Medical Practice Sales and Appraisal

Internal Medicine Practice for Sale - Florida

2012-01-25T11:56:00.001-08:00

Solo Internal Medicine Practice for Sale in Brevard County, Florida. Annually grossing ~$700,000 on only 25 hours/week of MD coverage. Focuses on primary care and emphasizes a patient-centered approach. Well-trained staff and efficient operations in place. Plenty of recreational activities at the beach, community parks, and golf courses. Seller will assist new buyer to ensure a smooth transition. Up to 100% medical practice financing available. Call 800-416-2055 for more details. *This is an affiliate listing*

Dental Practice for Sale – Korea-town, Los Angeles

2012-01-12T13:01:00.001-08:00

Dental Practice Sale Korea-town Los Angeles (Asset only) – Established in 1998 and located in the heart of Los Angeles' Korea-town! This general dental office is in a highly visible and popular retail plaza. It occupies 900 square feet and consists of 2 fully equipped dental operatories and plumbed for 1 additional operatory space, Reception area, & Sterilization. Ideal as a start-up alternative or as a satellite location. It is currently running without any marketing. However, there is great growth potential by increasing marketing efforts. Contact dental practice broker for details at 800-416-2055 (x224).

OB/GYN & Maternal-Fetal Medicine Practice for Sale – Los Angeles, California

2011-12-28T13:12:00.000-08:00

Solo OB/GYN & Maternal-Fetal Medicine practice collecting ~$925,000 annually. Established for 25 years in a thriving suburban community. 1,800 square foot facilities equipped with modern equipment and technology. Located in a professional-medical building with 2 exam rooms, 2 doctor's offices, and other rooms for expansion. Visible location includes signage. Strong growth potential by adding another physician. Payor mix includes HMO, PPO and Medi-Cal. Seller will assist new buyer with transition. Call 800-416-2055 for more information.

Dental Practice for Sale - Glendale, California

2011-12-21T13:32:00.001-08:00

Selling a general dentistry practice in Glendale, California. Annual gross collections of ~$350,000 on part-time hours. Located in a retail building with high visibility and walk-in traffic on one of the busiest roads in Glendale. This recently remodeled office occupies 1,100 square feet and includes of 3 fully equipped ops and plumbed for 1 additional, Reception area, Doctor's office, Business office, Sterilization. Strong growth potential by increasing hours, and implementing a marketing plan. This opportunity is suitable as a great low-cost alternative to a start-up or as a satellite location. Seller is open to discussions for a quick transition. Up to 100% financing available for qualified buyers. Call 800-416-2055 for more details.

Internal Medicine Practice for Sale - San Joaquin Valley, California

2011-12-20T11:21:00.001-08:00

Solo Internal Medicine Practice for Sale in Central California. Annually grossing ~$740,000 with robust net income and strong growth potential. Serving a variety of patients in outpatient, inpatient, and nursing facility settings. Providing high quality medical care in a professional environment. Conveniently situated in a medical office with access to a major regional hospital. Well-balanced payor mix of Medicare, PPO & HMO patients. Receiving 10% Medicare incentive bonus quarterly from being in a designated HPSA area. For the nature lover: Practice is located near beautiful state parks. Plenty of opportunities for outdoor activities, such as hiking and river-rafting. Up to 100% medical practice financing is available. Call 800-416-2055 for more details.

Healthcare Fraud, Medicare Exclusion, and Federally Funded Healthcare

2011-12-08T09:31:00.000-08:00

The Department of Health and Human Services, Office of the Inspector general is producing a series of informative videos on compliance issues pertaining to Medicare and Medicaid. Here is one such video on Exclusion Authorities and Effects of Exclusion. If a physician is excluded from participation in any federally funded healthcare program, they cannot accept federal funds or practice in a similar setting where such funds are received. This video also defines the differences between mandatory exlucisions and permissive exlusions. Exclusion from medicare or other federal programs doesn't just apply to licensed clinicans, but also includes unlicensed personnel, corporations and their officers. Length of exlusion can be for a set term or indefinitley. Minimum term for mandatory exlusion is 5 years; reinstatement is not automatic after the end of the term.

