Healthcare practice financing in Montana

Every column above shows the official source it came from. This is a reading of published Montana material, not legal advice, and counsel should confirm it against the entity being funded. Verified

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

BOZEMAN carries 3 of the Montana approvals at $1.1 million apiece. A practice outside that market is valued on its own collections rather than on a neighbor's closing. Verified

Categories CMS does not certify in Montana do not appear. A dataset that has not been read yet is labeled, not filled in. Directional

YELLOWSTONE leads Montana with 4 certified providers, ahead of GALLATIN at 4. Concentration decides whether an underwriter has local precedent or has to build the case from the practice's own collections. Verified

The employer base in Montana runs to 2,940 establishments, 477 of them dental offices. The ratio of 1.0 per 100 says most Montana practices funded whatever they funded outside this program. Verified

No Montana county carries more of the base than Yellowstone, with 497 establishments. Concentration matters to an acquisition search: where the base is thin, a buyer waits for a seller rather than choosing between them. Verified

Mean pay for registered nurses in Montana is $85,280 across 10,950 people. Payroll is the biggest line in most Montana practice budgets, so a forecast that ignores the local wage is a forecast a funder discounts. Verified

Counted across primary care, dental, mental health, Montana holds 756 designations. Shortage status reads on a credit file as demand evidence, not as a subsidy, and it supports the revenue case for a second site. Verified

• Behavioral health and ABA: $627,333 on average, 6 approvals, $3.8 million in total. Match $627,333 and the timeline is ordinary; ask well above it and the Montana diligence list lengthens.
• Veterinary practices: $1.2 million on average, 3 approvals, $3.6 million in total. Match $1.2 million and the timeline is ordinary; ask well above it and the Montana diligence list lengthens.
• Dental offices: 2 Montana approvals totaling $1.1 million, $572,700 each. With only 2 Montana approvals behind $1.1 million, the underwriter reads documents rather than precedent.
• Physical, occupational, and speech therapy: 1 approvals, $642,000, $642,000 average. A Montana request near $642,000 sits inside the band 1 approvals already established.
• Chiropractic offices: $595,400 over 5 approvals in Montana, $119,080 each, which sets what a comparable request can be documented against.
• Medical equipment suppliers: $531,000 across 3 approvals, averaging $177,000. Above $177,000 the file needs collateral or trading history that most of those 3 Montana borrowers did not have to show.
• Home health and hospice: 1 closings, $500,000 approved, $500,000 typical. That average is the reference point a Montana credit committee starts from on a similar file.
• Med spa and personal care: $87,360 on average, 5 approvals, $436,800 in total. Match $87,360 and the timeline is ordinary; ask well above it and the Montana diligence list lengthens.
• Physician and specialty offices: 1 closings, $200,000 approved, $200,000 typical. That average is the reference point a Montana credit committee starts from on a similar file.

• Most of the money approved in Montana went to behavioral health and aba, 32 percent of it, at $627,333 per approval. At that size the underwriting question is collections history and lease term, which means the documents worth assembling before an inquiry are the last 3 years of returns and the lease.
• Next in the Montana file is veterinary practices at $3.6 million over 3 approvals, followed by dental offices. Where volume thins out, expect a longer memo, more history, and a smaller first advance.
• Montana shows 231 medical equipment suppliers in the certification files. Where that base is deep, growth capital tends to fund acquisitions; where it is shallow, it funds the wait for a license.
• Montana shows 6 approvals on the 504 side. Real estate deals run longer than working capital deals, and the local count tells an owner whether lenders here are used to closing them.

• 29 SBA approvals to Montana healthcare borrowers in FY2025¹
• $11.7 million approved, averaging $404,003 per loan¹
• 324 CMS-certified providers across 5 categories²

• Healthcare AR line and payroll funding
• Partner buy-in, buy-out, and refinance
• Commercial real estate, owner-occupied
• Expansion, relocation, and build-out
• Medical receivables factoring
• SBA 7(a) and 504
• Working capital term loan

• Montana Board of Medical Examiners, licensure and ownership questions for physicians
• Montana Board of Dentistry, licensure and ownership questions for dentists
• Montana has no verified state repayment scheme, state lending program, or financing disclosure regulator on file here

• All states covered
• Every financing program
• New Jersey healthcare practice financing, if the practice operates across the line
• Ohio healthcare practice financing, for a side-by-side on rules and loan volume
• Rhode Island healthcare practice financing, the nearest comparable record to this one
• Skilled nursing, assisted living, and memory care, read on the terms that field is underwritten on
• Mobile diagnostics, with the capital events that field actually runs
• Med spa and aesthetics, with the payer profile behind the numbers
• Chiropractic, including what collections history is asked for
• Hormone, TRT, and men's health clinics, with the payer profile behind the numbers
• Pain management and interventional, and the revenue mix a funder checks first

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. 7Montana corporate practice rules
8. 8Montana certificate of need
9. 9Montana Board of Medical Examiners
10. 10Montana Board of Dentistry