Iowa micro-market
Healthcare practice financing in Ankeny, Iowa
Direct answer
622 healthcare providers hold a Ankeny practice address, 81.1 per 10,000 of its 76,727 residents, 34 percent of them in physical, occupational, and speech therapy. Polk County recorded 19 SBA healthcare approvals worth $10,335,800, and Des Moines-West Des Moines, IA sits 11 miles out.
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- Population: 76,727 residents (50K-100K band)1
- Healthcare providers registered here: 622 across 27 fields2
- Median household income: $106,6033
- Largest provider field: Physical, occupational, and speech therapy: 211 registered providers2
- Medicare-certified providers in town: 5 across 4 categories4
- Nearest metro: Des Moines-West Des Moines, IA, 11 miles1
Who is enumerated in Ankeny
Counted at the town's own addresses: 622 providers, 27 fields, 81.1 clinicians per 10,000 of the 76,727 residents here
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 211 | 27.5 | NPPES [2] |
| Chiropractic | 94 | 12.3 | NPPES [2] |
| Primary care and family medicine | 61 | 8.0 | NPPES [2] |
| General dentistry | 47 | 6.1 | NPPES [2] |
| Optometry and ophthalmology | 34 | 4.4 | NPPES [2] |
| ABA and autism therapy | 33 | 4.3 | NPPES [2] |
| DME and HME suppliers | 25 | 3.3 | NPPES [2] |
| Specialty physician groups | 22 | 2.9 | NPPES [2] |
| Dental specialties | 14 | 1.8 | NPPES [2] |
| Non-medical home care | 14 | 1.8 | NPPES [2] |
| Independent pharmacy | 12 | 1.6 | NPPES [2] |
| Home health | 9 | 1.2 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 9 | 1.2 | NPPES [2] |
| Dermatology | 7 | 0.9 | NPPES [2] |
| Behavioral and mental health group practices | 7 | 0.9 | NPPES [2] |
| Audiology and hearing centers | 4 | 0.5 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 3 | 0.4 | NPPES [2] |
| Telehealth and virtual clinics | 3 | 0.4 | NPPES [2] |
| Occupational health and drug testing | 3 | 0.4 | NPPES [2] |
| Podiatry | 2 | 0.3 | NPPES [2] |
| Hospice and palliative | 2 | 0.3 | NPPES [2] |
| ASCs and OBLs | 1 | 0.1 | NPPES [2] |
| SUD treatment and residential | 1 | 0.1 | NPPES [2] |
| NEMT and ambulance | 1 | 0.1 | NPPES [2] |
| Med spa and aesthetics | 1 | 0.1 | NPPES [2] |
| Clinical and toxicology labs | 1 | 0.1 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.1 | NPPES [2] |
| Medical equipment suppliers | 14 | CMS [4] | |
| Hospice providers | 2 | CMS [4] | |
| Ambulatory surgical centers | 1 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
Several of the 211 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
Loan activity in Polk County
Lenders in Polk County have already closed 19 healthcare approvals, averaging $543,989, which is the size a new file gets read beside
| Measure | Published figure | What sits behind it |
|---|---|---|
| Healthcare files approved | 19 | Fiscal year published in the SBA file [5] |
| Dollars behind them | $10,335,800 | Sum of approvals to healthcare borrowers [5] |
| Typical approval size | $543,989 | Dollars divided by approvals [5] |
| Credit offices operating locally | 341 | Credit intermediation establishments, NAICS 522 [6] |
How this data lands in an underwriting decision
81.1 per 10,000 is the first number a credit analyst converts into a realistic new-patient count. 19 approvals worth $10,335,800 in Polk County means the size you are asking for has a local precedent to point at. With $106,603 as the median household income, the payer mix in a projection has to match what Ankeny households actually spend.
Programs the Ankeny mix reaches for
- Practice acquisition
- Startup and de novo
- Working capital term loan
- Equipment financing and leasing
- Expansion, relocation, and build-out
Built from what is enumerated here rather than from a national list, so a field with no presence in Ankeny does not appear. Availability is still a Iowa question.
What a funder reads first in Ankeny
physical, occupational, and speech therapy, chiropractic, primary care and family medicine account for most of what is enumerated in Ankeny, so those are the files funders see from this town
| Field | What the file turns on | The capital event behind most requests |
|---|---|---|
| Physical, occupational, and speech therapy (211) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Chiropractic (94) | Cash plan revenue, Personal injury receivable age, Visit volume | Startup or acquisition |
| Primary care and family medicine (61) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
The first column is Ankeny's own NPPES count. The rest is how the field is generally underwritten, whether the address is Ankeny or anywhere else.
How Ankeny prices against its neighbors
Set Ankeny's 81.1 per 10,000 against the towns an appraiser would reach for next
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Ankeny (current) | 76,727 | 622 | 81.1 | |
| Johnston | 25,022 | 418 | 167.1 | 7 |
| Altoona | 22,598 | 167 | 73.9 | 8 |
| Pleasant Hill | 11,942 | 64 | 53.6 | 10 |
| Grimes | 17,266 | 91 | 52.7 | 11 |
| Urbandale | 47,759 | 380 | 79.6 | 11 |
| Clive | 19,508 | 315 | 161.5 | 13 |
Distance, income, and the wage floor around Ankeny
Des Moines-West Des Moines, IA lies 11 miles from Ankeny, close enough that appraisers price the lease against Des Moines-West Des Moines, IA rents while 76,727 residents set the revenue ceiling. Households here carry $106,603 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. No hospital operates here, so the referral sources and the call arrangement have to be named rather than assumed. A degree-granting institution here moves volume on the academic calendar.
Other Iowa markets
Ankeny owners, answered
01How many providers practice in Ankeny, and in what?
Across 27 fields, Ankeny carries 622 enumerated clinicians, 81.1 per 10,000 of the 76,727 people living here. The concentration is in physical, occupational, and speech therapy, 211 of the total, then chiropractic at 94. Count practices from that only with care.
02What does Polk County's shortage designation change?
Polk County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Ankeny can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
03Which fields carry the volume in Ankeny?
Physical, occupational, and speech therapy at 211 providers and chiropractic at 94 lead the 27 fields enumerated here. A funder reads that mix as the local competition set and the local hiring pool at once, before it reads a single line of your own numbers.
04Is Ankeny underwritten as part of Des Moines-West Des Moines, IA?
Partly. Des Moines-West Des Moines, IA is 11 miles out, so rent and equipment comparables travel in from there while patients still come from the 76,727 residents around Ankeny. Cost side metro, revenue side local.
05Is there local lending capacity in Polk County?
County Business Patterns records 341 credit intermediation establishments in Polk County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Ankeny rents and resale before or by somebody working from a screen.
06What does a $106,603 median income mean for case acceptance?
Median household income in Ankeny runs $106,603. 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.
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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