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Healthcare-Focused Construction Firm
Construction management and general contracting firm specializing in healthcare and institutional projects, generating $7M in revenue with $1.7M in owner earnings and 24% SDE margins.
Business Highlights
- Healthcare-focused construction management and general contracting firm with 23+ years of operating history.
- $7M in revenue with $1.7M in SDE and EBITDA (24% margin).
- 32-person team with deep expertise in infection control and occupied-facility construction.
- Specializes in active healthcare facilities, laboratories, and medical campuses, including regulated environments.
- Operates across multiple western states.
- Serves as construction manager, general contractor, design-builder, and owner's representative.
- Two senior employees with ownership experience ready to lead operations post-transition.
- Long-track-record client base across major healthcare systems, research institutions, and life sciences companies.
Considerations / Questions to Ask
- How concentrated is revenue across the top healthcare and institutional clients, and what does formal contract transfer look like?
- What is the backlog and active project pipeline value, and how does it compare to historical run rate?
- What is the structure of the 32-person team (W-2 vs. contractor), and what is retention risk across senior staff?
- What regulatory credentials transfer with the sale (state contractor licenses, healthcare-specific certifications, prequalifications with major healthcare systems)?
- What does the bonding capacity look like and what is the relationship with the surety provider?
- What insurance coverage is in place (general liability, professional liability, builders risk) and what does the loss history look like?
- How dependent is client retention on the owner's personal relationships vs. transferable to the two senior employees and operating team?
- What does the project margin distribution look like (best vs. worst projects), and what drives variance?
Opportunities
- An operator or strategic acquirer with construction industry experience and familiarity with project-based operations, crew management, and contractor relationships would support a smooth transition.
- Owner is prioritizing offers with strong cash at close and seeks retention of the current team under new ownership, providing continuity.
- Two senior employees with ownership experience are positioned to lead operations, reducing transition risk.
- Healthcare construction is a growing and recession-resistant niche, with hospital system capex driving multi-year demand.
- Adjacent verticals (life sciences buildouts, biotech labs, ambulatory surgery centers) align with existing capabilities.
- Geographic expansion across additional western states using the existing multi-state office footprint.
- Strategic acquirers (larger general contractors, healthcare-focused construction holding companies) could pay a premium for the healthcare specialty and OSHPD-regulated experience.
- Design-build and owner's rep service lines could be productized into higher-margin recurring relationships.