Indiana micro-market
Healthcare practice financing in Plymouth, Indiana
Direct answer
Marshall County carries 0 SBA healthcare approvals worth $0, and inside Plymouth the census shows 131 enumerated clinicians against 11,042 residents, 118.6 per 10,000, 14 percent of them in primary care and family medicine. South Bend-Mishawaka, IN-MI lies 23 miles away.
A location page indicates that Practition Finance is taking clients in that market. It does not represent a physical office, storefront, or licensed presence in that city or state. All services are delivered remotely by our US-based team. How a referral works in Indiana, and how many partners see it, is set out on the Indiana page.
- Population: 11,042 residents (10K-25K band)1
- Healthcare providers registered here: 131 across 21 fields2
- Median household income: $53,1153
- Largest provider field: Primary care and family medicine: 18 registered providers2
- Medicare-certified providers in town: 1 across 1 categories4
- Nearest metro: South Bend-Mishawaka, IN-MI, 23 miles1
The clinical base a lender can verify here
118.6 providers per 10,000 residents is what 131 enumerations across 21 fields works out to in a town of 11,042
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Primary care and family medicine | 18 | 16.3 | NPPES [2] |
| Physical, occupational, and speech therapy | 18 | 16.3 | NPPES [2] |
| Optometry and ophthalmology | 15 | 13.6 | NPPES [2] |
| General dentistry | 13 | 11.8 | NPPES [2] |
| Behavioral and mental health group practices | 13 | 11.8 | NPPES [2] |
| ABA and autism therapy | 10 | 9.1 | NPPES [2] |
| DME and HME suppliers | 8 | 7.2 | NPPES [2] |
| Independent pharmacy | 6 | 5.4 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 6 | 5.4 | NPPES [2] |
| Chiropractic | 5 | 4.5 | NPPES [2] |
| Specialty physician groups | 3 | 2.7 | NPPES [2] |
| Podiatry | 2 | 1.8 | NPPES [2] |
| NEMT and ambulance | 2 | 1.8 | NPPES [2] |
| Audiology and hearing centers | 2 | 1.8 | NPPES [2] |
| Med spa and aesthetics | 2 | 1.8 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 2 | 1.8 | NPPES [2] |
| Dialysis and infusion centers | 2 | 1.8 | NPPES [2] |
| Home health | 1 | 0.9 | NPPES [2] |
| Imaging centers | 1 | 0.9 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.9 | NPPES [2] |
| Occupational health and drug testing | 1 | 0.9 | NPPES [2] |
| Medical equipment suppliers | 5 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
Several of the 18 primary care and family medicine enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
Loan activity in Marshall County
With 0 healthcare approvals recorded, Marshall County gives a valuation almost nothing local to lean on
| Measure | Published figure | What sits behind it |
|---|---|---|
| Healthcare files approved | 0 | Counted for the fiscal year the SBA publishes [5] |
| Dollars behind them | $0 | Everything approved to healthcare borrowers, added up [5] |
| Typical approval size | No approvals recorded | The dollar column over the approval column [5] |
| Credit offices operating locally | 28 | Places that write credit locally, NAICS 522 [6] |
Reading Plymouth the way a credit committee does
Underwriting starts with 118.6 providers per 10,000 residents, because that ratio caps how fast a chair or a room fills. Marshall County has 0 approvals to compare against, so plan for extra appraisal time and a conservative valuation. With $53,115 as the median household income, the payer mix in a projection has to match what Plymouth households actually spend.
The programs this provider mix points at
- Practice acquisition
- Startup and de novo
- Working capital term loan
- Expansion, relocation, and build-out
- Equipment financing and leasing
Weighted by how often each of the 21 local fields reaches for a program, not by what is easiest to refer. Indiana rules and the partner decide availability.
What a funder reads first in Plymouth
primary care and family medicine, physical, occupational, and speech therapy, optometry and ophthalmology account for most of what is enumerated in Plymouth, so those are the files funders see from this town
| Practice type | The pages that decide it | Typical capital event |
|---|---|---|
| Primary care and family medicine (18) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
| Physical, occupational, and speech therapy (18) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Optometry and ophthalmology (15) | Exam volume and optical capture, Vision plan mix, Inventory turns | Cold start or acquisition |
The first column is Plymouth's own NPPES count. The rest is how the field is generally underwritten, whether the address is Plymouth or anywhere else.
Density beside the neighboring Indiana towns
Comparables travel. These are the Indiana towns whose density, at 118.6 per 10,000 here, gets weighed beside this one.
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Plymouth (current) | 11,042 | 131 | 118.6 | |
| Mishawaka | 51,020 | 588 | 115.2 | 24 |
| Warsaw | 16,111 | 245 | 152.1 | 25 |
| La Porte | 22,444 | 174 | 77.5 | 27 |
| Elkhart | 53,690 | 564 | 105.0 | 30 |
| Goshen | 34,458 | 345 | 100.1 | 30 |
| Valparaiso | 35,065 | 564 | 160.8 | 39 |
What the geography does to a Plymouth projection
South Bend-Mishawaka, IN-MI lies 23 miles from Plymouth, close enough that appraisers price the lease against South Bend-Mishawaka, IN-MI rents while 11,042 residents set the revenue ceiling. At $53,115 median household income, the elective and cash-pay share of a projection is the line that gets tested first. Because a certified hospital sits inside the town, both the referral path and the pay a clinical hire expects are already observable. Higher education here explains why summer looks unlike the rest of the year. Plymouth is the Marshall County seat, so county employment steadies the payer mix.
Nearby Indiana towns
Questions from Plymouth
01How many providers practice in Plymouth, and in what?
NPPES lists 131 providers at a Plymouth practice address, 118.6 per 10,000 residents across 21 tracked fields. Primary care and family medicine accounts for 18 of them, 14 percent of the total, with physical, occupational, and speech therapy next at 18. Read that as clinicians: 131 enumerations, not 131 owners.
02What does Marshall County's shortage designation change?
Marshall County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Plymouth can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
03Why does Marshall County show so little SBA activity?
Marshall County shows 0 approvals in the SBA healthcare file, which means an appraiser reaches outside the county for comparables. Few sales, not weak credit, is the usual reason. 28 lending establishments operate locally.
04How does the hospital in Plymouth affect a practice file?
A Medicare-certified hospital operates in the town, which gives referral flow, a call schedule, and a clinical labor pool a funder can verify. 1 Medicare-certified providers are located here in total. It also sets the wage floor behind every hire in a 118.6 per 10,000 market.
05Is Plymouth underwritten as part of South Bend-Mishawaka, IN-MI?
Partly. South Bend-Mishawaka, IN-MI is 23 miles out, so rent and equipment comparables travel in from there while patients still come from the 11,042 residents around Plymouth. Cost side metro, revenue side local.
06Is there local lending capacity in Marshall County?
County Business Patterns records 28 credit intermediation establishments in Marshall County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Plymouth 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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