Illinois micro-market
Healthcare practice financing in Highland, Illinois
Direct answer
141 healthcare providers hold a Highland practice address, 140.6 per 10,000 of its 10,028 residents, 30 percent of them in physical, occupational, and speech therapy. Madison County recorded 3 SBA healthcare approvals worth $3,358,000, and St. Louis, MO-IL sits 32 miles out.
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- Population: 10,028 residents (10K-25K band)1
- Healthcare providers registered here: 141 across 23 fields2
- Median household income: $77,8863
- Largest provider field: Physical, occupational, and speech therapy: 42 registered providers2
- Medicare-certified providers in town: 1 across 1 categories4
- Nearest metro: St. Louis, MO-IL, 32 miles1
Highland clinicians, by field
Counted at the town's own addresses: 141 providers, 23 fields, 140.6 clinicians per 10,000 of the 10,028 residents here
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 42 | 41.9 | NPPES [2] |
| Chiropractic | 20 | 19.9 | NPPES [2] |
| General dentistry | 12 | 12.0 | NPPES [2] |
| Specialty physician groups | 11 | 11.0 | NPPES [2] |
| Optometry and ophthalmology | 9 | 9.0 | NPPES [2] |
| DME and HME suppliers | 8 | 8.0 | NPPES [2] |
| Primary care and family medicine | 8 | 8.0 | NPPES [2] |
| Dialysis and infusion centers | 4 | 4.0 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 4 | 4.0 | NPPES [2] |
| Independent pharmacy | 3 | 3.0 | NPPES [2] |
| Behavioral and mental health group practices | 3 | 3.0 | NPPES [2] |
| Podiatry | 2 | 2.0 | NPPES [2] |
| NEMT and ambulance | 2 | 2.0 | NPPES [2] |
| Audiology and hearing centers | 2 | 2.0 | NPPES [2] |
| Med spa and aesthetics | 2 | 2.0 | NPPES [2] |
| Clinical and toxicology labs | 2 | 2.0 | NPPES [2] |
| Home health | 1 | 1.0 | NPPES [2] |
| ASCs and OBLs | 1 | 1.0 | NPPES [2] |
| Imaging centers | 1 | 1.0 | NPPES [2] |
| Dental specialties | 1 | 1.0 | NPPES [2] |
| ABA and autism therapy | 1 | 1.0 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 1.0 | NPPES [2] |
| Occupational health and drug testing | 1 | 1.0 | NPPES [2] |
| Medical equipment suppliers | 4 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
A single Highland practice can hold more than one of these numbers. 30 percent sit in physical, occupational, and speech therapy, counted as clinicians rather than as owners.
What Madison County credit files already show
The county file holds 3 healthcare approvals, which is a thin comparable set for anyone pricing collateral
| Line | Amount | Reading and source |
|---|---|---|
| Healthcare files approved | 3 | Fiscal year published in the SBA file [5] |
| Dollars behind them | $3,358,000 | Sum of approvals to healthcare borrowers [5] |
| Typical approval size | $1,119,333 | Dollars divided by approvals [5] |
| Credit offices operating locally | 165 | Credit intermediation establishments, NAICS 522 [6] |
The consequence of these numbers
140.6 per 10,000 is the first number a credit analyst converts into a realistic new-patient count. With 3 approvals on record in Madison County, expect a longer appraisal and a wider collateral discount. Household income of $77,886 in Highland is the number a lender uses to sanity check the self-pay share of a revenue projection.
Programs the Highland mix reaches for
- Practice acquisition
- Startup and de novo
- Equipment financing and leasing
- Working capital term loan
- Expansion, relocation, and build-out
Ranked from the 23 fields that actually practice in Highland, weighted toward physical, occupational, and speech therapy. Availability still depends on Illinois and on the funding partner.
Underwriting by field in Highland
Drawn from the fields that actually practice here: physical, occupational, and speech therapy, chiropractic, general dentistry
| Practice type | The pages that decide it | Typical capital event |
|---|---|---|
| Physical, occupational, and speech therapy (42) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Chiropractic (20) | Cash plan revenue, Personal injury receivable age, Visit volume | Startup or acquisition |
| General dentistry (12) | Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backs | Acquisition of an established practice |
The first column is Highland's own NPPES count. The rest is how the field is generally underwritten, whether the address is Highland or anywhere else.
Highland against nearby Illinois markets
Set Highland's 140.6 per 10,000 against the towns an appraiser would reach for next
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Highland (current) | 10,028 | 141 | 140.6 | |
| Troy | 11,810 | 73 | 61.8 | 12 |
| Edwardsville | 26,715 | 277 | 103.7 | 16 |
| Glen Carbon | 13,883 | 187 | 134.7 | 16 |
| O'Fallon | 32,169 | 17 | 5.3 | 17 |
| Collinsville | 23,766 | 166 | 69.8 | 18 |
| Shiloh | 14,754 | 95 | 64.4 | 19 |
What the geography does to a Highland projection
St. Louis, MO-IL lies 32 miles from Highland, close enough for rent comparables to travel and far enough that patient draw does not. Median household income runs $77,886, which is the number a funder converts into case acceptance on anything elective or cash-pay. A Medicare-certified hospital operates here, so referral flow is verifiable and the clinical wage floor is already set.
Other Illinois markets
- Troy 11,810 residents
- Edwardsville 26,715 residents
- Glen Carbon 13,883 residents
- O'Fallon 32,169 residents
- Collinsville 23,766 residents
- Shiloh 14,754 residents
What owners in Highland ask
01How many providers practice in Highland, and in what?
NPPES lists 141 providers at a Highland practice address, 140.6 per 10,000 residents across 23 tracked fields. Physical, occupational, and speech therapy accounts for 42 of them, 30 percent of the total, with chiropractic next at 20. Read that as clinicians: 141 enumerations, not 141 owners.
02What does Madison County's shortage designation change?
The primary care, dental, mental health designation HRSA carries on Madison County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 10,028 residents gets past the question of who would take the job.
03Why does Madison County show so little SBA activity?
Only 3 healthcare approvals appear for Madison County in the published 7(a) and 504 file. Thin volume in Madison County is a transaction count, not a verdict on borrowers here. The county still holds 165 credit intermediation establishments.
04How does the hospital in Highland affect a practice file?
Referral flow, coverage, and the local pay scale all trace back to it. The town carries 1 Medicare-certified providers in total. A Highland projection that names the call arrangement reads better than one that assumes it.
05Is Highland underwritten as part of St. Louis, MO-IL?
Comparables and demand split at 32 miles. An appraiser prices the lease and the equipment off St. Louis, MO-IL; the revenue line has to hold up against 10,028 local residents.
06Is there local lending capacity in Madison County?
County Business Patterns records 165 credit intermediation establishments in Madison County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Highland rents and resale before or by somebody working from a screen.
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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