MSP Rankings · Healthcare · Denver, Colorado

Best MSPs for Healthcare in Denver (2026)

Kate Larsen, IT Research Analyst · Last updated: June 12, 2026 · No paid placements
NexusTek ranks #1 among Denver MSPs for healthcare organizations, earning the highest Trust Score (8.6/10) on the strength of 30 years of operation, SOC 2 Type II certification, and back-to-back MSP 501 and CRN Elite 150 recognition. CompassMSP ranks #2 (7.9/10) with the only HITRUST certification on this list. eCreek IT Solutions ranks #4 (7.3/10) with the strongest local Denver review signal — 80 Google reviews at 4.9 stars. Every score is based on the itreviews.co Trust Score methodology. No provider paid for placement.

Quick Picks

  • Best Overall for Healthcare: NexusTek (8.6/10)
  • Best for HITRUST & Compliance-Heavy Healthcare: CompassMSP (7.9/10)
  • Best Denver-Native Healthcare MSP: eCreek IT Solutions (7.3/10)
  • Best for Healthcare Coalitions & Mid-Market: Applied Tech (7.8/10)
  • Best for National Healthcare Scale: Meriplex (7.0/10)
  • Best for Small Practices & Clinics: ITGuys (6.0/10)
  • Best Veteran-Owned Healthcare MSP: TMGC (4.8/10)

Healthcare IT in Denver isn’t a checkbox exercise. With 15% of Denver’s business base operating in healthcare, according to CloudSecureTech’s 2026 Denver market analysis, the demand for HIPAA-ready managed IT runs deeper than most cities its size. The anchor institutions alone — DaVita’s headquarters, UCHealth, Denver Health — create a downstream compliance expectation that reaches every private practice, specialty clinic, surgery center, and behavioral health provider across the Front Range.

Most “best MSP” lists lump healthcare in with every other industry and hand you 15 providers to sort through yourself. That doesn’t help a practice manager who needs to know which MSP actually understands ePHI, EHR integrations, and the difference between claiming HIPAA compliance and documenting it.

So which ones actually get healthcare? This page evaluates 7 Denver-area MSPs specifically through a healthcare lens. Every provider was scored using the same six-factor Trust Score methodology applied across all itreviews.co rankings — verified client reviews, documented awards, years in business, physical presence, healthcare-specific specialization, and service depth. No provider paid for placement.

Looking for general Denver MSP rankings without the healthcare filter? See our full Best MSPs in Denver list.


How We Ranked These Healthcare MSPs

itreviews.co scores every provider on six weighted criteria, applied identically regardless of company size or industry focus. The highest score earns the top spot.

Trust Score Factors — Denver Healthcare MSP Rankings

35%
Verified Client ReviewsDistributed across three platforms: Clutch (the heaviest contributor, based on verified phone interviews), Google (universal baseline), and Cloudtango (IT-specific additive signal). Rating quality and review volume both count.
20%
Industry Awards & RecognitionIndependently confirmed recognition from Channel Futures MSP 501, CRN MSP 500, Inc. 5000, and Cloudtango MSP Select. No provider is called “award-winning” without a named, verifiable award.
15%
Years in BusinessYears in continuous operation — a proxy for operational maturity and stability.
10%
Physical PresenceWhether a provider actually operates in the Denver metro, or just claims to from another state.
10%
Healthcare SpecializationDocumented healthcare credentials — dedicated HIPAA compliance pages, named certifications, healthcare client case studies, and EHR integration experience — not “healthcare” listed as one item in a 12-industry bullet list.
10%
Service BreadthThe depth of the managed IT stack versus helpdesk- or single-product-only shops.

No provider paid for placement, and no provider submitted their own data. Every score is the result of independent research. Read the full methodology →