Pain Management Practice for Sale – Santa Cruz County, California

2011-12-07T11:01:00.000-08:00

Solo Pain Management practice located in Santa Cruz County, California. Collecting $500,000 on only 18 MD hours/week. The practice has exhibited rapid, consistent growth. High growth potential by expanding to full-time hours. Located in a relaxed community with excellent quality of life. Suburban middle class region within commuting distance to large metropolitan areas. Very accessible to beautiful State parks and beaches. Enjoy pleasant California weather and endless opportunities for recreation. Seller is willing to assist with transition to new buyer. Call 800-416-2055 (x225) for more information. http://TransitionConsultants.com

Family Medical Practice for Sale – San Fernando Valley, CA

2011-11-10T15:26:00.000-08:00

Family medical practice consistently grossing $150,000+ annually. Practice emphasis is on outpatient primary care. Established for 35 years in the community, with convenient access to the 101 freeway and high-traffic areas. Payor mix primarily consists of Medicare and PPO. Located in a professional medical building with ample parking. Practice includes all furniture, equipment, trained staff, and transition assistance, and would be an ideal opportunity as an alternative to a startup or as a satellite office. Financing is available for qualified buyers. Call 562-431-2144 for more information.

Dentistry Practice for Sale – North Orange County

2011-11-10T11:05:00.001-08:00

General dentistry practice established for over 30 years. Grossing $200,000 on less than 30 hours/week without significant marketing. Low overhead and very reasonable rent. Occupies 1,200 sq. ft. in a professional building with 3 equipped operatories (expandable to 4), sterilization/lab room, reception area and private office. Located in an accessible, high traffic area with plenty of parking. Payor mix includes FFS, PPO, Medi-Cal, Cash. Loyal patient base: 50% Korean-speaking, 50% English-speaking. Great growth potential by increasing hours to meet demand, limiting outside referrals, and implementing a marketing plan. Seller is open to discussions with motivated buyers for a smooth transition. Dental practice financing available for qualified buyer. Call 562-431-2144 for more information.

What is your Dental Practice Worth?

2011-10-17T15:30:00.000-07:00

What is your Practice Worth in Today’s Market?

Determining Fair Market Value for your Practice is the first step in Exit Planning. We understand the factors that drive or diminish the marketability of Dental Practices.

Why start Exit-Planning now?
No matter where you are in your practice life... Start working on your transition plan now! Having a plan in place does not mean slowing down or retiring immediately; It means you will have the choice to do so when you are ready. With that choice comes peace of mind and security, and the best possible return on your most valuable asset.

What services does Transition Consultants provide?
We provide full lifecycle transaction advisory, including:
• Establishing a selling strategy
• Valuing the practice
• Positioning the practice for sale
• Preparing effective marketing programs
• Identifying and targeting qualified buyers
• Obtain financing for the practice
• Negotiating and structuring the transaction
• Prepare draft contractual agreements
• Facilitate closing

What factors affect Valuation?
We conduct a thorough site visit and examine the Practice’s financial and clinical data in the context of numerous factors which affect value:

• Dental specialty
• Buyer supply and demand
• Payor mix
• Regional dynamics
• Reimbursement environment
• Risk-premium

Do You Have an Exit Plan?
Contact us for a Complimentary Market Valuation and Pre-sale Consultation

800-416-2055

Dentistry Practice for Sale - West Los Angeles

2011-10-13T16:30:00.000-07:00

General dental practice established for 20+ years in a desirable part of West Los Angeles. Priced to sell at $75,000. 3 operatories, 1 sterilization/lab room, 1 reception area, 1 private office. Located in a professional building in a thriving community. Excellent start-up alternative for new grads or expansion opportunity for established dentists. Great potential for growth through increased hours and marketing. Dental practice financing is available for qualified buyers. For details call 800-416-2055.

Optometry Practice for Sale - Kentucky

2011-10-13T14:23:00.000-07:00

OPTOMETRY PRACTICE FOR SALE – Kentucky. Established practice with loyal client base. Annual gross collections of $630,000. High Net Income on only 3 days a week. Primary optometry care with emphases in contact lens and medical eye care. Turnkey opportunity equipped with three exam lanes and modern ophthalmic equipment. Seller is willing to provide transition assistance. 100% Optometry Practice Financing Available. Call 800-416-2055 (x225) www.TransitionConsultants.com

Physical Therapy Practice Southern California

2011-09-30T16:06:00.001-07:00

Currently offering a physical therapy practice in Southern California. This clinic is designated as a Medicare Certified Rehabilitation Agency. Great opportunity for a PT or non-PT to buy a full scope clinic providing Physical Therapy, Aquatic Therapy, and Sports Medicine. For details contact 800-416-2055

Optometric Practice for Sale – North Carolina

2011-09-29T14:38:00.000-07:00

Upscale Optometric practice for sale in North Carolina. Practice emphasis is on primary vision care and contact lenses. Annual gross receipts of $1,750,000 with consistent growth and favorable outlook. Spacious office in a freestanding building, equipped with state-of-the-art equipment. Located in an affluent community with good pace of life. Dispensary carries extensive lines that are moderate to exclusive high-end. Up to 100% Optometry Practice Financing Available (OAC) for qualified buyer. For more details, call optometric practice sales consultant at 800-416-2055 (x225).

