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Nebraska micro-market

Healthcare practice financing in Fremont, Nebraska

Direct answer

Dodge County carries 2 SBA healthcare approvals worth $3,956,000, and inside Fremont the census shows 309 enumerated clinicians against 28,190 residents, 109.6 per 10,000, 32 percent of them in physical, occupational, and speech therapy. Omaha, NE-IA lies 26 miles away.

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  • Population: 28,190 residents (25K-50K band)1
  • Healthcare providers registered here: 309 across 25 fields2
  • Median household income: $67,1793
  • Largest provider field: Physical, occupational, and speech therapy: 100 registered providers2
  • Medicare-certified providers in town: 6 across 4 categories4
  • Nearest metro: Omaha, NE-IA, 26 miles1

What NPPES records at Fremont addresses

109.6 providers per 10,000 residents is what 309 enumerations across 25 fields works out to in a town of 28,190

Enumerated clinicians at Fremont addresses
Practice typeCountRate per 10,000 residentsPublished by
Physical, occupational, and speech therapy10035.5NPPES [2]
Primary care and family medicine258.9NPPES [2]
General dentistry258.9NPPES [2]
Optometry and ophthalmology258.9NPPES [2]
Chiropractic238.2NPPES [2]
DME and HME suppliers124.3NPPES [2]
Specialty physician groups124.3NPPES [2]
Skilled nursing, assisted living, and memory care113.9NPPES [2]
Independent pharmacy103.5NPPES [2]
Hospice and palliative103.5NPPES [2]
Dental specialties93.2NPPES [2]
Home health82.8NPPES [2]
Non-medical home care82.8NPPES [2]
Behavioral and mental health group practices72.5NPPES [2]
Audiology and hearing centers51.8NPPES [2]
ASCs and OBLs41.4NPPES [2]
Ketamine, TMS, and interventional psychiatry31.1NPPES [2]
Podiatry20.7NPPES [2]
NEMT and ambulance20.7NPPES [2]
ABA and autism therapy20.7NPPES [2]
Dialysis and infusion centers20.7NPPES [2]
Dermatology10.4NPPES [2]
Urgent care10.4NPPES [2]
Clinical and toxicology labs10.4NPPES [2]
Telehealth and virtual clinics10.4NPPES [2]
Medical equipment suppliers9CMS [4]
Ambulatory surgical centers2CMS [4]
Home health agencies2CMS [4]
Hospice providers1CMS [4]
Dialysis facilities1CMS [4]

Physical, occupational, and speech therapy carries 100 of the 309 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.

What Dodge County credit files already show

With 2 healthcare approvals recorded, Dodge County gives a valuation almost nothing local to lean on

Approvals recorded in Dodge County
What it measuresValueHow to read it
Healthcare files approved2Fiscal year published in the SBA file [5]
Dollars behind them$3,956,000Sum of approvals to healthcare borrowers [5]
Typical approval size$1,978,000Dollars divided by approvals [5]
Credit offices operating locally25Credit intermediation establishments, NAICS 522 [6]

Reading Fremont the way a credit committee does

Density of 109.6 per 10,000 sets the patient draw a projection can claim without an argument. With 2 approvals on record in Dodge County, expect a longer appraisal and a wider collateral discount. With $67,179 as the median household income, the payer mix in a projection has to match what Fremont households actually spend.

Where a file from this town usually lands

Weighted by how often each of the 25 local fields reaches for a program, not by what is easiest to refer. Nebraska rules and the partner decide availability.

The first pages of a Fremont file

Drawn from the fields that actually practice here: physical, occupational, and speech therapy, primary care and family medicine, general dentistry

What each Fremont field turns on
FieldWhat the file turns onThe capital event behind most requests
Physical, occupational, and speech therapy (100)Visits per case, Referral source concentration, Payer mix and authorization rulesStartup or expansion clinic
Primary care and family medicine (25)Panel size, Value-based contract exposure, Provider productivityAcquisition
General dentistry (25)Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backsAcquisition of an established practice

The first column is Fremont's own NPPES count. The rest is how the field is generally underwritten, whether the address is Fremont or anywhere else.

Density beside the neighboring Nebraska towns

The neighboring markets below are the ones a valuation borrows from when Fremont has too few sales of its own

Residents, providers, and distance across nearby towns
TownResidentsProvidersPer 10,000Miles away
Fremont (current)28,190309109.6
La Vista16,54311770.728
Papillion25,248387153.329
Bellevue64,77750578.035
Columbus25,12624195.945
Norfolk26,162430164.463
Beatrice12,290151122.982

Distance, income, and the wage floor around Fremont

Omaha, NE-IA lies 26 miles from Fremont, close enough for rent comparables to travel and far enough that patient draw does not. Median household income runs $67,179, which is the number a funder converts into case acceptance on anything elective or cash-pay. Wages here are anchored by the Medicare-certified hospital in town, which is what a staffing line gets measured against. A college in Fremont puts a term-shaped curve into monthly collections. Fremont is the Dodge County seat, so county employment steadies the payer mix.

Nearby Nebraska towns

What owners in Fremont ask

01

How many providers practice in Fremont, and in what?

Across 25 fields, Fremont carries 309 enumerated clinicians, 109.6 per 10,000 of the 28,190 people living here. The concentration is in physical, occupational, and speech therapy, 100 of the total, then primary care and family medicine at 25. Count practices from that only with care.

02

What does Dodge County's shortage designation change?

Dodge County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Fremont can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.

03

Why does Dodge County show so little SBA activity?

Only 2 healthcare approvals appear for Dodge County in the published 7(a) and 504 file. Thin volume in Dodge County is a transaction count, not a verdict on borrowers here. The county still holds 25 credit intermediation establishments.

04

How does the hospital in Fremont affect a practice file?

Referral flow, coverage, and the local pay scale all trace back to it. The town carries 6 Medicare-certified providers in total. A Fremont projection that names the call arrangement reads better than one that assumes it.

05

Is Fremont underwritten as part of Omaha, NE-IA?

Omaha, NE-IA sits 26 miles away, close enough that appraisers reach into that market for rent and resale comparables while your patient draw stays local. The comparables read Omaha, NE-IA; the 28,190 residents set the ceiling a projection can defend.

06

Is there local lending capacity in Dodge County?

County Business Patterns records 25 credit intermediation establishments in Dodge County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Fremont rents and resale before or by somebody working from a screen.

Sources

  1. 1U.S. Census Bureau, Population Estimates, vintage 2024
  2. 2CMS NPPES, monthly full replacement file
  3. 3U.S. Census Bureau, ACS 5-year 2023, table B19013
  4. 4CMS Care Compare provider datasets
  5. 5U.S. Small Business Administration, 7(a) and 504 approvals
  6. 6U.S. Census Bureau, County Business Patterns 2022

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