Ohio micro-market
Healthcare practice financing in Salem, Ohio
Direct answer
Density decides a lot here. Salem runs 158.3 providers per 10,000 residents, 185 clinicians against 11,685 people, 24 percent of them in physical, occupational, and speech therapy, while Columbiana County lenders have approved 6 healthcare files worth $1,254,500 and the nearest metro is 17 miles out.
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 Ohio, and how many partners see it, is set out on the Ohio page.
- Population: 11,685 residents (10K-25K band)1
- Healthcare providers registered here: 185 across 24 fields2
- Median household income: $50,2503
- Largest provider field: Physical, occupational, and speech therapy: 44 registered providers2
- Medicare-certified providers in town: 3 across 2 categories4
- Nearest metro: Youngstown-Warren, OH, 17 miles1
Who is enumerated in Salem
The NPPES file puts 185 enumerated clinicians inside Salem, spread over 24 fields at 158.3 per 10,000 residents
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 44 | 37.7 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 22 | 18.8 | NPPES [2] |
| Primary care and family medicine | 20 | 17.1 | NPPES [2] |
| Optometry and ophthalmology | 17 | 14.5 | NPPES [2] |
| Specialty physician groups | 14 | 12.0 | NPPES [2] |
| Home health | 12 | 10.3 | NPPES [2] |
| DME and HME suppliers | 8 | 6.8 | NPPES [2] |
| Chiropractic | 7 | 6.0 | NPPES [2] |
| Independent pharmacy | 7 | 6.0 | NPPES [2] |
| General dentistry | 6 | 5.1 | NPPES [2] |
| Dental specialties | 4 | 3.4 | NPPES [2] |
| Audiology and hearing centers | 4 | 3.4 | NPPES [2] |
| Clinical and toxicology labs | 4 | 3.4 | NPPES [2] |
| Podiatry | 2 | 1.7 | NPPES [2] |
| NEMT and ambulance | 2 | 1.7 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 2 | 1.7 | NPPES [2] |
| Behavioral and mental health group practices | 2 | 1.7 | NPPES [2] |
| Dialysis and infusion centers | 2 | 1.7 | NPPES [2] |
| ASCs and OBLs | 1 | 0.9 | NPPES [2] |
| SUD treatment and residential | 1 | 0.9 | NPPES [2] |
| Non-medical home care | 1 | 0.9 | NPPES [2] |
| ABA and autism therapy | 1 | 0.9 | NPPES [2] |
| Med spa and aesthetics | 1 | 0.9 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.9 | NPPES [2] |
| Medical equipment suppliers | 6 | CMS [4] | |
| Home health agencies | 2 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
Several of the 44 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
Columbiana County approvals, dollars, and lending establishments
The county file holds 6 healthcare approvals, which is a thin comparable set for anyone pricing collateral
| Measure | Published figure | What sits behind it |
|---|---|---|
| Approvals on record | 6 | Fiscal year published in the SBA file [5] |
| Total approved capital | $1,254,500 | Sum of approvals to healthcare borrowers [5] |
| Mean deal size | $209,083 | Dollars divided by approvals [5] |
| Lenders sited in the county | 45 | Credit intermediation establishments, NAICS 522 [6] |
How this data lands in an underwriting decision
158.3 per 10,000 is the first number a credit analyst converts into a realistic new-patient count. Columbiana County has 6 approvals to compare against, so plan for extra appraisal time and a conservative valuation. A $50,250 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
- Working capital term loan
- Startup and de novo
- Expansion, relocation, and build-out
- Medical receivables factoring
The 24 fields practicing locally set this order. A funding partner, not this list, decides what is available in Ohio.
Underwriting by field in Salem
physical, occupational, and speech therapy, skilled nursing, assisted living, and memory care, primary care and family medicine account for most of what is enumerated in Salem, 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 (44) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Skilled nursing, assisted living, and memory care (22) | Census and occupancy, Staffing reporting, Survey history | Working capital |
| Primary care and family medicine (20) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
Column one counts Salem clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Salem file differently.
Salem against nearby Ohio markets
The neighboring markets below are the ones a valuation borrows from when Salem has too few sales of its own
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Salem (current) | 11,685 | 185 | 158.3 | |
| Alliance | 21,523 | 226 | 105.0 | 14 |
| Youngstown | 59,123 | 1,309 | 221.4 | 17 |
| Niles | 18,238 | 181 | 99.2 | 20 |
| Warren | 38,683 | 782 | 202.2 | 23 |
| Ravenna | 11,236 | 277 | 246.5 | 27 |
| Canton | 69,211 | 1,797 | 259.6 | 28 |
What the geography does to a Salem projection
17 miles separate Salem from Youngstown-Warren, OH. Lease pricing follows Youngstown-Warren, OH, while revenue stays capped by the 11,685 residents here. At $50,250 median household income, the elective and cash-pay share of a projection is the line that gets tested first. Hospital coverage inside Salem means a call schedule can be evidenced rather than described. A degree-granting institution here moves volume on the academic calendar.
Other Ohio markets
What owners in Salem ask
01How many providers practice in Salem, and in what?
NPPES lists 185 providers at a Salem practice address, 158.3 per 10,000 residents across 24 tracked fields. Physical, occupational, and speech therapy accounts for 44 of them, 24 percent of the total, with skilled nursing, assisted living, and memory care next at 22. Read that as clinicians: 185 enumerations, not 185 owners.
02Why does Columbiana County show so little SBA activity?
Only 6 healthcare approvals appear for Columbiana County in the published 7(a) and 504 file. Thin volume in Columbiana County is a transaction count, not a verdict on borrowers here. The county still holds 45 credit intermediation establishments.
03Is Salem underwritten as part of Youngstown-Warren, OH?
Youngstown-Warren, OH sits 17 miles away, close enough that appraisers reach into that market for rent and resale comparables while your patient draw stays local. The comparables read Youngstown-Warren, OH; the 11,685 residents set the ceiling a projection can defend.
04What does Columbiana County's shortage designation change?
Columbiana County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Salem can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
05How does the hospital in Salem affect a practice file?
Referral flow, coverage, and the local pay scale all trace back to it. The town carries 3 Medicare-certified providers in total. A Salem projection that names the call arrangement reads better than one that assumes it.
06What does a $50,250 median income mean for case acceptance?
Median household income in Salem runs $50,250. 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
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.