New York micro-market
Healthcare practice financing in Cortland, New York
Direct answer
Density decides a lot here. Cortland runs 181.6 providers per 10,000 residents, 317 clinicians against 17,459 people, 30 percent of them in physical, occupational, and speech therapy, while Cortland County lenders have approved 0 healthcare files worth $0 and the nearest metro is 20 miles out.
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- Population: 17,459 residents (10K-25K band)1
- Healthcare providers registered here: 317 across 22 fields2
- Median household income: $55,3683
- Largest provider field: Physical, occupational, and speech therapy: 96 registered providers2
- Medicare-certified providers in town: 3 across 3 categories4
- Nearest metro: Ithaca, NY, 20 miles1
The provider census in Cortland
Counted at the town's own addresses: 317 providers, 22 fields, 181.6 clinicians per 10,000 of the 17,459 residents here
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Physical, occupational, and speech therapy | 96 | 55.0 | NPPES [2] |
| Behavioral and mental health group practices | 76 | 43.5 | NPPES [2] |
| Primary care and family medicine | 31 | 17.8 | NPPES [2] |
| Specialty physician groups | 24 | 13.7 | NPPES [2] |
| General dentistry | 16 | 9.2 | NPPES [2] |
| Optometry and ophthalmology | 13 | 7.4 | NPPES [2] |
| Chiropractic | 10 | 5.7 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 8 | 4.6 | NPPES [2] |
| Home health | 7 | 4.0 | NPPES [2] |
| Independent pharmacy | 7 | 4.0 | NPPES [2] |
| DME and HME suppliers | 6 | 3.4 | NPPES [2] |
| Audiology and hearing centers | 5 | 2.9 | NPPES [2] |
| Dental specialties | 3 | 1.7 | NPPES [2] |
| Med spa and aesthetics | 3 | 1.7 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 3 | 1.7 | NPPES [2] |
| Podiatry | 2 | 1.1 | NPPES [2] |
| Dialysis and infusion centers | 2 | 1.1 | NPPES [2] |
| ASCs and OBLs | 1 | 0.6 | 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] |
| Clinical and toxicology labs | 1 | 0.6 | NPPES [2] |
| Medical equipment suppliers | 9 | CMS [4] | |
| Ambulatory surgical centers | 1 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
A single Cortland practice can hold more than one of these numbers. 30 percent sit in physical, occupational, and speech therapy, counted as clinicians rather than as owners.
What lenders have already approved in Cortland County
0 healthcare approvals sit in the county file, so an appraiser here works from a short comparable set
| Line | Amount | Reading and source |
|---|---|---|
| Approvals on record | 0 | One published fiscal year, healthcare borrowers only [5] |
| Total approved capital | $0 | Approved, not disbursed, and not net of withdrawals [5] |
| Mean deal size | No approvals recorded | A mean, so one large approval moves it [5] |
| Lenders sited in the county | 20 | Credit intermediation offices sited in the county [6] |
Reading Cortland the way a credit committee does
At 181.6 clinicians per 10,000 residents, the catchment radius in a projection has to be defended rather than assumed. A short county record of 0 approvals usually means more documentation and a lower advance against the same collateral. Household income of $55,368 in Cortland is the number a lender uses to sanity check the self-pay share of a revenue projection.
Programs the Cortland mix reaches for
- Practice acquisition
- Working capital term loan
- Startup and de novo
- Expansion, relocation, and build-out
- Business line of credit
Ranked from the 22 fields that actually practice in Cortland, weighted toward physical, occupational, and speech therapy. Availability still depends on New York and on the funding partner.
What a funder reads first in Cortland
What a funder opens first depends on the field. In Cortland that means physical, occupational, and speech therapy, behavioral and mental health group practices, primary care and family medicine.
| Field | What the file turns on | The capital event behind most requests |
|---|---|---|
| Physical, occupational, and speech therapy (96) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Behavioral and mental health group practices (76) | Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposure | Working capital through the credentialing lag |
| Primary care and family medicine (31) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
NPPES supplies the Cortland counts. The reading columns describe the field in general, and no partner reviewing a Cortland file is bound by them.
How Cortland prices against its neighbors
The neighboring markets below are the ones a valuation borrows from when Cortland has too few sales of its own
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Cortland (current) | 17,459 | 317 | 181.6 | |
| Ithaca | 33,768 | 663 | 196.3 | 20 |
| Auburn | 25,963 | 303 | 116.7 | 30 |
| Endicott | 13,199 | 130 | 98.5 | 35 |
| Binghamton | 46,773 | 541 | 115.7 | 37 |
| Oneida | 10,066 | 140 | 139.1 | 41 |
| Geneva | 12,397 | 208 | 167.8 | 45 |
How Cortland sits against the nearest metro
20 miles separate Cortland from Ithaca, NY. Lease pricing follows Ithaca, NY, while revenue stays capped by the 17,459 residents here. Households here carry $55,368 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. A Medicare-certified hospital operates here, so referral flow is verifiable and the clinical wage floor is already set. Higher education here explains why summer looks unlike the rest of the year. Cortland is the Cortland County seat, so county employment steadies the payer mix.
More of New York
Cortland owners, answered
01How many providers practice in Cortland, and in what?
Across 22 fields, Cortland carries 317 enumerated clinicians, 181.6 per 10,000 of the 17,459 people living here. The concentration is in physical, occupational, and speech therapy, 96 of the total, then behavioral and mental health group practices at 76. Count practices from that only with care.
02What does Cortland County's shortage designation change?
Cortland County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Cortland can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
03Why does Cortland County show so little SBA activity?
The published file records 0 7(a) and 504 approvals to healthcare borrowers in Cortland County. That tracks how few Cortland County practices changed hands that year, not credit quality. 20 credit intermediation establishments operate in Cortland County, so the lending capacity is local even where the healthcare history is not.
04Is Cortland underwritten as part of Ithaca, NY?
Partly. Ithaca, NY is 20 miles out, so rent and equipment comparables travel in from there while patients still come from the 17,459 residents around Cortland. Cost side metro, revenue side local.
05Which fields carry the volume in Cortland?
Volume concentrates in physical, occupational, and speech therapy, 96 of them, ahead of behavioral and mental health group practices at 76, across 22 fields. A thin second field usually means a longer search for staff than a pro forma allows for.
06How does the hospital in Cortland affect a practice file?
It makes the staffing and referral lines checkable. 3 Medicare-certified providers hold Cortland addresses, and the hospital sets the wage a clinical hire is bid against in a 181.6 per 10,000 market.
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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