Texas micro-market
Healthcare practice financing in Marshall, Texas
Direct answer
Harrison County carries 0 SBA healthcare approvals worth $0, and inside Marshall the census shows 143 enumerated clinicians against 24,263 residents, 58.9 per 10,000, 15 percent of them in specialty physician groups. Longview, TX lies 24 miles away.
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: 24,263 residents (10K-25K band)1
- Healthcare providers registered here: 143 across 25 fields2
- Median household income: $49,8173
- Largest provider field: Specialty physician groups: 21 registered providers2
- Medicare-certified providers in town: 6 across 4 categories4
- Nearest metro: Longview, TX, 24 miles1
Fields practicing inside Marshall
Counted at the town's own addresses: 143 providers, 25 fields, 58.9 clinicians per 10,000 of the 24,263 residents here
| Practice type | Count | Rate per 10,000 residents | Published by |
|---|---|---|---|
| Specialty physician groups | 21 | 8.7 | NPPES [2] |
| General dentistry | 19 | 7.8 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 18 | 7.4 | NPPES [2] |
| Primary care and family medicine | 14 | 5.8 | NPPES [2] |
| Optometry and ophthalmology | 11 | 4.5 | NPPES [2] |
| Home health | 10 | 4.1 | NPPES [2] |
| DME and HME suppliers | 9 | 3.7 | NPPES [2] |
| Chiropractic | 6 | 2.5 | NPPES [2] |
| Independent pharmacy | 6 | 2.5 | NPPES [2] |
| Non-medical home care | 4 | 1.6 | NPPES [2] |
| Behavioral and mental health group practices | 4 | 1.6 | NPPES [2] |
| Physical, occupational, and speech therapy | 4 | 1.6 | NPPES [2] |
| Audiology and hearing centers | 3 | 1.2 | NPPES [2] |
| ASCs and OBLs | 2 | 0.8 | NPPES [2] |
| Dialysis and infusion centers | 2 | 0.8 | NPPES [2] |
| Dermatology | 1 | 0.4 | NPPES [2] |
| IDD services | 1 | 0.4 | NPPES [2] |
| SUD treatment and residential | 1 | 0.4 | NPPES [2] |
| Dental specialties | 1 | 0.4 | NPPES [2] |
| NEMT and ambulance | 1 | 0.4 | NPPES [2] |
| ABA and autism therapy | 1 | 0.4 | NPPES [2] |
| Hospice and palliative | 1 | 0.4 | NPPES [2] |
| Med spa and aesthetics | 1 | 0.4 | NPPES [2] |
| Clinical and toxicology labs | 1 | 0.4 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.4 | NPPES [2] |
| Medical equipment suppliers | 10 | CMS [4] | |
| Dialysis facilities | 2 | CMS [4] | |
| Home health agencies | 2 | CMS [4] | |
| Ambulatory surgical centers | 1 | CMS [4] | |
| Hospice providers | 1 | CMS [4] |
Specialty physician groups carries 21 of the 143 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.
The lending record behind Marshall
The county file holds 0 healthcare approvals, which is a thin comparable set for anyone pricing collateral
| What it measures | Value | How to read it |
|---|---|---|
| Healthcare files approved | 0 | Fiscal year published in the SBA file [5] |
| Dollars behind them | $0 | Sum of approvals to healthcare borrowers [5] |
| Typical approval size | No approvals recorded | Dollars divided by approvals [5] |
| Credit offices operating locally | 42 | Credit intermediation establishments, NAICS 522 [6] |
What the two tables above change about a file
A file from here opens on 58.9 providers per 10,000 residents, and everything about volume follows from it. Harrison County has 0 approvals to compare against, so plan for extra appraisal time and a conservative valuation. Household income of $49,817 in Marshall 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
- Expansion, relocation, and build-out
- Equipment financing and leasing
- Startup and de novo
- Commercial real estate, owner-occupied
Ranked from the 25 fields that actually practice in Marshall, weighted toward specialty physician groups. Availability still depends on Texas and on the funding partner.
Underwriting by field in Marshall
Drawn from the fields that actually practice here: specialty physician groups, general dentistry, skilled nursing, assisted living, and memory care
| Field | What the file turns on | The capital event behind most requests |
|---|---|---|
| Specialty physician groups (21) | Ancillary revenue contribution, Provider productivity, Payer contracts | Ancillary build-out |
| General dentistry (19) | Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backs | Acquisition of an established practice |
| Skilled nursing, assisted living, and memory care (18) | Census and occupancy, Staffing reporting, Survey history | Working capital |
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.
Marshall against nearby Texas markets
Comparables travel. These are the Texas towns whose density, at 58.9 per 10,000 here, gets weighed beside this one.
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Marshall (current) | 24,263 | 143 | 58.9 | |
| Longview | 83,668 | 965 | 115.3 | 24 |
| Kilgore | 13,583 | 83 | 61.1 | 31 |
| Henderson | 13,485 | 94 | 69.7 | 37 |
| Mount Pleasant | 16,238 | 81 | 49.9 | 56 |
| Texarkana | 35,971 | 575 | 159.9 | 65 |
| Jacksonville | 14,639 | 125 | 85.4 | 66 |
Distance, income, and the wage floor around Marshall
Longview, TX lies 24 miles from Marshall, close enough that appraisers price the lease against Longview, TX rents while 24,263 residents set the revenue ceiling. At $49,817 median household income, the elective and cash-pay share of a projection is the line that gets tested first. With no hospital in town, a projection has to name where referrals and coverage come from. A degree-granting institution here moves volume on the academic calendar. Marshall is the Harrison County seat, so county employment steadies the payer mix.
Other Texas markets
- Longview 83,668 residents
- Kilgore 13,583 residents
- Henderson 13,485 residents
- Mount Pleasant 16,238 residents
- Texarkana 35,971 residents
- Jacksonville 14,639 residents
What owners in Marshall ask
01How many providers practice in Marshall, and in what?
143 enumerations sit at Marshall addresses in the monthly NPPES file, working out to 58.9 for every 10,000 residents. 15 percent of them are specialty physician groups, and general dentistry follows with 19. An enumeration is a clinician, so the 143 here cover fewer than 143 practices.
02What does Harrison County's shortage designation change?
Designated for primary care, dental, mental health, Harrison 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.
03Why does Harrison County show so little SBA activity?
Only 0 healthcare approvals appear for Harrison County in the published 7(a) and 504 file. Thin volume in Harrison County is a transaction count, not a verdict on borrowers here. The county still holds 42 credit intermediation establishments.
04Is Marshall underwritten as part of Longview, TX?
Comparables and demand split at 24 miles. An appraiser prices the lease and the equipment off Longview, TX; the revenue line has to hold up against 24,263 local residents.
05Is there local lending capacity in Harrison County?
County Business Patterns records 42 credit intermediation establishments in Harrison County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Marshall rents and resale before or by somebody working from a screen.
06What does a $49,817 median income mean for case acceptance?
Median household income in Marshall runs $49,817. On elective and cash-pay work that is the number a funder converts into case acceptance, and it sets how much of a treatment plan a projection can assume gets started rather than deferred.
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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