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health care and fitness business for Sale

Similar businesses sell at 1.2x to 5.9x SDE. Compare live listings and connect with sellers.

Established Outpatient Mental Health & Counseling Practice photo
Medical Practices

Established Outpatient Mental Health & Counseling Practice

Streetsboro, OH, US

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.

$400,000Asking Price
$644,000Revenue
$184,000Cash Flow
Cash-Pay Multi-Location Outpatient Specialty Medical Services Practice photo
Medical Practices
+1

Cash-Pay Multi-Location Outpatient Specialty Medical Services Practice

Confidential

A long-established, highly profitable, 100% cash-based multi-location outpatient medical services practice. Experienced staff are in place including the use of highly efficient virtual assistants. There are multiple opportunities for growth by adding staff and/or expanding categories of service. The Practice operates out of multiple offices in the Northeast USA. The business could be operated remotely. Owner is selling due to retirement. Business Highlights: • Operates on a 100% cash model. The Practice does not participate with governmental (Medicare/Medical Assistance) or third-party commercial insurance payors and expects payment via credit card at the time of service. This practice ensures no outstanding accounts receivable balances. • High Demand & Recession Resistance: The services provided are recession-resistant and non-seasonal. • Standardized Operations: The business utilizes a standardized process for each patient. It provides limited-scope services and does not offer ongoing medical care.

$745,000Asking Price
$453,000Revenue
$322,000Cash Flow
Other Health Care & Fitness

Long Standing Psychology Practice in Northern Cook County

Cook County, IL, US

The owners of this established psychotherapy practice seek to retire. If you are a licensed behavioral analyst, LCSW, or LCPCl looking to operate your own practice at an affordable price point, this practice is for you!

$290,000Asking Price
-Revenue
-Cash Flow
Hearing Aid Practice Multi-location photo
Medical Practices
+1

Hearing Aid Practice Multi-location

Confidential

This is a well-established, multi-location hearing healthcare practice serving several communities. The business provides comprehensive hearing evaluations, advanced hearing aid technology, fittings, repairs, and ongoing patient care. Known for personalized service and strong community trust, it offers a solid foundation for a licensed provider or strategic buyer seeking growth in the hearing healthcare industry.

$450,000Asking Price
$718,306Revenue
$135,538Cash Flow
Established Physician-Led Medical & Wellness Practice in Texas photo
Medical Practices

Established Physician-Led Medical & Wellness Practice in Texas

Denton County, TX, US

Established over 10 years ago and operating from a premier, well-maintained facility in Denton County, Texas. This opportunity is a highly reputable, physician-led medical practice offering an exceptional blend of internal medicine, sports medicine, and high-margin cash-pay wellness services. This turnkey acquisition presents a rare opportunity to acquire a stable, patient-focused healthcare business with diversified revenue streams and a strong community footprint. Key Investment Highlights: * Diversified Cash-Pay Revenue Streams: Move beyond traditional insurance models with robust, high-demand ancillary services, including concierge care, medical weight loss, peptide and hormone therapy, aesthetics, IV therapy, and medical-grade skin care. * Integrated Care Model: Combines anchor primary patient care with specialized clinical services, backed by direct access to a board-certified physician rather than relying strictly on nurse practitioners. * Comprehensive Onsite Capabilities: Fully equipped to handle multiple patient needs in a single visit, offering onsite lab draws, ultrasounds, injections, biopsies, IV fluids, nebulizer treatments, and massage therapy. * Loyal & Independent Patient Base: Strong word-of-mouth reputation and excellent public reviews drive a steady stream of individual patients, eliminating dangerous revenue concentration or institutional dependencies. * Turnkey Operations & Staff: Fully staffed with a reliable, cross-trained team covering clinical, administrative, and therapeutic roles with zero current vacancies. * Clear Growth Potential: Significant upside available through expanded cash-pay offerings, enhanced digital marketing, and proactive community outreach tailored to younger and middle-aged demographics.

$480,000Asking Price
$609,540Revenue
$187,116Cash Flow
Very Profitable Midtown East Primary Care & Internal Medicine Practice photo
Medical Practices

