Welli, the Bogotá-based healthcare fintech revolutionizing medical procedure financing across Latin America, has secured $75 million in structured debt financing from Community Investment Management (CIM), following a $25 million Series A just four months prior—positioning the three-year-old startup at the epicenter of Latin America’s healthcare financing transformation. But beyond the rapid-fire funding rounds and Silicon Valley-style growth metrics, this capital injection raises a fundamental question: why is institutional impact capital flooding into medical credit infrastructure when one-third of Colombian patients already delay or cancel care due to lack of financing?
The $60 Billion Access Gap Traditional Banking Ignored
The answer lies in understanding Latin America’s catastrophic healthcare financing infrastructure. The region confronts a $60 billion out-of-pocket medical market where providers lose up to one-third of patients due to lack of financing, yet traditional financial institutions systematically exclude healthcare lending from portfolio strategies. In Colombia specifically, approximately one-third of patients delay or cancel necessary care due to financing unavailability—a market failure that persists despite healthcare expenditure projected to rise 5% annually through the decade as aging populations demand chronic disease management.
Welli operates as the strategic financial partner for healthcare providers, physicians, and patients across Colombia and expanding Latin American markets, delivering instant loan pre-approval inside medical clinics through technology that bypasses traditional banking infrastructure entirely. The company provides point-of-care financing across dental, fertility, aesthetic, and specialized medical procedures—transferring funds directly to providers while enabling patients to avoid paperwork labyrinths that historically created weeks-long approval delays.
Why Established Fintechs Couldn’t Solve Healthcare Financing
Welli’s explosive growth trajectory validates why specialized healthcare credit infrastructure commands institutional capital rather than general-purpose lending platforms. Founded in 2022 by Felipe Jaramillo and Felipe Gómez, Welli now partners with 1,500 clinics across multiple specialties and has financed over $12 million in treatments. The company processes over 2,000 medical procedures monthly through credit lines extending beyond traditional 36-month terms—scale metrics that demonstrate healthcare financing requires vertical integration between medical provider workflows and credit decisioning infrastructure.
The structured debt facility from CIM builds upon Welli’s June 2025 Series A equity round led by Costanoa Ventures, Animo VC, and Crestone VC, bringing total 2025 capital raised beyond $100 million within six months. This velocity signals investor recognition that healthcare credit represents distinct infrastructure requirements from consumer lending or SME finance—specialized underwriting models incorporating medical procedure risk profiles, provider cash flow patterns, and patient health outcomes rather than traditional FICO-equivalent scoring.
The Impact Capital Validation Behind Healthcare Infrastructure
The $75 million structured debt facility brings CIM—a global institutional impact investment manager providing strategic debt capital to demonstrate and scale responsible lending innovation for underserved communities—as strategic growth partner rather than passive capital provider. CIM Senior Director Alejandro Arenas emphasized partnership at this critical growth stage, noting Welli addresses fundamental challenges by closing Latin America’s healthcare financing gap.
This institutional impact investment structure differentiates from venture equity through alignment incentives: CIM specializes in credit facilities enabling fintechs to scale loan origination volume while maintaining protective covenants ensuring responsible lending practices. The model combines growth capital with advisory support for market expansion, capital raise facilitation, and go-to-market strategy—infrastructure particularly valuable for healthcare fintechs navigating complex regulatory environments across multiple Latin American jurisdictions.
The Infrastructure Platform Enabling Healthcare Access
Beyond funding metrics, Welli’s system delivers pre-approved loans in minutes inside clinics, with funds transferred directly to providers, eliminating paperwork while ensuring doctors receive immediate payment. This operational architecture solves dual market failures: patients lacking financing abandon necessary procedures, while providers face cash flow constraints from delayed payments or patient default risk.
The technology infrastructure integrates directly into clinic point-of-sale systems, enabling real-time credit decisions during medical consultations rather than requiring patients to navigate separate loan applications. This workflow integration creates network effects where provider adoption accelerates patient financing velocity, while growing patient transaction volumes improve underwriting model accuracy through expanded datasets incorporating medical procedure outcomes alongside traditional credit variables.
Why This Matters For Latin America’s Healthcare Transformation
Welli’s $75 million structured debt raise positions the company within broader 2025 healthcare financing dynamics where specialized platforms attract institutional capital:
Regional Healthcare Gap Magnitude: Latin America’s healthcare infrastructure confronts systemic access barriers where rural populations report 25% higher care unavailability than urban residents, aging demographics drive chronic disease prevalence affecting 80% of elderly populations, and public healthcare budget constraints force middle-market consumers toward private care lacking affordable financing mechanisms.
Financial Inclusion Through Healthcare: Healthcare financing represents gateway to formal credit system participation for populations systematically excluded from traditional banking. Medical procedure loans create credit history enabling future financial product access, while transparent pricing and responsible lending practices build trust with demographics experiencing historical exploitation from predatory consumer lending.
Provider Ecosystem Economics: Healthcare financing platforms don’t merely serve patients—they fundamentally transform provider business models by eliminating payment default risk, accelerating cash flow cycles, and expanding addressable patient populations beyond cash-paying segments. This dual-sided marketplace creates sustainable economics where both patients and providers demonstrate willingness to pay for financing infrastructure.
The Answer: Latin America’s Operating System for Medical Access
So why $75 million structured debt for Welli just months after a $25 million Series A? Because the company combines four elements institutional impact investors value: operational infrastructure processing thousands of monthly medical procedures across 1,500 provider partnerships demonstrating commercial viability beyond pilot programs; technology platform delivering instant credit decisions integrated directly into clinical workflows rather than standalone lending applications; market timing where Latin America’s $60 billion out-of-pocket medical expenditure accelerates yet traditional banks systematically exclude healthcare lending; and impact measurement clarity where medical procedure financing delivers quantifiable health access improvements for underserved populations while generating sustainable returns through structured debt facilities.
The rapid funding succession from equity to debt capital validates market recognition that healthcare financing infrastructure commands premium valuations in Latin America’s financial inclusion transformation. With expansion targeting additional Latin American markets beyond Colombia, extended loan term products enabling higher-cost procedure financing, savings products building patient credit histories, and plans to serve 20,000 additional patients, Welli positions itself as the infrastructure layer for Latin American healthcare access—analogous to how embedded finance platforms became infrastructure for e-commerce transactions.
I’m Araib Khan, an author at Startups Union, where I share insights on entrepreneurship, innovation, and business growth. This role helps me enhance my credibility, connect with professionals, and contribute to impactful ideas within the global startup ecosystem.




