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.
Similar businesses sell at 1.2x to 6.3x SDE. Compare live listings and connect with sellers.
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Three years ago, two visionary entrepreneurs recognized an underserved need in the Northern Columbus healthcare landscape. With a clear mission to bring big-clinic expertise to their community while maintaining the warmth of small-town care, they established this franchise Physical Therapy Center that would become a cornerstone of local wellness. From day one, the founders understood that healing extends beyond clinical treatment. They invested in specialized equipment typically found in major metropolitan facilities, yet fostered an environment where every patient feels like family. This unique approach quickly resonated with the community, establishing deep roots and generating strong word-of-mouth referrals. As the practice evolved, so did its services. Recognizing emerging healthcare trends, the team expanded into comprehensive pelvic floor therapy with advanced level 1 and 2 certifications. They pioneered cash-based services including dry needling, positioning themselves ahead of industry shifts toward direct-pay models. The addition of retail merchandise created new revenue streams while serving patient convenience. The clinic's specialized focus on balance and fall risk prevention proved particularly prescient, perfectly timing with the aging baby boomer demographic's growing needs. Their expert doctors now provide the full spectrum of care - from pre-surgical preparation through post-surgical rehabilitation, sports injury recovery, and preventive wellness services. Perhaps most remarkably, the founders assembled an exceptional team whose dedication drives continuous growth. This staff, committed to staying through ownership transition, represents years of careful hiring and culture-building that money cannot buy. Today, this turnkey operation stands as proof that combining clinical excellence with genuine community care creates sustainable success. The next owner inherits not just a profitable healthcare business, but the opportunity to continue a meaningful story of healing and community service in one of healthcare's most stable and growing segments. This is more than an acquisition - it's an invitation to steward a legacy while writing the next chapter of community impact.
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A well-established, fully licensed outpatient behavioral-health and counseling practice in Northeast Ohio is available for acquisition. Built over approximately six years into a stable, multi-clinician agency, the practice delivers individual counseling, medication management, peer support, and structured group programming from a leased, downtown office suite. It is dually credentialed — certified by the Ohio Department of Mental Health & Addiction Services (OhioMHAS) and nationally accredited by CARF — with both credentials secured through 2029. Investment Highlights • Dual credentialing in place — OhioMHAS certification and CARF accreditation, both valid through 2029 — roughly a 2.5-year runway before the next renewal cycle. • Broad payer access — in-network with six commercial insurers and all Ohio Medicaid plans; ~80% of clients are in-network, supporting steady insured demand. • Diversified referral base — families, online search, county agencies and courts, physicians, and attorneys, plus a formal county probation/court program contract — no single source dominates. • Multi-disciplinary team — 8 licensed providers (including a nurse-practitioner prescriber) plus 2 administrators; all W-2, with health insurance, a 401(k), and signed non-compete / non-solicitation agreements. • Documented, transferable operations — a ~400-page policy-and-procedure manual and modern, transferable EHR, billing, and telehealth systems. • Clean risk history — no malpractice claims, board complaints, licensing actions, or employment disputes. • Clear growth runway — reactivate paid marketing, expand telehealth (currently ~10% of visits), grow group programming, and fill an open clinical seat.
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This business operates as an accredited international medical education platform offering structured pathways from pre-medical studies through a full Doctor of Medicine program, with academic instruction delivered at an offshore campus and clinical training conducted through affiliated hospitals in the United States. It serves a diverse, global student population and generates revenue through a recurring tuition-based model supported by multiple program entry points and ongoing student progression. Operations are supported by recognized accreditation standards, established academic infrastructure, and a network of clinical partnerships, creating meaningful barriers to entry. The platform is positioned to benefit from sustained demand for medical education driven by global physician shortages, while also offering opportunities to enhance performance through enrollment growth, program expansion, and optimization of pricing and student financing initiatives.
National transaction benchmarks for health care and fitness business businesses.
Under $500K
$500K to $2M
Over $2M
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.
Cofounder & CEO
Key diligence, valuation, financing, and transition considerations for buyers evaluating health care and fitness business acquisitions.
Clinical practices depend on provider credentials, facility licenses, and payer contracts that may not pass to a new owner; verify before close.
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.
The dentist, physician, or lead trainer often is the practice — know who holds the patients or members and what non-competes are in place.
Gyms live on retention; high churn behind a growing top line is a warning. Get gross and net retention, not sign-ups.
HIPAA, billing audits, malpractice history, and inspections are real liabilities; confirm coverage and open matters.
Clinical equipment and fitness build-outs age and date — and a gym relocation alone can run $100K–$500K. Budget what's been deferred.
Answers to common buyer questions for this market.