Michigan micro-market
Healthcare practice financing in Alpena, Michigan
Direct answer
259 healthcare providers hold a Alpena practice address, 256.0 per 10,000 of its 10,116 residents, 24 percent of them in physical, occupational, and speech therapy. Alpena County recorded 1 SBA healthcare approvals worth $105,700, and Bay City, MI sits 105 miles out.
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 Michigan, and how many partners see it, is set out on the Michigan page.
- Population: 10,116 residents (10K-25K band)1
- Healthcare providers registered here: 259 across 26 fields2
- Median household income: $47,6043
- Largest provider field: Physical, occupational, and speech therapy: 61 registered providers2
- Medicare-certified providers in town: 3 across 2 categories4
- Nearest metro: Bay City, MI, 105 miles1
Fields practicing inside Alpena
256.0 providers per 10,000 residents is what 259 enumerations across 26 fields works out to in a town of 10,116
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Physical, occupational, and speech therapy | 61 | 60.3 | NPPES [2] |
| Primary care and family medicine | 36 | 35.6 | NPPES [2] |
| General dentistry | 21 | 20.8 | NPPES [2] |
| Optometry and ophthalmology | 21 | 20.8 | NPPES [2] |
| Behavioral and mental health group practices | 18 | 17.8 | NPPES [2] |
| Specialty physician groups | 16 | 15.8 | NPPES [2] |
| DME and HME suppliers | 13 | 12.9 | NPPES [2] |
| Chiropractic | 11 | 10.9 | NPPES [2] |
| ABA and autism therapy | 11 | 10.9 | NPPES [2] |
| Independent pharmacy | 9 | 8.9 | NPPES [2] |
| Home health | 7 | 6.9 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 6 | 5.9 | NPPES [2] |
| Dental specialties | 4 | 4.0 | NPPES [2] |
| Med spa and aesthetics | 4 | 4.0 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 4 | 4.0 | NPPES [2] |
| Audiology and hearing centers | 3 | 3.0 | NPPES [2] |
| Podiatry | 2 | 2.0 | NPPES [2] |
| Dermatology | 2 | 2.0 | NPPES [2] |
| Non-medical home care | 2 | 2.0 | NPPES [2] |
| Dialysis and infusion centers | 2 | 2.0 | NPPES [2] |
| Urgent care | 1 | 1.0 | NPPES [2] |
| SUD treatment and residential | 1 | 1.0 | NPPES [2] |
| Pain management and interventional | 1 | 1.0 | NPPES [2] |
| NEMT and ambulance | 1 | 1.0 | NPPES [2] |
| Hormone, TRT, and men's health clinics | 1 | 1.0 | NPPES [2] |
| Occupational health and drug testing | 1 | 1.0 | NPPES [2] |
| Medical equipment suppliers | 9 | CMS [4] | |
| Home health agencies | 2 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
Physical, occupational, and speech therapy carries 61 of the 259 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.
The lending record behind Alpena
With 1 healthcare approvals recorded, Alpena County gives a valuation almost nothing local to lean on
| What it measures | Value | How to read it |
|---|---|---|
| Healthcare files approved | 1 | Counted for the fiscal year the SBA publishes [5] |
| Dollars behind them | $105,700 | Everything approved to healthcare borrowers, added up [5] |
| Typical approval size | $105,700 | The dollar column over the approval column [5] |
| Credit offices operating locally | 17 | Places that write credit locally, NAICS 522 [6] |
Reading Alpena the way a credit committee does
The ratio that matters up front is 256.0 per 10,000, which decides whether a ramp schedule reads as conservative. With 1 approvals on record in Alpena County, expect a longer appraisal and a wider collateral discount. A $47,604 median household income here sets the ceiling on what an elective or cash-pay line can be expected to carry.
Where a file from this town usually lands
- Practice acquisition
- Startup and de novo
- Expansion, relocation, and build-out
- Working capital term loan
- Equipment financing and leasing
The order comes from Alpena's own provider mix, which physical, occupational, and speech therapy dominates at 24 percent. What a partner can actually place in Michigan is a separate question.
The first pages of a Alpena file
physical, occupational, and speech therapy, primary care and family medicine, general dentistry account for most of what is enumerated in Alpena, 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 (61) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Primary care and family medicine (36) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
| General dentistry (21) | Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backs | Acquisition of an established practice |
NPPES supplies the Alpena counts. The reading columns describe the field in general, and no partner reviewing a Alpena file is bound by them.
Density beside the neighboring Michigan towns
Density is the number that moves an appraisal: 256.0 per 10,000 here
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Alpena (current) | 10,116 | 259 | 256.0 | |
| Midland | 42,780 | 764 | 178.6 | 107 |
| Cadillac | 10,521 | 234 | 222.4 | 112 |
| Saginaw | 43,001 | 1,716 | 399.1 | 117 |
| Mount Pleasant | 21,090 | 156 | 74.0 | 121 |
| Flint | 79,735 | 1,743 | 218.6 | 142 |
| Burton | 29,420 | 262 | 89.1 | 143 |
Distance, income, and the wage floor around Alpena
Bay City, MI lies 105 miles from Alpena, far enough that a used chair, chairside unit, or imaging system has no nearby resale market, which is where the collateral discount comes from. Median household income runs $47,604, which is the number a funder converts into case acceptance on anything elective or cash-pay. Hospital coverage inside Alpena means a call schedule can be evidenced rather than described. A degree-granting institution here moves volume on the academic calendar. Alpena is the Alpena County seat, so county employment steadies the payer mix.
Nearby Michigan towns
Questions from Alpena
01How many providers practice in Alpena, and in what?
NPPES lists 259 providers at a Alpena practice address, 256.0 per 10,000 residents across 26 tracked fields. Physical, occupational, and speech therapy accounts for 61 of them, 24 percent of the total, with primary care and family medicine next at 36. Read that as clinicians: 259 enumerations, not 259 owners.
02Does being 105 miles out change the underwriting?
Distance does the work here. 105 miles out, Alpena County supplies the rent and resale comparables, which usually means a slower appraisal and a harder haircut on anything a funder would have to move to sell.
03What does Alpena County's shortage designation change?
HRSA designates Alpena County for primary care, dental, mental health. That opens loan repayment programs for clinicians recruited into Alpena and evidences a staffing ramp in a 10,116 resident market.
04Why does Alpena County show so little SBA activity?
Alpena County shows 1 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. 17 lending establishments operate locally.
05How does the hospital in Alpena affect a practice file?
A Medicare-certified hospital operates in the town, which gives referral flow, a call schedule, and a clinical labor pool a funder can verify. 3 Medicare-certified providers are located here in total. It also sets the wage floor behind every hire in a 256.0 per 10,000 market.
06What does a $47,604 median income mean for case acceptance?
Median household income in Alpena runs $47,604. 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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