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Florida Internal Medicine Practice For Sale

Indian River County, Florida, US
Asking Price:
$525,000 Furniture / Fixtures included
Sales Revenue:
$1,019,290
Cash Flow:
$264,775

This well-established Internal Medicine practice on Florida's East Coast has served its community for more than 35 years. Located in a fast-growing Treasure Coast market with strong Medicare demographics and a documented primary care physician shortage, this is a turnkey ownership opportunity for an individual physician transitioning from employment into practice ownership — or for an existing group seeking strategic expansion into one of Florida's most demographically favorable healthcare markets.

The practice operates from an approximately 3,000 sq. ft. facility with 8 exam rooms (including a dedicated procedure room), an in-house lead-walled digital X-ray suite, monthly ultrasound services, and minor surgical capabilities. It is a true one-stop primary care office — the kind that has become increasingly rare as smaller offices consolidate into hospital systems that strip out procedural and imaging components. The practice runs Monday through Friday, 7:30 AM to 5:30 PM, with a walk-in workflow that keeps the office open through lunch using rotating staff coverage. EMR is eClinicalWorks across 22 workstations.

FINANCIAL SNAPSHOT
The practice generated approximately $1.25M in gross revenue and $388K in Seller's Discretionary Earnings (SDE) in 2024, on a three-provider operation that delivered more than 10,000 patient visits. Over the 2022–2024 period, the practice averaged $1.22M in annual revenue and approximately $430K in annual SDE at a ~35% margin — a stable, mature primary care operation.
In mid-2025, two associate providers departed and the founding physician has continued solo. 2025 results reflect that single-provider operation: approximately $1.02M in revenue and $265K in SDE. Patient demand remained resilient — approximately 2,400 unique patients seen in 2025 with 323 new patients added organically, without any paid marketing program.

THE VALUE THESIS
The asking price of $525,000 is structured to reflect the depressed 2025 earnings rather than the three-year historical norm. At this price, the practice trades at approximately 2.0x trailing SDE — but only 1.22x the three-year average SDE (2022–2024). For a physician buyer who can fill the second-provider seat, the restoration path back toward 2024-level earnings is straightforward and does not require building new patient demand. The patient panel, infrastructure, and trained staff are already in place.

DEAL STRUCTURE

  • Asking Price: $525,000
  • Cash at Close: $425,000
  • Seller Financing: $100,000 carryback note to qualified physician buyer, secured by practice assets and personal guaranty
  • Earnest Money: $25,000 to open escrow
  • Accounts Receivable: Excluded from sale
  • Real Estate: Asking Price: $1,095,000. Owned separately by seller; available for lease or purchase, with seller-leaseback structure available to buyer

SELLER TRANSITION
The founding physician has committed to remain clinically active for approximately one year post-close to support patient retention and operational continuity — roughly four times the typical brokered transition window.

WHO THIS IS FOR
(1) An individual physician seeking to move from W-2 employment into practice ownership without the cold-start risk of greenfield development, or (2) an existing group practice seeking expansion into the Treasure Coast region with an established patient panel and operational infrastructure already in place.

NEXT STEPS
A full Confidential Information Memorandum is available to qualified buyers upon execution of a non-disclosure agreement. Detailed financials, payer contracts, demographic reports, facility photographs, and a meeting with the seller are made available during due diligence. Contact the broker to begin the process.

In Association with ParaSell, Inc. | A Licensed Florida Broker

Property Information

Real Estate:

Real Property Included

Location:

Indian River County, FL

Premises Details:

~3,000 sq ft office with 8 exam rooms including a dedicated procedure room. Lead-walled digital X-ray, monthly ultrasound, minor surgery. Dual waiting rooms with separate check-in, 22 workstations on eClinicalWorks EMR, private physician office, office manager suite, billing room, kitchen, 3 baths. Building separately owned; lease or purchase available, seller-leaseback structure to buyer.

Size in square feet:
3,000 sq ft

Business Operation

Management type:
This business is owner operated.
Expansion Potential:

The most immediate lever is restoring the practice toward 2024 performance (~$1.25M revenue, ~$388K SDE) by adding a second provider — patient demand and infrastructure already exist. Beyond that, several modern revenue streams remain untapped: Chronic Care Management and Remote Patient Monitoring on the Medicare panel, Annual Wellness Visit maximization, and a refreshed digital presence with online scheduling. Adding a mid-level provider (PA or NP) in year two is supported by the 8-room facility, walk-in workflow, and unmet market demand

Competition / Market:

Located on Florida's East Coast in the Treasure Coast region — one of the state's fastest-growing markets, driven by retiree migration and family relocation. The area has a higher-than-national-average proportion of Medicare-aged residents and a documented shortage of primary care physicians, producing longer wait times at competitors and strong patient retention at established practices. Existing payer mix is balanced at 45% Medicare, 45% commercial, and 10% self-pay/Medicaid/TRICARE — no single-payer concentration risk.

Reasons for selling:

After 35 years building this practice, the founding physician is transitioning toward retirement. The seller seeks a clinically committed physician buyer who will preserve the patient-first, relationship-driven model — and has agreed to remain clinically active for approximately one year post-close to support a thoughtful transition and patient retention.

Years established:
1991

Other Information

Support & training:

The founding physician — at this practice for 35+ years — has committed to remain clinically active for approximately one year post-close, roughly four times the typical brokered transition window. This provides meaningful clinical and patient-relationship overlap during a new owner's first year, when patient retention and workflow learning carry the highest risk.

Owner financing:
Owner financing is available. Please contact the seller for more information.
Financing available:

$100,000 carryback note to qualified physician buyer, secured by practice assets and personal guaranty