Iowa micro-market
Healthcare practice financing in Ottumwa, Iowa
Direct answer
Density decides a lot here. Ottumwa runs 67.8 providers per 10,000 residents, 174 clinicians against 25,648 people, 13 percent of them in chiropractic, while Wapello County lenders have approved 0 healthcare files worth $0 and the nearest metro is 64 miles out.
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.
Fields practicing inside Ottumwa
67.8 providers per 10,000 residents is what 174 enumerations across 26 fields works out to in a town of 25,648
| Practice type | Count | Rate per 10,000 residents | Published by |
|---|---|---|---|
| Chiropractic | 22 | 8.6 | NPPES [2] |
| Physical, occupational, and speech therapy | 20 | 7.8 | NPPES [2] |
| General dentistry | 17 | 6.6 | NPPES [2] |
| Primary care and family medicine | 14 | 5.5 | NPPES [2] |
| Specialty physician groups | 11 | 4.3 | NPPES [2] |
| Dental specialties | 9 | 3.5 | NPPES [2] |
| Optometry and ophthalmology | 9 | 3.5 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 9 | 3.5 | NPPES [2] |
| DME and HME suppliers | 8 | 3.1 | NPPES [2] |
| Independent pharmacy | 7 | 2.7 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 7 | 2.7 | NPPES [2] |
| Podiatry | 5 | 1.9 | NPPES [2] |
| Dermatology | 4 | 1.6 | NPPES [2] |
| Home health | 4 | 1.6 | NPPES [2] |
| Non-medical home care | 4 | 1.6 | NPPES [2] |
| Med spa and aesthetics | 4 | 1.6 | NPPES [2] |
| Behavioral and mental health group practices | 3 | 1.2 | NPPES [2] |
| Dialysis and infusion centers | 3 | 1.2 | NPPES [2] |
| Occupational health and drug testing | 3 | 1.2 | NPPES [2] |
| SUD treatment and residential | 2 | 0.8 | NPPES [2] |
| Audiology and hearing centers | 2 | 0.8 | NPPES [2] |
| Hospice and palliative | 2 | 0.8 | NPPES [2] |
| Clinical and toxicology labs | 2 | 0.8 | NPPES [2] |
| Urgent care | 1 | 0.4 | NPPES [2] |
| Mobile diagnostics | 1 | 0.4 | NPPES [2] |
| NEMT and ambulance | 1 | 0.4 | NPPES [2] |
| Medical equipment suppliers | 10 | CMS [4] | |
| Hospice providers | 2 | CMS [4] | |
| Dialysis facilities | 2 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
Chiropractic carries 22 of the 174 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.
The lending record behind Ottumwa
0 healthcare approvals sit in the county file, so an appraiser here works from a short comparable set
| What it measures | Value | How to read it |
|---|---|---|
| Approvals on record | 0 | Fiscal year published in the SBA file [5] |
| Total approved capital | $0 | Sum of approvals to healthcare borrowers [5] |
| Mean deal size | No approvals recorded | Dollars divided by approvals [5] |
| Lenders sited in the county | 19 | Credit intermediation establishments, NAICS 522 [6] |
What the two tables above change about a file
At 67.8 clinicians per 10,000 residents, the catchment radius in a projection has to be defended rather than assumed. Wapello County has 0 approvals to compare against, so plan for extra appraisal time and a conservative valuation. Household income of $56,994 in Ottumwa is the number a lender uses to sanity check the self-pay share of a revenue projection.
Where a file from this town usually lands
- Practice acquisition
- Startup and de novo
- Equipment financing and leasing
- Expansion, relocation, and build-out
- Working capital term loan
Ranked from the 26 fields that actually practice in Ottumwa, weighted toward chiropractic. Availability still depends on Iowa and on the funding partner.
What a funder reads first in Ottumwa
Drawn from the fields that actually practice here: chiropractic, physical, occupational, and speech therapy, general dentistry
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Chiropractic (22) | Cash plan revenue, Personal injury receivable age, Visit volume | Startup or acquisition |
| Physical, occupational, and speech therapy (20) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| General dentistry (17) | Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backs | Acquisition of an established practice |
The first column is Ottumwa's own NPPES count. The rest is how the field is generally underwritten, whether the address is Ottumwa or anywhere else.
How Ottumwa prices against its neighbors
Comparables travel. These are the Iowa towns whose density, at 67.8 per 10,000 here, gets weighed beside this one.
| Comparable | People | Enumerations | Per 10,000 residents | Miles |
|---|---|---|---|---|
| Ottumwa (current) | 25,648 | 174 | 67.8 | |
| Oskaloosa | 11,575 | 129 | 111.4 | 22 |
| Pella | 10,965 | 171 | 156.0 | 37 |
| Newton | 15,709 | 148 | 94.2 | 57 |
| Coralville | 23,959 | 375 | 156.5 | 63 |
| Indianola | 16,297 | 126 | 77.3 | 64 |
| North Liberty | 21,904 | 158 | 72.1 | 65 |
What the geography does to a Ottumwa projection
64 miles separate Ottumwa from Iowa City, IA. Equipment sold at that distance has no local buyer, and the advance rate carries the discount. At $56,994 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 25,648 resident town: where referrals originate, and what staff cost. A college in Ottumwa puts a term-shaped curve into monthly collections. Ottumwa is the Wapello County seat, so county employment steadies the payer mix.
Other Iowa markets
- Oskaloosa 11,575 residents
- Pella 10,965 residents
- Newton 15,709 residents
- Coralville 23,959 residents
- Indianola 16,297 residents
- North Liberty 21,904 residents
Questions from Ottumwa
01How many providers practice in Ottumwa, and in what?
NPPES lists 174 providers at a Ottumwa practice address, 67.8 per 10,000 residents across 26 tracked fields. Chiropractic accounts for 22 of them, 13 percent of the total, with physical, occupational, and speech therapy next at 20. Read that as clinicians: 174 enumerations, not 174 owners.
02Does being 64 miles out change the underwriting?
Iowa City, IA is 64 miles away, far enough that rent and equipment resale comparables get pulled from Wapello County rather than a metro market. At 64 miles the appraisal window runs longer and equipment resale gets discounted.
03What does Wapello County's shortage designation change?
Wapello County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Ottumwa can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
04Why does Wapello County show so little SBA activity?
Only 0 healthcare approvals appear for Wapello County in the published 7(a) and 504 file. Thin volume in Wapello County is a transaction count, not a verdict on borrowers here. The county still holds 19 credit intermediation establishments.
05How does the hospital in Ottumwa affect a practice file?
Referral flow, coverage, and the local pay scale all trace back to it. The town carries 5 Medicare-certified providers in total. A Ottumwa projection that names the call arrangement reads better than one that assumes it.
06What does a $56,994 median income mean for case acceptance?
Median household income in Ottumwa runs $56,994. 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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