Washington micro-market
Healthcare practice financing in Burlington, Washington
Direct answer
Skagit County carries 3 SBA healthcare approvals worth $5,514,000, and inside Burlington the census shows 143 enumerated clinicians against 10,945 residents, 130.7 per 10,000, 20 percent of them in physical, occupational, and speech therapy. Mount Vernon-Anacortes, WA lies 4 miles away.
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- Population: 10,945 residents (10K-25K band)1
- Healthcare providers registered here: 143 across 19 fields2
- Median household income: $74,0283
- Largest provider field: Physical, occupational, and speech therapy: 28 registered providers2
- Medicare-certified providers in town: 2 across 2 categories4
- Nearest metro: Mount Vernon-Anacortes, WA, 4 miles1
Burlington clinicians, by field
The NPPES file puts 143 enumerated clinicians inside Burlington, spread over 19 fields at 130.7 per 10,000 residents
| Practice type | Count | Rate per 10,000 residents | Published by |
|---|---|---|---|
| Physical, occupational, and speech therapy | 28 | 25.6 | NPPES [2] |
| Behavioral and mental health group practices | 27 | 24.7 | NPPES [2] |
| Chiropractic | 18 | 16.4 | NPPES [2] |
| Primary care and family medicine | 15 | 13.7 | NPPES [2] |
| Optometry and ophthalmology | 13 | 11.9 | NPPES [2] |
| Dental specialties | 10 | 9.1 | NPPES [2] |
| General dentistry | 9 | 8.2 | NPPES [2] |
| Independent pharmacy | 7 | 6.4 | NPPES [2] |
| SUD treatment and residential | 4 | 3.7 | NPPES [2] |
| NEMT and ambulance | 2 | 1.8 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 2 | 1.8 | NPPES [2] |
| DME and HME suppliers | 1 | 0.9 | NPPES [2] |
| Home health | 1 | 0.9 | NPPES [2] |
| Urgent care | 1 | 0.9 | NPPES [2] |
| ASCs and OBLs | 1 | 0.9 | NPPES [2] |
| ABA and autism therapy | 1 | 0.9 | NPPES [2] |
| Specialty physician groups | 1 | 0.9 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.9 | NPPES [2] |
| Occupational health and drug testing | 1 | 0.9 | NPPES [2] |
| Medical equipment suppliers | 4 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
Several of the 28 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or 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] |
The consequence of these numbers
A file from here opens on 130.7 providers per 10,000 residents, and everything about volume follows from it. Skagit County has 3 approvals to compare against, so plan for extra appraisal time and a conservative valuation. Household income of $74,028 in Burlington 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
- Startup and de novo
- Working capital term loan
- Equipment financing and leasing
- Business line of credit
The 19 fields practicing locally set this order. A funding partner, not this list, decides what is available in Washington.
Underwriting by field in Burlington
Drawn from the fields that actually practice here: physical, occupational, and speech therapy, behavioral and mental health group practices, chiropractic
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Physical, occupational, and speech therapy (28) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Behavioral and mental health group practices (27) | Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposure | Working capital through the credentialing lag |
| Chiropractic (18) | Cash plan revenue, Personal injury receivable age, Visit volume | Startup or acquisition |
Column one counts Burlington clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Burlington file differently.
How Burlington prices against its neighbors
Density is the number that moves an appraisal: 130.7 per 10,000 here
| Comparable | People | Enumerations | Per 10,000 residents | Miles |
|---|---|---|---|---|
| Burlington (current) | 10,945 | 143 | 130.7 | |
| Mount Vernon | 35,344 | 587 | 166.1 | 3 |
| Anacortes | 18,148 | 224 | 123.4 | 14 |
| Oak Harbor | 24,163 | 480 | 198.7 | 18 |
| Bellingham | 95,860 | 1,714 | 178.8 | 21 |
| Arlington | 21,959 | 273 | 124.3 | 22 |
| Marysville | 76,209 | 401 | 52.6 | 28 |
What the geography does to a Burlington projection
4 miles separate Burlington from Mount Vernon-Anacortes, WA. Lease pricing follows Mount Vernon-Anacortes, WA, while revenue stays capped by the 10,945 residents here. At $74,028 median household income, the elective and cash-pay share of a projection is the line that gets tested first. No hospital operates here, so the referral sources and the call arrangement have to be named rather than assumed.
More of Washington
- Mount Vernon 35,344 residents
- Anacortes 18,148 residents
- Oak Harbor 24,163 residents
- Bellingham 95,860 residents
- Arlington 21,959 residents
- Marysville 76,209 residents
What owners in Burlington ask
01How many providers practice in Burlington, and in what?
143 enumerations sit at Burlington addresses in the monthly NPPES file, working out to 130.7 for every 10,000 residents. 20 percent of them are physical, occupational, and speech therapy, and behavioral and mental health group practices follows with 27. An enumeration is a clinician, so the 143 here cover fewer than 143 practices.
02Why 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.
03What does Skagit County's shortage designation change?
Designated for primary care, dental, mental health, Skagit 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.
04Which fields carry the volume in Burlington?
Volume concentrates in physical, occupational, and speech therapy, 28 of them, ahead of behavioral and mental health group practices at 27, across 19 fields. A thin second field usually means a longer search for staff than a pro forma allows for.
05How many Medicare-certified providers are based in Burlington?
Care Compare lists 2 certified providers with a Burlington address. That count is a proxy for how much of the local revenue arrives on a federal payment cycle rather than at the front desk.
06Is Burlington underwritten as part of Mount Vernon-Anacortes, WA?
Partly. Mount Vernon-Anacortes, WA is 4 miles out, so rent and equipment comparables travel in from there while patients still come from the 10,945 residents around Burlington. Cost side metro, revenue side local.
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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