Washington micro-market
Healthcare practice financing in Des Moines, Washington
Direct answer
33,207 residents, 185 enumerated clinicians, 55.7 per 10,000, 26 percent of them in primary care and family medicine: that is the Des Moines market a funder prices. King County adds 91 healthcare approvals worth $42,384,900 and 16 miles of distance to Seattle-Tacoma-Bellevue, 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: 33,207 residents (25K-50K band)1
- Healthcare providers registered here: 185 across 17 fields2
- Median household income: $89,7873
- Largest provider field: Primary care and family medicine: 48 registered providers2
- Medicare-certified providers in town: 1 across 1 categories4
- Nearest metro: Seattle-Tacoma-Bellevue, WA, 16 miles1
Des Moines clinicians, by field
Counted at the town's own addresses: 185 providers, 17 fields, 55.7 clinicians per 10,000 of the 33,207 residents here
| Practice type | Count | Rate per 10,000 residents | Published by |
|---|---|---|---|
| Primary care and family medicine | 48 | 14.5 | NPPES [2] |
| Physical, occupational, and speech therapy | 42 | 12.6 | NPPES [2] |
| Behavioral and mental health group practices | 23 | 6.9 | NPPES [2] |
| Chiropractic | 21 | 6.3 | NPPES [2] |
| General dentistry | 18 | 5.4 | NPPES [2] |
| Independent pharmacy | 8 | 2.4 | NPPES [2] |
| Dental specialties | 4 | 1.2 | NPPES [2] |
| ABA and autism therapy | 4 | 1.2 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 4 | 1.2 | NPPES [2] |
| Home health | 3 | 0.9 | NPPES [2] |
| SUD treatment and residential | 2 | 0.6 | NPPES [2] |
| Non-medical home care | 2 | 0.6 | NPPES [2] |
| Optometry and ophthalmology | 2 | 0.6 | NPPES [2] |
| DME and HME suppliers | 1 | 0.3 | NPPES [2] |
| Hospice and palliative | 1 | 0.3 | NPPES [2] |
| Specialty physician groups | 1 | 0.3 | NPPES [2] |
| Clinical and toxicology labs | 1 | 0.3 | NPPES [2] |
| Medical equipment suppliers | 2 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
Primary care and family medicine carries 48 of the 185 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.
What King County credit files already show
Lenders in King County have already closed 91 healthcare approvals, averaging $465,768, which is the size a new file gets read beside
| Line | Amount | Reading and source |
|---|---|---|
| SBA healthcare approvals | 91 | Fiscal year published in the SBA file [5] |
| Approved dollars | $42,384,900 | Sum of approvals to healthcare borrowers [5] |
| Average approval | $465,768 | Dollars divided by approvals [5] |
| Lending establishments in the county | 1,205 | Credit intermediation establishments, NAICS 522 [6] |
Reading Des Moines the way a credit committee does
At 55.7 clinicians per 10,000 residents, the catchment radius in a projection has to be defended rather than assumed. A request measured against 91 prior King County approvals is priced on precedent, which shortens the questions about valuation. Household income of $89,787 in Des Moines 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 Des Moines's own provider mix, which primary care and family medicine dominates at 26 percent. What a partner can actually place in Washington is a separate question.
What a funder reads first in Des Moines
Drawn from the fields that actually practice here: primary care and family medicine, physical, occupational, and speech therapy, behavioral and mental health group practices
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Primary care and family medicine (48) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
| Physical, occupational, and speech therapy (42) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Behavioral and mental health group practices (23) | Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposure | Working capital through the credentialing lag |
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.
Des Moines against nearby Washington markets
Set Des Moines's 55.7 per 10,000 against the towns an appraiser would reach for next
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Des Moines (current) | 33,207 | 185 | 55.7 | |
| SeaTac | 34,024 | 103 | 30.3 | 4 |
| Burien | 52,046 | 462 | 88.8 | 6 |
| Tukwila | 21,636 | 683 | 315.7 | 6 |
| Covington | 21,567 | 190 | 88.1 | 10 |
| Edgewood | 13,496 | 17 | 12.6 | 11 |
| Fife | 11,077 | 55 | 49.7 | 11 |
How Des Moines sits against the nearest metro
Distance to Seattle-Tacoma-Bellevue, WA is 16 miles. Appraisers borrow Seattle-Tacoma-Bellevue, WA rents, and the 33,207 residents set the ceiling on collections. Median household income runs $89,787, which is the number a funder converts into case acceptance on anything elective or cash-pay. Referral flow comes from outside Des Moines, which a projection needs to state plainly. Campus terms, not calendar quarters, set the busy months in Des Moines.
Other Washington markets
Des Moines owners, answered
01How many providers practice in Des Moines, and in what?
Across 17 fields, Des Moines carries 185 enumerated clinicians, 55.7 per 10,000 of the 33,207 people living here. The concentration is in primary care and family medicine, 48 of the total, then physical, occupational, and speech therapy at 42. Count practices from that only with care.
02What does King County's shortage designation change?
Designated for primary care, dental, mental health, King 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.
03What does SBA lending look like around Des Moines?
The county file behind Des Moines holds 91 healthcare approvals totaling $42,384,900, an average of $465,768. Those are the loan sizes lenders in King County have already carried.
04Is Des Moines underwritten as part of Seattle-Tacoma-Bellevue, WA?
Partly. Seattle-Tacoma-Bellevue, WA is 16 miles out, so rent and equipment comparables travel in from there while patients still come from the 33,207 residents around Des Moines. Cost side metro, revenue side local.
05Is there local lending capacity in King County?
County Business Patterns records 1,205 credit intermediation establishments in King County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Des Moines rents and resale before or by somebody working from a screen.
06Which fields carry the volume in Des Moines?
Volume concentrates in primary care and family medicine, 48 of them, ahead of physical, occupational, and speech therapy at 42, across 17 fields. A thin second field usually means a longer search for staff than a pro forma allows for.
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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