Iowa micro-market
Healthcare practice financing in Waukee, Iowa
Direct answer
Dallas County carries 1 SBA healthcare approvals worth $194,300, and inside Waukee the census shows 216 enumerated clinicians against 34,420 residents, 62.8 per 10,000, 30 percent of them in physical, occupational, and speech therapy. Des Moines-West Des Moines, IA lies 14 miles away.
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: 34,420 residents (25K-50K band)1
- Healthcare providers registered here: 216 across 19 fields2
- Median household income: $106,7283
- Largest provider field: Physical, occupational, and speech therapy: 64 registered providers2
- Medicare-certified providers in town: 1 across 1 categories4
- Nearest metro: Des Moines-West Des Moines, IA, 14 miles1
What NPPES records at Waukee addresses
The NPPES file puts 216 enumerated clinicians inside Waukee, spread over 19 fields at 62.8 per 10,000 residents
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 64 | 18.6 | NPPES [2] |
| Chiropractic | 40 | 11.6 | NPPES [2] |
| Primary care and family medicine | 24 | 7.0 | NPPES [2] |
| General dentistry | 12 | 3.5 | NPPES [2] |
| Optometry and ophthalmology | 12 | 3.5 | NPPES [2] |
| Dental specialties | 11 | 3.2 | NPPES [2] |
| Non-medical home care | 11 | 3.2 | NPPES [2] |
| DME and HME suppliers | 10 | 2.9 | NPPES [2] |
| ABA and autism therapy | 7 | 2.0 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 6 | 1.7 | NPPES [2] |
| Home health | 5 | 1.5 | NPPES [2] |
| Dermatology | 3 | 0.9 | NPPES [2] |
| Behavioral and mental health group practices | 3 | 0.9 | NPPES [2] |
| Independent pharmacy | 2 | 0.6 | NPPES [2] |
| Specialty physician groups | 2 | 0.6 | NPPES [2] |
| ASCs and OBLs | 1 | 0.3 | NPPES [2] |
| SUD treatment and residential | 1 | 0.3 | NPPES [2] |
| NEMT and ambulance | 1 | 0.3 | NPPES [2] |
| Occupational health and drug testing | 1 | 0.3 | NPPES [2] |
| Medical equipment suppliers | 3 | CMS [4] | |
| Ambulatory surgical centers | 1 | CMS [4] |
Several of the 64 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
What Dallas County credit files already show
1 healthcare approvals sit in the county file, so an appraiser here works from a short comparable set
| Measure | Published figure | What sits behind it |
|---|---|---|
| Approvals on record | 1 | Fiscal year published in the SBA file [5] |
| Total approved capital | $194,300 | Sum of approvals to healthcare borrowers [5] |
| Mean deal size | $194,300 | Dollars divided by approvals [5] |
| Lenders sited in the county | 83 | Credit intermediation establishments, NAICS 522 [6] |
How this data lands in an underwriting decision
At 62.8 clinicians per 10,000 residents, the catchment radius in a projection has to be defended rather than assumed. A short county record of 1 approvals usually means more documentation and a lower advance against the same collateral. Household income of $106,728 in Waukee 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
Ranked from the 19 fields that actually practice in Waukee, weighted toward physical, occupational, and speech therapy. Availability still depends on Iowa and on the funding partner.
The first pages of a Waukee file
physical, occupational, and speech therapy, chiropractic, primary care and family medicine account for most of what is enumerated in Waukee, so those are the files funders see from this town
| Practice type | The pages that decide it | Typical capital event |
|---|---|---|
| Physical, occupational, and speech therapy (64) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Chiropractic (40) | Cash plan revenue, Personal injury receivable age, Visit volume | Startup or acquisition |
| Primary care and family medicine (24) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
Local counts come from NPPES. What a file turns on is drawn from how the field is generally reviewed, not from any decision about your practice.
How Waukee prices against its neighbors
The neighboring markets below are the ones a valuation borrows from when Waukee has too few sales of its own
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Waukee (current) | 34,420 | 216 | 62.8 | |
| Clive | 19,508 | 315 | 161.5 | 5 |
| Urbandale | 47,759 | 380 | 79.6 | 6 |
| Grimes | 17,266 | 91 | 52.7 | 7 |
| Johnston | 25,022 | 418 | 167.1 | 11 |
| Norwalk | 15,396 | 135 | 87.7 | 12 |
| Ankeny | 76,727 | 622 | 81.1 | 17 |
What the geography does to a Waukee projection
14 miles separate Waukee from Des Moines-West Des Moines, IA. Lease pricing follows Des Moines-West Des Moines, IA, while revenue stays capped by the 34,420 residents here. Households here carry $106,728 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. Referral flow comes from outside Waukee, which a projection needs to state plainly.
Other Iowa markets
Waukee owners, answered
01How many providers practice in Waukee, and in what?
Across 19 fields, Waukee carries 216 enumerated clinicians, 62.8 per 10,000 of the 34,420 people living here. The concentration is in physical, occupational, and speech therapy, 64 of the total, then chiropractic at 40. Count practices from that only with care.
02What does Dallas County's shortage designation change?
HRSA designates Dallas County for primary care, dental, mental health. That opens loan repayment programs for clinicians recruited into Waukee and evidences a staffing ramp in a 34,420 resident market.
03Why does Dallas County show so little SBA activity?
Only 1 healthcare approvals appear for Dallas County in the published 7(a) and 504 file. Thin volume in Dallas County is a transaction count, not a verdict on borrowers here. The county still holds 83 credit intermediation establishments.
04Is Waukee underwritten as part of Des Moines-West Des Moines, IA?
Des Moines-West Des Moines, IA sits 14 miles away, close enough that appraisers reach into that market for rent and resale comparables while your patient draw stays local. The comparables read Des Moines-West Des Moines, IA; the 34,420 residents set the ceiling a projection can defend.
05What does a $106,728 median income mean for case acceptance?
Median household income in Waukee runs $106,728. 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.
06Is there local lending capacity in Dallas County?
County Business Patterns records 83 credit intermediation establishments in Dallas County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Waukee rents and resale before or by somebody working from a screen.
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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