Auburn, Alabama Dermatology Practice

2011-09-28T12:23:00.000-07:00

Selling a well-established dermatology practice in Auburn, the fastest growing metro area in Alabama. As a college town, Auburn is a hub of arts, culture and recreation. Great family-oriented community. Annual collections of $700,000 with a low overhead of 32%. Practice provides medical and surgical dermatology services. Substantial growth potential by adding cosmetic dermatology and Mohs surgery. 100% dermatology practice purchase financing available to qualified buyer. Contact dermatology practice sales consultant at 800-416-2055 (x225) for details.

Orange County Dermatology Clinic

2011-09-28T12:21:00.000-07:00

Selling a dermatology practice in beautiful Southern California. Exceptional opportunity to acquire a long-established, premier clinic in Orange County, located between Los Angeles and San Diego. Thriving community offers many recreational activities and access to parks, beaches and cultural events. Desirable work/life balance and good pace of life.

The practice provides a full range of medical, surgical and cosmetic services including Mohs micrographic surgery. This high volume clinic has enjoyed consistent organic growth with gross collections in excess of $3,700,000. Aesthetically pleasing clinic is very spacious, with sufficient exam rooms, offices, and a lab for multiple providers. Physicians, extenders, and well-trained office personnel to remain with the practice.

Up to 100% dermatology practice purchase financing available to qualified buyer. The selling doctor will remain for transition assistance.

This practice purchase opportunity is offered by Transition Consultants, a dermatology practice sales and valuation firm providing transaction advisory, merger/acquisition, and appraisal services to physicians, medical groups, and clinical organizations. Dermatology is one of our core competencies; Our team has valued and structured dermatology-related deals for a multitude of individual physicians, health groups, and private equity groups. Contact our dermatology practice broker at 800-416-2055 (x225).

Why Dentists Should Understand Their Active Patient Count

2011-09-16T18:34:00.000-07:00

The active patient count is the primary tool for measuring the goodwill of a dental practice. It has great importance for both the owner and the buyer of a dental practice. The active patient count is defined as the number of different individuals seen in the practice during a prior specified time period (typically 12-24 months). As important as this factor can be, many selling dentists do not know their active patient count or realize its significance. There are two main roles to consider when it comes to the active patient count.

The Role of the “Active Patient Count” During the Purchase

One of the primary reasons for purchasing an existing practice is to acquire the active patient base. When we break down and prioritize the value of the different assets that comprise a dental practice, dental equipment can often be of less value than other components. Expensive dental equipment can be acquired in a short time, and can be the one asset within the practice that actually loses value over time. However, it can take years to build a patient base. The active patient base simply represents current and future cash-flow to the practice. It can be the single most important asset and usually has the most value. What contributes to the value of the patient base is the actual length of time it has taken to develop. The patient base in a typical general dental office can take up to 7+ years to build. If the transition is structured properly, the idea is that the majority of the active patients will continue to receive and pay for services. This represents future cash-flow for the new owner. There are a variety of items constituting the “goodwill” of the practice, but the active patient base is the most significant.

The Role of the “Active Patient Count” as a Practice-Management Tool

This active patient count is also valuable in the ongoing management and operation of the practice. The active patient count is helpful in calculating and monitoring the practice’s potential. For example, a well-running dental practice with an estimated $400 “benefit” per year per patient, and an active base of 2500 patients grosses receipts of about $1,000,000. Comparing these estimates to what practices are doing elsewhere, both locally and nationally, will help to provide an indicator and show areas that may need improvement.

The active patient count will reveal whether the practice can support a full or part-time associate. A solo practice attempting to incorporate a full-time associate requires a minimum of at least 2,000 active patients. Fewer than this number can show that the practice will have difficulty supporting more than one doctor.