Denver Healthcare MSPs Compared at a Glance

ProviderTrust ScoreBest ForKey StrengthLocationNotable Limitation
NexusTek8.6/10Mid-market healthcare, compliance-first orgs30 years, SOC 2 Type II, MSP 501 + CRN Elite 150Greenwood Village (Denver metro)Healthcare is one of many verticals, not primary focus
CompassMSP7.9/10HITRUST-required healthcare, multi-site operationsHITRUST certified, MSP 501 #83, dedicated Denver field teamDenver Southwest officeNot Denver-founded; limited Denver-specific Google reviews
Applied Tech7.8/10Healthcare coalitions, co-managed IT25+ year legacy, Clutch 4.8 with healthcare clientDenver office (HQ Madison, WI)Denver is a satellite of a Wisconsin HQ
eCreek IT Solutions7.3/10Private practices, dental, behavioral health22 years in Denver, 80 Google reviews at 4.9, dedicated healthcare pagesDenver HQ (S Colorado Blvd)No major industry awards
Meriplex7.0/10Large healthcare orgs needing national reachMSP 501, EHR infrastructure expertiseAurora, CO (Denver metro)Denver office is one node in a national network
ITGuys6.0/10Small clinics, single-location practicesDeepest healthcare-specific content, HIPAA/HITECH/EHR focusedDenver (Wynkoop St)No Clutch profile, no confirmed industry awards
TMGC4.8/10Medical practices wanting veteran-owned, flat-rate IT27 years in business, dedicated medical practices page, veteran-ownedLakewood, CO (Denver metro)Zero public review data on Google, Clutch, and Cloudtango

The Top 7 MSPs for Healthcare in Denver

1
Denver’s Most Credentialed Healthcare-Ready MSP
8.6
out of 10
Trust Score

Score Breakdown

Reviews (35%)8.0
Awards (20%)10.0
Years in Business (15%)10.0
Physical Presence (10%)8.0
Healthcare Specialization (10%)6.0
Service Breadth (10%)9.0
NexusTek managed IT and healthcare compliance homepage for Denver

NexusTek has been operating out of the Denver metro since 1996 — thirty years of managed IT before most providers on this list launched their websites. The credentials aren’t theoretical. SOC 2 Type II certification means NexusTek undergoes annual audits of its security controls, availability, and data handling. For healthcare organizations that need to hand an auditor a documented chain of custody, that matters.

Key Strengths

  • Nine consecutive years on the CRN MSP 500 Elite 150, plus Channel Futures MSP 501 and Cloudtango MSP Select 2026. No other Denver MSP matches that award depth
  • SOC 2 Type II certified, with domestically staffed 24/7/365 support across multiple Network Operations Centers. Healthcare organizations that operate around the clock need a partner that does the same
  • A Clutch client review specifically names NexusTek’s work with a healthcare nonprofit, citing network security, cloud migration, and equipment refresh as core deliverables
  • Over 300 certified engineers and a Denver metro headquarters at Greenwood Village — national scale with local accountability

Limitations

  • Healthcare is one vertical among many. They don’t position as a healthcare-first MSP, and you won’t find a dedicated “Healthcare IT” page the way you would at smaller, vertically focused providers
  • Google reviews (4.7 across 63 reviews) run slightly lower than some local competitors — common for enterprise-scale MSPs whose clients are organizations, not individual users
  • PE-backed (Abry Partners) since a recent acquisition, so the ownership structure has shifted. Some buyers prefer independently owned partners

Best For

Mid-market and enterprise healthcare organizations (50+ employees) that need documented compliance frameworks, 24/7 NOC coverage, and an MSP whose credentials survive due diligence.

Not Ideal For

Small private practices looking for a neighborhood IT partner with first-name-basis relationships and affordable per-user pricing for a 10-person clinic.

Why They Rank #1

The award trajectory tells the story. Thirty years, nine consecutive CRN Elite 150 appearances, and SOC 2 Type II is a combination no other Denver-area provider can match. For healthcare organizations where compliance documentation is a requirement, not a preference, NexusTek’s credential stack stands alone.

2
The HITRUST-Certified Choice for Compliance-Heavy Healthcare
7.9
out of 10
Trust Score

Score Breakdown

Reviews (35%)7.0
Awards (20%)10.0
Years in Business (15%)6.0
Physical Presence (10%)7.0
Healthcare Specialization (10%)9.0
Service Breadth (10%)9.0
CompassMSP HITRUST-certified managed IT homepage for Denver healthcare

CompassMSP brings something to this list that no other provider does: HITRUST certification. That’s the healthcare compliance gold standard, and it’s not a self-assessment.

