Kentucky micro-market
Healthcare practice financing in Bardstown, Kentucky
Direct answer
14,104 residents, 251 enumerated clinicians, 178.0 per 10,000, 30 percent of them in physical, occupational, and speech therapy: that is the Bardstown market a funder prices. Nelson County adds 0 healthcare approvals worth $0 and 25 miles of distance to Elizabethtown, KY.
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 Kentucky, and how many partners see it, is set out on the Kentucky page.
- Population: 14,104 residents (10K-25K band)1
- Healthcare providers registered here: 251 across 23 fields2
- Median household income: $49,7813
- Largest provider field: Physical, occupational, and speech therapy: 76 registered providers2
- Medicare-certified providers in town: 3 across 2 categories4
- Nearest metro: Elizabethtown, KY, 25 miles1
The clinical base a lender can verify here
178.0 providers per 10,000 residents is what 251 enumerations across 23 fields works out to in a town of 14,104
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 76 | 53.9 | NPPES [2] |
| General dentistry | 25 | 17.7 | NPPES [2] |
| Behavioral and mental health group practices | 23 | 16.3 | NPPES [2] |
| Chiropractic | 22 | 15.6 | NPPES [2] |
| Primary care and family medicine | 20 | 14.2 | NPPES [2] |
| DME and HME suppliers | 15 | 10.6 | NPPES [2] |
| Optometry and ophthalmology | 12 | 8.5 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 11 | 7.8 | NPPES [2] |
| Independent pharmacy | 10 | 7.1 | NPPES [2] |
| Specialty physician groups | 7 | 5.0 | NPPES [2] |
| Non-medical home care | 4 | 2.8 | NPPES [2] |
| ABA and autism therapy | 4 | 2.8 | NPPES [2] |
| Med spa and aesthetics | 4 | 2.8 | NPPES [2] |
| Home health | 3 | 2.1 | NPPES [2] |
| Dental specialties | 3 | 2.1 | NPPES [2] |
| Dialysis and infusion centers | 3 | 2.1 | NPPES [2] |
| Dermatology | 2 | 1.4 | NPPES [2] |
| Hospice and palliative | 2 | 1.4 | NPPES [2] |
| SUD treatment and residential | 1 | 0.7 | NPPES [2] |
| NEMT and ambulance | 1 | 0.7 | NPPES [2] |
| Audiology and hearing centers | 1 | 0.7 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 1 | 0.7 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.7 | NPPES [2] |
| Medical equipment suppliers | 7 | CMS [4] | |
| Dialysis facilities | 2 | CMS [4] | |
| Hospice providers | 1 | CMS [4] |
Several of the 76 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
Loan activity in Nelson County
0 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 | 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 | 29 | Credit intermediation establishments, NAICS 522 [6] |
Reading Bardstown the way a credit committee does
At 178.0 clinicians per 10,000 residents, the catchment radius in a projection has to be defended rather than assumed. Nelson County has 0 approvals to compare against, so plan for extra appraisal time and a conservative valuation. Household income of $49,781 in Bardstown 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 Bardstown's own provider mix, which physical, occupational, and speech therapy dominates at 30 percent. What a partner can actually place in Kentucky is a separate question.
The first pages of a Bardstown file
physical, occupational, and speech therapy, general dentistry, behavioral and mental health group practices account for most of what is enumerated in Bardstown, so those are the files funders see from this town
| Field | What the file turns on | The capital event behind most requests |
|---|---|---|
| Physical, occupational, and speech therapy (76) | 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 |
| Behavioral and mental health group practices (23) | Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposure | Working capital through the credentialing lag |
NPPES supplies the Bardstown counts. The reading columns describe the field in general, and no partner reviewing a Bardstown file is bound by them.
How Bardstown prices against its neighbors
The neighboring markets below are the ones a valuation borrows from when Bardstown has too few sales of its own
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Bardstown (current) | 14,104 | 251 | 178.0 | |
| Mount Washington | 18,863 | 29 | 15.4 | 16 |
| Shepherdsville | 14,837 | 146 | 98.4 | 18 |
| Elizabethtown | 34,565 | 700 | 202.5 | 24 |
| Radcliff | 22,706 | 119 | 52.4 | 26 |
| Jeffersontown | 29,388 | 27 | 9.2 | 27 |
| Shelbyville | 18,048 | 409 | 226.6 | 29 |
What the geography does to a Bardstown projection
25 miles separate Bardstown from Elizabethtown, KY. Lease pricing follows Elizabethtown, KY, while revenue stays capped by the 14,104 residents here. At $49,781 median household income, the elective and cash-pay share of a projection is the line that gets tested first. A Medicare-certified hospital operates here, so referral flow is verifiable and the clinical wage floor is already set. Bardstown is the Nelson County seat, so county employment steadies the payer mix.
Other Kentucky markets
- Mount Washington 18,863 residents
- Shepherdsville 14,837 residents
- Elizabethtown 34,565 residents
- Radcliff 22,706 residents
- Jeffersontown 29,388 residents
- Shelbyville 18,048 residents
Bardstown owners, answered
01How many providers practice in Bardstown, and in what?
Across 23 fields, Bardstown carries 251 enumerated clinicians, 178.0 per 10,000 of the 14,104 people living here. The concentration is in physical, occupational, and speech therapy, 76 of the total, then general dentistry at 25. Count practices from that only with care.
02What does Nelson County's shortage designation change?
Nelson County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Bardstown can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
03Why does Nelson County show so little SBA activity?
Only 0 healthcare approvals appear for Nelson County in the published 7(a) and 504 file. Thin volume in Nelson County is a transaction count, not a verdict on borrowers here. The county still holds 29 credit intermediation establishments.
04How does the hospital in Bardstown affect a practice file?
Referral flow, coverage, and the local pay scale all trace back to it. The town carries 3 Medicare-certified providers in total. A Bardstown projection that names the call arrangement reads better than one that assumes it.
05Which fields carry the volume in Bardstown?
Physical, occupational, and speech therapy at 76 providers and general dentistry at 25 lead the 23 fields enumerated here. A funder reads that mix as the local competition set and the local hiring pool at once, before it reads a single line of your own numbers.
06Is Bardstown underwritten as part of Elizabethtown, KY?
Comparables and demand split at 25 miles. An appraiser prices the lease and the equipment off Elizabethtown, KY; the revenue line has to hold up against 14,104 local residents.
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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