Contracted Healthcare Coordination & Billing Services, 30-Year Texas Operator

Full Editorial Writeup

This is a 30-year-old healthcare services company that provides contracted healthcare coordination and related support services to institutional and government-related customers. The engine of the business is a proprietary software platform paired with a massive contractor workforce: 23 full-time and 2 part-time employees oversee 3,672 contractors who deliver the actual end-user services. That structure keeps fixed payroll light while flexing capacity up and down with contract volume, which is exactly how you want a labor-heavy services book built.

The economics are serious. On $38.4M of revenue the business throws off $7.9M of SDE and $5.8M of EBITDA, roughly a 15% EBITDA margin, with the seller citing recurring institutional and government-related demand. Revenue is tied to compliance-driven outsourcing and service coordination, the kind of spend that institutions and government payers keep funding through a downturn because it is contractually and regulatorily required.

The seller is retiring and prefers a strategic buyer, offering up to 10% seller financing and a transition of up to 6 to 12 months. Real estate is owned and will be leased to the buyer (or possibly sold separately), so the operations are relocatable. The obvious question a buyer must answer is customer and contract concentration, because government-related revenue at this scale usually means a handful of large contracts carry the P&L.