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Tennessee micro-market

Healthcare practice financing in Cookeville, Tennessee

Direct answer

596 healthcare providers hold a Cookeville practice address, 160.6 per 10,000 of its 37,102 residents, 23 percent of them in physical, occupational, and speech therapy. Putnam County recorded 3 SBA healthcare approvals worth $812,600, and Nashville-Davidson--Murfreesboro--Franklin, TN sits 71 miles out.

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  • Population: 37,102 residents (25K-50K band)1
  • Healthcare providers registered here: 596 across 32 fields2
  • Median household income: $48,5013
  • Largest provider field: Physical, occupational, and speech therapy: 140 registered providers2
  • Medicare-certified providers in town: 8 across 4 categories4
  • Nearest metro: Nashville-Davidson--Murfreesboro--Franklin, TN, 71 miles1

Fields practicing inside Cookeville

Counted at the town's own addresses: 596 providers, 32 fields, 160.6 clinicians per 10,000 of the 37,102 residents here

Enumerated clinicians at Cookeville addresses
Practice typeCountRate per 10,000 residentsPublished by
Physical, occupational, and speech therapy14037.7NPPES [2]
Primary care and family medicine6317.0NPPES [2]
Specialty physician groups5013.5NPPES [2]
Optometry and ophthalmology4211.3NPPES [2]
General dentistry369.7NPPES [2]
DME and HME suppliers338.9NPPES [2]
Chiropractic318.4NPPES [2]
ABA and autism therapy287.5NPPES [2]
Independent pharmacy256.7NPPES [2]
Behavioral and mental health group practices236.2NPPES [2]
Dental specialties174.6NPPES [2]
Non-medical home care154.0NPPES [2]
Audiology and hearing centers102.7NPPES [2]
Ketamine, TMS, and interventional psychiatry102.7NPPES [2]
Med spa and aesthetics82.2NPPES [2]
Telehealth and virtual clinics82.2NPPES [2]
Skilled nursing, assisted living, and memory care82.2NPPES [2]
Home health61.6NPPES [2]
Urgent care51.3NPPES [2]
Podiatry41.1NPPES [2]
ASCs and OBLs41.1NPPES [2]
Dialysis and infusion centers41.1NPPES [2]
Occupational health and drug testing41.1NPPES [2]
SUD treatment and residential30.8NPPES [2]
Pain management and interventional30.8NPPES [2]
Hospice and palliative30.8NPPES [2]
Hormone, TRT, and men's health clinics30.8NPPES [2]
Clinical and toxicology labs30.8NPPES [2]
Dermatology20.5NPPES [2]
Imaging centers20.5NPPES [2]
NEMT and ambulance20.5NPPES [2]
Mobile diagnostics10.3NPPES [2]
Medical equipment suppliers28CMS [4]
Dialysis facilities3CMS [4]
Home health agencies3CMS [4]
Ambulatory surgical centers1CMS [4]
Hospice providers1CMS [4]

Physical, occupational, and speech therapy carries 140 of the 596 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 Putnam County

With 3 healthcare approvals recorded, Putnam County gives a valuation almost nothing local to lean on

Approvals recorded in Putnam County
What it measuresValueHow to read it
Approvals on record3One published fiscal year, healthcare borrowers only [5]
Total approved capital$812,600Approved, not disbursed, and not net of withdrawals [5]
Mean deal size$270,867A mean, so one large approval moves it [5]
Lenders sited in the county80Credit intermediation offices sited in the county [6]

Reading Cookeville the way a credit committee does

Underwriting starts with 160.6 providers per 10,000 residents, because that ratio caps how fast a chair or a room fills. With 3 approvals on record in Putnam County, expect a longer appraisal and a wider collateral discount. A $48,501 median household income here sets the ceiling on what an elective or cash-pay line can be expected to carry.

Where a file from this town usually lands

The 32 fields practicing locally set this order. A funding partner, not this list, decides what is available in Tennessee.

What a funder reads first in Cookeville

Drawn from the fields that actually practice here: physical, occupational, and speech therapy, primary care and family medicine, specialty physician groups

Fields, files, and capital events in Cookeville
FieldWhat the file turns onThe capital event behind most requests
Physical, occupational, and speech therapy (140)Visits per case, Referral source concentration, Payer mix and authorization rulesStartup or expansion clinic
Primary care and family medicine (63)Panel size, Value-based contract exposure, Provider productivityAcquisition
Specialty physician groups (50)Ancillary revenue contribution, Provider productivity, Payer contractsAncillary build-out

Local counts come from NPPES. What a file turns on is drawn from how the field is generally reviewed, not from any decision about your practice.

Density beside the neighboring Tennessee towns

Comparables travel. These are the Tennessee towns whose density, at 160.6 per 10,000 here, gets weighed beside this one.

Cookeville and its nearest Tennessee comparables
TownResidentsProvidersPer 10,000Miles away
Cookeville (current)37,102596160.6
Crossville12,785261204.130
McMinnville14,032146104.035
Lebanon51,50141480.446
Gallatin52,48947490.356
Mount Juliet44,06625357.456
Manchester13,484145107.557

What the geography does to a Cookeville projection

71 miles separate Cookeville from Nashville-Davidson--Murfreesboro--Franklin, TN. Equipment sold at that distance has no local buyer, and the advance rate carries the discount. Median household income runs $48,501, which is the number a funder converts into case acceptance on anything elective or cash-pay. The Medicare-certified hospital in Cookeville sets the local wage floor before you hire against it. A college in Cookeville puts a term-shaped curve into monthly collections. Cookeville is the Putnam County seat, so county employment steadies the payer mix.

More of Tennessee

What owners in Cookeville ask

01

How many providers practice in Cookeville, and in what?

Across 32 fields, Cookeville carries 596 enumerated clinicians, 160.6 per 10,000 of the 37,102 people living here. The concentration is in physical, occupational, and speech therapy, 140 of the total, then primary care and family medicine at 63. Count practices from that only with care.

02

Does being 71 miles out change the underwriting?

Nashville-Davidson--Murfreesboro--Franklin, TN is 71 miles away, far enough that rent and equipment resale comparables get pulled from Putnam County rather than a metro market. At 71 miles the appraisal window runs longer and equipment resale gets discounted.

03

Why does Putnam County show so little SBA activity?

The published file records 3 7(a) and 504 approvals to healthcare borrowers in Putnam County. That tracks how few Putnam County practices changed hands that year, not credit quality. 80 credit intermediation establishments operate in Putnam County, so the lending capacity is local even where the healthcare history is not.

04

What does Putnam County's shortage designation change?

Designated for primary care, dental, mental health, Putnam 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.

05

Which fields carry the volume in Cookeville?

Physical, occupational, and speech therapy at 140 providers and primary care and family medicine at 63 lead the 32 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.

06

How does the hospital in Cookeville affect a practice file?

It makes the staffing and referral lines checkable. 8 Medicare-certified providers hold Cookeville addresses, and the hospital sets the wage a clinical hire is bid against in a 160.6 per 10,000 market.

Sources

  1. 1U.S. Census Bureau, Population Estimates, vintage 2024
  2. 2CMS NPPES, monthly full replacement file
  3. 3U.S. Census Bureau, ACS 5-year 2023, table B19013
  4. 4CMS Care Compare provider datasets
  5. 5U.S. Small Business Administration, 7(a) and 504 approvals
  6. 6U.S. Census Bureau, County Business Patterns 2022

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