The active patient count also helps with analysis of other staffing needs, especially from a hygiene perspective. The average, fully booked hygienist sees 10 patients per day, equaling (with a six-month recall schedule) 250 recall patients for each weekly hygiene day. If a practice undergoes a normal attrition rate, they will experience approximately a 15% erosion of their active patient base each year as patients relocate, change providers, etc. In a healthy and growing practice, the practice will replace these patients with 20–25 new patients per month. If the number of available hygiene days is not continuously increased, the inability of patients to be seen in hygiene may limit the growth of the practice and its future income.

In a well-run practice, statistics show that 70%–80% of new patient referrals come from the existing active patient count. Therefore, relying on the practice’s existing patient base as the primary marketing tool requires carefully reviewing the active patient count. Without the patients, the only other source for new patients is an external marketing program. Without a doubt, increasing the patient count will do wonders for your overall bottom line. If the practice is booked for weeks or even months out due to an effective patient-retention and hygiene recall program. Then, it can be argued that this will lower the overall overhead while increasing the bottom line for the owner. This will undoubtedly improve the bottom-line for the owner-dentist while helping to reduce the need for an expensive external marketing program.

Whether used as a management tool for owner-dentists or as an evaluation tool for buyers; knowing the active patient count and its various uses and applications is critical to the long-term success of the dental practice. Once the initial number is determined, it is relatively easy to monitor and track. The active patient count coupled with the annual gross receipts is something that takes just seconds to calculate on an annual basis, but is critical to the monitoring of any dental practice.

Dental Practice Start-Ups: The Good and the Bad

2011-09-14T19:30:00.000-07:00

Building your own practice from the ground up gives you the ultimate degree of control in creating the professional environment you want. From the facility itself to equipment and employees, you’re in charge of deciding what works best for you. You’re engaged in a creative process that, while time consuming and capital intensive, will ultimately produce the work environment you’ve dreamed of, unimpeded by dated equipment and facilities or the inheritance of another dentist’s potential problems.

Dental practice start-ups can have plenty of challenges of their own. A successful start-up practice is dependent on the dentist’s ability to sell his or her services and requires a significant degree of business and marketing skills. Before the practice is even conceptualized, an important part of that planning is ensuring that the demographics of your chosen area will support your practice. Are there enough local residents of a certain income level for your practice to thrive? And how do you determine what income or population level is adequate for you or for your location?

It is recommended to conduct an informal research to ensure that your selected locale is not already saturated with existing practitioners. You will want to “run the numbers” to determine what number of practices would indicate a saturated market in your area. If you are committed to living and working in an area that already has numerous dental practices, then acquiring a practice with an existing client base and cash flow might make the most sense as you would minimize the amount of marketing required to establish your business.

And finally, some loan companies may be more reluctant to lend funds for a practice start-up, as there is no income history, existing equipment or property to use as a collateral base.

Pediatric Practice for Sale California Orange County

2011-08-25T17:13:00.000-07:00

Have you thought about buying a pediatric practice? We currently have two practices which are available in Orange County. These are excellent practices. One is a part-time opportunity which can be acquired as a start-up alterntative or expansion of exisiting operations. It boasts gross collections of $300,000 and net income of $180,000 on only 20 hours of MD coverage annually. The second practice is a full-time opportunity with gross collections of $700,000 and net income of $300,000. For details on these listings please call medical practice broker at 800-416-2055.

Also contact us for details on pediatric practice appraisal and valuation

Leasing space for a dental practice

2011-08-16T17:01:00.001-07:00

An important component in the success of a dental practice is the lease agreement for the office space. Occupancy costs can be one of the largest expenses in a dental practice. More importantly, selection of a good location is critical to patient flow and income. Therefore, dentists should consider the lease of an office location not just as a necessary expense, but as an investment. If the location is poorly chosen or if the terms of the lease are overly slanted in the landlord’s favor, it can affect your finances as well as reduce the ability to transfer or sell the practice. A new dental practice buyer is unlikely to assume a highly unfavorable lease and purchase a challenging or unsuitable location.

Running and growing a dental practice is hard enough, and an above-market lease payment can be a drag on growth. New dentists sometimes fall into the trap of associating high-end, high-cost office space with high earning potential. These are not necessarily associated with one another. Be sure to conduct a feasibility study and formulate a detailed business plan before making the site selection.

Also, with the amount of extensive build out and lease-hold improvements done in a dental office, a dental practice cannot be easily moved. Once the build out has started, consider yourself committed to the location. It is important to remember that the property owner’s broker or attorney likely drafted the lease agreement. You should always seek the advice of your own broker or counsel before engaging in such an agreement. Failing to do your due diligence can be a costly mistake!

