Iowa micro-market
Healthcare practice financing in Urbandale, Iowa
Direct answer
47,759 residents, 380 enumerated clinicians, 79.6 per 10,000, 24 percent of them in physical, occupational, and speech therapy: that is the Urbandale 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: 47,759 residents (25K-50K band)1
- Healthcare providers registered here: 380 across 26 fields2
- Median household income: $113,0863
- Largest provider field: Physical, occupational, and speech therapy: 92 registered providers2
- Medicare-certified providers in town: 6 across 2 categories4
- Nearest metro: Des Moines-West Des Moines, IA, 10 miles1
The provider census in Urbandale
The NPPES file puts 380 enumerated clinicians inside Urbandale, spread over 26 fields at 79.6 per 10,000 residents
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Physical, occupational, and speech therapy | 92 | 19.3 | NPPES [2] |
| Chiropractic | 63 | 13.2 | NPPES [2] |
| Primary care and family medicine | 28 | 5.9 | NPPES [2] |
| DME and HME suppliers | 27 | 5.7 | NPPES [2] |
| Optometry and ophthalmology | 23 | 4.8 | NPPES [2] |
| General dentistry | 20 | 4.2 | NPPES [2] |
| Non-medical home care | 20 | 4.2 | NPPES [2] |
| Home health | 18 | 3.8 | NPPES [2] |
| ABA and autism therapy | 16 | 3.4 | NPPES [2] |
| Behavioral and mental health group practices | 15 | 3.1 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 15 | 3.1 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 9 | 1.9 | NPPES [2] |
| Independent pharmacy | 8 | 1.7 | NPPES [2] |
| Specialty physician groups | 6 | 1.3 | NPPES [2] |
| Hospice and palliative | 3 | 0.6 | NPPES [2] |
| Dermatology | 2 | 0.4 | NPPES [2] |
| SUD treatment and residential | 2 | 0.4 | NPPES [2] |
| Dental specialties | 2 | 0.4 | NPPES [2] |
| Audiology and hearing centers | 2 | 0.4 | NPPES [2] |
| Med spa and aesthetics | 2 | 0.4 | NPPES [2] |
| Telehealth and virtual clinics | 2 | 0.4 | NPPES [2] |
| Podiatry | 1 | 0.2 | NPPES [2] |
| Urgent care | 1 | 0.2 | NPPES [2] |
| NEMT and ambulance | 1 | 0.2 | NPPES [2] |
| IV hydration and infusion | 1 | 0.2 | NPPES [2] |
| Clinical and toxicology labs | 1 | 0.2 | NPPES [2] |
| Medical equipment suppliers | 26 | CMS [4] | |
| Home health agencies | 4 | CMS [4] | |
| Hospice providers | 2 | CMS [4] |
Several of the 92 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
The published file shows 19 healthcare approvals in Polk County, $10,335,800 in total, and that history is what an appraiser and a credit committee reach for
| Measure | Published figure | What sits behind it |
|---|---|---|
| Approvals on record | 19 | Counted for the fiscal year the SBA publishes [5] |
| Total approved capital | $10,335,800 | Everything approved to healthcare borrowers, added up [5] |
| Mean deal size | $543,989 | The dollar column over the approval column [5] |
| Lenders sited in the county | 341 | Places that write credit locally, NAICS 522 [6] |
What the two tables above change about a file
A file from here opens on 79.6 providers per 10,000 residents, and everything about volume follows from it. 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 $113,086 in Urbandale 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
- Equipment financing and leasing
- Expansion, relocation, and build-out
The order comes from Urbandale's own provider mix, which physical, occupational, and speech therapy dominates at 24 percent. What a partner can actually place in Iowa is a separate question.
The first pages of a Urbandale file
What a funder opens first depends on the field. In Urbandale that means physical, occupational, and speech therapy, chiropractic, primary care and family medicine.
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Physical, occupational, and speech therapy (92) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Chiropractic (63) | Cash plan revenue, Personal injury receivable age, Visit volume | Startup or acquisition |
| Primary care and family medicine (28) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
The first column is Urbandale's own NPPES count. The rest is how the field is generally underwritten, whether the address is Urbandale or anywhere else.
Urbandale against nearby Iowa markets
79.6 per 10,000 is the figure a neighboring town gets compared against when an appraiser prices Urbandale
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Urbandale (current) | 47,759 | 380 | 79.6 | |
| Clive | 19,508 | 315 | 161.5 | 2 |
| Grimes | 17,266 | 91 | 52.7 | 3 |
| Johnston | 25,022 | 418 | 167.1 | 5 |
| Waukee | 34,420 | 216 | 62.8 | 6 |
| Ankeny | 76,727 | 622 | 81.1 | 11 |
| Norwalk | 15,396 | 135 | 87.7 | 11 |
What the geography does to a Urbandale projection
10 miles separate Urbandale from Des Moines-West Des Moines, IA. Lease pricing follows Des Moines-West Des Moines, IA, while revenue stays capped by the 47,759 residents here. At $113,086 median household income, the elective and cash-pay share of a projection is the line that gets tested first. Referral flow comes from outside Urbandale, which a projection needs to state plainly. Higher education here explains why summer looks unlike the rest of the year.
Nearby Iowa towns
Urbandale owners, answered
01How many providers practice in Urbandale, and in what?
380 enumerations sit at Urbandale addresses in the monthly NPPES file, working out to 79.6 for every 10,000 residents. 24 percent of them are physical, occupational, and speech therapy, and chiropractic follows with 63. An enumeration is a clinician, so the 380 here cover fewer than 380 practices.
02What does Polk County's shortage designation change?
HRSA designates Polk County for primary care, dental, mental health. That opens loan repayment programs for clinicians recruited into Urbandale and evidences a staffing ramp in a 47,759 resident market.
03Which fields carry the volume in Urbandale?
The 26 enumerated fields are led by physical, occupational, and speech therapy at 92, with chiropractic at 63 behind it. Those two counts double as the competition you are entering and the bench you would hire from.
04Is Urbandale underwritten as part of Des Moines-West Des Moines, IA?
Partly. Des Moines-West Des Moines, IA is 10 miles out, so rent and equipment comparables travel in from there while patients still come from the 47,759 residents around Urbandale. 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 Urbandale rents and resale before or by somebody working from a screen.
06What does a $113,086 median income mean for case acceptance?
Median household income in Urbandale runs $113,086. 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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