North Carolina micro-market
Healthcare practice financing in Graham, North Carolina
Direct answer
A Graham file is read against 108 local clinicians, 55.9 for every 10,000 of its 19,311 residents, 24 percent of them in physical, occupational, and speech therapy, plus the 4 SBA healthcare approvals worth $2,574,000 already recorded in Alamance County, 5 miles from Burlington, NC.
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. How a referral works in North Carolina, and how many partners see it, is set out on the North Carolina page.
- Population: 19,311 residents (10K-25K band)1
- Healthcare providers registered here: 108 across 20 fields2
- Median household income: $54,7833
- Largest provider field: Physical, occupational, and speech therapy: 26 registered providers2
- Medicare-certified providers in town: 1 across 1 categories4
- Nearest metro: Burlington, NC, 5 miles1
Who is enumerated in Graham
108 providers across 20 fields, 55.9 per 10,000 residents, counted at Graham addresses in the NPPES monthly file
| Practice type | Count | Rate per 10,000 residents | Published by |
|---|---|---|---|
| Physical, occupational, and speech therapy | 26 | 13.5 | NPPES [2] |
| Primary care and family medicine | 14 | 7.2 | NPPES [2] |
| General dentistry | 11 | 5.7 | NPPES [2] |
| DME and HME suppliers | 8 | 4.1 | NPPES [2] |
| Chiropractic | 7 | 3.6 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 7 | 3.6 | NPPES [2] |
| Non-medical home care | 6 | 3.1 | NPPES [2] |
| Optometry and ophthalmology | 6 | 3.1 | NPPES [2] |
| Independent pharmacy | 4 | 2.1 | NPPES [2] |
| Home health | 3 | 1.6 | NPPES [2] |
| Behavioral and mental health group practices | 3 | 1.6 | NPPES [2] |
| Urgent care | 2 | 1.0 | NPPES [2] |
| Med spa and aesthetics | 2 | 1.0 | NPPES [2] |
| Specialty physician groups | 2 | 1.0 | NPPES [2] |
| Clinical and toxicology labs | 2 | 1.0 | NPPES [2] |
| ABA and autism therapy | 1 | 0.5 | NPPES [2] |
| Clinical research sites | 1 | 0.5 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 1 | 0.5 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.5 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.5 | NPPES [2] |
| Medical equipment suppliers | 3 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
Several of the 26 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 Graham
The county file holds 4 healthcare approvals, which is a thin comparable set for anyone pricing collateral
| Measure | Published figure | What sits behind it |
|---|---|---|
| Approvals on record | 4 | Counted for the fiscal year the SBA publishes [5] |
| Total approved capital | $2,574,000 | Everything approved to healthcare borrowers, added up [5] |
| Mean deal size | $643,500 | The dollar column over the approval column [5] |
| Lenders sited in the county | 76 | Places that write credit locally, NAICS 522 [6] |
Reading Graham the way a credit committee does
55.9 per 10,000 is the first number a credit analyst converts into a realistic new-patient count. A short county record of 4 approvals usually means more documentation and a lower advance against the same collateral. A $54,783 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
- Expansion, relocation, and build-out
Weighted by how often each of the 20 local fields reaches for a program, not by what is easiest to refer. North Carolina rules and the partner decide availability.
What a funder reads first in Graham
Drawn from the fields that actually practice here: physical, occupational, and speech therapy, primary care and family medicine, general dentistry
| Practice type | The pages that decide it | Typical capital event |
|---|---|---|
| Physical, occupational, and speech therapy (26) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Primary care and family medicine (14) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
| General dentistry (11) | Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backs | Acquisition of an established practice |
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.
Graham against nearby North Carolina markets
The neighboring markets below are the ones a valuation borrows from when Graham has too few sales of its own
| Comparable | People | Enumerations | Per 10,000 residents | Miles |
|---|---|---|---|---|
| Graham (current) | 19,311 | 108 | 55.9 | |
| Burlington | 61,365 | 762 | 124.2 | 5 |
| Elon | 11,282 | 26 | 23.0 | 7 |
| Mebane | 20,654 | 136 | 65.8 | 7 |
| Carrboro | 21,079 | 155 | 73.5 | 19 |
| Reidsville | 14,646 | 227 | 155.0 | 25 |
| Summerfield | 11,333 | 53 | 46.8 | 30 |
What the geography does to a Graham projection
5 miles separate Graham from Burlington, NC. Lease pricing follows Burlington, NC, while revenue stays capped by the 19,311 residents here. Households here carry $54,783 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. No hospital operates here, so the referral sources and the call arrangement have to be named rather than assumed. A degree-granting institution here moves volume on the academic calendar. Graham is the Alamance County seat, so county employment steadies the payer mix.
Nearby North Carolina towns
- Burlington 61,365 residents
- Elon 11,282 residents
- Mebane 20,654 residents
- Carrboro 21,079 residents
- Reidsville 14,646 residents
- Summerfield 11,333 residents
What owners in Graham ask
01How many providers practice in Graham, and in what?
NPPES lists 108 providers at a Graham practice address, 55.9 per 10,000 residents across 20 tracked fields. Physical, occupational, and speech therapy accounts for 26 of them, 24 percent of the total, with primary care and family medicine next at 14. Read that as clinicians: 108 enumerations, not 108 owners.
02What does Alamance County's shortage designation change?
Alamance County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Graham can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
03Why does Alamance County show so little SBA activity?
Alamance County shows 4 approvals in the SBA healthcare file, which means an appraiser reaches outside the county for comparables. Few sales, not weak credit, is the usual reason. 76 lending establishments operate locally.
04Is Graham underwritten as part of Burlington, NC?
Comparables and demand split at 5 miles. An appraiser prices the lease and the equipment off Burlington, NC; the revenue line has to hold up against 19,311 local residents.
05What does a $54,783 median income mean for case acceptance?
Median household income in Graham runs $54,783. 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.
06Does being the Alamance County seat change anything?
Graham is the Alamance County seat, so county payroll steadies the payer mix and courthouse traffic keeps the daytime population above the 19,311 residents on the census. Both show up as a flatter seasonal curve in a collections history.
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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