Washington micro-market
Healthcare practice financing in Anacortes, Washington
Direct answer
A Anacortes file is read against 224 local clinicians, 123.4 for every 10,000 of its 18,148 residents, 20 percent of them in physical, occupational, and speech therapy, plus the 3 SBA healthcare approvals worth $5,514,000 already recorded in Skagit County, 15 miles from Mount Vernon-Anacortes, WA.
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 Washington, and how many partners see it, is set out on the Washington page.
- Population: 18,148 residents (10K-25K band)1
- Healthcare providers registered here: 224 across 24 fields2
- Median household income: $89,7883
- Largest provider field: Physical, occupational, and speech therapy: 45 registered providers2
- Medicare-certified providers in town: 1 across 1 categories4
- Nearest metro: Mount Vernon-Anacortes, WA, 15 miles1
Anacortes clinicians, by field
123.4 providers per 10,000 residents is what 224 enumerations across 24 fields works out to in a town of 18,148
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 45 | 24.8 | NPPES [2] |
| Primary care and family medicine | 32 | 17.6 | NPPES [2] |
| Chiropractic | 22 | 12.1 | NPPES [2] |
| ABA and autism therapy | 21 | 11.6 | NPPES [2] |
| Behavioral and mental health group practices | 16 | 8.8 | NPPES [2] |
| General dentistry | 15 | 8.3 | NPPES [2] |
| Specialty physician groups | 15 | 8.3 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 10 | 5.5 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 8 | 4.4 | NPPES [2] |
| Optometry and ophthalmology | 8 | 4.4 | NPPES [2] |
| Dental specialties | 7 | 3.9 | NPPES [2] |
| Independent pharmacy | 6 | 3.3 | NPPES [2] |
| Dermatology | 2 | 1.1 | NPPES [2] |
| DME and HME suppliers | 2 | 1.1 | NPPES [2] |
| Home health | 2 | 1.1 | NPPES [2] |
| SUD treatment and residential | 2 | 1.1 | NPPES [2] |
| Non-medical home care | 2 | 1.1 | NPPES [2] |
| Clinical and toxicology labs | 2 | 1.1 | NPPES [2] |
| Occupational health and drug testing | 2 | 1.1 | NPPES [2] |
| ASCs and OBLs | 1 | 0.6 | NPPES [2] |
| Mobile diagnostics | 1 | 0.6 | NPPES [2] |
| NEMT and ambulance | 1 | 0.6 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.6 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.6 | NPPES [2] |
| Medical equipment suppliers | 3 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
Physical, occupational, and speech therapy carries 45 of the 224 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.
Loan activity in Skagit County
3 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 |
|---|---|---|
| Approvals on record | 3 | One published fiscal year, healthcare borrowers only [5] |
| Total approved capital | $5,514,000 | Approved, not disbursed, and not net of withdrawals [5] |
| Mean deal size | $1,838,000 | A mean, so one large approval moves it [5] |
| Lenders sited in the county | 75 | Credit intermediation offices sited in the county [6] |
Reading Anacortes the way a credit committee does
Underwriting starts with 123.4 providers per 10,000 residents, because that ratio caps how fast a chair or a room fills. Skagit County has 3 approvals to compare against, so plan for extra appraisal time and a conservative valuation. Household income of $89,788 in Anacortes 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
- Startup and de novo
- Working capital term loan
- Expansion, relocation, and build-out
- Equipment financing and leasing
The order comes from Anacortes's own provider mix, which physical, occupational, and speech therapy dominates at 20 percent. What a partner can actually place in Washington is a separate question.
Underwriting by field in Anacortes
physical, occupational, and speech therapy, primary care and family medicine, chiropractic account for most of what is enumerated in Anacortes, 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 (45) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Primary care and family medicine (32) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
| Chiropractic (22) | Cash plan revenue, Personal injury receivable age, Visit volume | Startup or acquisition |
Column one counts Anacortes clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Anacortes file differently.
How Anacortes prices against its neighbors
Comparables travel. These are the Washington towns whose density, at 123.4 per 10,000 here, gets weighed beside this one.
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Anacortes (current) | 18,148 | 224 | 123.4 | |
| Oak Harbor | 24,163 | 480 | 198.7 | 13 |
| Burlington | 10,945 | 143 | 130.7 | 14 |
| Mount Vernon | 35,344 | 587 | 166.1 | 15 |
| Bellingham | 95,860 | 1,714 | 178.8 | 20 |
| Ferndale | 16,706 | 112 | 67.0 | 25 |
| Port Townsend | 10,649 | 213 | 200.0 | 26 |
What the geography does to a Anacortes projection
15 miles separate Anacortes from Mount Vernon-Anacortes, WA. Lease pricing follows Mount Vernon-Anacortes, WA, while revenue stays capped by the 18,148 residents here. Median household income runs $89,788, 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 18,148 resident town: where referrals originate, and what staff cost.
Other Washington markets
- Oak Harbor 24,163 residents
- Burlington 10,945 residents
- Mount Vernon 35,344 residents
- Bellingham 95,860 residents
- Ferndale 16,706 residents
- Port Townsend 10,649 residents
Questions from Anacortes
01How many providers practice in Anacortes, and in what?
224 enumerations sit at Anacortes addresses in the monthly NPPES file, working out to 123.4 for every 10,000 residents. 20 percent of them are physical, occupational, and speech therapy, and primary care and family medicine follows with 32. An enumeration is a clinician, so the 224 here cover fewer than 224 practices.
02What does Skagit County's shortage designation change?
The primary care, dental, mental health designation HRSA carries on Skagit County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 18,148 residents gets past the question of who would take the job.
03Why does Skagit County show so little SBA activity?
The published file records 3 7(a) and 504 approvals to healthcare borrowers in Skagit County. That tracks how few Skagit County practices changed hands that year, not credit quality. 75 credit intermediation establishments operate in Skagit County, so the lending capacity is local even where the healthcare history is not.
04How does the hospital in Anacortes affect a practice file?
It makes the staffing and referral lines checkable. 1 Medicare-certified providers hold Anacortes addresses, and the hospital sets the wage a clinical hire is bid against in a 123.4 per 10,000 market.
05Is Anacortes underwritten as part of Mount Vernon-Anacortes, WA?
Comparables and demand split at 15 miles. An appraiser prices the lease and the equipment off Mount Vernon-Anacortes, WA; the revenue line has to hold up against 18,148 local residents.
06Is there local lending capacity in Skagit County?
County Business Patterns records 75 credit intermediation establishments in Skagit County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Anacortes rents and resale before or by somebody working from a screen.
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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