Ohio micro-market
Healthcare practice financing in Sidney, Ohio
Direct answer
20,392 residents, 204 enumerated clinicians, 100.0 per 10,000, 18 percent of them in physical, occupational, and speech therapy: that is the Sidney market a funder prices. Shelby County adds 0 healthcare approvals worth $0 and 31 miles of distance to Lima, OH.
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: 20,392 residents (10K-25K band)1
- Healthcare providers registered here: 204 across 25 fields2
- Median household income: $59,5603
- Largest provider field: Physical, occupational, and speech therapy: 36 registered providers2
- Medicare-certified providers in town: 4 across 4 categories4
- Nearest metro: Lima, OH, 31 miles1
Fields practicing inside Sidney
Counted at the town's own addresses: 204 providers, 25 fields, 100.0 clinicians per 10,000 of the 20,392 residents here
| Practice type | Count | Rate per 10,000 residents | Published by |
|---|---|---|---|
| Physical, occupational, and speech therapy | 36 | 17.7 | NPPES [2] |
| Home health | 32 | 15.7 | NPPES [2] |
| Primary care and family medicine | 23 | 11.3 | NPPES [2] |
| Optometry and ophthalmology | 22 | 10.8 | NPPES [2] |
| Chiropractic | 14 | 6.9 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 12 | 5.9 | NPPES [2] |
| General dentistry | 11 | 5.4 | NPPES [2] |
| Behavioral and mental health group practices | 10 | 4.9 | NPPES [2] |
| Specialty physician groups | 9 | 4.4 | NPPES [2] |
| Non-medical home care | 6 | 2.9 | NPPES [2] |
| DME and HME suppliers | 4 | 2.0 | NPPES [2] |
| Independent pharmacy | 4 | 2.0 | NPPES [2] |
| Med spa and aesthetics | 3 | 1.5 | NPPES [2] |
| Telehealth and virtual clinics | 3 | 1.5 | NPPES [2] |
| Podiatry | 2 | 1.0 | NPPES [2] |
| Audiology and hearing centers | 2 | 1.0 | NPPES [2] |
| Hospice and palliative | 2 | 1.0 | NPPES [2] |
| Dialysis and infusion centers | 2 | 1.0 | NPPES [2] |
| Dermatology | 1 | 0.5 | NPPES [2] |
| Urgent care | 1 | 0.5 | NPPES [2] |
| ASCs and OBLs | 1 | 0.5 | NPPES [2] |
| SUD treatment and residential | 1 | 0.5 | NPPES [2] |
| Dental specialties | 1 | 0.5 | NPPES [2] |
| Hormone, TRT, and men's health clinics | 1 | 0.5 | NPPES [2] |
| Clinical and toxicology labs | 1 | 0.5 | NPPES [2] |
| Medical equipment suppliers | 5 | CMS [4] | |
| Ambulatory surgical centers | 1 | CMS [4] | |
| Hospice providers | 1 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
Physical, occupational, and speech therapy carries 36 of the 204 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 Shelby County
0 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 |
|---|---|---|
| Healthcare files approved | 0 | One published fiscal year, healthcare borrowers only [5] |
| Dollars behind them | $0 | Approved, not disbursed, and not net of withdrawals [5] |
| Typical approval size | No approvals recorded | A mean, so one large approval moves it [5] |
| Credit offices operating locally | 27 | Credit intermediation offices sited in the county [6] |
The consequence of these numbers
A file from here opens on 100.0 providers per 10,000 residents, and everything about volume follows from it. Shelby County has 0 approvals to compare against, so plan for extra appraisal time and a conservative valuation. Household income of $59,560 in Sidney is the number a lender uses to sanity check the self-pay share of a revenue projection.
The programs this provider mix points at
- Practice acquisition
- Working capital term loan
- Startup and de novo
- Medical receivables factoring
- Healthcare AR line and payroll funding
Built from what is enumerated here rather than from a national list, so a field with no presence in Sidney does not appear. Availability is still a Ohio question.
The first pages of a Sidney file
Drawn from the fields that actually practice here: physical, occupational, and speech therapy, home health, primary care and family medicine
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Physical, occupational, and speech therapy (36) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Home health (32) | Medicare certification first, Payer mix second, Days in accounts receivable third | Payroll between visit and remittance |
| Primary care and family medicine (23) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
NPPES supplies the Sidney counts. The reading columns describe the field in general, and no partner reviewing a Sidney file is bound by them.
Sidney against nearby Ohio markets
The neighboring markets below are the ones a valuation borrows from when Sidney has too few sales of its own
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Sidney (current) | 20,392 | 204 | 100.0 | |
| Piqua | 20,940 | 112 | 53.5 | 11 |
| Troy | 27,122 | 306 | 112.8 | 17 |
| Bellefontaine | 14,100 | 168 | 119.1 | 22 |
| Urbana | 11,211 | 134 | 119.5 | 25 |
| Greenville | 12,701 | 220 | 173.2 | 27 |
| Vandalia | 15,013 | 116 | 77.3 | 28 |
Distance, income, and the wage floor around Sidney
Lima, OH lies 31 miles from Sidney, close enough for rent comparables to travel and far enough that patient draw does not. At $59,560 median household income, the elective and cash-pay share of a projection is the line that gets tested first. A Medicare-certified hospital operates here, so referral flow is verifiable and the clinical wage floor is already set. Sidney is the Shelby County seat, so county employment steadies the payer mix.
Other Ohio markets
- Piqua 20,940 residents
- Troy 27,122 residents
- Bellefontaine 14,100 residents
- Urbana 11,211 residents
- Greenville 12,701 residents
- Vandalia 15,013 residents
Sidney owners, answered
01How many providers practice in Sidney, and in what?
NPPES lists 204 providers at a Sidney practice address, 100.0 per 10,000 residents across 25 tracked fields. Physical, occupational, and speech therapy accounts for 36 of them, 18 percent of the total, with home health next at 32. Read that as clinicians: 204 enumerations, not 204 owners.
02Why does Shelby County show so little SBA activity?
The published file records 0 7(a) and 504 approvals to healthcare borrowers in Shelby County. That tracks how few Shelby County practices changed hands that year, not credit quality. 27 credit intermediation establishments operate in Shelby County, so the lending capacity is local even where the healthcare history is not.
03How does the hospital in Sidney affect a practice file?
It makes the staffing and referral lines checkable. 4 Medicare-certified providers hold Sidney addresses, and the hospital sets the wage a clinical hire is bid against in a 100.0 per 10,000 market.
04Which fields carry the volume in Sidney?
Physical, occupational, and speech therapy at 36 providers and home health at 32 lead the 25 fields enumerated here. A funder reads that mix as the local competition set and the local hiring pool at once, before it reads a single line of your own numbers.
05What does Shelby County's shortage designation change?
The mental health designation HRSA carries on Shelby County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 20,392 residents gets past the question of who would take the job.
06Is Sidney underwritten as part of Lima, OH?
Partly. Lima, OH is 31 miles out, so rent and equipment comparables travel in from there while patients still come from the 20,392 residents around Sidney. Cost side metro, revenue side local.
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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