COLORADO · NAICS NAICS 6211, 6212
Colorado medical and dental practice projects run across acquisitions, partner buy-ins, startups, and relocations across Denver, Boulder, Colorado Springs, and Fort Collins. Studies translate patient volume, payer mix, fee schedules, and ramp into projections, and reconcile goodwill-driven going-concern appraisal triggers against the lender's coverage tests.
FEASIBILITY TRIGGER
Acquisitions routinely cross the $250,000 goodwill threshold, triggering an independent going-concern appraisal; startups and relocations are projection-based.
Between FY2010 and FY2026, SBA lenders approved and disbursed 767 7(a) and 504 loans for medical and dental practice projects in Colorado, totaling $651.3 million in approved financing at an average of $849,000 per loan. Colorado ranks #10 of 38 states tracked for medical and dental practice SBA lending volume and accounts for 3.8% of national medical and dental practice SBA dollar volume. 82.8% of these loans were made under the 7(a) program, the remainder under 504. 90 loans have been approved since FY2024.
| Disbursed loans (FY2010–FY2026) | 767 |
| Approved volume | $651.3 million |
| Average loan size | $849,000 |
| 7(a) share | 82.8% |
| Approvals since FY2024 | 90 |
| State rank by loan count | #10 of 38 |
Among the 602 seasoned loans in this segment (approvals FY2010–FY2021), 4.0% reached adverse resolution — purchased, liquidated, or charged off. The national benchmark for medical and dental practice is 3.7%, against 7.3% across all industries. That is broadly in line with the national benchmark for this asset class.
Source: SBA 7(a) and 504 FOIA loan-level data, as of March 31, 2026. Disbursed loans only. See data methodology.
An adverse-resolution rate of 4.0%, close to the national medical and dental practice benchmark of 3.7%, puts Colorado deals in this class on ordinary SBA credit footing. Across 767 loans averaging $849,000, the underwriting question is deal-specific: a rigorous third-party feasibility study is where documented demand and stressed coverage decide the credit outcome.
Every Colorado medical and dental practices project we underwrite follows the same lender ready process: independent market analysis, site and technical review, and financial projections tested against SBA SOP 50 10 8 standards. Our SBA feasibility study consultants guide explains scope, timing, deliverables, and what lenders and CDCs expect in the report.
Colorado projects most often pencil under SBA 504 because the 50/40/10 structure delivers up to 90 percent financing on owner-occupied real estate at a fixed debenture rate, decisive in a state where Front Range land costs run high. SBA 7(a) covers acquisitions, working capital, and equipment, and from July 4, 2026 eligible borrowers can combine 7(a) and 504 for up to $10 million in total program credit.
Dentistry is Colorado's second-largest SBA category by dollars at $48.8 million across 31 calendar 2025 loans, with physician offices adding $16 million across 24 more.
For a national view of this asset class, see our medical and dental practice SBA feasibility overview, and read our related analysis in the medical and dental practice lending research on our blog.
Compare neighboring markets: California, Connecticut, Texas.
Public SBA and CDC program records, cited as program evidence
SBA 504 through PeopleFund
Medical office real estate purchase, national program evidence
Arlington, Tarrant County, Texas
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