Key Strengths

  • HITRUST CSF certified, which places CompassMSP in a different compliance tier than providers who only claim HIPAA readiness. HITRUST incorporates HIPAA, NIST, and ISO 27001 into a single validated framework
  • MSP 501 #83 in 2025, climbing 47 spots in a single year. CRN MSP 500 and Inc. 5000 add to a dense award profile
  • Cloudtango MSP Select 2026, with client reviews praising their HITRUST guidance specifically. One client described the process as “manageable and even empowering”
  • Dedicated Denver field engineers assigned to the Southwest region — on-site support without the randomness of a national dispatch system

Limitations

  • No Denver-specific Google Maps listing was found during data collection. Local presence is confirmed through their Southwest office and field team, but the absence of localized review data is a gap
  • Clutch shows just 3 reviews. The ratings are strong, but the volume is thin for a company of this scale
  • Not Denver-founded. For buyers who prioritize locally rooted ownership, CompassMSP is a national company with a regional office

Best For

Healthcare organizations that need HITRUST certification support, multi-location compliance management, or an MSP that can survive a rigorous vendor security questionnaire.

Not Ideal For

Small Denver practices that want a local-first provider and don’t need (or can’t justify) HITRUST-level compliance frameworks.

Why They Rank #2

HITRUST certification separates CompassMSP from every other provider on this list. For Denver healthcare organizations in the HITRUST pipeline, or those whose referral partners and payers require it, this is the provider to call first.

3
Healthcare Coalition Experience with a Denver Legacy
7.8
out of 10
Trust Score

Score Breakdown

Reviews (35%)7.5
Awards (20%)8.0
Years in Business (15%)10.0
Physical Presence (10%)7.0
Healthcare Specialization (10%)7.0
Service Breadth (10%)7.0
Applied Tech managed IT support homepage serving Denver healthcare

Applied Tech absorbed Platte River Networks in late 2022, inheriting a 20+ year Denver MSP operation and folding it into a larger Midwest-headquartered platform. The Denver office at 5700 Washington St is real. The staff is local. The healthcare track record is verified.

Key Strengths

  • A Clutch-verified case study documents Applied Tech managing IT infrastructure and cybersecurity for a healthcare coalition — penetration testing, security risk assessments, and compliance support, with no breaches on the client’s network since engagement
  • Clutch rating of 4.8 across 10 verified reviews — the highest Clutch score on this list by volume and rating combined. Healthcare, insurance, and financial services clients are well represented
  • MSP 501 recognition (2023, #3 in Colorado) and CRN appearances confirm competitive operational quality
  • 25+ combined years between Applied Tech (founded 1999) and Platte River Networks’ Denver legacy

Limitations

  • Headquarters moved to Madison, Wisconsin after the merger. Denver is now a satellite office, not the command center — a real distinction for buyers who want decision-making authority on the same block
  • Google rating (4.3 across 48 reviews) is the lowest among local Denver providers on this list. The merger period likely introduced transition friction that shows up in review data
  • Co-managed IT is their strength, but fully managed healthcare-only engagements aren’t as prominent in their public case studies

Best For

Mid-market healthcare organizations (25–150 employees) that want co-managed IT alongside an internal team, and healthcare coalitions that need documented cybersecurity results.

Not Ideal For

Solo-practice owners who need a small, locally owned partner that treats a 5-person dental office like their most important account.

Why They Rank #3

The Clutch-verified healthcare coalition case study is something most Denver MSPs can’t produce. Documented security results, tested under penetration testing, across a multi-entity healthcare client. That’s not a marketing claim — it’s evidence.

4
eCreek IT Solutions
Denver’s Strongest Local Review Signal for Healthcare
7.3
out of 10
Trust Score

Score Breakdown

Reviews (35%)8.0
Awards (20%)3.0
Years in Business (15%)9.0
Physical Presence (10%)10.0
Healthcare Specialization (10%)8.0
Service Breadth (10%)7.0
eCreek IT Solutions managed IT support homepage for Denver healthcare practices

No mergers. No rebrands. No private equity. eCreek IT has run out of the same Denver office since 2004, which puts them in a shrinking category of MSPs that haven’t changed their name or ownership in the last three years.

