health care and fitness business for Sale in Alabama

Southeast / Home Medical Equipment Provider / ADD ON / ~$0.34MM Adj.

Southeast / Home Medical Equipment Provider / ADD ON / ~$0.34MM Adj. Company Overview The Company is an established home medical equipment (HME) provider operating across two locations in the Southeast, delivering essential, insurance-reimbursed products for patients with respiratory conditions, sleep disorders, and mobility impairments. The business has built a strong regional reputation through an eight-year operating track record and consistent recognition for service quality, driven by deep physician referral relationships and high-touch patient care.  The Company provides a full suite of durable medical equipment, including oxygen therapy, CPAP/BiPAP devices with automated resupply, ventilators, airway clearance systems, power wheelchairs, and hospital beds. Its model combines recurring rental/resupply revenue with higher-ticket capital equipment sales, creating a balanced revenue profile with both stability and upside.  A key driver of performance is a highly recurring revenue base supported by over 2,000 active patients enrolled in automated resupply programs, generating predictable monthly cash flow with minimal acquisition cost. All patient volume is sourced through physician referrals, creating a defensible, zero-marketing acquisition model and strong payer relationships across Medicare, commercial insurers, and managed care providers.  The Company operates with a lean team and centralized administrative structure, supported by dual-location inventory enabling same-day delivery across its service region. Regulatory barriers, including federal accreditation and payer credentialing, further reinforce its competitive positioning and limit new market entrants.  The business operates within a large, fragmented, and recession-resistant healthcare market, benefiting from long-term tailwinds including an aging population, increased prevalence of chronic conditions, and a structural shift toward home-based care delivery. Key KPIs Financial Performance • Revenue (2025): ~$1.27M • Adjusted EBITDA (2025): ~$339K • Adjusted EBITDA Growth (3-Year): +591% • Gross Margin (2025): ~82–83%  Recurring Revenue & Patients • Active Patients: 2,000+ • Revenue Model: Recurring monthly resupply + equipment rentals • Referral Source: 100% physician-driven (no marketing spend)  Unit Economics • CPAP Resupply: Recurring monthly revenue per patient • Complex Rehab Equipment: $20K–$80K per engagement • Non-Invasive Ventilation: $30K–$40K monthly contribution (program-based)  Revenue Mix • Medicare: ~45% • Blue Cross Blue Shield: ~25% • Other Commercial Payers: ~30% • Recurring vs. Equipment: Predominantly recurring with high-margin capital equipment overlay  Operations • Locations: 2 • Employees: ~8 • Service Model: Same-day delivery + 24/7 support capability • Accreditation: HQAA certified through 2028  Competitive Positioning • Regulatory Barrier to Entry (Medicare accreditation) • Physician Referral Network (primary growth engine) • Recurring Patient Base with High Lifetime Value • Award-Winning Local Reputation (6 awards in 7 years)  Growth Opportunities • Complex Rehab Expansion (5x potential) • Ventilator Program Rollout (new recurring revenue stream) • Untapped Marketing / Patient Acquisition  Market Context • Industry Size: $85B+ U.S. DME market • Providers: ~8,000 (highly fragmented) • Growth Rate: ~6%+ CAGR