Missouri micro-market
Healthcare practice financing in Ellisville, Missouri
Direct answer
201 healthcare providers hold a Ellisville practice address, 194.0 per 10,000 of its 10,359 residents, 29 percent of them in physical, occupational, and speech therapy. St. Louis County recorded 20 SBA healthcare approvals worth $15,844,400, and St. Louis, MO-IL sits 19 miles out.
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- Population: 10,359 residents (10K-25K band)1
- Healthcare providers registered here: 201 across 21 fields2
- Median household income: $105,2763
- Largest provider field: Physical, occupational, and speech therapy: 59 registered providers2
- Medicare-certified providers in town: 3 across 2 categories4
- Nearest metro: St. Louis, MO-IL, 19 miles1
The provider census in Ellisville
The NPPES file puts 201 enumerated clinicians inside Ellisville, spread over 21 fields at 194.0 per 10,000 residents
| Practice type | Count | Rate per 10,000 residents | Published by |
|---|---|---|---|
| Physical, occupational, and speech therapy | 59 | 57.0 | NPPES [2] |
| Chiropractic | 32 | 30.9 | NPPES [2] |
| Home health | 14 | 13.5 | NPPES [2] |
| General dentistry | 14 | 13.5 | NPPES [2] |
| Optometry and ophthalmology | 13 | 12.5 | NPPES [2] |
| Behavioral and mental health group practices | 11 | 10.6 | NPPES [2] |
| Dental specialties | 9 | 8.7 | NPPES [2] |
| DME and HME suppliers | 8 | 7.7 | NPPES [2] |
| Primary care and family medicine | 7 | 6.8 | NPPES [2] |
| ABA and autism therapy | 5 | 4.8 | NPPES [2] |
| Specialty physician groups | 5 | 4.8 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 5 | 4.8 | NPPES [2] |
| Audiology and hearing centers | 4 | 3.9 | NPPES [2] |
| Non-medical home care | 3 | 2.9 | NPPES [2] |
| Med spa and aesthetics | 3 | 2.9 | NPPES [2] |
| Podiatry | 2 | 1.9 | NPPES [2] |
| Independent pharmacy | 2 | 1.9 | NPPES [2] |
| Dialysis and infusion centers | 2 | 1.9 | NPPES [2] |
| Urgent care | 1 | 1.0 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 1 | 1.0 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 1.0 | NPPES [2] |
| Medical equipment suppliers | 3 | CMS [4] | |
| Home health agencies | 2 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
Several of the 59 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
The lending record behind Ellisville
Lenders in St. Louis County have already closed 20 healthcare approvals, averaging $792,220, which is the size a new file gets read beside.
| Measure | Published figure | What sits behind it |
|---|---|---|
| SBA healthcare approvals | 20 | One published fiscal year, healthcare borrowers only [5] |
| Approved dollars | $15,844,400 | Approved, not disbursed, and not net of withdrawals [5] |
| Average approval | $792,220 | A mean, so one large approval moves it [5] |
| Lending establishments in the county | 708 | Credit intermediation offices sited in the county [6] |
How this data lands in an underwriting decision
At 194.0 clinicians per 10,000 residents, the catchment radius in a projection has to be defended rather than assumed. A request measured against 20 prior St. Louis County approvals is priced on precedent, which shortens the questions about valuation. A $105,276 median household income here sets the ceiling on what an elective or cash-pay line can be expected to carry.
The programs this provider mix points at
- Practice acquisition
- Startup and de novo
- Working capital term loan
- Equipment financing and leasing
- Medical receivables factoring
Weighted by how often each of the 21 local fields reaches for a program, not by what is easiest to refer. Missouri rules and the partner decide availability.
The first pages of a Ellisville file
What a funder opens first depends on the field. In Ellisville that means physical, occupational, and speech therapy, chiropractic, home health.
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Physical, occupational, and speech therapy (59) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Chiropractic (32) | Cash plan revenue, Personal injury receivable age, Visit volume | Startup or acquisition |
| Home health (14) | Medicare certification first, Payer mix second, Days in accounts receivable third | Payroll between visit and remittance |
The first column is Ellisville's own NPPES count. The rest is how the field is generally underwritten, whether the address is Ellisville or anywhere else.
Ellisville against nearby Missouri markets
The neighboring markets below are the ones a valuation borrows from when Ellisville has too few sales of its own
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Ellisville (current) | 10,359 | 201 | 194.0 | |
| Ballwin | 31,036 | 345 | 111.2 | 2 |
| Manchester | 18,122 | 113 | 62.4 | 4 |
| Wildwood | 35,082 | 107 | 30.5 | 4 |
| Chesterfield | 49,465 | 1,287 | 260.2 | 5 |
| Eureka | 13,277 | 121 | 91.1 | 7 |
| Town and Country | 11,625 | 59 | 50.8 | 7 |
How Ellisville sits against the nearest metro
Distance to St. Louis, MO-IL is 19 miles. Appraisers borrow St. Louis, MO-IL rents, and the 10,359 residents set the ceiling on collections. At $105,276 median household income, the elective and cash-pay share of a projection is the line that gets tested first. Referral flow comes from outside Ellisville, which a projection needs to state plainly.
More of Missouri
- Ballwin 31,036 residents
- Manchester 18,122 residents
- Wildwood 35,082 residents
- Chesterfield 49,465 residents
- Eureka 13,277 residents
- Town and Country 11,625 residents
Questions from Ellisville
01How many providers practice in Ellisville, and in what?
201 enumerations sit at Ellisville addresses in the monthly NPPES file, working out to 194.0 for every 10,000 residents. 29 percent of them are physical, occupational, and speech therapy, and chiropractic follows with 32. An enumeration is a clinician, so the 201 here cover fewer than 201 practices.
02What does SBA lending look like around Ellisville?
$15,844,400 went to healthcare borrowers in St. Louis County across 20 approvals, $792,220 on average. Deals near Ellisville get sized against that record before anything else.
03What does a $105,276 median income mean for case acceptance?
Median household income in Ellisville runs $105,276. 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.
04What does St. Louis County's shortage designation change?
St. Louis County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Ellisville can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
05Which fields carry the volume in Ellisville?
The 21 enumerated fields are led by physical, occupational, and speech therapy at 59, with chiropractic at 32 behind it. Those two counts double as the competition you are entering and the bench you would hire from.
06How many Medicare-certified providers are based in Ellisville?
The town carries 3 Medicare-certified providers. On a receivables request that number sets the expected collection lag, which is priced before anything about the practice itself is read.
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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