Key Strengths

  • 80 Google reviews at 4.9 stars — the highest review volume and rating combination of any Denver MSP on this list, and not inflated by automated review requests. The reviews read like real business owners describing real support experiences
  • Dedicated healthcare pages covering medical practices, dental practices, and wellness centers. HIPAA, HITECH, and compliance-as-a-service are documented with specifics, not just listed as capabilities
  • BBB A+ rated with 20 years of accredited operation. Denver Chamber of Commerce member. Cloudtango listed
  • Locally owned and Denver-based, with an office at 1385 S Colorado Blvd. When a clinic’s EHR goes down and they need someone physically there, eCreek’s response radius is measured in minutes, not states

Limitations

  • No MSP 501, CRN, or Inc. 5000 recognition. The award factor is where eCreek loses ground to larger competitors — a strong operator without the industry-level trophy case
  • Only 1 Clutch review. Clutch verification requires real client phone interviews, and eCreek simply hasn’t built volume there yet. The Google signal is strong, but Clutch carries more weight in the methodology
  • Revenue appears to be in the $1M–$5M range (per Denver Chamber data), which puts the team at roughly 10 to 19 people. Healthcare organizations with 100+ endpoints may need more engineering depth

Best For

Private medical practices, dental offices, behavioral health providers, and wellness centers with 5 to 50 employees that want a Denver-owned, HIPAA-ready MSP with a face-to-face relationship.

Not Ideal For

Multi-site healthcare systems or organizations that need HITRUST certification support or a 300-person engineering bench.

Why They Rank #4

The review signal is among the best in Denver’s MSP market, full stop. For healthcare buyers who weight “what actual clients say” above award plaques, eCreek’s Google presence tells a clear story. The ranking gap comes from awards and Clutch volume, not from service quality.

5
Meriplex
National Healthcare Infrastructure at Denver Scale
7.0
out of 10
Trust Score

Score Breakdown

Reviews (35%)6.5
Awards (20%)7.0
Years in Business (15%)8.0
Physical Presence (10%)5.0
Healthcare Specialization (10%)7.0
Service Breadth (10%)9.0
Meriplex national managed IT and cybersecurity homepage serving Denver healthcare

Meriplex operates from Aurora, CO (3025 S Parker Rd) and brings national-scale healthcare IT capability to the Denver metro. They’re not a Denver company — they’re a Houston-headquartered national MSP with a Colorado presence. But for healthcare organizations that need infrastructure at scale, the distinction between “Denver company” and “company in Denver” matters less than whether the engineers know your EHR platform.

Key Strengths

  • Channel Futures MSP 501 recognition confirms operational quality at a national level. Not every MSP with a Denver office can say that
  • Dedicated blog content on EHR reliability, managed security for healthcare, and IT roadmap planning for clinical environments — healthcare-specific thought leadership, not just a claimed vertical
  • Broad technology stack covering managed IT, cybersecurity, cloud, network, voice, and professional services. Healthcare organizations that need unified communications alongside HIPAA infrastructure can consolidate vendors here

Limitations

  • Google reviews for the Aurora office (4.3 across 11 reviews) are light. The national brand may collect reviews under different regional offices
  • Formerly CPI Solutions. The rebrand may cause confusion during due diligence when older references surface under a different name
  • Denver isn’t Meriplex’s headquarters or primary market. Colorado is one office among many

Best For

Healthcare organizations with 50+ employees, multi-site operations, or national footprints that need an MSP capable of managing infrastructure across states, not just across the metro.

Not Ideal For

Small Denver practices that want a locally owned partner with deep roots in the community and a relationship built on proximity.

Why They Rank #5

Meriplex fills a gap on this list. They’re the national-scale healthcare MSP option for Denver organizations that have outgrown local boutique providers but aren’t ready for Big Four consulting firms. MSP 501 confirms they belong here.

6
ITGuys
Denver’s Most Healthcare-Focused Content and Approach
6.0
out of 10
Trust Score

Score Breakdown

Reviews (35%)7.0
Awards (20%)2.0
Years in Business (15%)5.0
Physical Presence (10%)9.0
Healthcare Specialization (10%)9.0
Service Breadth (10%)6.0

ITGuys produces the most detailed healthcare-specific IT content of any MSP on this list. Their Denver healthcare IT page reads like it was written by someone who has actually sat in a practice manager’s chair during an EHR outage — clinical workflow awareness, HIPAA Security Rule specifics, HITECH Act documentation, staff training protocols.

