State
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
What the New Hampshire statutes decide about a practice file
| Topic | What applies | Source |
|---|---|---|
| How an inquiry is handled | Referral. 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 availability | No product class is excluded in New Hampshire by our own rules. A funding partner still applies its own criteria. | Disclosures |
| Corporate practice of medicine | Not 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 organizations | Permitted. New Hampshire statute does not restrict management services organization structures for medical practices. | New Hampshire Board of Medicine |
| Medical director requirement | Not verified from an official New Hampshire source. The state board and healthcare counsel are the places to settle this. | None |
| Certificate of need | New Hampshire repealed its certificate of need program and is identified by national trackers as a state without a certificate of need law.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 law | No 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
| Field | Loans | Total approved | Average | 7(a) / 504 |
|---|---|---|---|---|
| Veterinary practices | 5 | $8.3 million | $1.7 million | 5 / 0 |
| Residential care and treatment | 5 | $3.5 million | $700,400 | 4 / 1 |
| Behavioral health and ABA | 6 | $1.7 million | $286,500 | 5 / 1 |
| Chiropractic offices | 5 | $1.2 million | $245,280 | 5 / 0 |
| Med spa and personal care | 9 | $1.0 million | $114,489 | 8 / 1 |
| Physician and specialty offices | 4 | $892,200 | $223,050 | 4 / 0 |
| Medical staffing | 2 | $800,000 | $400,000 | 2 / 0 |
| Physical, occupational, and speech therapy | 3 | $520,000 | $173,333 | 0 / 3 |
| Other outpatient care centers | 4 | $344,800 | $86,200 | 4 / 0 |
| Home care, non-medical | 1 | $50,000 | $50,000 | 1 / 0 |
Source: SBA 7(a) and 504 approval files, fiscal year 2025. Verified
Which New Hampshire cities the loan dollars landed in
| City | Loans | Approved | Average |
|---|---|---|---|
| BEDFORD | 6 | $5.4 million | $893,667 |
| NASHUA | 7 | $2.1 million | $305,714 |
| PETERBOROUGH | 1 | $2.1 million | $2.1 million |
| Manchester | 1 | $1.7 million | $1.7 million |
| CLAREMONT | 2 | $1.3 million | $625,000 |
| TILTON | 1 | $1.1 million | $1.1 million |
| MANCHESTER | 2 | $880,000 | $440,000 |
| Dover | 2 | $593,000 | $296,500 |
| PORTSMOUTH | 1 | $500,000 | $500,000 |
| CHARLESTOWN | 1 | $500,000 | $500,000 |
| Amherst | 1 | $372,400 | $372,400 |
| Chester | 1 | $300,000 | $300,000 |
| EXETER | 2 | $300,000 | $150,000 |
| MEREDITH | 2 | $275,000 | $137,500 |
| Bedford | 1 | $235,000 | $235,000 |
| HANOVER | 1 | $175,000 | $175,000 |
| Alton | 1 | $139,000 | $139,000 |
| CONCORD | 1 | $115,000 | $115,000 |
| Exeter | 1 | $94,000 | $94,000 |
| DOVER | 3 | $90,000 | $30,000 |
| North Hampton | 1 | $82,000 | $82,000 |
| MILFORD | 1 | $50,000 | $50,000 |
| WOLFEBORO | 1 | $36,000 | $36,000 |
| Portsmouth | 1 | $27,400 | $27,400 |
| AMHERST | 1 | $25,000 | $25,000 |
| STRATHAM | 1 | $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
| Category | Count | Dataset |
|---|---|---|
| Medical equipment suppliers | 238 | CMS certification, 2026-09-06 |
| Ambulatory surgical centers | 27 | CMS certification, 2026-09-06 |
| Home health agencies | 27 | CMS certification, 2026-09-06 |
| Hospice providers | 23 | CMS certification, 2026-09-06 |
| Dialysis facilities | 20 | CMS certification, 2026-09-06 |
| Enumerated clinicians | Not yet loaded | NPPES 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
| County | Certified providers |
|---|---|
| Rockingham | 5 |
| Hillsborough | 5 |
| HILLSBOROUGH | 5 |
| MERRIMACK | 4 |
| ROCKINGHAM | 4 |
| STRAFFORD | 3 |
| Belknap | 2 |
| Strafford | 2 |
| GRAFTON | 2 |
| BELKNAP | 2 |
| Merrimack | 1 |
| Cheshire | 1 |
| Coos | 1 |
| Grafton | 1 |
| Carroll | 1 |
| Sullivan | 1 |
| CHESHIRE | 1 |
| CARROLL | 1 |
| - | 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
| Field | Establishments |
|---|---|
| Physician and specialty offices | 681 |
| Dental offices | 595 |
