Ohio micro-market
Healthcare practice financing in Berea, Ohio
Direct answer
A Berea file is read against 123 local clinicians, 68.3 for every 10,000 of its 17,998 residents, 26 percent of them in physical, occupational, and speech therapy, plus the 43 SBA healthcare approvals worth $7,768,200 already recorded in Cuyahoga County, 12 miles from Cleveland, OH.
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- Population: 17,998 residents (10K-25K band)1
- Healthcare providers registered here: 123 across 20 fields2
- Median household income: $71,8963
- Largest provider field: Physical, occupational, and speech therapy: 32 registered providers2
- Medicare-certified providers in town: 2 across 1 categories4
- Nearest metro: Cleveland, OH, 12 miles1
What NPPES records at Berea addresses
Counted at the town's own addresses: 123 providers, 20 fields, 68.3 clinicians per 10,000 of the 17,998 residents here
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 32 | 17.8 | NPPES [2] |
| Behavioral and mental health group practices | 15 | 8.3 | NPPES [2] |
| General dentistry | 10 | 5.6 | NPPES [2] |
| Primary care and family medicine | 9 | 5.0 | NPPES [2] |
| Optometry and ophthalmology | 9 | 5.0 | NPPES [2] |
| Home health | 8 | 4.4 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 8 | 4.4 | NPPES [2] |
| Chiropractic | 5 | 2.8 | NPPES [2] |
| Non-medical home care | 4 | 2.2 | NPPES [2] |
| ABA and autism therapy | 4 | 2.2 | NPPES [2] |
| Hospice and palliative | 4 | 2.2 | NPPES [2] |
| SUD treatment and residential | 3 | 1.7 | NPPES [2] |
| Dental specialties | 3 | 1.7 | NPPES [2] |
| DME and HME suppliers | 2 | 1.1 | NPPES [2] |
| Independent pharmacy | 2 | 1.1 | NPPES [2] |
| Sleep centers | 1 | 0.6 | NPPES [2] |
| NEMT and ambulance | 1 | 0.6 | NPPES [2] |
| Med spa and aesthetics | 1 | 0.6 | NPPES [2] |
| Clinical research sites | 1 | 0.6 | NPPES [2] |
| Specialty physician groups | 1 | 0.6 | NPPES [2] |
| Medical equipment suppliers | 2 | CMS [4] | |
| Hospice providers | 2 | CMS [4] |
Several of the 32 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
What Cuyahoga County credit files already show
43 healthcare approvals averaging $180,656 set the deal shape lenders in Cuyahoga County have already underwritten
| Measure | Published figure | What sits behind it |
|---|---|---|
| SBA healthcare approvals | 43 | One published fiscal year, healthcare borrowers only [5] |
| Approved dollars | $7,768,200 | Approved, not disbursed, and not net of withdrawals [5] |
| Average approval | $180,656 | A mean, so one large approval moves it [5] |
| Lending establishments in the county | 715 | Credit intermediation offices sited in the county [6] |
How this data lands in an underwriting decision
Underwriting starts with 68.3 providers per 10,000 residents, because that ratio caps how fast a chair or a room fills. Because Cuyahoga County already carries $7,768,200 across 43 healthcare approvals, a request near that average moves faster than one well above it. With $71,896 as the median household income, the payer mix in a projection has to match what Berea households actually spend.
The programs this provider mix points at
- Practice acquisition
- Startup and de novo
- Working capital term loan
- Expansion, relocation, and build-out
- Medical receivables factoring
The 20 fields practicing locally set this order. A funding partner, not this list, decides what is available in Ohio.
Underwriting by field in Berea
physical, occupational, and speech therapy, behavioral and mental health group practices, general dentistry account for most of what is enumerated in Berea, 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 (32) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Behavioral and mental health group practices (15) | Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposure | Working capital through the credentialing lag |
| General dentistry (10) | Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backs | Acquisition of an established practice |
Column one counts Berea clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Berea file differently.
How Berea prices against its neighbors
Set Berea's 68.3 per 10,000 against the towns an appraiser would reach for next
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Berea (current) | 17,998 | 123 | 68.3 | |
| Middleburg Heights | 15,672 | 270 | 172.3 | 2 |
| Brook Park | 18,142 | 18 | 9.9 | 3 |
| North Olmsted | 31,690 | 234 | 73.8 | 4 |
| Strongsville | 45,768 | 360 | 78.7 | 4 |
| Fairview Park | 16,860 | 140 | 83.0 | 5 |
| Parma Heights | 20,524 | 129 | 62.9 | 5 |
How Berea sits against the nearest metro
Distance to Cleveland, OH is 12 miles. Appraisers borrow Cleveland, OH rents, and the 17,998 residents set the ceiling on collections. At $71,896 median household income, the elective and cash-pay share of a projection is the line that gets tested first. With no hospital in town, a projection has to name where referrals and coverage come from. A college in Berea puts a term-shaped curve into monthly collections.
More of Ohio
- Middleburg Heights 15,672 residents
- Brook Park 18,142 residents
- North Olmsted 31,690 residents
- Strongsville 45,768 residents
- Fairview Park 16,860 residents
- Parma Heights 20,524 residents
Questions from Berea
01How many providers practice in Berea, and in what?
123 enumerations sit at Berea addresses in the monthly NPPES file, working out to 68.3 for every 10,000 residents. 26 percent of them are physical, occupational, and speech therapy, and behavioral and mental health group practices follows with 15. An enumeration is a clinician, so the 123 here cover fewer than 123 practices.
02What does SBA lending look like around Berea?
$7,768,200 went to healthcare borrowers in Cuyahoga County across 43 approvals, $180,656 on average. Deals near Berea get sized against that record before anything else.
03What does Cuyahoga County's shortage designation change?
Designated for primary care, dental, mental health, Cuyahoga 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.
04Which fields carry the volume in Berea?
The 20 enumerated fields are led by physical, occupational, and speech therapy at 32, with behavioral and mental health group practices at 15 behind it. Those two counts double as the competition you are entering and the bench you would hire from.
05Is Berea underwritten as part of Cleveland, OH?
Comparables and demand split at 12 miles. An appraiser prices the lease and the equipment off Cleveland, OH; the revenue line has to hold up against 17,998 local residents.
06Is there local lending capacity in Cuyahoga County?
County Business Patterns records 715 credit intermediation establishments in Cuyahoga County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Berea rents and resale before or by somebody working from a screen.
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
Our team reviews every request within 1 business day. If a funding partner thinks they can help, a specialist from that partner contacts you to discuss next steps.