Iowa micro-market
Healthcare practice financing in Marshalltown, Iowa
Direct answer
27,886 residents, 211 enumerated clinicians, 75.7 per 10,000, 29 percent of them in physical, occupational, and speech therapy: that is the Marshalltown market a funder prices. Marshall County adds 0 healthcare approvals worth $0 and 37 miles of distance to Ames, 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: 27,886 residents (25K-50K band)1
- Healthcare providers registered here: 211 across 22 fields2
- Median household income: $68,8543
- Largest provider field: Physical, occupational, and speech therapy: 61 registered providers2
- Medicare-certified providers in town: 2 across 2 categories4
- Nearest metro: Ames, IA, 37 miles1
The clinical base a lender can verify here
The NPPES file puts 211 enumerated clinicians inside Marshalltown, spread over 22 fields at 75.7 per 10,000 residents
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 61 | 21.9 | NPPES [2] |
| General dentistry | 25 | 9.0 | NPPES [2] |
| Primary care and family medicine | 22 | 7.9 | NPPES [2] |
| Optometry and ophthalmology | 22 | 7.9 | NPPES [2] |
| Chiropractic | 13 | 4.7 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 12 | 4.3 | NPPES [2] |
| Specialty physician groups | 10 | 3.6 | NPPES [2] |
| Behavioral and mental health group practices | 8 | 2.9 | NPPES [2] |
| DME and HME suppliers | 6 | 2.2 | NPPES [2] |
| Independent pharmacy | 6 | 2.2 | NPPES [2] |
| Dental specialties | 5 | 1.8 | NPPES [2] |
| Dermatology | 3 | 1.1 | NPPES [2] |
| Home health | 3 | 1.1 | NPPES [2] |
| Audiology and hearing centers | 3 | 1.1 | NPPES [2] |
| Podiatry | 2 | 0.7 | NPPES [2] |
| Med spa and aesthetics | 2 | 0.7 | NPPES [2] |
| Clinical research sites | 2 | 0.7 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 2 | 0.7 | NPPES [2] |
| SUD treatment and residential | 1 | 0.4 | NPPES [2] |
| NEMT and ambulance | 1 | 0.4 | NPPES [2] |
| Clinical and toxicology labs | 1 | 0.4 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.4 | NPPES [2] |
| Medical equipment suppliers | 9 | CMS [4] | |
| Hospice providers | 1 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
Physical, occupational, and speech therapy carries 61 of the 211 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.
The lending record behind Marshalltown
With 0 healthcare approvals recorded, Marshall County gives a valuation almost nothing local to lean on
| Line | Amount | Reading and source |
|---|---|---|
| SBA healthcare approvals | 0 | Fiscal year published in the SBA file [5] |
| Approved dollars | $0 | Sum of approvals to healthcare borrowers [5] |
| Average approval | No approvals recorded | Dollars divided by approvals [5] |
| Lending establishments in the county | 26 | Credit intermediation establishments, NAICS 522 [6] |
Reading Marshalltown the way a credit committee does
A file from here opens on 75.7 providers per 10,000 residents, and everything about volume follows from it. With 0 approvals on record in Marshall County, expect a longer appraisal and a wider collateral discount. With $68,854 as the median household income, the payer mix in a projection has to match what Marshalltown households actually spend.
Where a file from this town usually lands
- Practice acquisition
- Startup and de novo
- Working capital term loan
- Expansion, relocation, and build-out
- Equipment financing and leasing
Built from what is enumerated here rather than from a national list, so a field with no presence in Marshalltown does not appear. Availability is still a Iowa question.
Underwriting by field in Marshalltown
physical, occupational, and speech therapy, general dentistry, primary care and family medicine account for most of what is enumerated in Marshalltown, 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 (61) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| General dentistry (25) | Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backs | Acquisition of an established practice |
| Primary care and family medicine (22) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
NPPES supplies the Marshalltown counts. The reading columns describe the field in general, and no partner reviewing a Marshalltown file is bound by them.
How Marshalltown prices against its neighbors
Comparables travel. These are the Iowa towns whose density, at 75.7 per 10,000 here, gets weighed beside this one.
| Comparable | People | Enumerations | Per 10,000 residents | Miles |
|---|---|---|---|---|
| Marshalltown (current) | 27,886 | 211 | 75.7 | |
| Newton | 15,709 | 148 | 94.2 | 24 |
| Ames | 69,026 | 473 | 68.5 | 37 |
| Altoona | 22,598 | 167 | 73.9 | 40 |
| Ankeny | 76,727 | 622 | 81.1 | 41 |
| Cedar Falls | 41,417 | 321 | 77.5 | 41 |
| Waterloo | 67,477 | 572 | 84.8 | 42 |
How Marshalltown sits against the nearest metro
Distance to Ames, IA is 37 miles. That is close enough for rent in Marshalltown to be compared against the metro and far enough that patient draw is not. Median household income runs $68,854, which is the number a funder converts into case acceptance on anything elective or cash-pay. Wages here are anchored by the Medicare-certified hospital in town, which is what a staffing line gets measured against. Higher education here explains why summer looks unlike the rest of the year. Marshalltown is the Marshall County seat, so county employment steadies the payer mix.
Other Iowa markets
What owners in Marshalltown ask
01How many providers practice in Marshalltown, and in what?
211 enumerations sit at Marshalltown addresses in the monthly NPPES file, working out to 75.7 for every 10,000 residents. 29 percent of them are physical, occupational, and speech therapy, and general dentistry follows with 25. An enumeration is a clinician, so the 211 here cover fewer than 211 practices.
02Why does Marshall County show so little SBA activity?
Only 0 healthcare approvals appear for Marshall County in the published 7(a) and 504 file. Thin volume in Marshall County is a transaction count, not a verdict on borrowers here. The county still holds 26 credit intermediation establishments.
03Is Marshalltown underwritten as part of Ames, IA?
Ames, IA sits 37 miles away, close enough that appraisers reach into that market for rent and resale comparables while your patient draw stays local. The comparables read Ames, IA; the 27,886 residents set the ceiling a projection can defend.
04What does Marshall County's shortage designation change?
The primary care, dental, mental health designation HRSA carries on Marshall County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 27,886 residents gets past the question of who would take the job.
05How does the hospital in Marshalltown affect a practice file?
Referral flow, coverage, and the local pay scale all trace back to it. The town carries 2 Medicare-certified providers in total. A Marshalltown projection that names the call arrangement reads better than one that assumes it.
06Does being the Marshall County seat change anything?
Marshalltown is the Marshall County seat, so county payroll steadies the payer mix and courthouse traffic keeps the daytime population above the 27,886 residents on the census. Both show up as a flatter seasonal curve in a collections history.
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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