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Florida Primary Care Practice 1,558 Medicare Advantage Lives For Sale

Marion County, Florida, US
Asking Price:
$1,800,000 Furniture / Fixtures included
Sales Revenue:
$702,869
Cash Flow:
$115,493

THIS IS NOT AN EARNINGS ACQUISITION. IT IS A PANEL ACQUISITION.

A 30+ year solo-physician family medicine practice in North Central Florida is available. Its principal asset is not its income statement. It is 1,558 Medicare Advantage lives - a concentrated senior panel, managed for chronic disease, in one of the most Medicare-dense counties in the United States.

At the $1,800,000 offering price, that panel transfers at approximately $1,155 per Medicare Advantage life.

For context, ECG Management Consultants - writing for the American Health Law Association - reports that non-health system buyers "might pay up to $12,000 per Medicare Advantage life" for primary care practices, precisely because of the value of managing that population under risk-based contracts. The gap between those two numbers is the opportunity here.

WHY THE GAP EXISTS

Plainly: a retiring solo physician never monetized the panel he built.

  • The office is open 32 scheduled hours per week and closes at 3:00 p.m. (noon Fridays).
  • It holds NO capitated contracts.
  • It joined an Accountable Care Organization (ACO) in 2024 and has taken NO shared savings.
  • It has NO website, no online scheduling, no SEO, no advertising, no business cards.
  • 2025 revenue was $702,869 with $115,493 of discretionary earnings.

Every one of those is a lever the seller could not pull and a buyer can. Asked to name the biggest bottleneck in the business, the owner answered in three words: "Probably my time."

WHAT YOU ACQUIRE

  • 1,558 Medicare Advantage patients. More than half of all patients are 65+; pediatric patients are rare.
  • A genuinely comorbid panel: diabetes, hypertension, hyperlipidemia, thyroid disorders, renal failure, CHF, atrial fibrillation, CAD, PAD, fatty liver disease, metabolic syndrome the exact clinical profile that drives riskadjusted revenue in a valuebased model.
  • ACO participation already in place, with none of its economics harvested.
  • Caremanagement muscle already in the building: the medical assistants already make the chronic care management calls. The hardest thing to buy in a valuebased rollout staff who will actually work a panel between visits is already habit here.
  • Six longtenured employees, two with 25+ years of service. Ownership anticipates the team would remain postclose.
  • A clean compliance record: no litigation, liens, OIG integrity agreements, program exclusions, HIPAA breaches, or outstanding taxes.
  • ~10 new patients per month, arriving on reputation alone. ~4.5star average online.
  • Real estate available separately at $675,000 (approx. $218/SF), or lease at $4,650/month NNN.

THE MARKET

Florida is one of only seven states where more than 60% of Medicare beneficiaries are enrolled in Medicare Advantage. The county is among Florida's oldest and fastest-growing: per the U.S. Census Bureau, 29.7% of its 442,660 residents are 65 or older - against 18.0% nationally - and the population has grown 17.8% since 2020.

THE CANDID RISK

The owner is retiring, will not remain post-close, does not plan to practice in the area, and will sign a standard non-compete. In a solo practice that is the central risk in any acquisition, and it is why the panel is priced where it is. What offsets it: chronic-care patients who do not casually relocate their care (some have been with the practice 30 years), a staff expected to stay, a flexible transition, and a $300,000 seller-carryback note that keeps the seller invested in a successful handoff.

TERMS

$1,800,000 offering price. $1,500,000 cash at close; $300,000 seller carryback to a qualified physician buyer, secured by practice assets and personal guaranty. $25,000 minimum earnest money. Accounts receivable excluded. Real estate offered separately.

Presented to qualified, NDA-executed parties only. Contact the broker for the Confidential Information Memorandum.

Property Information

Location:

Marion County, FL

Premises Details:

Approximately 3,095 SF single-story medical office, owner-occupied, in an established North Central Florida medical market. Waiting area seats 10-12; exam and procedure space, provider offices, two MA/nursing stations, conference room, staff lounge, storage. Ownership believes it supports one more provider. Real estate available separately: buy at $675,000 (~$218/SF) or lease at $4,650/mo NNN.

Size in square feet:
3,095 SF

Business Operation

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

Nearly every growth lever is untouched. Convert 1,558 Medicare Advantage lives from fee-for-service into value-based, per-member economics. Harvest ACO participation that has produced zero shared savings to date. Extend the 32-hour schedule - the owner names competitors' longer hours as his chief weakness. Add a provider into existing capacity. Build a digital front door: no website, no online scheduling, no SEO, no ads. Run Medicare Annual Enrollment outreach in a 60%+ MA market. Reinstate allergy testing and hospital rounds, stopped 2020.

Competition / Market:

Florida is one of only seven states where 60%+ of Medicare beneficiaries are in Medicare Advantage. Per the U.S. Census Bureau, 29.7% of the county's 442,660 residents are 65 or older (18.0% nationally), and population has grown 17.8% since 2020. The AAMC projects a shortfall of 20,200-40,400 primary care physicians by 2036 - a staffed, credentialed panel is harder to replicate than to build. Competitors are largely groups that rotate physicians; patients here cite continuity and access. New patient visits in 1-2 weeks; acute follow-ups often next day.

Reasons for selling:

Retirement. After more than 30 years as the practice's sole physician, the owner is retiring. He does not plan to continue practicing full-time or to remain in the area and is willing to sign a standard non-compete. He is offering a $300,000 seller-carryback note and a flexible transition period to support continuity for patients, staff, and payors.

Employees:
6
Years established:
1995

Other Information

Support & training:

Transition availability is described by the owner as "flexible" - term, compensation, and schedule by mutual agreement. He will sign a standard non-compete. A $300,000 seller-carryback note to a qualified physician buyer keeps him invested in the handoff. All six employees are expected to remain, including two with 25+ years of tenure.

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

$300,000 seller carryback to a qualified physician buyer