Massachusetts micro-market
Healthcare practice financing in Fitchburg, Massachusetts
Direct answer
42,145 residents, 442 enumerated clinicians, 104.9 per 10,000, 40 percent of them in behavioral and mental health group practices: that is the Fitchburg market a funder prices. Worcester County adds 13 healthcare approvals worth $6,358,900 and 23 miles of distance to Worcester, MA.
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- Population: 42,145 residents (25K-50K band)1
- Healthcare providers registered here: 442 across 25 fields2
- Median household income: $70,6593
- Largest provider field: Behavioral and mental health group practices: 178 registered providers2
- Medicare-certified providers in town: 4 across 2 categories4
- Nearest metro: Worcester, MA, 23 miles1
Fields practicing inside Fitchburg
The NPPES file puts 442 enumerated clinicians inside Fitchburg, spread over 25 fields at 104.9 per 10,000 residents
| Practice type | Count | Rate per 10,000 residents | Published by |
|---|---|---|---|
| Behavioral and mental health group practices | 178 | 42.2 | NPPES [2] |
| ABA and autism therapy | 54 | 12.8 | NPPES [2] |
| General dentistry | 39 | 9.3 | NPPES [2] |
| Primary care and family medicine | 38 | 9.0 | NPPES [2] |
| Physical, occupational, and speech therapy | 23 | 5.5 | NPPES [2] |
| Home health | 20 | 4.7 | NPPES [2] |
| Dental specialties | 14 | 3.3 | NPPES [2] |
| Specialty physician groups | 13 | 3.1 | NPPES [2] |
| Optometry and ophthalmology | 13 | 3.1 | NPPES [2] |
| Chiropractic | 12 | 2.8 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 9 | 2.1 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 7 | 1.7 | NPPES [2] |
| DME and HME suppliers | 4 | 0.9 | NPPES [2] |
| Urgent care | 3 | 0.7 | NPPES [2] |
| Independent pharmacy | 3 | 0.7 | NPPES [2] |
| Non-medical home care | 3 | 0.7 | NPPES [2] |
| Podiatry | 1 | 0.2 | NPPES [2] |
| SUD treatment and residential | 1 | 0.2 | NPPES [2] |
| Mobile diagnostics | 1 | 0.2 | NPPES [2] |
| Med spa and aesthetics | 1 | 0.2 | NPPES [2] |
| Clinical research sites | 1 | 0.2 | NPPES [2] |
| Clinical and toxicology labs | 1 | 0.2 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.2 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.2 | NPPES [2] |
| Occupational health and drug testing | 1 | 0.2 | NPPES [2] |
| Medical equipment suppliers | 3 | CMS [4] | |
| Home health agencies | 3 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
Several of the 178 behavioral and mental health group practices enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
The lending record behind Fitchburg
13 healthcare approvals averaging $489,146 set the deal shape lenders in Worcester County have already underwritten
| Measure | Published figure | What sits behind it |
|---|---|---|
| SBA healthcare approvals | 13 | One published fiscal year, healthcare borrowers only [5] |
| Approved dollars | $6,358,900 | Approved, not disbursed, and not net of withdrawals [5] |
| Average approval | $489,146 | A mean, so one large approval moves it [5] |
| Lending establishments in the county | 381 | Credit intermediation offices sited in the county [6] |
What the two tables above change about a file
Underwriting starts with 104.9 providers per 10,000 residents, because that ratio caps how fast a chair or a room fills. Because Worcester County already carries $6,358,900 across 13 healthcare approvals, a request near that average moves faster than one well above it. With $70,659 as the median household income, the payer mix in a projection has to match what Fitchburg households actually spend.
The programs this provider mix points at
- Working capital term loan
- Practice acquisition
- Expansion, relocation, and build-out
- Business line of credit
- Startup and de novo
Weighted by how often each of the 25 local fields reaches for a program, not by what is easiest to refer. Massachusetts rules and the partner decide availability.
Underwriting by field in Fitchburg
Drawn from the fields that actually practice here: behavioral and mental health group practices, aba and autism therapy, general dentistry
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Behavioral and mental health group practices (178) | Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposure | Working capital through the credentialing lag |
| ABA and autism therapy (54) | Authorized hours against delivered hours, Payer mix stability, Billing compliance history | Working capital against authorization and billing lag |
| General dentistry (39) | Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backs | Acquisition of an established practice |
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.
Density beside the neighboring Massachusetts towns
104.9 per 10,000 is the figure a neighboring town gets compared against when an appraiser prices Fitchburg
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Fitchburg (current) | 42,145 | 442 | 104.9 | |
| Leominster | 44,209 | 442 | 100.0 | 6 |
| Gardner | 21,381 | 210 | 98.2 | 9 |
| Marlborough | 42,169 | 535 | 126.9 | 22 |
| Lawrence | 89,332 | 891 | 99.7 | 34 |
| Methuen | 54,272 | 348 | 64.1 | 34 |
| Woburn | 43,895 | 804 | 183.2 | 34 |
How Fitchburg sits against the nearest metro
Distance to Worcester, MA is 23 miles. Appraisers borrow Worcester, MA rents, and the 42,145 residents set the ceiling on collections. At $70,659 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. A degree-granting institution here moves volume on the academic calendar.
Other Massachusetts markets
- Leominster 44,209 residents
- Gardner 21,381 residents
- Marlborough 42,169 residents
- Lawrence 89,332 residents
- Methuen 54,272 residents
- Woburn 43,895 residents
Questions from Fitchburg
01How many providers practice in Fitchburg, and in what?
Across 25 fields, Fitchburg carries 442 enumerated clinicians, 104.9 per 10,000 of the 42,145 people living here. The concentration is in behavioral and mental health group practices, 178 of the total, then aba and autism therapy at 54. Count practices from that only with care.
02What does Worcester County's shortage designation change?
The primary care, dental, mental health designation HRSA carries on Worcester County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 42,145 residents gets past the question of who would take the job.
03Which fields carry the volume in Fitchburg?
Behavioral and mental health group practices at 178 providers and aba and autism therapy at 54 lead the 25 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.
04Is Fitchburg underwritten as part of Worcester, MA?
Partly. Worcester, MA is 23 miles out, so rent and equipment comparables travel in from there while patients still come from the 42,145 residents around Fitchburg. Cost side metro, revenue side local.
05Is there local lending capacity in Worcester County?
County Business Patterns records 381 credit intermediation establishments in Worcester County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Fitchburg rents and resale before or by somebody working from a screen.
06What does SBA lending look like around Fitchburg?
Healthcare borrowers in Worcester County took 13 approvals worth $6,358,900 in the published fiscal year, averaging $489,146. That is the comparable set an appraiser near Fitchburg reaches for first.
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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