Charles Kim is a dental practice broker at Transition Consultants, a practice merger and acquisition firm. Mr. Kim provides transaction advisory and dental practice valuation services to dentists and dental groups nationwide. He can be contacted at 800-416-2055 (x224).

Income-based method for valuing a medical practice

2011-08-05T10:22:00.000-07:00

The income based approach to valuation is commonly used in the valuation of medical practices and healthcare businesses. However, appraisers who apply the improper methods (mostly out of convenience) can drastically over or under value the practice. One frequent mistake I see is the use of the capitaliztion of cashflow/earnings method when the practice has a clear history of volatile profitabilty. When possible, it is better to use the discounted cashflow/earnings method. Even if the business forecast is somewhat unclear, the discounted cashflow method offers the appraiser a much higher degree of accuracy. This is especially relevant when appraising smaller medical practices; reimbursement changes have an effect of greater magnitude on these entities. Avoiding shortcuts and using the proper methods is critical to an accurate assessment of practice value.

New source for Optometry Practice Financing

2011-08-04T11:29:00.000-07:00

OptometryLoans.com is now offering a new source of financing for Optometrists, providing 100% financing for:

* Practice Purchase + Working Capital
* Start-up Practices
* Practice Loan Consolidation & Refinancing - Increase Cashflow
* Fixed Rates as low as 6.5%
* Terms up to 15 years

For details please contact one of our Optometry practice loan experts at 800-416-2055

Growing an optometry practice by obtaining certifications

2011-07-26T10:56:00.000-07:00

For optometrists looking to further their treatment plans and gain additional skills, there are additional vision care certifications which can be obtained. This can be a great opportunity for new optometrists starting a private practice to differentiate themselves from the competition. Established optometrists can also benefit from these certifications and sharpen their skills. In California for example, a glaucoma certification is available which allows optometrists to treat these conditions in patients over 18 years old. While the requirements can be cumbersome, the certification it is an excellent way to improve skills and treat more patients. Ultimately, the more patients treated and the wider scope of care you can offer will help to improve practice revenues. Among the requirements for the certification (§ 1571 Requirements for Glaucoma Certification) as adopted by the California Board of Optometry are the following:

Maintaining an active optometry license in good standing
Be certified to use Therapeutic Pharmaceutical Agents (TPA)
Complete a course of at least 24 hours in diagnosis, pharmacological, treatment and management of glaucoma
Complete a required case management involving at least 25 patients treated for 12 or more consecutive months. This involves patient evaluation, necessary testing, diagnosis, recognizing glaucoma type, and creating treatment plans, and making referrals to an ophthalmologists as needed. There are a variety of case management treatment options. Among these are:

Case Management Course
Grand Rounds Program
Preceptorship Program

For optometrists who achieve the glaucoma certification, each renewal period will involve 10 hours of glaucoma specific continuing education.

Dental Practice Valuations

2011-07-22T12:00:00.000-07:00

Dental practice valuations can be a challenging task with many complexities. A professional valuation company can charge thousands of dollars to determine the fair market value of a practice. Before spending that money, it is important to do your homework and choose an appropriate valuation expert, and to properly understand the benefits and limitations of the valuation report.

Unfortunately, there is no standardized universally accepted formula or “rule of thumb” that a valuation company may use to establish the value of a dental practice. There are many objective factors that should be considered to determine the value, and there are as many subjective factors unique to the dental industry (and to each specialty within the dental industry) that are just as important.

In reality, a valuation of a dental practice is closer to providing a subjective opinion rather than using complex formulas or “industry standards”. Be sure to work with someone that understands the dental industry to develop a reasonable and useful dental practice valuation. This valuation should be discussed in further detail with your financial advisors to prepare for the transition process.

Naturally, the valuation will incorporate much of the financial data to analyze the “numbers” of the dental practice. Perhaps more helpful, will be analysis of the key factors of profitability and growth that are unique to the specific practice being evaluated. Each dental specialty has its own attributes that must be considered, such as different standards for reimbursements, payor mix, percentage of patients by referrals, etc.

Charles Kim is a dental practice broker at Transition Consultants, a practice merger and acquisition firm. Mr. Kim provides transaction advisory and dental practice valuation services to dentists and dental groups nationwide. He can be contacted at 800-416-2055 (x224).

