18-Year Practice | Strong Physician Referrals | $550K Down

Exceptional opportunity to acquire a highly profitable, established gastroenterology practice with 18 years of operating history, strong physician referral relationships, and significant expansion potential.

The practice generated $2.668 million in revenue and $1.855 million in Seller's Discretionary Earnings (SDE) for the trailing twelve months ending September 2026, representing an impressive 69.5% SDE margin.

Investment Highlights:

• $2.37M average annual revenue (2023–TTM September 2026)
• $1.616M average annual SDE (2023–TTM September 2026)
• $2.668M trailing twelve-month revenue
• $1.855M trailing twelve-month SDE
• $5.1M asking price (2.75x TTM SDE)
• Strong network of 50–60 referring physicians
• Consistent patient demand and established reputation

ESTABLISHED PRACTICE WITH STRONG REFERRAL SOURCES:

Operating since 2008, the practice has developed longstanding relationships with referring physicians throughout the region, providing a consistent source of new patients and sustained demand for its specialized services.

The practice benefits from an established reputation, experienced clinical and administrative staff, and strong relationships within the regional healthcare community. Its history of consistent patient demand and established referral network provide a solid foundation for continued success under new ownership.

SIGNIFICANT GROWTH OPPORTUNITIES:

Despite its strong historical financial performance, the practice offers meaningful opportunities for continued growth and expansion.

Established physician referral relationships, consistent patient demand, and an existing operational infrastructure provide a solid foundation for a new owner to expand services, increase patient capacity, and further develop the business.

Several opportunities have been identified that could potentially increase revenue and profitability without requiring the development of a new practice from the ground up.

SBA Financing Illustration: Approx. $548,000 down

• Interest Rate: 9% (modeled at Prime + 2%)
• Amortization: 10 Years
• Down Payment: 10%

• Purchase Price: $ 5,100,000
• Estimated Buyer Equity: $548,000
• Working Capital: $200,000
• SBA Guarantee Fee: $142,560
• Closing Costs: $30,000
• Total SBA Loan: $4,924,560

• Existing TTM cash flow: $1,855,000
• Owner Benefit Net of Debt Service: $1,106,413
• Illustrative Cash-on-Cash Return: 201.9%

Estimated Debt Service:

• Monthly SBA Debt Service: $62,382

• Annual SBA debt service: $748,587

Based on reported TTM SDE of $1.855 million, the model indicates approximately $1.106 million remaining annually after estimated loan payments, before replacement physician compensation, etc.

These figures are illustrative only and are not a financing commitment. Actual loan terms, required equity, interest rate, eligibility, and approval are subject to SBA lender underwriting.

QUALIFIED BUYERS

California medical practice ownership requirements apply. This opportunity is particularly attractive to a licensed gastroenterologist, established physician group, or healthcare organization capable of completing a legally compliant acquisition.

Additional financial information, operational details, and the Confidential Information Memorandum are available to qualified buyers upon execution of a nondisclosure agreement.

Next Steps - NDA & Proof of Funds Required

You may complete the NDA now using the link below. Please provide the first page of your bank or brokerage statement, or online snapshot (with account number redacted), showing at least $500,000 down payment as your Proof of Funds.

✅ Upon receipt of your signed NDA and proof of funds, you will receive access to our complete due diligence package via a secure Box.com link..

Contact Darin Jerger or Jesse Grant for details on all of our Premier Listings.

Darin Jerger : 949 793 2999

Jesse Grant : 239 989 6930