Tennessee micro-market
Healthcare practice financing in Bristol, Tennessee
Direct answer
A Bristol file is read against 402 local clinicians, 144.3 for every 10,000 of its 27,867 residents, 19 percent of them in physical, occupational, and speech therapy, plus the 2 SBA healthcare approvals worth $2,650,000 already recorded in Sullivan County, 18 miles from Johnson City, TN.
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 Tennessee, and how many partners see it, is set out on the Tennessee page.
- Population: 27,867 residents (25K-50K band)1
- Healthcare providers registered here: 402 across 29 fields2
- Median household income: $55,0073
- Largest provider field: Physical, occupational, and speech therapy: 76 registered providers2
- Medicare-certified providers in town: 8 across 3 categories4
- Nearest metro: Johnson City, TN, 18 miles1
What NPPES records at Bristol addresses
402 providers across 29 fields, 144.3 per 10,000 residents, counted at Bristol addresses in the NPPES monthly file
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 76 | 27.3 | NPPES [2] |
| Primary care and family medicine | 69 | 24.8 | NPPES [2] |
| Specialty physician groups | 53 | 19.0 | NPPES [2] |
| General dentistry | 30 | 10.8 | NPPES [2] |
| Behavioral and mental health group practices | 28 | 10.0 | NPPES [2] |
| DME and HME suppliers | 17 | 6.1 | NPPES [2] |
| Optometry and ophthalmology | 17 | 6.1 | NPPES [2] |
| Chiropractic | 15 | 5.4 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 14 | 5.0 | NPPES [2] |
| Dental specialties | 11 | 3.9 | NPPES [2] |
| ABA and autism therapy | 9 | 3.2 | NPPES [2] |
| ASCs and OBLs | 8 | 2.9 | NPPES [2] |
| Podiatry | 7 | 2.5 | NPPES [2] |
| Independent pharmacy | 7 | 2.5 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 7 | 2.5 | NPPES [2] |
| Audiology and hearing centers | 4 | 1.4 | NPPES [2] |
| Med spa and aesthetics | 4 | 1.4 | NPPES [2] |
| Clinical and toxicology labs | 4 | 1.4 | NPPES [2] |
| Dermatology | 3 | 1.1 | NPPES [2] |
| Urgent care | 3 | 1.1 | NPPES [2] |
| Home health | 2 | 0.7 | NPPES [2] |
| SUD treatment and residential | 2 | 0.7 | NPPES [2] |
| Imaging centers | 2 | 0.7 | NPPES [2] |
| NEMT and ambulance | 2 | 0.7 | NPPES [2] |
| Hormone, TRT, and men's health clinics | 2 | 0.7 | NPPES [2] |
| Dialysis and infusion centers | 2 | 0.7 | NPPES [2] |
| Occupational health and drug testing | 2 | 0.7 | NPPES [2] |
| Non-medical home care | 1 | 0.4 | NPPES [2] |
| Plastic and cosmetic surgery | 1 | 0.4 | NPPES [2] |
| Medical equipment suppliers | 13 | CMS [4] | |
| Ambulatory surgical centers | 5 | CMS [4] | |
| Dialysis facilities | 2 | CMS [4] | |
| Hospice providers | 1 | CMS [4] |
A single Bristol practice can hold more than one of these numbers. 19 percent sit in physical, occupational, and speech therapy, counted as clinicians rather than as owners.
Loan activity in Sullivan County
2 healthcare approvals sit in the county file, so an appraiser here works from a short comparable set
| Line | Amount | Reading and source |
|---|---|---|
| Healthcare files approved | 2 | Fiscal year published in the SBA file [5] |
| Dollars behind them | $2,650,000 | Sum of approvals to healthcare borrowers [5] |
| Typical approval size | $1,325,000 | Dollars divided by approvals [5] |
| Credit offices operating locally | 125 | Credit intermediation establishments, NAICS 522 [6] |
Reading Bristol the way a credit committee does
144.3 per 10,000 is the first number a credit analyst converts into a realistic new-patient count. With 2 approvals on record in Sullivan County, expect a longer appraisal and a wider collateral discount. Household income of $55,007 in Bristol 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
- Expansion, relocation, and build-out
- Startup and de novo
- Working capital term loan
- Equipment financing and leasing
Built from what is enumerated here rather than from a national list, so a field with no presence in Bristol does not appear. Availability is still a Tennessee question.
What a funder reads first in Bristol
physical, occupational, and speech therapy, primary care and family medicine, specialty physician groups account for most of what is enumerated in Bristol, so those are the files funders see from this town
| Field | What the file turns on | The capital event behind most requests |
|---|---|---|
| Physical, occupational, and speech therapy (76) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Primary care and family medicine (69) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
| Specialty physician groups (53) | Ancillary revenue contribution, Provider productivity, Payer contracts | Ancillary build-out |
Column one counts Bristol clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Bristol file differently.
How Bristol prices against its neighbors
Density is the number that moves an appraisal: 144.3 per 10,000 here
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Bristol (current) | 27,867 | 402 | 144.3 | |
| Elizabethton | 14,461 | 200 | 138.3 | 15 |
| Kingsport | 57,109 | 817 | 143.1 | 18 |
| Greeneville | 15,979 | 329 | 205.9 | 43 |
| Morristown | 32,994 | 449 | 136.1 | 65 |
| Sevierville | 18,231 | 278 | 152.5 | 89 |
| Alcoa | 13,588 | 130 | 95.7 | 110 |
Distance, income, and the wage floor around Bristol
Johnson City, TN lies 18 miles from Bristol, close enough that appraisers price the lease against Johnson City, TN rents while 27,867 residents set the revenue ceiling. Median household income runs $55,007, which is the number a funder converts into case acceptance on anything elective or cash-pay. The hospital fixes two inputs a lender would otherwise estimate in a 27,867 resident town: where referrals originate, and what staff cost. A college in Bristol puts a term-shaped curve into monthly collections.
Other Tennessee markets
- Elizabethton 14,461 residents
- Kingsport 57,109 residents
- Greeneville 15,979 residents
- Morristown 32,994 residents
- Sevierville 18,231 residents
- Alcoa 13,588 residents
Bristol owners, answered
01How many providers practice in Bristol, and in what?
NPPES lists 402 providers at a Bristol practice address, 144.3 per 10,000 residents across 29 tracked fields. Physical, occupational, and speech therapy accounts for 76 of them, 19 percent of the total, with primary care and family medicine next at 69. Read that as clinicians: 402 enumerations, not 402 owners.
02What does Sullivan County's shortage designation change?
Sullivan County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Bristol can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
03Why does Sullivan County show so little SBA activity?
Only 2 healthcare approvals appear for Sullivan County in the published 7(a) and 504 file. Thin volume in Sullivan County is a transaction count, not a verdict on borrowers here. The county still holds 125 credit intermediation establishments.
04Is Bristol underwritten as part of Johnson City, TN?
Comparables and demand split at 18 miles. An appraiser prices the lease and the equipment off Johnson City, TN; the revenue line has to hold up against 27,867 local residents.
05Is there local lending capacity in Sullivan County?
County Business Patterns records 125 credit intermediation establishments in Sullivan County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Bristol rents and resale before or by somebody working from a screen.
06Which fields carry the volume in Bristol?
Physical, occupational, and speech therapy at 76 providers and primary care and family medicine at 69 lead the 29 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.
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.