Read the full deal writeup
Sign up for a free Accredited account to read the editorial writeup, financials, and broker contact for this deal.
Get Free AccessFull Editorial Writeup
Well-established primary care medical practice serving the Ocala area for nearly 30 years. This respected healthcare business has built a strong reputation in the community and offers multiple patient services under one roof, creating diversified revenue streams and exceptional patient retention.The practice is staffed by an experienced team of providers and support personnel and offers comprehensive primary care services along with ancillary services that enhance both patient care and profitability. The business maintains relationships with major insurance carriers and has developed a loyal patient base over decades of operation.Highlights:Established in 1997Strong community reputation and loyal patient baseMultiple insurance contracts in placeExperienced staff expected to remainDiversified service offeringsTurnkey operation with medical equipment includedLong-term lease in placeSignificant growth potential in a rapidly expanding marketSeller available for transition assistanceThis is an excellent opportunity for a physician, healthcare group, or strategic buyer seeking an established practice with a proven operating history and strong market presence.For more information on this business for sale contact listing agent Emily Krell. Please refer to listing #2301742331.
Why we like it
- Earnings quality is strong with $855K of cash flow on $3.26M of revenue, a 26% margin that signals a well-run primary care practice with ancillary services adding profitability. Multiple insurance contracts and decades of billing history mean the revenue is contracted, recurring, and not dependent on marketing spend or seasonal swings.
- The moat is real and built over 29 years: a loyal patient base, established insurance contracts, and a respected community reputation that takes decades to replicate. In primary care, patient stickiness is exceptional because people rarely switch their doctor once relationships and medical records are established.
- Ocala is one of the fastest-growing retiree markets in Florida, and an aging population is the single most reliable demand driver in healthcare. More retirees means more chronic care management, more office visits, and more ancillary service utilization, all of which compound the existing book.
- Healthcare is about as recession-proof as it gets, and primary care sits at the most defensive end of that spectrum. People do not skip their doctor in a downturn, and insurance reimbursement keeps cash flow steady regardless of the broader economy.
How to improve it
- Audit the payer mix and renegotiate underperforming insurance contracts within the first 90 days. Primary care margins live and die on reimbursement rates, and many long-tenured practices leave money on the table by never revisiting contract terms with major carriers.
- Expand ancillary services that capture revenue currently leaking to outside providers. In-house lab draws, point-of-care testing, chronic care management programs, and remote patient monitoring carry high margins and are reimbursable, directly lifting cash flow without adding patient acquisition cost.
- Add mid-level providers such as nurse practitioners or physician assistants to increase patient throughput per physician. This is the cleanest lever for growing visit volume in a demand-rich market without proportionally increasing physician overhead.
- Implement Medicare Annual Wellness Visits and chronic care management billing if not already maximized. With an Ocala retiree population, these are recurring, reimbursable touchpoints that most practices underutilize and that can add six figures of high-margin revenue.
- Modernize patient acquisition with a basic digital presence, online scheduling, and referral relationships with local specialists. A 29-year practice often runs entirely on word of mouth, leaving obvious organic growth on the table in a rapidly expanding market.
- Tighten front-office billing and collections to reduce denied claims and shorten the revenue cycle. Even small improvements in clean-claim rates and days in accounts receivable convert directly into cash flow in a practice this size.
Diligence notes
- Quantify provider dependency immediately: determine what share of revenue and patient relationships flow through the selling physician personally versus the broader provider team. If the seller drives the majority of billings, the buyer must have a credentialed physician ready to step in or the cash flow could erode post-close.
- Verify the payer mix and reimbursement detail behind the $3.26M in revenue. Confirm the split between Medicare, commercial insurance, and self-pay, and stress-test exposure to any pending reimbursement cuts or value-based care transitions that could compress margins.
- Scrutinize the long-term lease terms, including remaining duration, renewal options, and rent escalations. Since no real estate is included, lease security is critical to protecting the going-concern value and the buyer should confirm assignability to a new owner.
- Confirm the ancillary services driving profitability are properly credentialed, compliant, and sustainable under current billing rules. Validate that the experienced staff and providers will actually remain by reviewing employment agreements, non-competes, and any retention risk tied to the ownership change.
- Review the medical equipment included in the sale for age, condition, and any deferred capital needs. Turnkey claims should be verified so the buyer is not facing immediate replacement costs that effectively raise the true purchase price.