Missouri micro-market
Healthcare practice financing in Washington, Missouri
Direct answer
A Washington file is read against 299 local clinicians, 192.6 for every 10,000 of its 15,521 residents, 26 percent of them in physical, occupational, and speech therapy, plus the 3 SBA healthcare approvals worth $1,610,000 already recorded in Franklin County, 42 miles from St. Louis, MO-IL.
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. Missouri rules, and what happens to an inquiry raised from a Missouri address, are set out on the Missouri page.
- Population: 15,521 residents (10K-25K band)1
- Healthcare providers registered here: 299 across 27 fields2
- Median household income: $78,5103
- Largest provider field: Physical, occupational, and speech therapy: 77 registered providers2
- Medicare-certified providers in town: 4 across 3 categories4
- Nearest metro: St. Louis, MO-IL, 42 miles1
What NPPES records at Washington addresses
Counted at the town's own addresses: 299 providers, 27 fields, 192.6 clinicians per 10,000 of the 15,521 residents here
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Physical, occupational, and speech therapy | 77 | 49.6 | NPPES [2] |
| Specialty physician groups | 32 | 20.6 | NPPES [2] |
| Primary care and family medicine | 29 | 18.7 | NPPES [2] |
| General dentistry | 25 | 16.1 | NPPES [2] |
| Chiropractic | 22 | 14.2 | NPPES [2] |
| Optometry and ophthalmology | 19 | 12.2 | NPPES [2] |
| DME and HME suppliers | 13 | 8.4 | NPPES [2] |
| Dental specialties | 10 | 6.4 | NPPES [2] |
| Med spa and aesthetics | 10 | 6.4 | NPPES [2] |
| Independent pharmacy | 8 | 5.2 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 8 | 5.2 | NPPES [2] |
| ABA and autism therapy | 6 | 3.9 | NPPES [2] |
| Behavioral and mental health group practices | 6 | 3.9 | NPPES [2] |
| Home health | 5 | 3.2 | NPPES [2] |
| ASCs and OBLs | 5 | 3.2 | NPPES [2] |
| Podiatry | 4 | 2.6 | NPPES [2] |
| Dermatology | 4 | 2.6 | NPPES [2] |
| Urgent care | 3 | 1.9 | NPPES [2] |
| Audiology and hearing centers | 2 | 1.3 | NPPES [2] |
| Clinical and toxicology labs | 2 | 1.3 | NPPES [2] |
| Dialysis and infusion centers | 2 | 1.3 | NPPES [2] |
| Occupational health and drug testing | 2 | 1.3 | NPPES [2] |
| NEMT and ambulance | 1 | 0.6 | NPPES [2] |
| Non-medical home care | 1 | 0.6 | NPPES [2] |
| Hospice and palliative | 1 | 0.6 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 1 | 0.6 | NPPES [2] |
| Plastic and cosmetic surgery | 1 | 0.6 | NPPES [2] |
| Medical equipment suppliers | 9 | CMS [4] | |
| Dialysis facilities | 2 | CMS [4] | |
| Ambulatory surgical centers | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
A single Washington practice can hold more than one of these numbers. 26 percent sit in physical, occupational, and speech therapy, counted as clinicians rather than as owners.
Loan activity in Franklin County
3 healthcare approvals sit in the county file, so an appraiser here works from a short comparable set
| Line | Amount | Reading and source |
|---|---|---|
| SBA healthcare approvals | 3 | One published fiscal year, healthcare borrowers only [5] |
| Approved dollars | $1,610,000 | Approved, not disbursed, and not net of withdrawals [5] |
| Average approval | $536,667 | A mean, so one large approval moves it [5] |
| Lending establishments in the county | 77 | Credit intermediation offices sited in the county [6] |
Reading Washington the way a credit committee does
Underwriting starts with 192.6 providers per 10,000 residents, because that ratio caps how fast a chair or a room fills. A short county record of 3 approvals usually means more documentation and a lower advance against the same collateral. Household income of $78,510 in Washington is the number a lender uses to sanity check the self-pay share of a revenue projection.
Programs the Washington mix reaches for
- Practice acquisition
- Startup and de novo
- Expansion, relocation, and build-out
- Equipment financing and leasing
- Working capital term loan
Ranked from the 27 fields that actually practice in Washington, weighted toward physical, occupational, and speech therapy. Availability still depends on Missouri and on the funding partner.
Underwriting by field in Washington
What a funder opens first depends on the field. In Washington that means physical, occupational, and speech therapy, specialty physician groups, primary care and family medicine.
| Practice type | The pages that decide it | Typical capital event |
|---|---|---|
| Physical, occupational, and speech therapy (77) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Specialty physician groups (32) | Ancillary revenue contribution, Provider productivity, Payer contracts | Ancillary build-out |
| Primary care and family medicine (29) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
Counts in the first column are Washington providers from NPPES. The other two columns describe how funders read that field across markets like Washington, not what any funder will do with your file.
How Washington prices against its neighbors
Comparables travel. These are the Missouri towns whose density, at 192.6 per 10,000 here, gets weighed beside this one.
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Washington (current) | 15,521 | 299 | 192.6 | |
| Union | 13,198 | 111 | 84.1 | 8 |
| Wildwood | 35,082 | 107 | 30.5 | 19 |
| Eureka | 13,277 | 121 | 91.1 | 20 |
| Wentzville | 48,646 | 405 | 83.3 | 20 |
| Dardenne Prairie | 14,407 | 49 | 34.0 | 21 |
| O'Fallon | 95,355 | 41 | 4.3 | 22 |
How Washington sits against the nearest metro
Distance to St. Louis, MO-IL is 42 miles. That is close enough for rent in Washington to be compared against the metro and far enough that patient draw is not. Households here carry $78,510 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. The hospital fixes two inputs a lender would otherwise estimate in a 15,521 resident town: where referrals originate, and what staff cost. A college in Washington puts a term-shaped curve into monthly collections.
More of Missouri
- Union 13,198 residents
- Wildwood 35,082 residents
- Eureka 13,277 residents
- Wentzville 48,646 residents
- Dardenne Prairie 14,407 residents
- O'Fallon 95,355 residents
Questions from Washington
01How many providers practice in Washington, and in what?
299 enumerations sit at Washington addresses in the monthly NPPES file, working out to 192.6 for every 10,000 residents. 26 percent of them are physical, occupational, and speech therapy, and specialty physician groups follows with 32. An enumeration is a clinician, so the 299 here cover fewer than 299 practices.
02What does Franklin County's shortage designation change?
Franklin County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Washington can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
03Why does Franklin County show so little SBA activity?
The published file records 3 7(a) and 504 approvals to healthcare borrowers in Franklin County. That tracks how few Franklin County practices changed hands that year, not credit quality. 77 credit intermediation establishments operate in Franklin County, so the lending capacity is local even where the healthcare history is not.
04How does the hospital in Washington affect a practice file?
It makes the staffing and referral lines checkable. 4 Medicare-certified providers hold Washington addresses, and the hospital sets the wage a clinical hire is bid against in a 192.6 per 10,000 market.
05Is Washington underwritten as part of St. Louis, MO-IL?
St. Louis, MO-IL sits 42 miles away, close enough that appraisers reach into that market for rent and resale comparables while your patient draw stays local. The comparables read St. Louis, MO-IL; the 15,521 residents set the ceiling a projection can defend.
06Is there local lending capacity in Franklin County?
County Business Patterns records 77 credit intermediation establishments in Franklin County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Washington rents and resale before or by somebody working from a screen.
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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