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 Virginia
Similar businesses sell at 1.2x to 5.9x SDE. Compare live listings and connect with sellers.
3 results
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Medical Practices
Physical Therapy Practices
Medical Practices
+1
Highly Profitable Pediatric Therapy Practice
Virginia, United States
VA, US
Confidential opportunity to acquire a highly profitable pediatric occupational and physical therapy practice serving families in a large Mid-Atlantic metropolitan market. The practice has developed an excellent regional reputation, strong referral relationships, and a broad range of services addressing developmental, sensory, motor, feeding, gait, and other pediatric therapy needs. The company provides approximately 2,000 treatment visits per month from two established leased locations. The practice combines core pediatric occupational and physical therapy with differentiated specialty programs that broaden its clinical reach and distinguish it from smaller providers. Services extend from infancy through adolescence and young adulthood and include onsite treatment, virtual options, parent education, and selected contracted services. Coordinated relationships with complementary providers allow families to access additional care while preserving the practice's focused operating model. Trailing-twelve-month revenue through July 2026 was approximately $3.27 million, with adjusted EBITDA of approximately $1.13 million, representing a margin of roughly 34%. Revenue has recovered from a temporary staffing-related decline in 2025, supported by improved reimbursement and renewed clinician capacity. The business maintains minimal cost of goods sold and operates on an asset-light service model. Detailed financial information will be available to qualified buyers after execution of a confidentiality agreement. Demand remains strong, with an active waitlist of approximately 80 prospective patients and recently hired clinicians ramping toward full caseloads. Patient flow comes from longstanding referral relationships, insurance participation, digital marketing, community outreach, and word-of-mouth recommendations. No individual patient or referral source represents a material revenue concentration. Established clinical leadership, office management, billing, scheduling, and administrative systems support limited owner involvement. The owner devotes approximately 10 to 15 hours per week to leadership, personnel decisions, growth initiatives, and strategic oversight rather than routine treatment delivery. An integrated practice-management platform supports scheduling, documentation, patient access, billing, and collections. The ideal buyer is a pediatric therapy platform, occupational or physical therapy group, strategic healthcare-services organization, clinician-led operator, or private-equity-backed platform. A buyer with recruiting, payer-contracting, and administrative resources could build on the existing team, referral base, specialty programs, and infrastructure. This opportunity combines longevity, profitability, recurring demand, experienced leadership, and visible growth capacity. Limited owner dependence should support an orderly transition, while the active waitlist and expanded clinical capacity provide actionable near-term upside.
$5,500,000Asking Price
$3,273,079Revenue
-Cash Flow
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Medical Practices
Medical Practices
Multi Provider Multi-Location Direct-Pay Functional Medicine Practice
Fairfax County, Virginia, United States
Fairfax County, VA, US
Confidential opportunity to acquire an established, multi-location integrative and functional medicine practice serving an affluent Mid-Atlantic metropolitan market. The practice has operated for approximately two decades and has developed a recognized regional reputation for personalized, physician-led care delivered through a 100% direct-pay model. The business does not bill commercial insurance, Medicare, or Medicaid, eliminating payer-mix exposure, reimbursement delays, coding disputes, and collection risk associated with traditional medical practices. The practice provides a broad range of recurring wellness and specialty-care programs, including hormone optimization, medical weight management, longevity and regenerative medicine, peptide protocols, intravenous therapies, chronic-condition support, cardiovascular risk reduction, sexual wellness, advanced laboratory evaluation, nutritional products, and personalized treatment planning. Patients begin with a comprehensive assessment and laboratory workup before enrolling in an appropriate annual program. Programs may be paid in a single installment or through structured payment arrangements, creating predictable revenue and strong patient continuity. The business serves hundreds of active program participants, with most enrolled under twelve-month agreements and a high historical renewal rate. A meaningful portion of annual revenue is generated from renewals, providing an attractive base of recurring business before new-patient acquisition. Revenue is diversified across memberships, clinical services, therapies, medications, laboratory testing, diagnostics, supplements, and related products. No individual patient, program, provider, or referral source represents a material concentration of revenue. The practice operates from several professionally appointed leased clinics and requires no owned real estate. Its asset-light structure includes office furniture, computer equipment, exam tables, specialized medical equipment, secure access systems, and other assets necessary to continue operations. The locations are supported by established third-party laboratory, pharmacy, and medical-supply relationships. The practice does not own or operate a laboratory or compounding pharmacy. Clinical services are delivered by an experienced multi-provider team that includes physicians, an advanced-practice provider, nurses, and patient-care coordinators. A full-time general manager oversees business operations, sales, and administrative execution, reducing the founder's involvement in nonclinical activities. Key personnel are expected to support an orderly ownership transition. The lead physician is willing to remain on a reduced clinical schedule for an extended transition period, while existing management can provide operational continuity. The practice uses an integrated electronic health record, patient portal, scheduling, enrollment, payment, and practice-management platform. New patients complete intake materials electronically, including health history, consent documentation, and payment information. The direct-pay model allows payment to be collected at enrollment or according to an approved installment schedule. Major credit cards and healthcare spending accounts are accepted, improving accessibility while maintaining favorable cash-conversion characteristics. Annual revenue has remained near $2.9 million despite inconsistent marketing performance, regional economic softness, provider-recruiting challenges, and underperformance at a newer location. The current full-year pro forma projects approximately $2.9 million in revenue and approximately $383,000 in adjusted EBITDA after including market-rate replacement clinical compensation. A physician buyer assuming the lead clinical role may realize substantially greater owner-operator cash flow.
$1,625,000Asking Price
$2,881,176Revenue
-Cash Flow
Home Health Care
Home Health Care
Well Established Home Health Care Business!
Richmond, Richmond (City) County, Virginia, United States
Richmond, Richmond (City) County, VA, US
Well Established Home Health Care Business for Sale in Richmond, VA. This highly regarded company has built a solid reputation over the years and currently serves approximately 60 clients, 3 started services in 2024. The services offered include personal care, respite care, and private duty. With great management in place, the owner's involvement in the day-to-day operations is minimal. This successful business presents lucrative opportunities for growth, as evidenced by the acquisition of five new clients in January of 2024. The retiring owner is willing to offer support and training during the transition. Some financing options are available. Don't miss the chance to own this established home health care business in a thriving market. Average billable hours per week are about 3300 to 3500.
$3,950,000Asking Price
$3,065,505Revenue
$865,466Cash 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.