Established Medical Billing & RCM Firm | Recurring Revenue | Scalable Operations | SBA Eligible
Above numbers based in Cash Basis from Sellers records and represents a projection for 2025 based on May 2025 numbers. Some of 2025 numbers rolled over from 2024 because of cash basis accounting.
This is a rare opportunity to acquire a long-established, highly regarded medical billing and practice management company that serves healthcare providers across the United States. With over two decades of success, this business delivers reliable, high-margin services that are essential to the financial operations of medical and mental health practices.
Industry Trends & Stability
The healthcare billing and Revenue Cycle Management (RCM) industry continues to experience strong demand due to increasing complexity in insurance regulations, rising operational costs for providers, and the need for accuracy in reimbursement. Outsourcing to expert billing firms is a growing trend, and this business is well-positioned to benefit from it.
Business Highlights
• Over 20 years of continuous operation
• Clean claim rate of 97%+
• Recurring revenue model
• Nationwide client base
• Diverse specialty exposure: medical, mental health, and credentialing
• Well-developed, turn-key systems and SOPs
• Multiple service lines: billing, RCM, credentialing, collections, EHR implementation
• SBA financing may be available for qualified buyers
Team & Transition
The company is supported by a seasoned team including billing managers, credentialing specialists, AR professionals, and technical support staff. The owner has deliberately reduced her involvement over recent years, now working part-time across two to three days per week. A fully trained General Manager is in place and actively manages daily operations. The business is structured to transition smoothly to new ownership.
Facility & Technology
The business operates from a professional office in Florida with room for expansion. Additional satellite presence exists in two other states. Operations are supported by secure cloud-based platforms, allowing for remote access, team coordination, and efficient client support. The value of included FF&E and equipment is estimated at $45,000.
Growth Opportunities
• Expand further into fast-growing specialties such as telehealth, home care, or behavioral health
• Deepen presence in underserved states or urban medical hubs
• Increase conversion of credentialing-only clients into full billing clients (currently ~35%)
• Launch digital marketing, webinars, or educational campaigns to generate more inbound leads
• Partner with EHR and practice management software vendors to expand service reach
Financial Snapshot
Discretionary earnings in 2022 exceeded $200,000. Adjustments for 2024 are being finalized to account for a one-time industry-wide disruption in early 2024 due to a national cyberattack that impacted billing platforms. The business has rebounded strongly, with operational performance now normalized.
Valuation & Lending
Comparable sales data shows businesses in this category typically sell for no more than 3.81x SDE. At the current price point, this opportunity may qualify for SBA financing, with estimated annual debt service of approximately $265,000 assuming standard terms and down payment. Strong historical cash flow provides coverage for debt repayment and owner compensation.
Reason for Sale
The current owner is seeking to transition into the next phase of life after building a strong, reputable business. She is committed to supporting a smooth handoff and will assist in training and knowledge transfer to ensure continuity.
Next Steps
This is a confidential listing. A signed NDA and buyer profile will be required to receive the full Confidential Business Review (CBR) and financial package. Qualified inquiries only, please.
Ad#:2378031