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California micro-market

Healthcare practice financing in Pacifica, California

Direct answer

Density decides a lot here. Pacifica runs 26.7 providers per 10,000 residents, 99 clinicians against 37,056 people, 30 percent of them in physical, occupational, and speech therapy, while San Mateo County lenders have approved 14 healthcare files worth $10,430,200 and the nearest metro is 32 miles out.

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  • Population: 37,056 residents (25K-50K band)1
  • Healthcare providers registered here: 99 across 19 fields2
  • Median household income: $156,8193
  • Largest provider field: Physical, occupational, and speech therapy: 30 registered providers2
  • Nearest metro: San Francisco-Oakland-Fremont, CA, 32 miles1
  • SBA healthcare approvals in the county: 14 approvals totaling $10,430,2004

Fields practicing inside Pacifica

99 providers across 19 fields, 26.7 per 10,000 residents, counted at Pacifica addresses in the NPPES monthly file

Enumerated clinicians at Pacifica addresses
FieldProvidersPer 10,000 residentsSource
Physical, occupational, and speech therapy308.1NPPES [2]
Behavioral and mental health group practices123.2NPPES [2]
General dentistry102.7NPPES [2]
Chiropractic82.2NPPES [2]
Optometry and ophthalmology71.9NPPES [2]
ABA and autism therapy61.6NPPES [2]
Skilled nursing, assisted living, and memory care51.3NPPES [2]
DME and HME suppliers41.1NPPES [2]
Dental specialties41.1NPPES [2]
Ketamine, TMS, and interventional psychiatry30.8NPPES [2]
Independent pharmacy20.5NPPES [2]
Podiatry10.3NPPES [2]
Home health10.3NPPES [2]
Mobile diagnostics10.3NPPES [2]
Non-medical home care10.3NPPES [2]
Med spa and aesthetics10.3NPPES [2]
Specialty physician groups10.3NPPES [2]
Clinical and toxicology labs10.3NPPES [2]
Telehealth and virtual clinics10.3NPPES [2]
Medical equipment suppliers1CMS [5]

Physical, occupational, and speech therapy carries 30 of the 99 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.

The lending record behind Pacifica

14 healthcare approvals averaging $745,014 set the deal shape lenders in San Mateo County have already underwritten

San Mateo County credit activity, as published
What it measuresValueHow to read it
SBA healthcare approvals14Fiscal year published in the SBA file [4]
Approved dollars$10,430,200Sum of approvals to healthcare borrowers [4]
Average approval$745,014Dollars divided by approvals [4]
Lending establishments in the county391Credit intermediation establishments, NAICS 522 [6]

What the two tables above change about a file

A file from here opens on 26.7 providers per 10,000 residents, and everything about volume follows from it. 14 approvals worth $10,430,200 in San Mateo County means the size you are asking for has a local precedent to point at. A $156,819 median household income here sets the ceiling on what an elective or cash-pay line can be expected to carry.

The programs this provider mix points at

Built from what is enumerated here rather than from a national list, so a field with no presence in Pacifica does not appear. Availability is still a California question.

The first pages of a Pacifica file

physical, occupational, and speech therapy, behavioral and mental health group practices, general dentistry account for most of what is enumerated in Pacifica, so those are the files funders see from this town

Underwriting focus by field in Pacifica
Practice typeThe pages that decide itTypical capital event
Physical, occupational, and speech therapy (30)Visits per case, Referral source concentration, Payer mix and authorization rulesStartup or expansion clinic
Behavioral and mental health group practices (12)Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposureWorking capital through the credentialing lag
General dentistry (10)Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backsAcquisition of an established practice

The first column is Pacifica's own NPPES count. The rest is how the field is generally underwritten, whether the address is Pacifica or anywhere else.

Density beside the neighboring California towns

26.7 per 10,000 is the figure a neighboring town gets compared against when an appraiser prices Pacifica

Residents, providers, and distance across nearby towns
TownResidentsProvidersPer 10,000Miles away
Pacifica (current)37,0569926.7
San Bruno42,03527064.23
Millbrae23,3217632.64
Burlingame30,885532172.36
Hillsborough11,171109.07
Half Moon Bay11,3247566.210
Belmont27,13215155.712

How Pacifica sits against the nearest metro

Distance to San Francisco-Oakland-Fremont, CA is 32 miles. That is close enough for rent in Pacifica to be compared against the metro and far enough that patient draw is not. At $156,819 median household income, the elective and cash-pay share of a projection is the line that gets tested first. Referral flow comes from outside Pacifica, which a projection needs to state plainly.

Nearby California towns

Pacifica owners, answered

01

How many providers practice in Pacifica, and in what?

Across 19 fields, Pacifica carries 99 enumerated clinicians, 26.7 per 10,000 of the 37,056 people living here. The concentration is in physical, occupational, and speech therapy, 30 of the total, then behavioral and mental health group practices at 12. Count practices from that only with care.

02

What does San Mateo County's shortage designation change?

San Mateo County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Pacifica can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.

03

Is Pacifica underwritten as part of San Francisco-Oakland-Fremont, CA?

Partly. San Francisco-Oakland-Fremont, CA is 32 miles out, so rent and equipment comparables travel in from there while patients still come from the 37,056 residents around Pacifica. Cost side metro, revenue side local.

04

What does a $156,819 median income mean for case acceptance?

Median household income in Pacifica runs $156,819. On elective and cash-pay work that is the number a funder converts into case acceptance, and it sets how much of a treatment plan a projection can assume gets started rather than deferred.

05

What does SBA lending look like around Pacifica?

Healthcare borrowers in San Mateo County took 14 approvals worth $10,430,200 in the published fiscal year, averaging $745,014. That is the comparable set an appraiser near Pacifica reaches for first.

06

Is there local lending capacity in San Mateo County?

County Business Patterns records 391 credit intermediation establishments in San Mateo County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Pacifica rents and resale before or by somebody working from a screen.

Sources

  1. 1U.S. Census Bureau, Population Estimates, vintage 2024
  2. 2CMS NPPES, monthly full replacement file
  3. 3U.S. Census Bureau, ACS 5-year 2023, table B19013
  4. 4U.S. Small Business Administration, 7(a) and 504 approvals
  5. 5CMS Care Compare provider datasets
  6. 6U.S. Census Bureau, County Business Patterns 2022

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