Arizona micro-market
Healthcare practice financing in Douglas, Arizona
Direct answer
56 healthcare providers hold a Douglas practice address, 35.4 per 10,000 of its 15,819 residents, 20 percent of them in primary care and family medicine. Cochise County recorded 2 SBA healthcare approvals worth $600,000, and Sierra Vista-Douglas, AZ sits 47 miles out.
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- Population: 15,819 residents (10K-25K band)1
- Healthcare providers registered here: 56 across 16 fields2
- Median household income: $39,3503
- Largest provider field: Primary care and family medicine: 11 registered providers2
- Medicare-certified providers in town: 1 across 1 categories4
- Nearest metro: Sierra Vista-Douglas, AZ, 47 miles1
The clinical base a lender can verify here
35.4 providers per 10,000 residents is what 56 enumerations across 16 fields works out to in a town of 15,819
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Primary care and family medicine | 11 | 7.0 | NPPES [2] |
| Physical, occupational, and speech therapy | 10 | 6.3 | NPPES [2] |
| Independent pharmacy | 5 | 3.2 | NPPES [2] |
| General dentistry | 4 | 2.5 | NPPES [2] |
| Specialty physician groups | 4 | 2.5 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 4 | 2.5 | NPPES [2] |
| NEMT and ambulance | 3 | 1.9 | NPPES [2] |
| ABA and autism therapy | 3 | 1.9 | NPPES [2] |
| Optometry and ophthalmology | 3 | 1.9 | NPPES [2] |
| DME and HME suppliers | 2 | 1.3 | NPPES [2] |
| Behavioral and mental health group practices | 2 | 1.3 | NPPES [2] |
| Home health | 1 | 0.6 | NPPES [2] |
| Chiropractic | 1 | 0.6 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 1 | 0.6 | NPPES [2] |
| Clinical and toxicology labs | 1 | 0.6 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.6 | NPPES [2] |
| Medical equipment suppliers | 1 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
Several of the 11 primary care and family medicine enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
What lenders have already approved in Cochise County
The county file holds 2 healthcare approvals, which is a thin comparable set for anyone pricing collateral
| Measure | Published figure | What sits behind it |
|---|---|---|
| SBA healthcare approvals | 2 | One published fiscal year, healthcare borrowers only [5] |
| Approved dollars | $600,000 | Approved, not disbursed, and not net of withdrawals [5] |
| Average approval | $300,000 | A mean, so one large approval moves it [5] |
| Lending establishments in the county | 44 | Credit intermediation offices sited in the county [6] |
Reading Douglas the way a credit committee does
Density of 35.4 per 10,000 sets the patient draw a projection can claim without an argument. A short county record of 2 approvals usually means more documentation and a lower advance against the same collateral. Household income of $39,350 in Douglas is the number a lender uses to sanity check the self-pay share of a revenue projection.
Programs the Douglas mix reaches for
- Practice acquisition
- Expansion, relocation, and build-out
- Startup and de novo
- Working capital term loan
- Commercial real estate, owner-occupied
Built from what is enumerated here rather than from a national list, so a field with no presence in Douglas does not appear. Availability is still a Arizona question.
Underwriting by field in Douglas
What a funder opens first depends on the field. In Douglas that means primary care and family medicine, physical, occupational, and speech therapy, independent pharmacy.
| Practice type | The pages that decide it | Typical capital event |
|---|---|---|
| Primary care and family medicine (11) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
| Physical, occupational, and speech therapy (10) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Independent pharmacy (5) | Script count and file retention, Gross margin after direct and indirect remuneration, Wholesaler terms against reimbursement timing | Acquisition of the business or the prescription files |
Local counts come from NPPES. What a file turns on is drawn from how the field is generally reviewed, not from any decision about your practice.
Douglas against nearby Arizona markets
The neighboring markets below are the ones a valuation borrows from when Douglas has too few sales of its own
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Douglas (current) | 15,819 | 56 | 35.4 | |
| Sierra Vista | 44,710 | 407 | 91.0 | 47 |
| Nogales | 19,965 | 72 | 36.1 | 82 |
| Sahuarita | 37,448 | 47 | 12.6 | 92 |
| Safford | 10,257 | 144 | 140.4 | 99 |
| Oro Valley | 48,855 | 273 | 55.9 | 110 |
| Marana | 62,380 | 112 | 18.0 | 119 |
How Douglas sits against the nearest metro
Distance to Sierra Vista-Douglas, AZ is 47 miles. That is close enough for rent in Douglas to be compared against the metro and far enough that patient draw is not. Households here carry $39,350 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. With no hospital in town, a projection has to name where referrals and coverage come from.
More of Arizona
- Sierra Vista 44,710 residents
- Nogales 19,965 residents
- Sahuarita 37,448 residents
- Safford 10,257 residents
- Oro Valley 48,855 residents
- Marana 62,380 residents
Questions from Douglas
01How many providers practice in Douglas, and in what?
56 enumerations sit at Douglas addresses in the monthly NPPES file, working out to 35.4 for every 10,000 residents. 20 percent of them are primary care and family medicine, and physical, occupational, and speech therapy follows with 10. An enumeration is a clinician, so the 56 here cover fewer than 56 practices.
02What does Cochise County's shortage designation change?
Cochise County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Douglas can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
03Why does Cochise County show so little SBA activity?
The published file records 2 7(a) and 504 approvals to healthcare borrowers in Cochise County. That tracks how few Cochise County practices changed hands that year, not credit quality. 44 credit intermediation establishments operate in Cochise County, so the lending capacity is local even where the healthcare history is not.
04Is Douglas underwritten as part of Sierra Vista-Douglas, AZ?
Sierra Vista-Douglas, AZ sits 47 miles away, close enough that appraisers reach into that market for rent and resale comparables while your patient draw stays local. The comparables read Sierra Vista-Douglas, AZ; the 15,819 residents set the ceiling a projection can defend.
05Which fields carry the volume in Douglas?
The 16 enumerated fields are led by primary care and family medicine at 11, with physical, occupational, and speech therapy at 10 behind it. Those two counts double as the competition you are entering and the bench you would hire from.
06What does the underserved designation in Cochise County support?
Cochise County carries a medically underserved designation. It evidences unmet demand behind a capacity build, and it opens recruitment programs that make a staffing line in a projection easier to defend than local wage data alone would.
Sources
- 1U.S. Census Bureau, Population Estimates, vintage 2024
- 2CMS NPPES, monthly full replacement file
- 3U.S. Census Bureau, ACS 5-year 2023, table B19013
- 4CMS Care Compare provider datasets
- 5U.S. Small Business Administration, 7(a) and 504 approvals
- 6U.S. Census Bureau, County Business Patterns 2022
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