Massachusetts micro-market
Healthcare practice financing in Gloucester, Massachusetts
Direct answer
30,491 residents, 228 enumerated clinicians, 74.8 per 10,000, 39 percent of them in behavioral and mental health group practices: that is the Gloucester market a funder prices. Essex County adds 23 healthcare approvals worth $5,840,900 and 26 miles of distance to Boston-Cambridge-Newton, MA-NH.
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- Population: 30,491 residents (25K-50K band)1
- Healthcare providers registered here: 228 across 22 fields2
- Median household income: $87,8983
- Largest provider field: Behavioral and mental health group practices: 90 registered providers2
- Nearest metro: Boston-Cambridge-Newton, MA-NH, 26 miles1
- SBA healthcare approvals in the county: 23 approvals totaling $5,840,9004
Who is enumerated in Gloucester
74.8 providers per 10,000 residents is what 228 enumerations across 22 fields works out to in a town of 30,491
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Behavioral and mental health group practices | 90 | 29.5 | NPPES [2] |
| Physical, occupational, and speech therapy | 21 | 6.9 | NPPES [2] |
| General dentistry | 20 | 6.6 | NPPES [2] |
| Chiropractic | 18 | 5.9 | NPPES [2] |
| Specialty physician groups | 18 | 5.9 | NPPES [2] |
| Optometry and ophthalmology | 12 | 3.9 | NPPES [2] |
| Primary care and family medicine | 10 | 3.3 | NPPES [2] |
| Med spa and aesthetics | 7 | 2.3 | NPPES [2] |
| ABA and autism therapy | 6 | 2.0 | NPPES [2] |
| DME and HME suppliers | 4 | 1.3 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 4 | 1.3 | NPPES [2] |
| Podiatry | 3 | 1.0 | NPPES [2] |
| Audiology and hearing centers | 3 | 1.0 | NPPES [2] |
| Home health | 2 | 0.7 | NPPES [2] |
| Dental specialties | 2 | 0.7 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 2 | 0.7 | NPPES [2] |
| Urgent care | 1 | 0.3 | NPPES [2] |
| NEMT and ambulance | 1 | 0.3 | NPPES [2] |
| Independent pharmacy | 1 | 0.3 | NPPES [2] |
| Non-medical home care | 1 | 0.3 | NPPES [2] |
| Hormone, TRT, and men's health clinics | 1 | 0.3 | NPPES [2] |
| Occupational health and drug testing | 1 | 0.3 | NPPES [2] |
| Medical equipment suppliers | 3 | CMS [5] |
Several of the 90 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 Gloucester
23 healthcare approvals averaging $253,952 set the deal shape lenders in Essex County have already underwritten
| Measure | Published figure | What sits behind it |
|---|---|---|
| SBA healthcare approvals | 23 | One published fiscal year, healthcare borrowers only [4] |
| Approved dollars | $5,840,900 | Approved, not disbursed, and not net of withdrawals [4] |
| Average approval | $253,952 | A mean, so one large approval moves it [4] |
| Lending establishments in the county | 421 | Credit intermediation offices sited in the county [6] |
The consequence of these numbers
The ratio that matters up front is 74.8 per 10,000, which decides whether a ramp schedule reads as conservative. A request measured against 23 prior Essex County approvals is priced on precedent, which shortens the questions about valuation. With $87,898 as the median household income, the payer mix in a projection has to match what Gloucester households actually spend.
The programs this provider mix points at
- Practice acquisition
- Working capital term loan
- Startup and de novo
- Equipment financing and leasing
- Business line of credit
The order comes from Gloucester's own provider mix, which behavioral and mental health group practices dominates at 39 percent. What a partner can actually place in Massachusetts is a separate question.
The first pages of a Gloucester file
What a funder opens first depends on the field. In Gloucester that means behavioral and mental health group practices, physical, occupational, and speech therapy, general dentistry.
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Behavioral and mental health group practices (90) | Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposure | Working capital through the credentialing lag |
| Physical, occupational, and speech therapy (21) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| General dentistry (20) | 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.
How Gloucester prices against its neighbors
74.8 per 10,000 is the figure a neighboring town gets compared against when an appraiser prices Gloucester
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Gloucester (current) | 30,491 | 228 | 74.8 | |
| Beverly | 43,223 | 772 | 178.6 | 9 |
| Salem | 45,677 | 581 | 127.2 | 14 |
| Newburyport | 19,163 | 218 | 113.8 | 16 |
| Peabody | 55,418 | 561 | 101.2 | 16 |
| Amesbury | 17,617 | 309 | 175.4 | 21 |
| Revere | 60,702 | 195 | 32.1 | 21 |
How Gloucester sits against the nearest metro
Distance to Boston-Cambridge-Newton, MA-NH is 26 miles. That is close enough for rent in Gloucester to be compared against the metro and far enough that patient draw is not. Households here carry $87,898 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. Referral flow comes from outside Gloucester, which a projection needs to state plainly.
Other Massachusetts markets
Questions from Gloucester
01How many providers practice in Gloucester, and in what?
NPPES lists 228 providers at a Gloucester practice address, 74.8 per 10,000 residents across 22 tracked fields. Behavioral and mental health group practices accounts for 90 of them, 39 percent of the total, with physical, occupational, and speech therapy next at 21. Read that as clinicians: 228 enumerations, not 228 owners.
02What does Essex County's shortage designation change?
HRSA designates Essex County for primary care, dental, mental health. That opens loan repayment programs for clinicians recruited into Gloucester and evidences a staffing ramp in a 30,491 resident market.
03Is Gloucester underwritten as part of Boston-Cambridge-Newton, MA-NH?
Partly. Boston-Cambridge-Newton, MA-NH is 26 miles out, so rent and equipment comparables travel in from there while patients still come from the 30,491 residents around Gloucester. Cost side metro, revenue side local.
04What does SBA lending look like around Gloucester?
The county file behind Gloucester holds 23 healthcare approvals totaling $5,840,900, an average of $253,952. Those are the loan sizes lenders in Essex County have already carried.
05Is there local lending capacity in Essex County?
County Business Patterns records 421 credit intermediation establishments in Essex County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Gloucester rents and resale before or by somebody working from a screen.
06What does the underserved designation in Essex County support?
Essex 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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