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Healthcare practice financing in New Hampshire

Approvals by field, certified provider counts, county concentration, and the rules that decide how a New Hampshire request is handled

Direct answer

In FY2025 the 7(a) and 504 programs put $18.4 million behind 44 New Hampshire healthcare files. A New Hampshire inquiry is passed to our funding partners, and pricing, terms, and disclosures are theirs to state. Everything below comes from published FY2025 files: approvals by field, certification counts, and the New Hampshire rules themselves.

As of FY2025

New Hampshire healthcare borrowers hold 44 SBA 7(a) and 504 approvals worth $18.4 million, $418,798 on average, led by veterinary practices. Against 3,176 tracked New Hampshire establishments that is 1.4 per 100, with 335 CMS-certified providers and 746 HRSA shortage designations on file.

What the New Hampshire statutes decide about a practice file

A New Hampshire structure is tested against these rows first, and the loan record further down is read afterwards.
New Hampshire compliance picture, with the source behind each row
TopicWhat appliesSource
How an inquiry is handledReferral. The inquiry is shared with our funding partners, and each partner contacts the practice directly with its own offer and its own disclosure.Disclosures
Program availabilityNo product class is excluded in New Hampshire by our own rules. A funding partner still applies its own criteria.Disclosures
Corporate practice of medicineNot applied as a bar. New Hampshire RSA Chapter 294-A governs professional corporations and does not bar non-physician ownership of medical practices.State statute
Management services organizationsPermitted. New Hampshire statute does not restrict management services organization structures for medical practices.New Hampshire Board of Medicine
Medical director requirementNot verified from an official New Hampshire source. The state board and healthcare counsel are the places to settle this.None
Certificate of needNew Hampshire repealed its certificate of need program and is identified by national trackers as a state without a certificate of need law.None
Commercial financing disclosure lawNo commercial financing disclosure law verified for New Hampshire. A funding partner still states its own terms in writing at the offer stage.None

Sources sit in the third column. Nothing here is legal advice; healthcare counsel in New Hampshire decides how it lands on a specific structure. Verified

SBA 7(a) and 504 activity in New Hampshire by healthcare field

Approvals to New Hampshire healthcare borrowers, grouped by the NAICS codes each field reports under.
New Hampshire healthcare SBA approvals, FY2025
FieldLoansTotal approvedAverage7(a) / 504
Veterinary practices5$8.3 million$1.7 million5 / 0
Residential care and treatment5$3.5 million$700,4004 / 1
Behavioral health and ABA6$1.7 million$286,5005 / 1
Chiropractic offices5$1.2 million$245,2805 / 0
Med spa and personal care9$1.0 million$114,4898 / 1
Physician and specialty offices4$892,200$223,0504 / 0
Medical staffing2$800,000$400,0002 / 0
Physical, occupational, and speech therapy3$520,000$173,3330 / 3
Other outpatient care centers4$344,800$86,2004 / 0
Home care, non-medical1$50,000$50,0001 / 0

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

Which New Hampshire cities the loan dollars landed in

New Hampshire healthcare SBA approvals by borrower city
CityLoansApprovedAverage
BEDFORD6$5.4 million$893,667
NASHUA7$2.1 million$305,714
PETERBOROUGH1$2.1 million$2.1 million
Manchester1$1.7 million$1.7 million
CLAREMONT2$1.3 million$625,000
TILTON1$1.1 million$1.1 million
MANCHESTER2$880,000$440,000
Dover2$593,000$296,500
PORTSMOUTH1$500,000$500,000
CHARLESTOWN1$500,000$500,000
Amherst1$372,400$372,400
Chester1$300,000$300,000
EXETER2$300,000$150,000
MEREDITH2$275,000$137,500
Bedford1$235,000$235,000
HANOVER1$175,000$175,000
Alton1$139,000$139,000
CONCORD1$115,000$115,000
Exeter1$94,000$94,000
DOVER3$90,000$30,000
North Hampton1$82,000$82,000
MILFORD1$50,000$50,000
WOLFEBORO1$36,000$36,000
Portsmouth1$27,400$27,400
AMHERST1$25,000$25,000
STRATHAM1$12,000$12,000

