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Washington micro-market

Healthcare practice financing in Lacey, Washington

Direct answer

Density decides a lot here. Lacey runs 121.4 providers per 10,000 residents, 712 clinicians against 58,644 people, 25 percent of them in aba and autism therapy, while Thurston County lenders have approved 10 healthcare files worth $7,159,000 and the nearest metro is 0 miles out.

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  • Population: 58,644 residents (50K-100K band)1
  • Healthcare providers registered here: 712 across 28 fields2
  • Median household income: $87,2773
  • Largest provider field: ABA and autism therapy: 178 registered providers2
  • Medicare-certified providers in town: 5 across 4 categories4
  • Nearest metro: Olympia-Lacey-Tumwater, WA, 0 miles1

The provider census in Lacey

712 providers across 28 fields, 121.4 per 10,000 residents, counted at Lacey addresses in the NPPES monthly file

Enumerated clinicians at Lacey addresses
FieldProvidersPer 10,000 residentsSource
ABA and autism therapy17830.4NPPES [2]
Physical, occupational, and speech therapy16428.0NPPES [2]
Behavioral and mental health group practices6811.6NPPES [2]
Chiropractic569.5NPPES [2]
Primary care and family medicine508.5NPPES [2]
General dentistry437.3NPPES [2]
Optometry and ophthalmology315.3NPPES [2]
Independent pharmacy172.9NPPES [2]
DME and HME suppliers111.9NPPES [2]
Home health111.9NPPES [2]
Dental specialties111.9NPPES [2]
Skilled nursing, assisted living, and memory care101.7NPPES [2]
SUD treatment and residential91.5NPPES [2]
Specialty physician groups91.5NPPES [2]
Clinical and toxicology labs91.5NPPES [2]
Ketamine, TMS, and interventional psychiatry61.0NPPES [2]
Med spa and aesthetics50.9NPPES [2]
Podiatry30.5NPPES [2]
Non-medical home care30.5NPPES [2]
Hormone, TRT, and men's health clinics30.5NPPES [2]
Dialysis and infusion centers30.5NPPES [2]
Urgent care20.3NPPES [2]
ASCs and OBLs20.3NPPES [2]
Audiology and hearing centers20.3NPPES [2]
Hospice and palliative20.3NPPES [2]
Telehealth and virtual clinics20.3NPPES [2]
Imaging centers10.2NPPES [2]
Occupational health and drug testing10.2NPPES [2]
Medical equipment suppliers14CMS [4]
Dialysis facilities2CMS [4]
Ambulatory surgical centers1CMS [4]
Hospice providers1CMS [4]
Home health agencies1CMS [4]

Several of the 178 aba and autism therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners

What Thurston County credit files already show

Lenders in Thurston County have already closed 10 healthcare approvals, averaging $715,900, which is the size a new file gets read beside

Thurston County credit activity, as published
MeasurePublished figureWhat sits behind it
SBA healthcare approvals10Counted for the fiscal year the SBA publishes [5]
Approved dollars$7,159,000Everything approved to healthcare borrowers, added up [5]
Average approval$715,900The dollar column over the approval column [5]
Lending establishments in the county135Places that write credit locally, NAICS 522 [6]

What the two tables above change about a file

The ratio that matters up front is 121.4 per 10,000, which decides whether a ramp schedule reads as conservative. A request measured against 10 prior Thurston County approvals is priced on precedent, which shortens the questions about valuation. Household income of $87,277 in Lacey is the number a lender uses to sanity check the self-pay share of a revenue projection.

The programs this provider mix points at

Ranked from the 28 fields that actually practice in Lacey, weighted toward aba and autism therapy. Availability still depends on Washington and on the funding partner.

The first pages of a Lacey file

Drawn from the fields that actually practice here: aba and autism therapy, physical, occupational, and speech therapy, behavioral and mental health group practices

What each Lacey field turns on
FieldWhat the file turns onThe capital event behind most requests
ABA and autism therapy (178)Authorized hours against delivered hours, Payer mix stability, Billing compliance historyWorking capital against authorization and billing lag
Physical, occupational, and speech therapy (164)Visits per case, Referral source concentration, Payer mix and authorization rulesStartup or expansion clinic
Behavioral and mental health group practices (68)Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposureWorking capital through the credentialing lag

Column one counts Lacey clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Lacey file differently.

Lacey against nearby Washington markets

121.4 per 10,000 is the figure a neighboring town gets compared against when an appraiser prices Lacey

Residents, providers, and distance across nearby towns
TownResidentsProvidersPer 10,000Miles away
Lacey (current)58,644712121.4
Olympia56,2711,819323.35
Tumwater27,82627799.57
Yelm11,71511396.510
University Place35,160364103.517
Shelton10,737175163.019
Gig Harbor12,643558441.422

How Lacey sits against the nearest metro

Distance to Olympia-Lacey-Tumwater, WA is 0 miles. Appraisers borrow Olympia-Lacey-Tumwater, WA rents, and the 58,644 residents set the ceiling on collections. At $87,277 median household income, the elective and cash-pay share of a projection is the line that gets tested first. A Medicare-certified hospital operates here, so referral flow is verifiable and the clinical wage floor is already set. A college in Lacey puts a term-shaped curve into monthly collections.

Nearby Washington towns

Questions from Lacey

01

How many providers practice in Lacey, and in what?

NPPES lists 712 providers at a Lacey practice address, 121.4 per 10,000 residents across 28 tracked fields. ABA and autism therapy accounts for 178 of them, 25 percent of the total, with physical, occupational, and speech therapy next at 164. Read that as clinicians: 712 enumerations, not 712 owners.

02

Which fields carry the volume in Lacey?

Volume concentrates in aba and autism therapy, 178 of them, ahead of physical, occupational, and speech therapy at 164, across 28 fields. A thin second field usually means a longer search for staff than a pro forma allows for.

03

Is Lacey underwritten as part of Olympia-Lacey-Tumwater, WA?

Olympia-Lacey-Tumwater, WA sits 0 miles away, close enough that appraisers reach into that market for rent and resale comparables while your patient draw stays local. The comparables read Olympia-Lacey-Tumwater, WA; the 58,644 residents set the ceiling a projection can defend.

04

What does SBA lending look like around Lacey?

The county file behind Lacey holds 10 healthcare approvals totaling $7,159,000, an average of $715,900. Those are the loan sizes lenders in Thurston County have already carried.

05

What does Thurston County's shortage designation change?

Thurston County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Lacey can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.

06

How does the hospital in Lacey affect a practice file?

A Medicare-certified hospital operates in the town, which gives referral flow, a call schedule, and a clinical labor pool a funder can verify. 5 Medicare-certified providers are located here in total. It also sets the wage floor behind every hire in a 121.4 per 10,000 market.

Sources

  1. 1U.S. Census Bureau, Population Estimates, vintage 2024
  2. 2CMS NPPES, monthly full replacement file
  3. 3U.S. Census Bureau, ACS 5-year 2023, table B19013
  4. 4CMS Care Compare provider datasets
  5. 5U.S. Small Business Administration, 7(a) and 504 approvals
  6. 6U.S. Census Bureau, County Business Patterns 2022

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