Key Strengths

  • 4.8-star Google rating across 44 reviews, with a Denver office at 1738 Wynkoop St. The review profile is strong and locally grounded
  • Healthcare content specificity is unmatched on this list. Their dedicated Denver healthcare IT page covers risk analysis, access controls, encryption, MFA, audit logging, vendor agreements, and staff training — not a marketing page, an operational playbook
  • Client testimonials from practice managers, operations leads, and surgical center administrators describe real healthcare IT scenarios resolved by ITGuys

Limitations

  • No Clutch profile found during data collection. The absence of verified, phone-interviewed client reviews is a meaningful gap in the methodology
  • No confirmed industry awards (MSP 501, CRN, Inc. 5000). ITGuys operates with a strong local reputation but without industry-level recognition
  • Founding year couldn’t be independently confirmed across standard sources

Best For

Small to mid-size healthcare practices, clinics, and surgical centers in Denver that want an MSP whose team speaks clinical workflow fluently and treats HIPAA as an operational discipline, not a checklist.

Not Ideal For

Enterprise healthcare organizations that require HITRUST certification, multi-state coverage, or an MSP with formal Tier 1 industry awards.

Why They Rank #6

ITGuys has the healthcare knowledge, and their content proves it. The score reflects the gaps around that knowledge — no Clutch presence, no confirmed awards, and limited public verification of business history. For healthcare buyers who prioritize demonstrated expertise over award plaques, ITGuys is worth a conversation. The data just doesn’t support a higher ranking yet.

7
TMGC
Veteran-Owned, Flat-Rate Healthcare IT Since 1999
4.8
out of 10
Trust Score

Score Breakdown

Reviews (35%)2.0
Awards (20%)2.0
Years in Business (15%)10.0
Physical Presence (10%)7.0
Healthcare Specialization (10%)8.0
Service Breadth (10%)7.0
TMGC The Millennium Group Computing flat-rate managed IT homepage for Denver

Twenty-seven years. Veteran-owned. Flat-rate pricing. And you can call the founder directly. TMGC — The Millennium Group Computing — has operated out of Lakewood, CO since 1999, and their CEO Tony DiDonato is publicly named and accessible to clients. That kind of access is unusual at any scale.

Key Strengths

  • 27 years in business makes TMGC one of the longest-operating IT providers in the Denver metro. Longevity in managed IT is a real signal of stability
  • Veteran-owned business with publicly named leadership. The CEO isn’t behind three layers of account managers
  • Dedicated medical practices page covering HIPAA compliance, EHR support, secure telehealth access, and compliance-from-day-one IT infrastructure. Also serves manufacturing, AEC, financial services, and defense contractors (CMMC)
  • Flat-rate, all-inclusive pricing model. For small medical practices managing tight budgets, predictable monthly costs matter

Limitations

  • Google Maps returned null reviews and null rating during data collection. They appear to have a Google Business Profile, but no public review data is visible — the single biggest factor holding this score down
  • No Clutch profile, no Cloudtango listing. Without third-party verified reviews on any tracked platform, the methodology can’t award meaningful review credit
  • The Lakewood address places them slightly outside Denver proper. On-site response times to central Denver may run slightly longer

Best For

Small medical practices, dental offices, and regulated Colorado businesses that value veteran ownership, flat-rate pricing, direct access to leadership, and a provider that’s been doing this since 1999.

Not Ideal For

Healthcare organizations where third-party validated review data is a vendor selection criterion, or where HITRUST/SOC 2 certification is required.

Why They Rank #7

The score reflects a specific gap, not a quality judgment. TMGC has 27 years, a dedicated healthcare practice, and client testimonials that suggest real operational quality. But zero verified reviews across Google, Clutch, and Cloudtango means the methodology can’t confirm what the testimonials promise. If TMGC invests in building public review presence, this score moves significantly.


How to Choose a Healthcare MSP in Denver

The most important question isn’t which MSP has the best helpdesk. It’s which MSP has actually worked with healthcare clients who face the same compliance obligations you do — and can document it.

Start with your compliance obligation. That’s the dividing line that sorts out most of the field. HIPAA violation penalties can reach $1.5 million per violation category per year, and Denver’s healthcare density means OCR is paying attention.

If you need HITRUST certification — or your payers and referral partners require it — CompassMSP is the only provider on this list with that credential. The rest can support HIPAA compliance at varying levels of depth, but HITRUST is a different tier.

