Iowa micro-market
Healthcare practice financing in Pleasant Hill, Iowa
Direct answer
A Pleasant Hill file is read against 64 local clinicians, 53.6 for every 10,000 of its 11,942 residents, 20 percent of them in primary care and family medicine, plus the 19 SBA healthcare approvals worth $10,335,800 already recorded in Polk County, 6 miles from Des Moines-West Des Moines, IA.
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- Population: 11,942 residents (10K-25K band)1
- Healthcare providers registered here: 64 across 16 fields2
- Median household income: $86,8903
- Largest provider field: Primary care and family medicine: 13 registered providers2
- Nearest metro: Des Moines-West Des Moines, IA, 6 miles1
- SBA healthcare approvals in the county: 19 approvals totaling $10,335,8004
Fields practicing inside Pleasant Hill
64 providers across 16 fields, 53.6 per 10,000 residents, counted at Pleasant Hill addresses in the NPPES monthly file
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Primary care and family medicine | 13 | 10.9 | NPPES [2] |
| Physical, occupational, and speech therapy | 9 | 7.5 | NPPES [2] |
| Chiropractic | 8 | 6.7 | NPPES [2] |
| Dental specialties | 6 | 5.0 | NPPES [2] |
| General dentistry | 5 | 4.2 | NPPES [2] |
| Independent pharmacy | 4 | 3.3 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 4 | 3.3 | NPPES [2] |
| Non-medical home care | 3 | 2.5 | NPPES [2] |
| Optometry and ophthalmology | 3 | 2.5 | NPPES [2] |
| Home health | 2 | 1.7 | NPPES [2] |
| ABA and autism therapy | 2 | 1.7 | NPPES [2] |
| DME and HME suppliers | 1 | 0.8 | NPPES [2] |
| SUD treatment and residential | 1 | 0.8 | NPPES [2] |
| NEMT and ambulance | 1 | 0.8 | NPPES [2] |
| Plastic and cosmetic surgery | 1 | 0.8 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.8 | NPPES [2] |
| Medical equipment suppliers | 3 | CMS [5] |
Primary care and family medicine carries 13 of the 64 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not 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
| What it measures | Value | How to read it |
|---|---|---|
| Approvals on record | 19 | One published fiscal year, healthcare borrowers only [4] |
| Total approved capital | $10,335,800 | Approved, not disbursed, and not net of withdrawals [4] |
| Mean deal size | $543,989 | A mean, so one large approval moves it [4] |
| Lenders sited in the county | 341 | Credit intermediation offices sited in the county [6] |
What the two tables above change about a file
Underwriting starts with 53.6 providers per 10,000 residents, because that ratio caps how fast a chair or a room fills. Because Polk County already carries $10,335,800 across 19 healthcare approvals, a request near that average moves faster than one well above it. A $86,890 median household income here sets the ceiling on what an elective or cash-pay line can be expected to carry.
Where a file from this town usually lands
- Practice acquisition
- Startup and de novo
- Expansion, relocation, and build-out
- Working capital term loan
- Equipment financing and leasing
Built from what is enumerated here rather than from a national list, so a field with no presence in Pleasant Hill does not appear. Availability is still a Iowa question.
The first pages of a Pleasant Hill file
What a funder opens first depends on the field. In Pleasant Hill that means primary care and family medicine, physical, occupational, and speech therapy, chiropractic.
| Field | What the file turns on | The capital event behind most requests |
|---|---|---|
| Primary care and family medicine (13) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
| Physical, occupational, and speech therapy (9) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Chiropractic (8) | Cash plan revenue, Personal injury receivable age, Visit volume | Startup or acquisition |
The first column is Pleasant Hill's own NPPES count. The rest is how the field is generally underwritten, whether the address is Pleasant Hill or anywhere else.
Density beside the neighboring Iowa towns
Density is the number that moves an appraisal: 53.6 per 10,000 here
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Pleasant Hill (current) | 11,942 | 64 | 53.6 | |
| Altoona | 22,598 | 167 | 73.9 | 4 |
| Ankeny | 76,727 | 622 | 81.1 | 10 |
| Johnston | 25,022 | 418 | 167.1 | 13 |
| Norwalk | 15,396 | 135 | 87.7 | 13 |
| Urbandale | 47,759 | 380 | 79.6 | 14 |
| Clive | 19,508 | 315 | 161.5 | 15 |
What the geography does to a Pleasant Hill projection
6 miles separate Pleasant Hill from Des Moines-West Des Moines, IA. Lease pricing follows Des Moines-West Des Moines, IA, while revenue stays capped by the 11,942 residents here. At $86,890 median household income, the elective and cash-pay share of a projection is the line that gets tested first. With no hospital in town, a projection has to name where referrals and coverage come from.
More of Iowa
What owners in Pleasant Hill ask
01How many providers practice in Pleasant Hill, and in what?
Across 16 fields, Pleasant Hill carries 64 enumerated clinicians, 53.6 per 10,000 of the 11,942 people living here. The concentration is in primary care and family medicine, 13 of the total, then physical, occupational, and speech therapy at 9. Count practices from that only with care.
02What does Polk County's shortage designation change?
The primary care, dental, mental health designation HRSA carries on Polk County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 11,942 residents gets past the question of who would take the job.
03Is Pleasant Hill underwritten as part of Des Moines-West Des Moines, IA?
Comparables and demand split at 6 miles. An appraiser prices the lease and the equipment off Des Moines-West Des Moines, IA; the revenue line has to hold up against 11,942 local residents.
04What does SBA lending look like around Pleasant Hill?
The county file behind Pleasant Hill 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.
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 Pleasant Hill rents and resale before or by somebody working from a screen.
06What does the underserved designation in Polk County support?
Polk County carries a medically underserved designation. It evidences unmet demand behind a capacity build, and it opens recruitment programs that make a staffing line in a projection easier to defend than local wage data alone would.
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
- 4U.S. Small Business Administration, 7(a) and 504 approvals
- 5CMS Care Compare provider datasets
- 6U.S. Census Bureau, County Business Patterns 2022
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