on documents. Verified

Census counts 16,344 tracked establishments in Colorado; physician and specialty offices lead at 3,064. Against 219 approvals that is 1.3 per 100, a rough read on how often practices here reach for federally guaranteed debt. Verified

Denver holds 2,380 of the tracked Colorado establishments, the deepest single county on this list. Density decides whether a second location is bought or built, and the two carry different collateral. Verified

OEWS puts 54,490 registered nurses in Colorado at $100,260 mean. Underwriters test a staffing forecast against the local mean before they credit the revenue it is supposed to produce. Verified

The Colorado file holds 1,823 designations, the heaviest of them in Adams. Expansion into a designated county is easier to staff, which is usually the binding constraint on a growth plan rather than the money. Verified

• Dental offices: $50.0 million over 32 approvals in Colorado, $1.6 million each, which sets what a comparable request can be documented against.
• Physician and specialty offices: $18.3 million over 29 approvals in Colorado, $629,455 each, which sets what a comparable request can be documented against.
• Residential care and treatment: $1.2 million on average, 14 approvals, $16.4 million in total. Match $1.2 million and the timeline is ordinary; ask well above it and the Colorado diligence list lengthens.
• Home health and hospice: average approval $630,929 over 21 closings worth $13.2 million. At $630,929 against $13.2 million of state volume, that is an equipment or fit-out request more often than an acquisition.
• Med spa and personal care: $450,046 average across 26 Colorado approvals worth $11.7 million, so a request in that range reads as routine rather than exceptional.
• Veterinary practices: $11.6 million across 13 approvals, averaging $892,777. Above $892,777 the file needs collateral or trading history that most of those 13 Colorado borrowers did not have to show.
• Home care, non-medical: 8 closings, $8.8 million approved, $1.1 million typical. That average is the reference point a Colorado credit committee starts from on a similar file.
• Behavioral health and ABA: 22 closings, $6.6 million approved, $300,823 typical. That average is the reference point a Colorado credit committee starts from on a similar file.
• Optometry offices: $1.2 million average across 5 Colorado approvals worth $6.2 million, so a request in that range reads as routine rather than exceptional.

• The Colorado record leans toward dental offices, which took $50.0 million across 32 approvals. A request in that range reads as ordinary to a credit committee, which shortens the questions asked before terms are quoted.
• Physician and specialty offices account for 29 approvals and $18.3 million in Colorado, ahead of residential care and treatment. Fields with regular volume have living comparables in the state, and that is what keeps an offer from being priced defensively.
• 923 medical equipment suppliers operate under CMS certification in Colorado. That number decides whether growth capital here funds an acquisition of an existing license or a slower application, and the two look nothing alike on a cash-flow schedule.
• Of the Colorado approvals, 15 came through the 504 debenture structure. That is the owner-occupied real estate route, so the count marks practices that bought rather than leased, and it sets expectations on appraisal and timeline for anyone following them.

• 219 SBA approvals to Colorado healthcare borrowers in FY2025¹
• $163.5 million approved, averaging $746,585 per loan¹
• 1,443 CMS-certified providers across 5 categories²

• Healthcare AR line and payroll funding
• Partner buy-in, buy-out, and refinance
• Commercial real estate, owner-occupied
• Equipment financing and leasing
• Business line of credit
• Practice acquisition
• Startup and de novo

• Colorado Medical Board, licensure and ownership questions for physicians
• Colorado Dental Board, licensure and ownership questions for dentists
• Nothing official was confirmed for Colorado on repayment support, state lending, or financing disclosure oversight

Also covered in Colorado: Fort Morgan, Grand Junction, Wheat Ridge, Longmont, Lafayette, Brighton, Lone Tree, Golden, Fruita, Fountain, Monument, Castle Pines, Erie, Firestone, Windsor, Northglenn, Superior, Berthoud, Johnstown, Frederick, Wellington, Timnath, Evans, Federal Heights, Severance

• All states covered
• Every financing program
• Georgia healthcare practice financing, if the practice operates across the line
• Indiana healthcare practice financing, for a second reading of the same datasets
• Louisiana healthcare practice financing, if the practice operates across the line
• Dental specialties, read on the terms that field is underwritten on
• Veterinary, and the revenue mix a funder checks first
• IV hydration and infusion, with the capital events that field actually runs
• Podiatry, with the capital events that field actually runs
• Home health, with the capital events that field actually runs
• Clinical and toxicology labs, including what collections history is asked for

1. 1SBA 7(a) and 504 approvals, FY2025
2. 2CMS provider certification files
3. 3NPPES provider registry
4. 4County Business Patterns 2022
5. 5BLS Occupational Employment and Wage Statistics, OEWS 2025
6. 6HRSA health professional shortage area file
7. 7Colorado corporate practice rules
8. 8Colorado Medical Board
9. 9Colorado Dental Board