South Dakota micro-market
Healthcare practice financing in Pierre, South Dakota
Direct answer
13,788 residents, 163 enumerated clinicians, 118.2 per 10,000, 23 percent of them in physical, occupational, and speech therapy: that is the Pierre market a funder prices. Hughes County adds 2 healthcare approvals worth $4,775,000 and 145 miles of distance to Rapid City, SD.
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 South Dakota, and how many partners see it, is set out on the South Dakota page.
- Population: 13,788 residents (10K-25K band)1
- Healthcare providers registered here: 163 across 24 fields2
- Median household income: $74,0533
- Largest provider field: Physical, occupational, and speech therapy: 37 registered providers2
- Medicare-certified providers in town: 3 across 3 categories4
- Nearest metro: Rapid City, SD, 145 miles1
What NPPES records at Pierre addresses
The NPPES file puts 163 enumerated clinicians inside Pierre, spread over 24 fields at 118.2 per 10,000 residents
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 37 | 26.8 | NPPES [2] |
| Primary care and family medicine | 21 | 15.2 | NPPES [2] |
| General dentistry | 14 | 10.2 | NPPES [2] |
| Optometry and ophthalmology | 13 | 9.4 | NPPES [2] |
| Chiropractic | 12 | 8.7 | NPPES [2] |
| Audiology and hearing centers | 10 | 7.3 | NPPES [2] |
| DME and HME suppliers | 6 | 4.4 | NPPES [2] |
| Specialty physician groups | 6 | 4.4 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 6 | 4.4 | NPPES [2] |
| Dental specialties | 5 | 3.6 | NPPES [2] |
| Independent pharmacy | 5 | 3.6 | NPPES [2] |
| Behavioral and mental health group practices | 5 | 3.6 | NPPES [2] |
| Home health | 4 | 2.9 | NPPES [2] |
| Occupational health and drug testing | 4 | 2.9 | NPPES [2] |
| Dermatology | 2 | 1.5 | NPPES [2] |
| ASCs and OBLs | 2 | 1.5 | NPPES [2] |
| Hospice and palliative | 2 | 1.5 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 2 | 1.5 | NPPES [2] |
| Clinical and toxicology labs | 2 | 1.5 | NPPES [2] |
| Podiatry | 1 | 0.7 | NPPES [2] |
| SUD treatment and residential | 1 | 0.7 | NPPES [2] |
| NEMT and ambulance | 1 | 0.7 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.7 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.7 | NPPES [2] |
| Medical equipment suppliers | 7 | CMS [4] | |
| Hospice providers | 1 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
Several of the 37 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
What lenders have already approved in Hughes County
The county file holds 2 healthcare approvals, which is a thin comparable set for anyone pricing collateral
| Measure | Published figure | What sits behind it |
|---|---|---|
| Approvals on record | 2 | Fiscal year published in the SBA file [5] |
| Total approved capital | $4,775,000 | Sum of approvals to healthcare borrowers [5] |
| Mean deal size | $2,387,500 | Dollars divided by approvals [5] |
| Lenders sited in the county | 14 | Credit intermediation establishments, NAICS 522 [6] |
What the two tables above change about a file
Density of 118.2 per 10,000 sets the patient draw a projection can claim without an argument. A short county record of 2 approvals usually means more documentation and a lower advance against the same collateral. A $74,053 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
- Expansion, relocation, and build-out
- Equipment financing and leasing
Weighted by how often each of the 24 local fields reaches for a program, not by what is easiest to refer. South Dakota rules and the partner decide availability.
What a funder reads first in Pierre
physical, occupational, and speech therapy, primary care and family medicine, general dentistry account for most of what is enumerated in Pierre, so those are the files funders see from this town
| Practice type | The pages that decide it | Typical capital event |
|---|---|---|
| Physical, occupational, and speech therapy (37) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Primary care and family medicine (21) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
| General dentistry (14) | 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 Pierre clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Pierre file differently.
Density beside the neighboring South Dakota towns
Set Pierre's 118.2 per 10,000 against the towns an appraiser would reach for next
| Comparable | People | Enumerations | Per 10,000 residents | Miles |
|---|---|---|---|---|
| Pierre (current) | 13,788 | 163 | 118.2 | |
| Huron | 14,515 | 99 | 68.2 | 104 |
| Aberdeen | 27,919 | 343 | 122.9 | 118 |
| Mitchell | 15,621 | 242 | 154.9 | 121 |
| Box Elder | 13,887 | 11 | 7.9 | 137 |
| Watertown | 23,492 | 310 | 132.0 | 160 |
| Spearfish | 13,803 | 239 | 173.2 | 173 |
What the geography does to a Pierre projection
145 miles separate Pierre from Rapid City, SD. Equipment sold at that distance has no local buyer, and the advance rate carries the discount. At $74,053 median household income, the elective and cash-pay share of a projection is the line that gets tested first. Hospital coverage inside Pierre means a call schedule can be evidenced rather than described. Pierre is the Hughes County seat, so county employment steadies the payer mix.
Other South Dakota markets
Questions from Pierre
01How many providers practice in Pierre, and in what?
163 enumerations sit at Pierre addresses in the monthly NPPES file, working out to 118.2 for every 10,000 residents. 23 percent of them are physical, occupational, and speech therapy, and primary care and family medicine follows with 21. An enumeration is a clinician, so the 163 here cover fewer than 163 practices.
02Does being 145 miles out change the underwriting?
Rapid City, SD is 145 miles away, far enough that rent and equipment resale comparables get pulled from Hughes County rather than a metro market. At 145 miles the appraisal window runs longer and equipment resale gets discounted.
03What does Hughes County's shortage designation change?
Designated for primary care, dental, mental health, Hughes 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.
04Why does Hughes County show so little SBA activity?
Only 2 healthcare approvals appear for Hughes County in the published 7(a) and 504 file. Thin volume in Hughes County is a transaction count, not a verdict on borrowers here. The county still holds 14 credit intermediation establishments.
05How does the hospital in Pierre 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 Pierre projection that names the call arrangement reads better than one that assumes it.
06Does being the Hughes County seat change anything?
Pierre is the Hughes County seat, so county payroll steadies the payer mix and courthouse traffic keeps the daytime population above the 13,788 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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