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New Hampshire micro-market

Healthcare practice financing in Concord, New Hampshire

Direct answer

44,674 residents, 956 enumerated clinicians, 214.0 per 10,000, 27 percent of them in physical, occupational, and speech therapy: that is the Concord market a funder prices. Merrimack County adds 1 healthcare approvals worth $115,000 and 18 miles of distance to Manchester-Nashua, NH.

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  • Population: 44,674 residents (25K-50K band)1
  • Healthcare providers registered here: 956 across 33 fields2
  • Median household income: $83,7013
  • Largest provider field: Physical, occupational, and speech therapy: 256 registered providers2
  • Medicare-certified providers in town: 7 across 4 categories4
  • Nearest metro: Manchester-Nashua, NH, 18 miles1

Fields practicing inside Concord

956 providers across 33 fields, 214.0 per 10,000 residents, counted at Concord addresses in the NPPES monthly file

Enumerated clinicians at Concord addresses
FieldProvidersPer 10,000 residentsSource
Physical, occupational, and speech therapy25657.3NPPES [2]
Primary care and family medicine15133.8NPPES [2]
Specialty physician groups7316.3NPPES [2]
General dentistry6715.0NPPES [2]
Optometry and ophthalmology5512.3NPPES [2]
Behavioral and mental health group practices4510.1NPPES [2]
Ketamine, TMS, and interventional psychiatry409.0NPPES [2]
ABA and autism therapy378.3NPPES [2]
Chiropractic337.4NPPES [2]
Dental specialties337.4NPPES [2]
DME and HME suppliers224.9NPPES [2]
Audiology and hearing centers204.5NPPES [2]
Independent pharmacy184.0NPPES [2]
Med spa and aesthetics184.0NPPES [2]
Non-medical home care163.6NPPES [2]
Home health143.1NPPES [2]
Skilled nursing, assisted living, and memory care112.5NPPES [2]
Dermatology92.0NPPES [2]
SUD treatment and residential92.0NPPES [2]
Urgent care40.9NPPES [2]
Hospice and palliative40.9NPPES [2]
Podiatry30.7NPPES [2]
ASCs and OBLs30.7NPPES [2]
Hormone, TRT, and men's health clinics30.7NPPES [2]
Clinical and toxicology labs30.7NPPES [2]
Occupational health and drug testing20.4NPPES [2]
Imaging centers10.2NPPES [2]
Mobile diagnostics10.2NPPES [2]
NEMT and ambulance10.2NPPES [2]
IV hydration and infusion10.2NPPES [2]
Plastic and cosmetic surgery10.2NPPES [2]
Dialysis and infusion centers10.2NPPES [2]
Telehealth and virtual clinics10.2NPPES [2]
Medical equipment suppliers20CMS [4]
Ambulatory surgical centers3CMS [4]
Hospice providers2CMS [4]
Dialysis facilities1CMS [4]
Home health agencies1CMS [4]

Physical, occupational, and speech therapy carries 256 of the 956 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.

The lending record behind Concord

1 healthcare approvals sit in the county file, so an appraiser here works from a short comparable set

Approvals recorded in Merrimack County
What it measuresValueHow to read it
Approvals on record1Fiscal year published in the SBA file [5]
Total approved capital$115,000Sum of approvals to healthcare borrowers [5]
Mean deal size$115,000Dollars divided by approvals [5]
Lenders sited in the county79Credit intermediation establishments, NAICS 522 [6]

Reading Concord the way a credit committee does

The ratio that matters up front is 214.0 per 10,000, which decides whether a ramp schedule reads as conservative. With 1 approvals on record in Merrimack County, expect a longer appraisal and a wider collateral discount. Household income of $83,701 in Concord is the number a lender uses to sanity check the self-pay share of a revenue projection.

Where a file from this town usually lands

Ranked from the 33 fields that actually practice in Concord, weighted toward physical, occupational, and speech therapy. Availability still depends on New Hampshire and on the funding partner.

Underwriting by field in Concord

physical, occupational, and speech therapy, primary care and family medicine, specialty physician groups account for most of what is enumerated in Concord, so those are the files funders see from this town

Fields, files, and capital events in Concord
FieldWhat the file turns onThe capital event behind most requests
Physical, occupational, and speech therapy (256)Visits per case, Referral source concentration, Payer mix and authorization rulesStartup or expansion clinic
Primary care and family medicine (151)Panel size, Value-based contract exposure, Provider productivityAcquisition
Specialty physician groups (73)Ancillary revenue contribution, Provider productivity, Payer contractsAncillary build-out

Local counts come from NPPES. What a file turns on is drawn from how the field is generally reviewed, not from any decision about your practice.

Concord against nearby New Hampshire markets

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

Provider density across nearby New Hampshire towns
ComparablePeopleEnumerationsPer 10,000 residentsMiles
Concord (current)44,674956214.0
Laconia17,310269155.424
Rochester33,59819558.030
Dover33,909485143.034
Nashua91,8511,246135.734
Somersworth12,218142116.234
Claremont13,105136103.840

How Concord sits against the nearest metro

18 miles separate Concord from Manchester-Nashua, NH. Lease pricing follows Manchester-Nashua, NH, while revenue stays capped by the 44,674 residents here. Median household income runs $83,701, which is the number a funder converts into case acceptance on anything elective or cash-pay. The hospital fixes two inputs a lender would otherwise estimate in a 44,674 resident town: where referrals originate, and what staff cost. A degree-granting institution here moves volume on the academic calendar. Concord is the Merrimack County seat, so county employment steadies the payer mix.

Other New Hampshire markets

Concord owners, answered

01

How many providers practice in Concord, and in what?

NPPES lists 956 providers at a Concord practice address, 214.0 per 10,000 residents across 33 tracked fields. Physical, occupational, and speech therapy accounts for 256 of them, 27 percent of the total, with primary care and family medicine next at 151. Read that as clinicians: 956 enumerations, not 956 owners.

02

Why does Merrimack County show so little SBA activity?

Only 1 healthcare approvals appear for Merrimack County in the published 7(a) and 504 file. Thin volume in Merrimack County is a transaction count, not a verdict on borrowers here. The county still holds 79 credit intermediation establishments.

03

Which fields carry the volume in Concord?

Volume concentrates in physical, occupational, and speech therapy, 256 of them, ahead of primary care and family medicine at 151, across 33 fields. A thin second field usually means a longer search for staff than a pro forma allows for.

04

Is Concord underwritten as part of Manchester-Nashua, NH?

Partly. Manchester-Nashua, NH is 18 miles out, so rent and equipment comparables travel in from there while patients still come from the 44,674 residents around Concord. Cost side metro, revenue side local.

05

What does Merrimack County's shortage designation change?

Designated for primary care, dental, mental health, Merrimack County qualifies its clinicians for federal repayment support. On a file that turns on adding staff, that is the difference between a hiring assumption and a hiring plan.

06

How does the hospital in Concord affect a practice file?

Referral flow, coverage, and the local pay scale all trace back to it. The town carries 7 Medicare-certified providers in total. A Concord projection that names the call arrangement reads better than one that assumes it.

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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