Lending in New Hampshire concentrates in BEDFORD, $5.4 million over 6 approvals at $893,667 average, with the remaining cities thinner and slower to appraise. Verified

Certified and enumerated providers in New Hampshire

New Hampshire provider counts by dataset
CategoryCountDataset
Medical equipment suppliers238CMS certification, 2026-09-06
Ambulatory surgical centers27CMS certification, 2026-09-06
Home health agencies27CMS certification, 2026-09-06
Hospice providers23CMS certification, 2026-09-06
Dialysis facilities20CMS certification, 2026-09-06
Enumerated cliniciansNot yet loadedNPPES registry

No row means no certification of that kind in New Hampshire. A not yet loaded cell names the dataset and stops there rather than estimating. Directional

Where certified providers sit inside New Hampshire

Top counties in New Hampshire by CMS-certified providers
CountyCertified providers
Rockingham5
Hillsborough5
HILLSBOROUGH5
MERRIMACK4
ROCKINGHAM4
STRAFFORD3
Belknap2
Strafford2
GRAFTON2
BELKNAP2
Merrimack1
Cheshire1
Coos1
Grafton1
Carroll1
Sullivan1
CHESHIRE1
CARROLL1
-1

Rockingham leads New Hampshire with 5 certified providers, ahead of Hillsborough at 5. Certified density is a proxy for payer depth, and payer depth is what a receivables line is sized against. Verified

The New Hampshire establishment base by field

New Hampshire establishments by healthcare field, County Business Patterns 2022
FieldEstablishments
Physician and specialty offices681
Dental offices595
Residential care and treatment270
Physical, occupational, and speech therapy220
Medical staffing205
Veterinary practices200
Behavioral health and ABA167
Chiropractic offices162
Home care, non-medical143
Med spa and personal care140
Other outpatient care centers115
Home health and hospice103
Optometry offices89
Laboratories and imaging57
Dialysis facilities16
Medical equipment suppliers13

Counted by employer rather than clinician, New Hampshire has 3,176 establishments in these fields. Compare the 44 approvals and the ratio lands at 1.4 per 100, which frames how unusual a guaranteed loan is locally. Verified

The New Hampshire counties that hold the practices

New Hampshire establishments by county, County Business Patterns 2022
CountyEstablishments
Hillsborough1,019
Rockingham891
Merrimack332
Strafford262
Grafton211
Cheshire135
Belknap104
Carroll85
Sullivan54
Coos53

The census file puts Hillsborough at the top of New Hampshire with 1,019 establishments. A dense county gives a buyer choice and a lender comparables; a sparse one gives neither, and the timeline stretches. Verified

Employment and pay across New Hampshire clinical roles

New Hampshire employment and mean wage by occupation, OEWS 2025
OccupationEmployedMean annual wage
Registered nurses15,390$99,700
Nursing assistants7,810$47,870
Licensed practical and vocational nurses2,220$77,110
Physical therapists1,960$99,850
Dental assistants1,600$59,530
Dental hygienists1,360$101,250
Veterinary technologists and technicians870$48,780
Veterinarians650$128,190
Dentists, general500$177,480

Wage data for New Hampshire opens with registered nurses at $99,700 across 15,390 positions. Hiring plans attached to a request get checked against figures like these, and a ramp built on below-market pay is where a projection usually breaks. Verified

Shortage designations across New Hampshire

HRSA shortage designations in New Hampshire, 2026-09-06
CountyDesignationsHighest HPSA score
Grafton35922
Hillsborough12526
Coos10321
Carroll6620
Sullivan4818
Cheshire3721
Merrimack3324
Belknap3322
Rockingham1822
Strafford1217
Essex50
Not Determined522
Windham40
Orange20
Caledonia20

New Hampshire carries 746 designations across primary care, mental health, dental, Grafton highest at 359. For an owner, that is a staffing lever attached to a location decision rather than a discount on capital. Verified

