Brooklyn Pediatric Early Intervention Platform

$8.4M

Revenue

$2.4M

SDE

5.8x

Multiple

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Full Editorial Writeup

HS Listing ID-71651 Rare opportunity to acquire a highly profitable pediatric healthcare platform serving the Brooklyn market through Medicaid-funded Early Intervention services. This established... Businesses Franchises Brokers a6301374279843840.cdn.optimizely.com a6301374279843840.cdn.optimizely.com is blocked This page has been blocked by an extension Try disabling your extensions. ERR_BLOCKED_BY_CLIENT Reload This page has been blocked by an extension Loading... Brooklyn Pediatric Healthcare Platform / Early Intervention Brooklyn, NY (Kings County) Asking Price:$13,999,999 Cash Flow (SDE):$2,400,000 EBITDA:Not Disclosed Gross Revenue:$8,400,000 Established:Not Disclosed Brooklyn Pediatric Healthcare Platform / Early Intervention Business Description HS Listing ID-71651 Rare opportunity to acquire a highly profitable pediatric healthcare platform serving the Brooklyn market through Medicaid-funded Early Intervention services. This established operation has developed into a scalable healthcare infrastructure with an extensive provider network, experienced administrative team, strong compliance history, and recurring government-backed revenue streams. The business generates approximately $8.4 million in annual gross revenue and $2.4 million in EBITDA/cash flow, producing an impressive 28.5% EBITDA margin. The platform operates with exceptionally low occupancy costs, paying only $3,300 per month in rent, creating significant operating leverage and profitability. The company maintains a network of 80–100 providers, including occupational therapists, physical therapists, teachers, teacher assistants, and pediatric specialists. A fully developed operational infrastructure is already in place, featuring case managers, billing personnel, coordinators, and administrative staff to support continued growth and scalability. Key strengths include multiple successful Medicaid audits, clean financial records, established referral channels, strong billing compliance systems, high therapist retention, and a longstanding presence within the community. The business offers a proven operational history with recurring referral sources and established reimbursement infrastructure that would be difficult and time-consuming to replicate. Significant growth opportunities exist through geographic expansion, additional therapist recruitment, expanded service offerings, new Medicaid contracts, strategic acquisitions, operational scaling, and the development of specialty pediatric programs. The platform’s infrastructure has been built to support future multi-state growth. The owner is retiring after building the company into a leading pediatric Early Intervention platform in Brooklyn. Management and staff are in place, and the seller will provide transition support to ensure continuity of operations and relationships. This is a planned transition and not a distressed sale. Highlights $8.4M Annual Revenue $2.4M EBITDA / Cash Flow 28.5% EBITDA Margin Medicaid-Funded Recurring Revenue 80–100 Provider Network Audit-Clean Compliance History Experienced Management Team Established Referral Ecosystem Extremely Low Occupancy Costs Significant Expansion Potential A SIGNED CONFIDENTIALITY AGREEMENT IS REQUIRED FOR THE EXACT LOCATION Ad#:2517598 Detailed Information Support & Training: Yes. Reason for Selling: Owner is Retiring Business Location Location: Brooklyn, NY Real Estate: Leased Rent: $3,300.00 Demographic Information for Brooklyn Area Household Income Population Age Population Trend Population by Race/Ethnicity BizBuySell EDGE Financial Benchmarks for New York Medical Practices Gross Revenue Benchmarks Cash Flow (SDE) Benchmarks EBITDA Benchmarks BizBuySell EDGE Listing Statistics Saved This Listing Listing Last Updated Appeared in Search Listing Detail Views BizBuySell EDGE Know the True Market Value Before You Make an Offer Get valuation data to negotiate with confidence. Get a Valuation Report Business Listed By: Dino Zark Hedgestone Advisors View My Listings Phone Number 866-317-2754 Voice only (no SMS) Sponsoring Broker: Hedgestone Advisors Ad#:2517598 The information in this listing has been provided by the business seller or representative stated above. BizBuySell has no stake in the sale of this business, has not independently verified any of the information about the business, and assumes no responsibility for its accuracy or completeness. Read BizBuySell's Terms of Use before responding to any ad. Learn how to avoid scams. Contact Form Full Name* Enter a valid Full Name Phone Number Enter Phone Number Email Address* Enter Email Address Optional Message Yes, send me the Buyer Newsletter for popular businesses, tips, & email promotions. Optional: Check if you want to use IRA/401k funds ($75K+) to buy a biz - Guidant will call Send Message By clicking the button, you agree to BizBuySell’s Terms of Use and Privacy Notice Business Listed By: Dino Zar Hedgestone Advisors View My Listings Phone Number 866-317-2754 Voice only (no SMS) Sponsoring Broker: Hedgestone Advisors Your request has been sent. What Happens Next? is reviewing your details. A representative will reach out soon to discuss your options. 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Why we like it

