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 6.3x SDE. Compare live listings and connect with sellers.
2 results
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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$390k
Median cash flow$100k
Median sale price$165k
Multiple range1.2x - 2.5x
$500K to $2M
Median revenue$1.34m
Median cash flow$338k
Median sale price$900k
Multiple range2.2x - 3.6x
Over $2M
Median revenue$5.66m
Median cash flow$900k
Median sale price$5.04m
Multiple range3.7x - 6.3x
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.