Texas micro-market
Healthcare practice financing in Bonham, Texas
Direct answer
A Bonham file is read against 112 local clinicians, 100.8 for every 10,000 of its 11,115 residents, 19 percent of them in physical, occupational, and speech therapy, plus the 1 SBA healthcare approvals worth $150,000 already recorded in Fannin County, 25 miles from Sherman-Denison, TX.
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. Which programs can be referred from Texas, and which cannot, is set out on the Texas page.
- Population: 11,115 residents (10K-25K band)1
- Healthcare providers registered here: 112 across 16 fields2
- Median household income: $53,2323
- Largest provider field: Physical, occupational, and speech therapy: 21 registered providers2
- Nearest metro: Sherman-Denison, TX, 25 miles1
- Hospital: A Medicare-certified hospital operates in the town4
Bonham clinicians, by field
100.8 providers per 10,000 residents is what 112 enumerations across 16 fields works out to in a town of 11,115
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 21 | 18.9 | NPPES [2] |
| Specialty physician groups | 17 | 15.3 | NPPES [2] |
| Chiropractic | 12 | 10.8 | NPPES [2] |
| Primary care and family medicine | 10 | 9.0 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 9 | 8.1 | NPPES [2] |
| General dentistry | 7 | 6.3 | NPPES [2] |
| Optometry and ophthalmology | 7 | 6.3 | NPPES [2] |
| Home health | 6 | 5.4 | NPPES [2] |
| DME and HME suppliers | 5 | 4.5 | NPPES [2] |
| Independent pharmacy | 5 | 4.5 | NPPES [2] |
| Audiology and hearing centers | 5 | 4.5 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 3 | 2.7 | NPPES [2] |
| Behavioral and mental health group practices | 2 | 1.8 | NPPES [2] |
| SUD treatment and residential | 1 | 0.9 | NPPES [2] |
| NEMT and ambulance | 1 | 0.9 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.9 | NPPES [2] |
| Medical equipment suppliers | 3 | CMS [4] |
Several of the 21 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
What Fannin County credit files already show
1 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 | 1 | Fiscal year published in the SBA file [5] |
| Dollars behind them | $150,000 | Sum of approvals to healthcare borrowers [5] |
| Typical approval size | $150,000 | Dollars divided by approvals [5] |
| Credit offices operating locally | 20 | Credit intermediation establishments, NAICS 522 [6] |
What the two tables above change about a file
A file from here opens on 100.8 providers per 10,000 residents, and everything about volume follows from it. Fannin County has 1 approvals to compare against, so plan for extra appraisal time and a conservative valuation. With $53,232 as the median household income, the payer mix in a projection has to match what Bonham households actually spend.
The programs this provider mix points at
- Practice acquisition
- Startup and de novo
- Expansion, relocation, and build-out
- Equipment financing and leasing
- Working capital term loan
The 16 fields practicing locally set this order. A funding partner, not this list, decides what is available in Texas.
What a funder reads first in Bonham
physical, occupational, and speech therapy, specialty physician groups, chiropractic account for most of what is enumerated in Bonham, 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 (21) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Specialty physician groups (17) | Ancillary revenue contribution, Provider productivity, Payer contracts | Ancillary build-out |
| Chiropractic (12) | Cash plan revenue, Personal injury receivable age, Visit volume | Startup or acquisition |
Counts in the first column are Bonham providers from NPPES. The other two columns describe how funders read that field across markets like Bonham, not what any funder will do with your file.
How Bonham prices against its neighbors
The neighboring markets below are the ones a valuation borrows from when Bonham has too few sales of its own
| Comparable | People | Enumerations | Per 10,000 residents | Miles |
|---|---|---|---|---|
| Bonham (current) | 11,115 | 112 | 100.8 | |
| Sherman | 50,229 | 595 | 118.5 | 25 |
| Denison | 26,446 | 287 | 108.5 | 26 |
| Anna | 31,986 | 93 | 29.1 | 27 |
| Melissa | 26,194 | 105 | 40.1 | 30 |
| Greenville | 34,355 | 354 | 103.0 | 33 |
| Princeton | 37,019 | 81 | 21.9 | 33 |
Distance, income, and the wage floor around Bonham
Sherman-Denison, TX lies 25 miles from Bonham, close enough for rent comparables to travel and far enough that patient draw does not. At $53,232 median household income, the elective and cash-pay share of a projection is the line that gets tested first. Wages here are anchored by the Medicare-certified hospital in town, which is what a staffing line gets measured against. Bonham is the Fannin County seat, so county employment steadies the payer mix.
Other Texas markets
What owners in Bonham ask
01How many providers practice in Bonham, and in what?
112 enumerations sit at Bonham addresses in the monthly NPPES file, working out to 100.8 for every 10,000 residents. 19 percent of them are physical, occupational, and speech therapy, and specialty physician groups follows with 17. An enumeration is a clinician, so the 112 here cover fewer than 112 practices.
02What does Fannin County's shortage designation change?
Fannin County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Bonham can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
03Why does Fannin County show so little SBA activity?
Only 1 healthcare approvals appear for Fannin County in the published 7(a) and 504 file. Thin volume in Fannin County is a transaction count, not a verdict on borrowers here. The county still holds 20 credit intermediation establishments.
04How does the hospital in Bonham affect a practice file?
Referral flow, coverage, and the local pay scale all trace back to it. A Bonham projection that names the call arrangement reads better than one that assumes it.
05Which fields carry the volume in Bonham?
Volume concentrates in physical, occupational, and speech therapy, 21 of them, ahead of specialty physician groups at 17, across 16 fields. A thin second field usually means a longer search for staff than a pro forma allows for.
06Is Bonham underwritten as part of Sherman-Denison, TX?
Comparables and demand split at 25 miles. An appraiser prices the lease and the equipment off Sherman-Denison, TX; the revenue line has to hold up against 11,115 local residents.
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.