Healthcare practice financing in Wyoming

The citation column is what makes the rest of the table usable. Treat it as the starting map rather than advice, and have counsel confirm the structure before signing. Verified

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

GILLETTE leads Wyoming with $229,000 across 1 approvals, $229,000 each, which is the comparable set an appraiser reaches for on a purchase there. Verified

Only categories CMS certifies in Wyoming get a row here. If a cell says not yet loaded, the pillar has not been pulled yet and no estimate is substituted. Directional

LARAMIE leads Wyoming with 4 certified providers, ahead of NATRONA at 3. Lenders read LARAMIE volume as a benchmark, so a practice elsewhere in Wyoming carries more of the argument alone. Verified

Wyoming shows 1,480 establishments in these fields against 7 approvals, 0.5 per 100. Compare the 7 approvals and the ratio lands at 0.5 per 100, which frames how unusual a guaranteed loan is locally. Verified

297 establishments sit in Laramie, more than any other Wyoming county on file. Density decides whether a second location is bought or built, and the two carry different collateral. Verified

5,330 people work as registered nurses in Wyoming, at a mean of $83,760. Staffing a new location is priced off that number, not a national one, and the difference shows up in month 6 of a ramp. Verified

Counted across primary care, mental health, dental, Wyoming holds 297 designations. Designation changes recruitment before it changes pricing: repayment support reaches a clinician hired there, and a stalled vacancy becomes fillable. Verified

• Dental offices: 2 approvals, $250,000, $125,000 average. A Wyoming request near $125,000 sits inside the band 2 approvals already established.
• Behavioral health and ABA: 1 Wyoming approvals totaling $229,000, $229,000 each. With only 1 Wyoming approvals behind $229,000, the underwriter reads documents rather than precedent.
• Veterinary practices: $200,000 average across 1 Wyoming approvals worth $200,000, so a request in that range reads as routine rather than exceptional.
• Pharmacies: $200,000 across 1 approvals, averaging $200,000. Above $200,000 the file needs collateral or trading history that most of those 1 Wyoming borrowers did not have to show.
• Medical equipment suppliers: $100,000 on average, 1 approvals, $100,000 in total. Match $100,000 and the timeline is ordinary; ask well above it and the Wyoming diligence list lengthens.
• Laboratories and imaging: 1 approvals, $15,000, $15,000 average. A Wyoming request near $15,000 sits inside the band 1 approvals already established.

• The Wyoming record leans toward dental offices, which took $250,000 across 2 approvals. An average that size is an acquisition or a build, not a working-capital top-up, so the file that gets written in Wyoming most often starts with a purchase agreement or a construction budget rather than a bank statement pull.
• Behavioral health and ABA account for 1 approvals and $229,000 in Wyoming, ahead of veterinary practices. Fields with regular volume have living comparables in the state, and that is what keeps an offer from being priced defensively.
• 134 medical equipment suppliers operate under CMS certification in Wyoming. A funder treats that license as proof of billable revenue, which is precisely what a start-up cannot show.
• Of the Wyoming approvals, 1 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.

• 7 SBA approvals to Wyoming healthcare borrowers in FY2025¹
• $994,000 approved, averaging $142,000 per loan¹
• 217 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

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

• All states covered
• Every financing program
• Arkansas healthcare practice financing, the nearest comparable record to this one
• Delaware healthcare practice financing, for a side-by-side on rules and loan volume
• Idaho healthcare practice financing, for a second reading of the same datasets
• SUD treatment and residential, and the revenue mix a funder checks first
• Independent pharmacy, with the capital events that field actually runs
• Dialysis and infusion centers, read on the terms that field is underwritten on
• Clinical research sites, including what collections history is asked for
• Dermatology, read on the terms that field is underwritten on
• Physical, occupational, and speech therapy, read on the terms that field is underwritten on

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. 7Wyoming corporate practice rules
8. 8Wyoming certificate of need
9. 9Wyoming Board of Medicine
10. 10Wyoming Board of Dental Examiners