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Indiana micro-market

Healthcare practice financing in Kokomo, Indiana

Direct answer

697 healthcare providers hold a Kokomo practice address, 116.0 per 10,000 of its 60,093 residents, 25 percent of them in physical, occupational, and speech therapy. Howard County recorded 0 SBA healthcare approvals worth $0, and Kokomo, IN sits 0 miles out.

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  • Population: 60,093 residents (50K-100K band)1
  • Healthcare providers registered here: 697 across 31 fields2
  • Median household income: $54,1953
  • Largest provider field: Physical, occupational, and speech therapy: 173 registered providers2
  • Medicare-certified providers in town: 11 across 4 categories4
  • Nearest metro: Kokomo, IN, 0 miles1

Kokomo clinicians, by field

Counted at the town's own addresses: 697 providers, 31 fields, 116.0 clinicians per 10,000 of the 60,093 residents here

Enumerated clinicians at Kokomo addresses
FieldProvidersPer 10,000 residentsSource
Physical, occupational, and speech therapy17328.8NPPES [2]
ABA and autism therapy6711.1NPPES [2]
General dentistry6410.7NPPES [2]
Primary care and family medicine599.8NPPES [2]
Optometry and ophthalmology447.3NPPES [2]
Specialty physician groups437.2NPPES [2]
Behavioral and mental health group practices376.2NPPES [2]
DME and HME suppliers294.8NPPES [2]
Chiropractic264.3NPPES [2]
Dental specialties264.3NPPES [2]
Skilled nursing, assisted living, and memory care172.8NPPES [2]
Ketamine, TMS, and interventional psychiatry111.8NPPES [2]
Home health101.7NPPES [2]
SUD treatment and residential91.5NPPES [2]
Independent pharmacy91.5NPPES [2]
Audiology and hearing centers81.3NPPES [2]
Non-medical home care71.2NPPES [2]
Podiatry61.0NPPES [2]
ASCs and OBLs61.0NPPES [2]
Med spa and aesthetics61.0NPPES [2]
Dermatology50.8NPPES [2]
Urgent care50.8NPPES [2]
NEMT and ambulance50.8NPPES [2]
Hospice and palliative50.8NPPES [2]
Hormone, TRT, and men's health clinics50.8NPPES [2]
Occupational health and drug testing40.7NPPES [2]
Clinical and toxicology labs30.5NPPES [2]
Dialysis and infusion centers30.5NPPES [2]
Telehealth and virtual clinics30.5NPPES [2]
Imaging centers10.2NPPES [2]
Pain management and interventional10.2NPPES [2]
Medical equipment suppliers20CMS [4]
Ambulatory surgical centers4CMS [4]
Hospice providers3CMS [4]
Dialysis facilities3CMS [4]
Home health agencies1CMS [4]

Several of the 173 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners

The lending record behind Kokomo

The county file holds 0 healthcare approvals, which is a thin comparable set for anyone pricing collateral

Howard County credit activity, as published
MeasurePublished figureWhat sits behind it
Approvals on record0One published fiscal year, healthcare borrowers only [5]
Total approved capital$0Approved, not disbursed, and not net of withdrawals [5]
Mean deal sizeNo approvals recordedA mean, so one large approval moves it [5]
Lenders sited in the county53Credit intermediation offices sited in the county [6]

Reading Kokomo the way a credit committee does

Underwriting starts with 116.0 providers per 10,000 residents, because that ratio caps how fast a chair or a room fills. Howard County has 0 approvals to compare against, so plan for extra appraisal time and a conservative valuation. Household income of $54,195 in Kokomo is the number a lender uses to sanity check the self-pay share of a revenue projection.

The programs this provider mix points at

Weighted by how often each of the 31 local fields reaches for a program, not by what is easiest to refer. Indiana rules and the partner decide availability.

The first pages of a Kokomo file

physical, occupational, and speech therapy, aba and autism therapy, general dentistry account for most of what is enumerated in Kokomo, so those are the files funders see from this town

What each Kokomo field turns on
Practice typeThe pages that decide itTypical capital event
Physical, occupational, and speech therapy (173)Visits per case, Referral source concentration, Payer mix and authorization rulesStartup or expansion clinic
ABA and autism therapy (67)Authorized hours against delivered hours, Payer mix stability, Billing compliance historyWorking capital against authorization and billing lag
General dentistry (64)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 Kokomo's own NPPES count. The rest is how the field is generally underwritten, whether the address is Kokomo or anywhere else.

Kokomo against nearby Indiana markets

The neighboring markets below are the ones a valuation borrows from when Kokomo has too few sales of its own

Residents, providers, and distance across nearby towns
TownResidentsProvidersPer 10,000Miles away
Kokomo (current)60,093697116.0
Peru11,003115104.520
Logansport18,16815887.023
Frankfort16,45912877.825
Marion28,216370131.125
Wabash10,275118114.828
Noblesville75,23952169.230

What the geography does to a Kokomo projection

0 miles separate Kokomo from Kokomo, IN. Lease pricing follows Kokomo, IN, while revenue stays capped by the 60,093 residents here. At $54,195 median household income, the elective and cash-pay share of a projection is the line that gets tested first. The hospital fixes two inputs a lender would otherwise estimate in a 60,093 resident town: where referrals originate, and what staff cost. Higher education here explains why summer looks unlike the rest of the year. Kokomo is the Howard County seat, so county employment steadies the payer mix.

More of Indiana

Questions from Kokomo

01

How many providers practice in Kokomo, and in what?

Across 31 fields, Kokomo carries 697 enumerated clinicians, 116.0 per 10,000 of the 60,093 people living here. The concentration is in physical, occupational, and speech therapy, 173 of the total, then aba and autism therapy at 67. Count practices from that only with care.

02

What does Howard County's shortage designation change?

HRSA designates Howard County for primary care, dental, mental health. That opens loan repayment programs for clinicians recruited into Kokomo and evidences a staffing ramp in a 60,093 resident market.

03

Why does Howard County show so little SBA activity?

The published file records 0 7(a) and 504 approvals to healthcare borrowers in Howard County. That tracks how few Howard County practices changed hands that year, not credit quality. 53 credit intermediation establishments operate in Howard County, so the lending capacity is local even where the healthcare history is not.

04

How does the hospital in Kokomo affect a practice file?

It makes the staffing and referral lines checkable. 11 Medicare-certified providers hold Kokomo addresses, and the hospital sets the wage a clinical hire is bid against in a 116.0 per 10,000 market.

05

Is there local lending capacity in Howard County?

County Business Patterns records 53 credit intermediation establishments in Howard County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Kokomo rents and resale before or by somebody working from a screen.

06

Is Kokomo underwritten as part of Kokomo, IN?

Partly. Kokomo, IN is 0 miles out, so rent and equipment comparables travel in from there while patients still come from the 60,093 residents around Kokomo. Cost side metro, revenue side local.

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. 4CMS Care Compare provider datasets
  5. 5U.S. Small Business Administration, 7(a) and 504 approvals
  6. 6U.S. Census Bureau, County Business Patterns 2022

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