Cross-Border Elective-Surgery Facilitation Business, Sacramento County CA

Full Editorial Writeup

This is a cash-in-advance medical tourism facilitation business that coordinates self-pay elective surgery for patients traveling internationally to a contracted partner surgical facility. The company owns the patient relationship end to end: digital lead generation, travel logistics, pre-operative coordination, and post-operative follow-up, across six surgical and procedural service lines. The core economic hook is that the company is paid in full before any procedure is performed, which means no receivables, no inventory, no insurer billing, and no reimbursement risk.

FY2026 revenue annualizes to roughly $16.5 million at a 36.1% gross margin, producing Adjusted EBITDA of about $2.18 million. Gross margin has climbed every period from 21.8% in FY2023, and the business carries no customer, payer, or reimbursement concentration because no single patient is material. Repeat procedures account for roughly 35% of revenue, and the contracted surgical facility runs at only 30% to 35% of patient-load capacity, meaning growth is a capacity-fill exercise against a largely fixed cost base rather than a demand hunt.

The transferable value here is the operating engine, not hard assets. That includes a two-decade organic-search domain footprint, paid-search accounts, a standardized qualification and coordination workflow, a contracted clinical and foreign-contractor network, and a fixed four-day itinerary logistics capability. Real estate is carved out and optional, so a buyer is acquiring a process-driven, asset-light demand-and-coordination machine sitting in front of someone else's operating room.