Earnings quality is anchored in government-backed recurring revenue with a 28.5% margin and an absurdly low $3,300 monthly rent, which means cash flow is not being eaten by occupancy or capex. Medicaid Early Intervention is a mandated entitlement program, so demand does not evaporate in a downturn and reimbursement keeps flowing regardless of the consumer economy.
The moat is the reimbursement infrastructure and clean audit history, not the buildings or equipment. Multiple successful Medicaid audits, established billing compliance systems, and entrenched referral channels are genuinely hard and slow to replicate, which is exactly what protects margin in a payor-driven business.
Market tailwinds favor pediatric therapy services, with rising autism and developmental diagnosis rates and persistent state funding for early intervention. This is essential, non-discretionary care where parents and the state both have strong incentives to keep services going.
The operator advantage is a turnkey management layer already in place, with case managers, billing staff, coordinators, and high therapist retention. A buyer is acquiring a running system rather than a job, and the seller is offering transition support on a planned exit rather than scrambling out of a distressed situation.

How to improve it

Audit and tighten the billing cycle in the first 90 days to compress days-in-AR and reduce denial rates. In Medicaid-driven models, even a modest improvement in clean-claim rates and collection speed drops directly to cash flow and de-risks the entire reimbursement engine.
Recruit additional therapists against existing referral demand that the current provider network cannot fully absorb. The platform already has the intake and billing infrastructure, so each incremental qualified provider is high-incremental-margin revenue with minimal added overhead.
Pursue additional Medicaid contracts and expand into adjacent boroughs where the same compliance and billing backbone can be reused. Geographic expansion within New York leverages the existing audit-clean reputation without rebuilding the reimbursement plumbing from scratch.
Develop specialty pediatric programs such as speech therapy, ABA, or feeding therapy to widen service lines per child served. Cross-referring within an existing patient base increases revenue per case while deepening the referral relationships that drive the business.
Formalize provider contracts and reduce key-person risk by documenting referral relationships and standardizing onboarding. If referrals or therapist relationships are tied to the retiring owner, locking these in contractually is essential to preserving value post-close.
Build a roll-up thesis to acquire smaller Early Intervention agencies in the region and plug them into the centralized billing and compliance back office. The seller already flagged strategic acquisitions, and consolidation of fragmented mom-and-pop agencies is where the real multiple expansion lives.
Invest in scheduling and EVV (electronic visit verification) technology to improve provider utilization and audit-proof documentation. Better tooling protects against future audit clawbacks and increases billable hours per therapist.

Diligence notes

Verify payor and revenue concentration and confirm exactly which Medicaid Early Intervention contracts drive the $8.4M. Government reimbursement is durable but rate-sensitive, so understand how rate changes, the New York EI fiscal agent structure, and any pending rate adjustments could move the cash flow line.
Scrutinize provider classification, because 80 to 100 therapists treated as independent contractors versus W-2 employees is a material liability question. Misclassification in healthcare staffing can trigger back taxes, benefits exposure, and audit penalties that would impair the deal economics.
Pull the actual Medicaid audit results and any recoupment or clawback history rather than relying on the clean-audit claim. Reimbursement businesses can carry contingent liabilities where the state retroactively reclaims paid claims, and that risk needs to be quantified and indemnified.
Confirm the $2.4M cash flow is true transferable EBITDA after a market-rate replacement for the retiring owner and any add-backs. At a 5.83x multiple on owner cash flow, the price depends heavily on how much of that figure survives once you staff the seller's role.
Test the durability of referral sources and whether they follow the owner or the platform. If pediatricians, hospitals, or service coordinators refer based on personal relationships with the seller, retention of those channels post-close is the single biggest threat to the revenue base.

Source

Originally listed on BizBuySell. View original listing →