Field by field, what the New Hampshire numbers imply

  • Veterinary practices: 5 closings, $8.3 million approved, $1.7 million typical. That average is the reference point a New Hampshire credit committee starts from on a similar file.
  • Residential care and treatment: 5 approvals, $3.5 million, $700,400 average. A New Hampshire request near $700,400 sits inside the band 5 approvals already established.
  • Behavioral health and ABA: $1.7 million across 6 approvals, averaging $286,500. Above $286,500 the file needs collateral or trading history that most of those 6 New Hampshire borrowers did not have to show.
  • Chiropractic offices: 5 New Hampshire approvals totaling $1.2 million, $245,280 each. With only 5 New Hampshire approvals behind $1.2 million, the underwriter reads documents rather than precedent.
  • Med spa and personal care: 9 New Hampshire approvals totaling $1.0 million, $114,489 each. With only 9 New Hampshire approvals behind $1.0 million, the underwriter reads documents rather than precedent.
  • Physician and specialty offices: average approval $223,050 over 4 closings worth $892,200. At $223,050 against $892,200 of state volume, that is an equipment or fit-out request more often than an acquisition.
  • Medical staffing: 2 approvals, $800,000, $400,000 average. A New Hampshire request near $400,000 sits inside the band 2 approvals already established.
  • Physical, occupational, and speech therapy: 3 New Hampshire approvals totaling $520,000, $173,333 each. With only 3 New Hampshire approvals behind $520,000, the underwriter reads documents rather than precedent.
  • Other outpatient care centers: $86,200 average across 4 New Hampshire approvals worth $344,800, so a request in that range reads as routine rather than exceptional.

Reading demand out of the New Hampshire file

  • The New Hampshire record leans toward veterinary practices, which took $8.3 million across 5 approvals. Anything meaningfully larger than that average is underwritten as an outlier in New Hampshire, with the diligence that implies.
  • Behind the leader, New Hampshire shows 5 approvals in residential care and treatment and 6 in behavioral health and aba. A funder with local paper in a field underwrites it on precedent; without precedent it underwrites on documents.
  • On the certified side, New Hampshire carries 238 medical equipment suppliers. Certified capacity is the difference between buying revenue and building it, and lenders price those two paths differently.
  • Real estate shows up as 6 504 approvals in New Hampshire. An owner planning the same move in New Hampshire can point at closed local paper rather than a hypothetical.
  • 44 SBA approvals to New Hampshire healthcare borrowers in FY20251
  • $18.4 million approved, averaging $418,798 per loan1
  • 335 CMS-certified providers across 5 categories2

Programs referred in New Hampshire

Official New Hampshire programs and regulators

Micro-markets in New Hampshire

Each town page holds its own county loan file, provider counts, and distance to the nearest metro.
Wave-1 New Hampshire micro-markets, population and enumerated providers
TownPopulationProviders on file
Claremont13,105136
Lebanon15,389760
Nashua91,8511,246
Portsmouth22,938802
Keene23,036414
Laconia17,310269
Rochester33,598195
Dover33,909485
Concord44,674956
Somersworth12,218142

Where to read next

Questions New Hampshire owners ask

01

How is a New Hampshire inquiry handled once it arrives?

The request is screened against New Hampshire rules, matched, and passed to our funding partners who each work it independently. Every figure a practice sees comes from a partner. A funded account pays a fee from the partner's side.

02

What does the SBA file show for New Hampshire healthcare borrowers?

The published 7(a) and 504 file records 44 approvals to New Hampshire healthcare borrowers worth $18.4 million in FY2025, an average of $418,798. Veterinary practices took the largest share at 5 approvals. Withdrawn and declined requests never enter the dataset, so treat the count as the visible part of demand.

03

How does the corporate practice doctrine work in New Hampshire?

New Hampshire RSA Chapter 294-A governs professional corporations and does not bar non-physician ownership of medical practices. New Hampshire statute does not restrict management services organization structures for medical practices. Funders want to see who holds the clinical license and who holds the contract. Assemble both for New Hampshire early, and have counsel there confirm the arrangement before it is relied on.

04

How does certificate of need affect a New Hampshire expansion?

New Hampshire repealed its certificate of need program and is identified by national trackers as a state without a certificate of need law. Expect two closings on a New Hampshire project where the requirement applies, with the approval gating the second one.

05

How many CMS-certified providers are in New Hampshire?

CMS certification files list 335 certified providers in New Hampshire across 5 tracked categories, led by medical equipment suppliers at 238, vintage 2026-09-06. Each certification is permission to bill, which makes the count a rough census of revenue-carrying operators in New Hampshire.

Sources

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