North Carolina micro-market
Healthcare practice financing in Smithfield, North Carolina
Direct answer
413 healthcare providers hold a Smithfield practice address, 322.5 per 10,000 of its 12,806 residents, 43 percent of them in physical, occupational, and speech therapy. Johnston County recorded 1 SBA healthcare approvals worth $400,000, and Goldsboro, NC sits 24 miles out.
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- Population: 12,806 residents (10K-25K band)1
- Healthcare providers registered here: 413 across 24 fields2
- Median household income: $37,8273
- Largest provider field: Physical, occupational, and speech therapy: 177 registered providers2
- Medicare-certified providers in town: 3 across 3 categories4
- Nearest metro: Goldsboro, NC, 24 miles1
Who is enumerated in Smithfield
Counted at the town's own addresses: 413 providers, 24 fields, 322.5 clinicians per 10,000 of the 12,806 residents here
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 177 | 138.2 | NPPES [2] |
| Specialty physician groups | 42 | 32.8 | NPPES [2] |
| Primary care and family medicine | 33 | 25.8 | NPPES [2] |
| General dentistry | 21 | 16.4 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 18 | 14.1 | NPPES [2] |
| Optometry and ophthalmology | 17 | 13.3 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 15 | 11.7 | NPPES [2] |
| Home health | 13 | 10.2 | NPPES [2] |
| Non-medical home care | 12 | 9.4 | NPPES [2] |
| DME and HME suppliers | 10 | 7.8 | NPPES [2] |
| Chiropractic | 9 | 7.0 | NPPES [2] |
| Audiology and hearing centers | 7 | 5.5 | NPPES [2] |
| Urgent care | 6 | 4.7 | NPPES [2] |
| Med spa and aesthetics | 6 | 4.7 | NPPES [2] |
| Independent pharmacy | 5 | 3.9 | NPPES [2] |
| Behavioral and mental health group practices | 4 | 3.1 | NPPES [2] |
| NEMT and ambulance | 3 | 2.3 | NPPES [2] |
| ABA and autism therapy | 3 | 2.3 | NPPES [2] |
| Hospice and palliative | 3 | 2.3 | NPPES [2] |
| Clinical and toxicology labs | 3 | 2.3 | NPPES [2] |
| Dermatology | 2 | 1.6 | NPPES [2] |
| SUD treatment and residential | 2 | 1.6 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.8 | NPPES [2] |
| Occupational health and drug testing | 1 | 0.8 | NPPES [2] |
| Medical equipment suppliers | 10 | CMS [4] | |
| Hospice providers | 1 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
Physical, occupational, and speech therapy carries 177 of the 413 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.
What lenders have already approved in Johnston County
1 healthcare approvals sit in the county file, so an appraiser here works from a short comparable set
| What it measures | Value | How to read it |
|---|---|---|
| Approvals on record | 1 | One published fiscal year, healthcare borrowers only [5] |
| Total approved capital | $400,000 | Approved, not disbursed, and not net of withdrawals [5] |
| Mean deal size | $400,000 | A mean, so one large approval moves it [5] |
| Lenders sited in the county | 82 | Credit intermediation offices sited in the county [6] |
What the two tables above change about a file
Underwriting starts with 322.5 providers per 10,000 residents, because that ratio caps how fast a chair or a room fills. Johnston County has 1 approvals to compare against, so plan for extra appraisal time and a conservative valuation. Household income of $37,827 in Smithfield 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
- Practice acquisition
- Startup and de novo
- Working capital term loan
- Expansion, relocation, and build-out
- Equipment financing and leasing
The 24 fields practicing locally set this order. A funding partner, not this list, decides what is available in North Carolina.
The first pages of a Smithfield file
physical, occupational, and speech therapy, specialty physician groups, primary care and family medicine account for most of what is enumerated in Smithfield, so those are the files funders see from this town
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Physical, occupational, and speech therapy (177) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Specialty physician groups (42) | Ancillary revenue contribution, Provider productivity, Payer contracts | Ancillary build-out |
| Primary care and family medicine (33) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
Column one counts Smithfield clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Smithfield file differently.
Smithfield against nearby North Carolina markets
Comparables travel. These are the North Carolina towns whose density, at 322.5 per 10,000 here, gets weighed beside this one.
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Smithfield (current) | 12,806 | 413 | 322.5 | |
| Clayton | 31,732 | 416 | 131.1 | 11 |
| Garner | 39,345 | 437 | 111.1 | 19 |
| Wendell | 16,845 | 78 | 46.3 | 19 |
| Knightdale | 21,829 | 264 | 120.9 | 20 |
| Zebulon | 10,505 | 113 | 107.6 | 21 |
| Goldsboro | 34,629 | 650 | 187.7 | 24 |
What the geography does to a Smithfield projection
24 miles separate Smithfield from Goldsboro, NC. Lease pricing follows Goldsboro, NC, while revenue stays capped by the 12,806 residents here. At $37,827 median household income, the elective and cash-pay share of a projection is the line that gets tested first. The hospital fixes two inputs a lender would otherwise estimate in a 12,806 resident town: where referrals originate, and what staff cost. A college in Smithfield puts a term-shaped curve into monthly collections. Smithfield is the Johnston County seat, so county employment steadies the payer mix.
More of North Carolina
Questions from Smithfield
01How many providers practice in Smithfield, and in what?
413 enumerations sit at Smithfield addresses in the monthly NPPES file, working out to 322.5 for every 10,000 residents. 43 percent of them are physical, occupational, and speech therapy, and specialty physician groups follows with 42. An enumeration is a clinician, so the 413 here cover fewer than 413 practices.
02What does Johnston County's shortage designation change?
The primary care, dental, mental health designation HRSA carries on Johnston County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 12,806 residents gets past the question of who would take the job.
03Why does Johnston County show so little SBA activity?
The published file records 1 7(a) and 504 approvals to healthcare borrowers in Johnston County. That tracks how few Johnston County practices changed hands that year, not credit quality. 82 credit intermediation establishments operate in Johnston County, so the lending capacity is local even where the healthcare history is not.
04How does the hospital in Smithfield affect a practice file?
It makes the staffing and referral lines checkable. 3 Medicare-certified providers hold Smithfield addresses, and the hospital sets the wage a clinical hire is bid against in a 322.5 per 10,000 market.
05Is Smithfield underwritten as part of Goldsboro, NC?
Comparables and demand split at 24 miles. An appraiser prices the lease and the equipment off Goldsboro, NC; the revenue line has to hold up against 12,806 local residents.
06What does a $37,827 median income mean for case acceptance?
Median household income in Smithfield runs $37,827. 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.
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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