Massachusetts micro-market
Healthcare practice financing in Randolph, Massachusetts
Direct answer
A Randolph file is read against 311 local clinicians, 88.6 for every 10,000 of its 35,114 residents, 23 percent of them in aba and autism therapy, plus the 4 SBA healthcare approvals worth $1,134,000 already recorded in Norfolk County, 11 miles from Boston-Cambridge-Newton, MA-NH.
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- Population: 35,114 residents (25K-50K band)1
- Healthcare providers registered here: 311 across 25 fields2
- Median household income: $103,1293
- Largest provider field: ABA and autism therapy: 72 registered providers2
- Medicare-certified providers in town: 4 across 1 categories4
- Nearest metro: Boston-Cambridge-Newton, MA-NH, 11 miles1
Who is enumerated in Randolph
Counted at the town's own addresses: 311 providers, 25 fields, 88.6 clinicians per 10,000 of the 35,114 residents here
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| ABA and autism therapy | 72 | 20.5 | NPPES [2] |
| Physical, occupational, and speech therapy | 46 | 13.1 | NPPES [2] |
| Home health | 41 | 11.7 | NPPES [2] |
| Behavioral and mental health group practices | 38 | 10.8 | NPPES [2] |
| General dentistry | 20 | 5.7 | NPPES [2] |
| Optometry and ophthalmology | 17 | 4.8 | NPPES [2] |
| Chiropractic | 15 | 4.3 | NPPES [2] |
| DME and HME suppliers | 12 | 3.4 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 10 | 2.8 | NPPES [2] |
| Non-medical home care | 8 | 2.3 | NPPES [2] |
| Specialty physician groups | 6 | 1.7 | NPPES [2] |
| Dental specialties | 4 | 1.1 | NPPES [2] |
| Independent pharmacy | 4 | 1.1 | NPPES [2] |
| Primary care and family medicine | 3 | 0.9 | NPPES [2] |
| Med spa and aesthetics | 2 | 0.6 | NPPES [2] |
| Clinical and toxicology labs | 2 | 0.6 | NPPES [2] |
| Occupational health and drug testing | 2 | 0.6 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 2 | 0.6 | NPPES [2] |
| Podiatry | 1 | 0.3 | NPPES [2] |
| Dermatology | 1 | 0.3 | NPPES [2] |
| Urgent care | 1 | 0.3 | NPPES [2] |
| Pain management and interventional | 1 | 0.3 | NPPES [2] |
| NEMT and ambulance | 1 | 0.3 | NPPES [2] |
| Clinical research sites | 1 | 0.3 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.3 | NPPES [2] |
| Medical equipment suppliers | 5 | CMS [4] | |
| Home health agencies | 4 | CMS [4] |
A single Randolph practice can hold more than one of these numbers. 23 percent sit in aba and autism therapy, counted as clinicians rather than as owners.
The lending record behind Randolph
4 healthcare approvals sit in the county file, so an appraiser here works from a short comparable set
| Line | Amount | Reading and source |
|---|---|---|
| Healthcare files approved | 4 | One published fiscal year, healthcare borrowers only [5] |
| Dollars behind them | $1,134,000 | Approved, not disbursed, and not net of withdrawals [5] |
| Typical approval size | $283,500 | A mean, so one large approval moves it [5] |
| Credit offices operating locally | 413 | Credit intermediation offices sited in the county [6] |
Reading Randolph the way a credit committee does
Density of 88.6 per 10,000 sets the patient draw a projection can claim without an argument. With 4 approvals on record in Norfolk County, expect a longer appraisal and a wider collateral discount. With $103,129 as the median household income, the payer mix in a projection has to match what Randolph households actually spend.
Programs the Randolph mix reaches for
- Practice acquisition
- Working capital term loan
- Startup and de novo
- Medical receivables factoring
- Expansion, relocation, and build-out
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.
The first pages of a Randolph file
aba and autism therapy, physical, occupational, and speech therapy, home health account for most of what is enumerated in Randolph, so those are the files funders see from this town
| Practice type | The pages that decide it | Typical capital event |
|---|---|---|
| ABA and autism therapy (72) | Authorized hours against delivered hours, Payer mix stability, Billing compliance history | Working capital against authorization and billing lag |
| Physical, occupational, and speech therapy (46) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Home health (41) | Medicare certification first, Payer mix second, Days in accounts receivable third | Payroll between visit and remittance |
Column one counts Randolph clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Randolph file differently.
How Randolph prices against its neighbors
The neighboring markets below are the ones a valuation borrows from when Randolph has too few sales of its own
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Randolph (current) | 35,114 | 311 | 88.6 | |
| Braintree | 39,134 | 497 | 127.0 | 3 |
| Weymouth | 60,159 | 425 | 70.6 | 6 |
| Winthrop | 18,739 | 72 | 38.4 | 14 |
| Bridgewater | 29,167 | 118 | 40.5 | 15 |
| Chelsea | 40,245 | 428 | 106.3 | 15 |
| Somerville | 82,149 | 534 | 65.0 | 15 |
Distance, income, and the wage floor around Randolph
Boston-Cambridge-Newton, MA-NH lies 11 miles from Randolph, close enough that appraisers price the lease against Boston-Cambridge-Newton, MA-NH rents while 35,114 residents set the revenue ceiling. Households here carry $103,129 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. Referral flow comes from outside Randolph, which a projection needs to state plainly.
More of Massachusetts
- Braintree 39,134 residents
- Weymouth 60,159 residents
- Winthrop 18,739 residents
- Bridgewater 29,167 residents
- Chelsea 40,245 residents
- Somerville 82,149 residents
Questions from Randolph
01How many providers practice in Randolph, and in what?
NPPES lists 311 providers at a Randolph practice address, 88.6 per 10,000 residents across 25 tracked fields. ABA and autism therapy accounts for 72 of them, 23 percent of the total, with physical, occupational, and speech therapy next at 46. Read that as clinicians: 311 enumerations, not 311 owners.
02What does Norfolk County's shortage designation change?
Designated for primary care, dental, mental health, Norfolk County qualifies its clinicians for federal repayment support. On a file that turns on adding staff, that is the difference between a hiring assumption and a hiring plan.
03Why does Norfolk County show so little SBA activity?
Norfolk County shows 4 approvals in the SBA healthcare file, which means an appraiser reaches outside the county for comparables. Few sales, not weak credit, is the usual reason. 413 lending establishments operate locally.
04Which fields carry the volume in Randolph?
The 25 enumerated fields are led by aba and autism therapy at 72, with physical, occupational, and speech therapy at 46 behind it. Those two counts double as the competition you are entering and the bench you would hire from.
05Is Randolph underwritten as part of Boston-Cambridge-Newton, MA-NH?
Partly. Boston-Cambridge-Newton, MA-NH is 11 miles out, so rent and equipment comparables travel in from there while patients still come from the 35,114 residents around Randolph. Cost side metro, revenue side local.
06What does a $103,129 median income mean for case acceptance?
Median household income in Randolph runs $103,129. 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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