Iowa micro-market
Healthcare practice financing in Johnston, Iowa
Direct answer
25,022 residents, 418 enumerated clinicians, 167.1 per 10,000, 53 percent of them in physical, occupational, and speech therapy: that is the Johnston market a funder prices. Polk County adds 19 healthcare approvals worth $10,335,800 and 10 miles of distance to Des Moines-West Des Moines, IA.
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 Iowa, and how many partners see it, is set out on the Iowa page.
- Population: 25,022 residents (25K-50K band)1
- Healthcare providers registered here: 418 across 25 fields2
- Median household income: $103,4303
- Largest provider field: Physical, occupational, and speech therapy: 220 registered providers2
- Medicare-certified providers in town: 2 across 2 categories4
- Nearest metro: Des Moines-West Des Moines, IA, 10 miles1
The clinical base a lender can verify here
The NPPES file puts 418 enumerated clinicians inside Johnston, spread over 25 fields at 167.1 per 10,000 residents
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 220 | 87.9 | NPPES [2] |
| Chiropractic | 48 | 19.2 | NPPES [2] |
| ABA and autism therapy | 37 | 14.8 | NPPES [2] |
| Primary care and family medicine | 25 | 10.0 | NPPES [2] |
| Home health | 17 | 6.8 | NPPES [2] |
| DME and HME suppliers | 11 | 4.4 | NPPES [2] |
| General dentistry | 7 | 2.8 | NPPES [2] |
| Optometry and ophthalmology | 7 | 2.8 | NPPES [2] |
| Behavioral and mental health group practices | 7 | 2.8 | NPPES [2] |
| Non-medical home care | 6 | 2.4 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 6 | 2.4 | NPPES [2] |
| Specialty physician groups | 5 | 2.0 | NPPES [2] |
| Dental specialties | 3 | 1.2 | NPPES [2] |
| Independent pharmacy | 3 | 1.2 | NPPES [2] |
| Hospice and palliative | 3 | 1.2 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 3 | 1.2 | NPPES [2] |
| SUD treatment and residential | 2 | 0.8 | NPPES [2] |
| Dermatology | 1 | 0.4 | NPPES [2] |
| IDD services | 1 | 0.4 | NPPES [2] |
| Pain management and interventional | 1 | 0.4 | NPPES [2] |
| NEMT and ambulance | 1 | 0.4 | NPPES [2] |
| Audiology and hearing centers | 1 | 0.4 | NPPES [2] |
| Clinical and toxicology labs | 1 | 0.4 | NPPES [2] |
| Plastic and cosmetic surgery | 1 | 0.4 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.4 | NPPES [2] |
| Medical equipment suppliers | 6 | CMS [4] | |
| Hospice providers | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
Several of the 220 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 Johnston
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 | One published fiscal year, healthcare borrowers only [5] |
| Dollars behind them | $10,335,800 | Approved, not disbursed, and not net of withdrawals [5] |
| Typical approval size | $543,989 | A mean, so one large approval moves it [5] |
| Credit offices operating locally | 341 | Credit intermediation offices sited in the county [6] |
The consequence of these numbers
167.1 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. Household income of $103,430 in Johnston is the number a lender uses to sanity check the self-pay share of a revenue projection.
The programs this provider mix points at
- Practice acquisition
- Startup and de novo
- Working capital term loan
- Medical receivables factoring
- Equipment financing and leasing
Weighted by how often each of the 25 local fields reaches for a program, not by what is easiest to refer. Iowa rules and the partner decide availability.
The first pages of a Johnston file
physical, occupational, and speech therapy, chiropractic, aba and autism therapy account for most of what is enumerated in Johnston, so those are the files funders see from this town
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Physical, occupational, and speech therapy (220) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Chiropractic (48) | Cash plan revenue, Personal injury receivable age, Visit volume | Startup or acquisition |
| ABA and autism therapy (37) | Authorized hours against delivered hours, Payer mix stability, Billing compliance history | Working capital against authorization and billing lag |
Column one counts Johnston clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Johnston file differently.
Johnston against nearby Iowa markets
The neighboring markets below are the ones a valuation borrows from when Johnston has too few sales of its own
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Johnston (current) | 25,022 | 418 | 167.1 | |
| Grimes | 17,266 | 91 | 52.7 | 4 |
| Urbandale | 47,759 | 380 | 79.6 | 5 |
| Ankeny | 76,727 | 622 | 81.1 | 7 |
| Clive | 19,508 | 315 | 161.5 | 7 |
| Waukee | 34,420 | 216 | 62.8 | 11 |
| Altoona | 22,598 | 167 | 73.9 | 13 |
Distance, income, and the wage floor around Johnston
Des Moines-West Des Moines, IA lies 10 miles from Johnston, close enough that appraisers price the lease against Des Moines-West Des Moines, IA rents while 25,022 residents set the revenue ceiling. At $103,430 median household income, the elective and cash-pay share of a projection is the line that gets tested first. Referral flow comes from outside Johnston, which a projection needs to state plainly. Campus terms, not calendar quarters, set the busy months in Johnston.
Other Iowa markets
Johnston owners, answered
01How many providers practice in Johnston, and in what?
Across 25 fields, Johnston carries 418 enumerated clinicians, 167.1 per 10,000 of the 25,022 people living here. The concentration is in physical, occupational, and speech therapy, 220 of the total, then chiropractic at 48. 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 Johnston can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
03Is Johnston underwritten as part of Des Moines-West Des Moines, IA?
Comparables and demand split at 10 miles. An appraiser prices the lease and the equipment off Des Moines-West Des Moines, IA; the revenue line has to hold up against 25,022 local residents.
04Is 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 Johnston rents and resale before or by somebody working from a screen.
05What does a $103,430 median income mean for case acceptance?
Median household income in Johnston runs $103,430. 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.
06What does SBA lending look like around Johnston?
The county file behind Johnston holds 19 healthcare approvals totaling $10,335,800, an average of $543,989. Those are the loan sizes lenders in Polk County have already carried.
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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