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SOUTH TEXAS PAIN CLINIC | $1.3M SDE | $10M A/R | SIGNIFICANT ANCILLARY GROWTH POTENTIAL Rare opportunity to acquire a highly profitable and well-established Pain Management Practice located in South... Businesses Franchises Brokers Loading... Very Profitable Pain Clinic- South Texas ! Laredo, TX (Webb County) Asking Price:$8,500,000 Cash Flow (SDE):Not Disclosed EBITDA:$1,300,000 Gross Revenue:$3,000,000 Real Estate:Not Disclosed Established:2006 Very Profitable Pain Clinic- South Texas ! Business Description Gross Revenue of $3 Mil with $1.3 Mil SDE SOUTH TEXAS PAIN CLINIC | $1.3M SDE | $10M A/R | SIGNIFICANT ANCILLARY GROWTH POTENTIAL Rare opportunity to acquire a highly profitable and well-established Pain Management Practice located in South Texas. Proof of Funds, or a Lender Pre-Qualification Letter is required. The practice generates approximately $3 million in annual revenue and approximately $1.3 million in adjusted Seller's Discretionary Earnings. The business is supported by an experienced team, established referral relationships, and a strong market presence. A significant value driver is the practice's substantial growth potential. Currently, MRI services, X-rays, and surgical procedures are referred to outside providers. A strategic buyer with the ability to internalize some or all of these services may be able to significantly increase revenue, profitability, and enterprise value. Highlights • Approximately $3 Million Annual Revenue • Approximately $1.3 Million Adjusted SDE • Approximately $10 Million Accounts Receivable • Approximately 18 Employees • Established Referral Network • Strong Reputation in the Market • Turnkey Operation • Significant Ancillary Service Expansion Opportunities Ideal Buyer • Pain Management Groups • Multi-Specialty Physician Practices • Ambulatory Surgery Center Operators • Healthcare Consolidators • Private Equity-Backed Healthcare Platforms Detailed information available to qualified buyers following execution of a Confidentiality Agreement. Ad#:2515246 Attached Documents Laredo Pain Clinic s Tea... Detailed Information Furniture, Fixtures, & Equipment (FF&E): $1,500,000 Included in asking price Employees: 18 Full-time Great Team in Place. Facilities: The Clinic is housed in one of the Busiest Medical Centers in Laredo Texas. It is close to 3.000 Square Feet. Competition: There is competition but this is one of the most established and well-known Clinics in Laredo and has a network of referring sources such as other clinics, hospitals, attorneys, former patients. Growth & Expansion: There is a great opportunity to expand the Practice by adding a Surgical Center, MRI Machine, XRays to the business. This would make a big difference to the bottom line Support & Training: The Seller is open to staying on for up to several years as a Minority Partner. Reason for Selling: The Doctor is getting older and wants to work two to three years more. Business Location Location: Laredo, TX Real Estate: Owned Demographic Information for Laredo Area Household Income Population Age Population Trend Population by Race/Ethnicity BizBuySell EDGE Financial Benchmarks for Texas 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: Alan Mehrez United Realty Group View My Listings Phone Number 954-866-1579 Voice only (no SMS) Ad#:2515246 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 Amount to Invest Optional Message Yes, send me the Buyer Newsletter for popular businesses, tips, & email promotions. Show sellers you’re serious - learn about BizBuySell Edge for premium buyer tools & alerts Send Message By clicking the button, you agree to BizBuySell’s Terms of Use and Privacy Notice Business Listed By: Alan Mehrez United Realty Group View My Listings Phone Number 954-866-1579 Voice only (no SMS) Your request has been sent. What Happens Next? is reviewing your details. A representative will reach out soon to discuss your options. Expect a response in 1-2 business days. 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Why we like it
- Earnings quality is strong on paper with roughly $1.3M SDE on $3M revenue, a 43 percent margin that reflects a mature practice with real referral-driven demand rather than paid acquisition. The business has operated since 2006, so this is proven cash flow across multiple economic cycles rather than a recent spike.
- Pain management is durable and largely non-discretionary. Patients in chronic pain seek treatment in any economy, and the clinic's moat is its 18-year reputation and a referral web spanning hospitals, other clinics, attorneys, and former patients that a new entrant cannot replicate quickly.
- The ancillary expansion thesis is genuinely compelling because the demand already exists in-house. MRI, X-ray, and surgical volume is currently referred out, meaning a buyer who internalizes imaging and adds an ASC captures margin the clinic is already generating for competitors.
- The seller de-risks the transition materially by offering to stay on as a minority partner for two to three years. In a physician-dependent practice, clinical and payer continuity is everything, and a phased exit protects referral relationships and license transfer during the handover.
How to improve it
- Attack the accounts receivable immediately. A $10M A/R against $3M revenue signals slow-paying personal-injury liens or aged claims, so bring in a specialized medical billing and collections team to convert stale receivables to cash and tighten the revenue cycle within the first quarter.
- Internalize imaging as the fastest ancillary win. Adding an in-house MRI and X-ray capability captures technical fees on volume the clinic already refers out, and this is executable well before an ASC because it requires less capital, less licensing, and shorter build-out.
- Build toward an ambulatory surgery center as the second-phase value creator. Model the CON, licensing, and capex requirements in Texas, and structure a joint venture with the retained physician to align incentives and accelerate procedure migration in-house.
- Diversify and stabilize the payer mix. Map current reliance on personal-injury and lien-based patients versus commercial and Medicare, then negotiate improved commercial contracts to reduce dependence on unpredictable litigation-driven collections.
- Reduce single-physician key-person risk by recruiting one or two additional providers during the seller's two to three year retention window. This protects continuity, expands capacity, and materially de-risks the eventual departure of the founding doctor.
- Implement operational reporting and modern practice management systems if not already in place. Clean dashboards on visits, referral sources, collections, and per-provider productivity will surface leakage and support both operations and a future resale story.
- Formalize and deepen the referral network through documented relationships and outreach. Referral revenue that lives in one physician's relationships is fragile, so codify these ties into the practice brand and add a dedicated liaison role to protect them.
Diligence notes
- Scrutinize the $10M accounts receivable line above all else. This exceeds three years of revenue and is a red flag for aged, disputed, or lien-based claims that may collect at pennies on the dollar, so demand an A/R aging schedule and independent collectibility analysis before assigning it any value.
- Validate the payer and case mix. Pain clinics in South Texas often lean heavily on personal-injury and attorney-referred patients, which introduces regulatory, ethical, and collection risk, so quantify how much SDE depends on litigation-driven volume versus stable commercial and Medicare payers.
- Confirm the SDE add-backs and reconcile the EBITDA versus SDE discrepancy. The listing shows $1.3M as both EBITDA and SDE, which cannot both be true, so obtain three years of tax returns and financials to pin down normalized owner earnings and physician compensation.
- Assess physician dependence and licensure transfer. Determine how much revenue is tied directly to the retiring doctor's personal reputation and DEA/controlled-substance prescribing authority, and confirm what happens to referral flow and payer contracts when he ultimately exits.
- Review regulatory and compliance exposure specific to pain management. Opioid prescribing scrutiny, Stark and anti-kickback rules on referral arrangements, and any prior audits or investigations must be examined given the elevated regulatory risk in this specialty.
- Clarify the real estate. The listing states the facility is owned and sits inside a busy medical center, but real estate is not clearly included in the asking price, so confirm whether the property conveys, is leased back, or must be purchased or rented separately.
Source
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