Mississippi micro-market
Healthcare practice financing in Natchez, Mississippi
Direct answer
14,233 residents, 224 enumerated clinicians, 157.4 per 10,000, 30 percent of them in physical, occupational, and speech therapy: that is the Natchez market a funder prices. Adams County adds 2 healthcare approvals worth $754,000 and 66 miles of distance to Alexandria, LA.
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- Population: 14,233 residents (10K-25K band)1
- Healthcare providers registered here: 224 across 25 fields2
- Median household income: $35,6133
- Largest provider field: Physical, occupational, and speech therapy: 68 registered providers2
- Medicare-certified providers in town: 2 across 1 categories4
- Nearest metro: Alexandria, LA, 66 miles1
Natchez clinicians, by field
157.4 providers per 10,000 residents is what 224 enumerations across 25 fields works out to in a town of 14,233
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Physical, occupational, and speech therapy | 68 | 47.8 | NPPES [2] |
| Non-medical home care | 20 | 14.1 | NPPES [2] |
| Primary care and family medicine | 19 | 13.3 | NPPES [2] |
| Behavioral and mental health group practices | 16 | 11.2 | NPPES [2] |
| Specialty physician groups | 14 | 9.8 | NPPES [2] |
| DME and HME suppliers | 13 | 9.1 | NPPES [2] |
| General dentistry | 12 | 8.4 | NPPES [2] |
| Optometry and ophthalmology | 12 | 8.4 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 10 | 7.0 | NPPES [2] |
| Home health | 8 | 5.6 | NPPES [2] |
| Independent pharmacy | 6 | 4.2 | NPPES [2] |
| Clinical and toxicology labs | 5 | 3.5 | NPPES [2] |
| NEMT and ambulance | 3 | 2.1 | NPPES [2] |
| Telehealth and virtual clinics | 3 | 2.1 | NPPES [2] |
| Podiatry | 2 | 1.4 | NPPES [2] |
| Dental specialties | 2 | 1.4 | NPPES [2] |
| Hospice and palliative | 2 | 1.4 | NPPES [2] |
| Dialysis and infusion centers | 2 | 1.4 | NPPES [2] |
| Dermatology | 1 | 0.7 | NPPES [2] |
| Chiropractic | 1 | 0.7 | NPPES [2] |
| ASCs and OBLs | 1 | 0.7 | NPPES [2] |
| Imaging centers | 1 | 0.7 | NPPES [2] |
| ABA and autism therapy | 1 | 0.7 | NPPES [2] |
| Med spa and aesthetics | 1 | 0.7 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 1 | 0.7 | NPPES [2] |
| Medical equipment suppliers | 9 | CMS [4] | |
| Dialysis facilities | 2 | CMS [4] |
Several of the 68 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
What lenders have already approved in Adams County
The county file holds 2 healthcare approvals, which is a thin comparable set for anyone pricing collateral
| Measure | Published figure | What sits behind it |
|---|---|---|
| SBA healthcare approvals | 2 | One published fiscal year, healthcare borrowers only [5] |
| Approved dollars | $754,000 | Approved, not disbursed, and not net of withdrawals [5] |
| Average approval | $377,000 | A mean, so one large approval moves it [5] |
| Lending establishments in the county | 38 | Credit intermediation offices sited in the county [6] |
How this data lands in an underwriting decision
Density of 157.4 per 10,000 sets the patient draw a projection can claim without an argument. Adams County has 2 approvals to compare against, so plan for extra appraisal time and a conservative valuation. Household income of $35,613 in Natchez 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
- Working capital term loan
- Startup and de novo
- Medical receivables factoring
- Expansion, relocation, and build-out
The 25 fields practicing locally set this order. A funding partner, not this list, decides what is available in Mississippi.
Underwriting by field in Natchez
What a funder opens first depends on the field. In Natchez that means physical, occupational, and speech therapy, non-medical home care, primary care and family medicine.
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Physical, occupational, and speech therapy (68) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Non-medical home care (20) | Payer mix between waiver and private pay, Caregiver retention, Electronic visit verification compliance | Payroll funding against waiver and managed care receivables |
| Primary care and family medicine (19) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
Counts in the first column are Natchez providers from NPPES. The other two columns describe how funders read that field across markets like Natchez, not what any funder will do with your file.
Natchez against nearby Mississippi markets
157.4 per 10,000 is the figure a neighboring town gets compared against when an appraiser prices Natchez
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Natchez (current) | 14,233 | 224 | 157.4 | |
| Brookhaven | 11,654 | 158 | 135.6 | 55 |
| McComb | 11,762 | 289 | 245.7 | 58 |
| Vicksburg | 20,032 | 318 | 158.7 | 61 |
| Byram | 12,656 | 108 | 85.3 | 79 |
| Clinton | 26,617 | 223 | 83.8 | 83 |
| Pearl | 28,458 | 111 | 39.0 | 91 |
How Natchez sits against the nearest metro
Distance to Alexandria, LA is 66 miles. Resale for used clinical equipment is effectively absent, which is why collateral gets marked down. At $35,613 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. Natchez is the Adams County seat, so county employment steadies the payer mix.
Other Mississippi markets
What owners in Natchez ask
01How many providers practice in Natchez, and in what?
Across 25 fields, Natchez carries 224 enumerated clinicians, 157.4 per 10,000 of the 14,233 people living here. The concentration is in physical, occupational, and speech therapy, 68 of the total, then non-medical home care at 20. Count practices from that only with care.
02Does being 66 miles out change the underwriting?
At 66 miles from Alexandria, LA, collateral is priced without a nearby resale market. Expect a longer appraisal window in Adams County and a wider discount on used equipment than a metro practice would see on the same list.
03Why does Adams County show so little SBA activity?
The published file records 2 7(a) and 504 approvals to healthcare borrowers in Adams County. That tracks how few Adams County practices changed hands that year, not credit quality. 38 credit intermediation establishments operate in Adams County, so the lending capacity is local even where the healthcare history is not.
04What does Adams County's shortage designation change?
The primary care, dental, mental health designation HRSA carries on Adams County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 14,233 residents gets past the question of who would take the job.
05How does the hospital in Natchez affect a practice file?
It makes the staffing and referral lines checkable. 2 Medicare-certified providers hold Natchez addresses, and the hospital sets the wage a clinical hire is bid against in a 157.4 per 10,000 market.
06What does a $35,613 median income mean for case acceptance?
Median household income in Natchez runs $35,613. 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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