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Medspa and Primary Care Practice

A hybrid primary care and cash-pay aesthetics clinic running above 50% profit margins, sold with roughly $1M of aesthetic and body sculpting equipment under two and a half years old.

Business Highlights

  • Profit margins above 50%, against a 25 to 30% industry average for medical practices
  • Roughly $1M of aesthetic and body sculpting equipment, under two and a half years old, included in the sale
  • Hormone therapy, medical weight loss, aesthetics and family or urgent care delivered under one roof
  • Two full-time nurse practitioners on staff alongside the owner physician
  • Cash-pay aesthetics carries no insurance collections or claims processing

Considerations / Questions to Ask

  • What is the revenue split between insurance-billed primary care and cash-pay aesthetics, and which carries the margin?
  • Corporate practice of medicine rules vary by state. Confirm a non-physician buyer can own this at all.
  • $1M of equipment is a large share of the price. Establish its real resale value and remaining useful life.
  • Both nurse practitioners are said to stay through transition. Under what agreements, and for how long?
  • How much of the patient base follows the owner physician rather than the clinic?

Opportunities

  • Cash-pay aesthetics avoid payor mix and claims risk entirely, which is rare in healthcare
  • Primary care patients are a captive audience for the aesthetics line, and the cross-sell is already in the building
  • The equipment investment is made, so incremental procedures are close to pure margin
  • The seller names marketing as untapped on the cash-pay side