| Residential care and treatment | 270 |
| Physical, occupational, and speech therapy | 220 |
| Medical staffing | 205 |
| Veterinary practices | 200 |
| Behavioral health and ABA | 167 |
| Chiropractic offices | 162 |
| Home care, non-medical | 143 |
| Med spa and personal care | 140 |
| Other outpatient care centers | 115 |
| Home health and hospice | 103 |
| Optometry offices | 89 |
| Laboratories and imaging | 57 |
| Dialysis facilities | 16 |
| Medical equipment suppliers | 13 |
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
| County | Establishments |
|---|---|
| Hillsborough | 1,019 |
| Rockingham | 891 |
| Merrimack | 332 |
| Strafford | 262 |
| Grafton | 211 |
| Cheshire | 135 |
| Belknap | 104 |
| Carroll | 85 |
| Sullivan | 54 |
| Coos | 53 |
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
| Occupation | Employed | Mean annual wage |
|---|---|---|
| Registered nurses | 15,390 | $99,700 |
| Nursing assistants | 7,810 | $47,870 |
| Licensed practical and vocational nurses | 2,220 | $77,110 |
| Physical therapists | 1,960 | $99,850 |
| Dental assistants | 1,600 | $59,530 |
| Dental hygienists | 1,360 | $101,250 |
| Veterinary technologists and technicians | 870 | $48,780 |
| Veterinarians | 650 | $128,190 |
| Dentists, general | 500 | $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
| County | Designations | Highest HPSA score |
|---|---|---|
| Grafton | 359 | 22 |
| Hillsborough | 125 | 26 |
| Coos | 103 | 21 |
| Carroll | 66 | 20 |
| Sullivan | 48 | 18 |
| Cheshire | 37 | 21 |
| Merrimack | 33 | 24 |
| Belknap | 33 | 22 |
| Rockingham | 18 | 22 |
| Strafford | 12 | 17 |
| Essex | 5 | 0 |
| Not Determined | 5 | 22 |
| Windham | 4 | 0 |
| Orange | 2 | 0 |
| Caledonia | 2 | 0 |
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.
Programs referred in New Hampshire
Official New Hampshire programs and regulators
- New Hampshire Board of Medicine, licensure and ownership questions for physicians
- New Hampshire Board of Dental Examiners, licensure and ownership questions for dentists
- New Hampshire has no verified state repayment scheme, state lending program, or financing disclosure regulator on file here
Micro-markets in New Hampshire
| Town | Population | Providers on file |
|---|---|---|
| Claremont | 13,105 | 136 |
| Lebanon | 15,389 | 760 |
| Nashua | 91,851 | 1,246 |
| Portsmouth | 22,938 | 802 |
| Keene | 23,036 | 414 |
| Laconia | 17,310 | 269 |
| Rochester | 33,598 | 195 |
| Dover | 33,909 | 485 |
| Concord | 44,674 | 956 |
| Somersworth | 12,218 | 142 |
Where to read next
- All states covered
- Every financing program
- North Carolina healthcare practice financing, where the same fields price differently
- Pennsylvania healthcare practice financing, the nearest comparable record to this one
- Tennessee healthcare practice financing, where the same fields price differently
- Medical weight loss and GLP-1 clinics, with the capital events that field actually runs
- Audiology and hearing centers, with the capital events that field actually runs
- Urgent care, and where the collateral usually comes from
- DME and HME suppliers, and where the collateral usually comes from
- SUD treatment and residential, and where the collateral usually comes from
- Independent pharmacy, including what collections history is asked for
Questions New Hampshire owners ask
01How 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.
02What 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.
03How 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.
04How 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.
05How 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
- 1SBA 7(a) and 504 approvals, FY2025
- 2CMS provider certification files
- 3NPPES provider registry
- 4County Business Patterns 2022
- 5BLS Occupational Employment and Wage Statistics, OEWS 2025
- 6HRSA health professional shortage area file
- 7New Hampshire corporate practice rules
- 8New Hampshire Board of Medicine
- 9New Hampshire Board of Dental Examiners
Describe the New Hampshire file
Describe the transaction in New Hampshire, and the inquiry is matched and passed on from there