Confirm licensing, credentialing, and payer enrollment transfer
Clinical practices depend on provider credentials, facility licenses, and payer contracts that may not pass to a new owner; verify before close.
health care and fitness business for Sale in Alabama
Similar businesses sell at 1.2x to 5.9x SDE. Compare live listings and connect with sellers.
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Medical Practices
Physical Therapy Practices
Medical Practices
+1
Growing Multidisciplinary Pediatric Therapy Practice
Alabama, United States
AL, US
Confidential opportunity to acquire a growing pediatric therapy practice serving children and families in a Southeastern United States market. Founded approximately seven years ago, the practice provides occupational therapy, speech therapy, and behavioral and mental health services from one well-equipped outpatient clinic. Its specialized pediatric focus, established reputation, multidisciplinary care model, and experienced team create a strong platform for a strategic buyer or qualified owner-operator. The practice is positioned for continued expansion with infrastructure already in place. The practice treats children from infancy through young adulthood with developmental, sensory, communication, behavioral, neurological, genetic, and physical challenges. Services address fine and gross motor development, sensory processing, handwriting, classroom readiness, daily living skills, articulation, language development, social communication, emotional regulation, attention, and related functional needs. Care is primarily delivered in person, with teletherapy available when appropriate. A dedicated sensory gym and multiple private treatment rooms support coordinated care across disciplines. The business serves more than 300 active patients and schedules over 500 appointments each week. Demand is supported by local referrals, payer participation, community recognition, online visibility, and the recurring nature of pediatric therapy. The practice participates with government-sponsored and commercial insurance programs, providing broad access for area families. No individual patient represents a meaningful revenue concentration. Qualified buyers should evaluate payer credentialing, reimbursement, documentation standards, and change-of-ownership requirements during diligence. Revenue grew approximately 56 percent in 2025 to about $1.92 million after the clinic expansion and additional therapist recruitment. Adjusted EBITDA was approximately $516,000 after normalizing facility rent and including an estimated replacement cost for the owner’s administrative oversight. Revenue through August 2026 was approximately $1.44 million, representing continued growth over the comparable 2025 pace. Detailed financial statements and supporting schedules will be available to qualified buyers following execution of a confidentiality agreement. The practice employs nearly 30 W-2 therapists, including supplemental clinical staff used as needed, supported by office employees and an onsite management team. The owner works primarily remotely, focusing on payroll, performance monitoring, management follow-up, and general oversight, while providing limited clinical coverage only when needed. This operating structure reduces dependence on daily owner presence and should support an orderly transition. Key personnel are expected to be offered continued employment, subject to mutually acceptable terms. Operations are supported by an electronic medical record system, integrated digital intake forms, scheduling and billing processes, electronic patient charts, and an established payroll platform. Families complete intake information online, office personnel coordinate scheduling, payments are collected before services are delivered, and referrals are received through established channels. The practice maintains required professional licensure, payer credentialing, clinical documentation, privacy, supervision, and employment compliance procedures. The ideal buyer may be a pediatric therapy group, outpatient rehabilitation provider, behavioral health platform, healthcare services organization, private-equity-backed operator, or clinician-led entrepreneur. The sellers are prepared to assist with an orderly transition for up to six months, introduce the buyer to employees and key relationships, and enter reasonable noncompetition and nonsolicitation agreements.
$2,075,000Asking Price
$1,920,250Revenue
-Cash Flow
Home Health Care
Home Health Care
Southeast / Home Medical Equipment Provider / ADD ON / ~$0.34MM Adj.
Alabama, United States
AL, US
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 
-Asking Price
$1,270,000Revenue
$339,000Cash Flow
Market Snapshot
National transaction benchmarks for health care and fitness business businesses.
Under $500K
Median revenue$402k
Median cash flow$105k
Median sale price$175k
Multiple range1.2x - 2.5x
$500K to $2M
Median revenue$1.34m
Median cash flow$339k
Median sale price$900k
Multiple range2.3x - 3.4x
Over $2M
Median revenue$5.66m
Median cash flow$943k
Median sale price$5.04m
Multiple range3.6x - 5.9x
A variety of factors can cause businesses to trade outside this range, including earnings quality, operational transferability, key-person risk, growth trajectory, and geography, so a listing priced above or below the typical multiple usually reflects real differences in the underlying business.
What to know about health care and fitness business acquisitions
GW
Cofounder & CEO
Key diligence, valuation, financing, and transition considerations for buyers evaluating health care and fitness business acquisitions.
Understand the payer and reimbursement mix
A practice heavy in one insurer or in declining reimbursement carries different risk than cash-pay or membership; get revenue by payer and the trend.
Quantify provider and owner dependence
The dentist, physician, or lead trainer often is the practice — know who holds the patients or members and what non-competes are in place.
Separate recurring memberships from fee-for-service
Gyms live on retention; high churn behind a growing top line is a warning. Get gross and net retention, not sign-ups.
Review compliance and liability standing
HIPAA, billing audits, malpractice history, and inspections are real liabilities; confirm coverage and open matters.
Assess equipment, facility, and deferred capital
Clinical equipment and fitness build-outs age and date — and a gym relocation alone can run $100K–$500K. Budget what's been deferred.
Frequently Asked Questions
Answers to common buyer questions for this market.
Yes, helped by recurring revenue. Lenders weigh provider transfer, payer concentration, and credentialing, so a practice that runs beyond the owner funds most easily.