If HIPAA compliance without HITRUST is the requirement, every provider here claims it — but can they document it? Ask for the Business Associate Agreement. Ask for their most recent Security Risk Assessment template. Ask who owns compliance, by name. NexusTek, CompassMSP, and Applied Tech have the documentation to survive that questioning. eCreek and ITGuys have the healthcare fluency and dedicated HIPAA pages to back up their claims at the SMB level.

Practice size matters more than most buyers realize. A 7-person dental practice and a 150-employee healthcare coalition have genuinely different IT needs. The small practice wants a phone number that connects to a human who knows their AthenaHealth setup. The coalition needs pen testing, compliance-as-a-service, and an engineering bench that can handle a 500-endpoint migration.

Match the MSP to the operation, not the marketing. Use the Trust Score to narrow the field, then interview based on your specific compliance requirements, EHR platform, and team size.


The Bottom Line

NexusTek earns the #1 position because no other Denver-area MSP can match the combination of 30 years in business, SOC 2 Type II, and nine consecutive CRN Elite 150 appearances. For healthcare organizations where vendor due diligence is rigorous and compliance documentation is a hard requirement, that credential stack creates a short list of one.

But “top-ranked” isn’t always “right fit.” CompassMSP is the call if HITRUST certification is in your roadmap. eCreek IT Solutions is the stronger choice for private practices that want a Denver-owned partner with face-to-face availability and a 4.9-star Google reputation built over 22 years. And ITGuys produces the most healthcare-specific content of anyone on this list, even if their Trust Score hasn’t caught up to their expertise yet.

No provider paid for placement. Browse all IT providers in Denver, see the broader healthcare MSP rankings, or read how we score every provider.

Browse all MSP rankings →

Trust Score Breakdown

ProviderReviews
35%
Awards
20%
Years
15%
Presence
10%
Healthcare Spec.
10%
Breadth
10%
Score
NexusTek8.010.010.08.06.09.08.6/10
CompassMSP7.010.06.07.09.09.07.9/10
Applied Tech7.58.010.07.07.07.07.8/10
eCreek IT Solutions8.03.09.010.08.07.07.3/10
Meriplex6.57.08.05.07.09.07.0/10
ITGuys7.02.05.09.09.06.06.0/10
TMGC2.02.010.07.08.07.04.8/10

Questions Healthcare Buyers in Denver Ask

Two different standards at two very different levels. HIPAA compliance is a federal requirement — every healthcare organization handling protected health information (PHI) must comply. But HIPAA doesn’t prescribe exactly how; it’s a framework, not a checklist. HITRUST CSF takes HIPAA, NIST, ISO 27001, and other frameworks and rolls them into a single validated certification with third-party assessment. It’s more rigorous, more expensive, and increasingly required by enterprise payers and hospital systems. On this list, only CompassMSP holds HITRUST certification.
$125 to $250 per user per month for a full managed IT stack that includes helpdesk, monitoring, cybersecurity, HIPAA compliance support, and backup. A 25-employee clinic should expect $3,125 to $6,250 per month at that range. TMGC’s flat-rate model removes surprise costs. NexusTek and Meriplex typically work with larger budgets at the upper end.
They have to if they’re touching PHI. A Business Associate Agreement (BAA) is a legal requirement under HIPAA for any vendor that creates, receives, maintains, or transmits protected health information on behalf of a covered entity. If your MSP won’t sign a BAA, they can’t manage your healthcare IT. Every provider on this list should be willing to sign one.
It depends on your risk tolerance. A general MSP can manage your network, keep your patches current, and run your helpdesk. But healthcare IT has specific requirements generalists often miss — EHR integration testing, HIPAA Security Rule documentation, audit trail management, and staff security training that covers clinical workflow scenarios, not generic phishing simulations. ITGuys and eCreek both build their service models around these needs; NexusTek and CompassMSP handle them at enterprise scale.
Five questions that filter fast. Show me your most recent Security Risk Assessment (SRA). Who on your team owns HIPAA compliance, and what’s their name? Walk me through how you’d handle a ransomware incident affecting our EHR. Can you provide three healthcare client references I can call this week? And the one most people forget: what happens to my data if I leave? The MSP that gets uncomfortable with any of these isn’t the one you want handling your patients’ information.

Rankings are based on independent research conducted in June 2026. Review data was collected via automated scraping and web research, and all scores reflect data available at the time of research. See our full methodology.