Very Profitable Midtown East Primary Care & Internal Medicine Practice

New York, NY, US

Exceptional opportunity to acquire a highly profitable primary care and internal medicine practice in one of Manhattan's most desirable medical and professional corridors. Founded in 2002 and operating from its current Midtown East location since 2017, the practice serves an estimated 6,000 loyal patients and benefits from a dense, affluent, year-round market near Grand Central, Turtle Bay, the United Nations, major employers, residential towers, and working professionals. The practice provides comprehensive adult primary care, preventive medicine, annual physicals, vaccinations, chronic disease management, acute care, weight management, asthma and respiratory care, and related internal medicine services. It also offers a broad menu of onsite diagnostics, including EKG/ECG, audiometry, rapid flu and strep testing, PPD/Mantoux testing, peak flow, tympanometry, vital signs, and visual acuity testing. Additional offsite and ancillary services coordinated through the practice include blood testing, echocardiograms, stress testing, Holter monitoring, allergy testing, STD/HIV screening, TB testing, radiology referrals, GeneSight DNA testing, and remote patient monitoring. This is a rare chance to acquire a profitable, reputation-driven medical practice with strong brand equity, deep patient loyalty, and diversified payer relationships. The practice has an exceptional public review profile, including thousands of patient reviews and a high overall rating, helping it stand out in a competitive New York primary care market. It participates with 25+ payer contracts, including major commercial plans, and generates patients through long-standing insurance network participation, referrals, convenient Midtown access, and online appointment functionality. The website supports appointment scheduling, patient forms, prescription refill requests, referrals, online payments, and patient feedback. Financial performance is strong and stable. Net revenue was approximately $1.69 million in 2025, with approximately $620,799 of adjusted EBITDA after normalizing for a market-rate replacement physician/operator. Gross margins are approximately 92% to 93%, reflecting the highly service-oriented nature of the practice. The practice operates from leased office space. The practice is year-round, with weekday operations and limited Saturday access. The buyer should plan for physician licensure, payer credentialing, malpractice coverage, medical records and PHI compliance, DEA/regulatory requirements where applicable, and lease renewal/assignment considerations. The seller is retiring and is willing to support a thoughtful transition for up to six months, including introductions to patients, staff, payers, and referral sources, and will sign customary non-compete/non-solicit protections. The current operation is supported by staff handling billing, reception, and administration, with systems including PatientFusion scheduling, EZClaim billing, digital EMR components, and multiple payment channels. Meaningful upside exists for a buyer with healthcare operating experience. Growth opportunities include expanded digital marketing, added physician or mid-level provider capacity, extended scheduling, revenue-cycle optimization, improved systems and documentation, enhanced patient communication, ancillary service expansion, chronic care management, concierge or membership offerings, and remote patient monitoring. Ideal buyers include a New York-licensed physician, physician group, multi-site primary care platform, or MSO-backed buyer seeking a profitable foothold in a premier Manhattan market. Detailed financial statements, tax returns, payer information, lease materials, and transition details are available to qualified buyers after execution of a confidentiality agreement.

$2,200,000Asking Price
$1,693,202Revenue
-Cash Flow
Gyms & Fitness Centers
+1

Class-based Boutique Fitness Studio in Nashville

Nashville, Davidson County, TN, US

This turnkey boutique fitness studio operates under a well-established national franchise brand in a prime Nashville, TN neighborhood. The business offers structured group workout classes for all fitness levels, led by certified in-house instructors and supported by performance-tracking technology and curated in-studio audio. A new owner benefits from brand recognition, a proven operating system, exceptional instructor team, and established managers and front of house team. Prior to sharing information on the business, we will need to execute an NDA. Please submit an online inquiry through this site, and we will send you a confidentiality agreement.

$125,000Asking Price
$488,707Revenue
$53,810Cash Flow
High-Margin Pilates Studio - Northwest Valley photo
Dance, Pilates & Yoga

High-Margin Pilates Studio - Northwest Valley

AZ, US

CLICK THE BLACK SIGN IN TO INQUIRE BUTTON BELOW, VERIFY YOUR EMAIL, AND FILL OUT THE NDA TO RECEIVE A DETAILED INFO PACKET ON THE BUSINESS WITH HISTORICAL FINANCIALS AND THE ADDRESS. If you have dreamed of owning your own Pilates studio, this boutique studio in Northwest Phoenix is the perfect opportunity for you. This studio features seven premium Stott Reformer Towers and offers a highly personalized client experience that drives exceptional margins. The owner is supported by four expert instructors who know every student by name and have collectively built a close-knit community of loyal members. The sale includes social media accounts with strong branding and a stellar reputation backed by great Google reviews. New to buying a business? Here is an overview of the process (copy and paste into your browser): https://www.loom.com/share/ba362b151a144113b53ed00a6e436c59

$255,000Asking Price
$230,000Revenue
$119,000Cash Flow
Mental Health Company | St Louis MO photo
Medical Practices

Mental Health Company | St Louis MO

St Louis, MO, US

The company has operated continuously since 2013, establishing itself as a recognized and trusted outpatient mental health practice in the St. Louis market. The practice operates under a boutique model that emphasizes clinical excellence, cultural competency, and a non-corporate brand identity that resonates strongly with clients seeking skilled, grounded, human-centered therapy.

$1,200,000Asking Price
$1,575,028Revenue
$434,499Cash Flow
Established Integrative Medicine & Internal Medicine Clinic + Property photo
Medical Practices

Established Integrative Medicine & Internal Medicine Clinic + Property

Brooklyn, Kings County, NY, US

Exceptional opportunity to acquire a well-established Integrative & Internal Medicine practice with over 23 years of successful operation and an outstanding reputation in the community. This thriving medical practice offers a rare combination of long-term stability, strong patient retention, and significant growth potential for physicians, medical groups, or investors looking to enter or expand within the healthcare industry. The practice includes an impressive database of approximately 33,000 patients within the EMR/medical portal system, creating an incredible foundation for continued patient care, recurring revenue, and future expansion opportunities. The office has built a loyal patient base over more than two decades by providing high-quality internal and integrative medical care in a professional and patient-focused environment. This is a turnkey operation with established systems, experienced staff, strong community presence, and streamlined day-to-day operations already in place. The practice is ideal for an Internal Medicine physician looking to step into an established patient base, an Integrative or Functional Medicine doctor seeking immediate growth, a medical group looking to expand in the area, or an investor interested in owning a profitable healthcare business while hiring or retaining physicians to operate the practice. In addition to the practice, there is also a separate sale opportunity for the office co-op property, adding long-term real estate value and investment potential. This is a unique opportunity to acquire a respected medical practice with an extensive patient database, strong community presence, and a long-standing history in a growing healthcare market. Serious inquiries only.

$290,000Asking Price
$721,178Revenue
$414,240Cash Flow
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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

By George Wellmer

Cofounder & CEO

Key diligence, valuation, financing, and transition considerations for buyers evaluating health care and fitness business acquisitions.

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.

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.