Westchester New York - Selling Dermatology Practice

2011-07-12T14:33:00.000-07:00

Transition Consultants had been retained to assist in the sale of a general clinical dermatology practice in Westchester County, New York. Established for 34 years, this practice has primarily focused on the diagnosis and treatment of dermatologic pathology. Presently all MOHS and dermatologic surgeries, pathology, patch testing, and cosmetic procedures are being referred out, but could be retained in house to increase revenues by a qualified physician buyer. The practice payer mix consists mainly of Medicare and PPO, offering desirable fee for service reimbursement rates. Currently the seller works 30 hours a week, with very little hospital and skilled nursing facility visits, generating consistent gross revenues of $650k and discretionary earning of $450k. Seller is open to an extended transition and willing to remain part time for up to 2 years.

Optometric Loans Funded this Week

2011-07-08T13:01:00.000-07:00

We funded two optometric loans this week. One was as startup practice in Phoenix Arizona. Project total of $180,000 included office build-out, leasehold improvement, lanes, display cabinetry, frame inventory, and working capital.

The second project entailed the refinancing and debt consolidation of a optometry practice in San Diego California. The orginal term loan was a practice startup loan which was wrapped with additional business debts into a lower fixed rate term loan. The resulting monthly debt service improved the practice cashflow greatly. Our streamlined finance processing and optometry practice appraisal services make these projects headache-free for our clients.

Just Sold: ENT Otolaryngology Practice in Los Angeles California

2011-07-07T14:28:00.000-07:00

We just completed the sale of an Ear Nose and Throat medical practice in San Fernando Valley California. This is a medical and surgical otolaryngology practice established for over 35 years in the West Valley near a major hospital. Servcies provided include Allergy, Hearing Testing, Hearing Aid dispensing, VNG Diagnostics, as well as some Facial Plastic Reconstructive and Cosmetic Surgery. Average Gross Collections approximatley $700,000 annually with High Net income. Diverse Payer Mix Including IPA Capitation. Trained Staff & Fully Equipped Office. We are also offering a cosmetic practice for sale and surgery center.

Practice for Sale Dermatology Southern California

2011-07-05T14:40:00.001-07:00

Acquisition opportunity in Southern California. Well established dermatology practice for sale with excellent revenue stream ($3.7 million+ annually), providing full scope of medical dermatology, surgical procedures including mohs, and some amount of cosmetic procedures. High volume clinic with great reputation and growth potential. The office is a large facility with approximately 5,000 square feet, including 11 exam rooms, 3 doctor's offices, 2 business offices, a lab, and staff area. Seller will assisting buyer with clincial and operational transition to ownership. Financing for dermatology practice purchase is available to qualified buyers. For details contact medical practice broker at 800-416-2055 (x225)

Medical group mergers and acquisitions

2011-07-01T11:52:00.000-07:00

Many smaller physicians looking to integrate with hospitals may have a better option by selling their practices to health groups. Recent article about the dynamics of medical groups buying practices. This could also affect the medical home model and accountable care organizaitons in the way health care is delivered and how services are reimbursed.

Ophthalmologic Surgery Center for Sale

2011-06-17T14:58:00.000-07:00

Selling ophthalmology practice and surgery center in Florida display annual gross revenue of ~$780,000. Solo ophthalmology practice mainly serving adult and elderly patients. High percentage are followed for glaucoma-related conditions. Services provided include office consultations, Cataract, Glaucoma, SLT, and Oculoplastics. The ambulatory surgery center included in the practice is licensed by the State of Florida, and accredited by AAAHC and Medicare.Payor mix is mostly Medicare (80%) with smaller proportion of PPO (18%) and Cash (2%). Approximately ≈ 4,000 patient visits over the last 12 months. Referring sources include other Physicians, Patients, Directories, HMO & PPO Panels. Current number of providers includes 1 Ophthalmologist, 2 nurses, 2 Front Office staff, 1 part-time Ophthalmic Tech, and 1 part-time scrub tech. Extended transition assistance available to new physician buyer. Ophthalmology practice appraisal is also available.

Priced for Immediate Sale: Medical/Interventional Pain Practice

2011-06-13T16:06:00.000-07:00

Medical/Interventional Pain Medicine Practice For Outright Purchase or Buy-in. Excellent opportunity to join a well-established practice in Delaware with ownership track. Thriving pain medicine practice with great work/life balance. Annual gross collections in excess of $1,100,000 and robust net cashflow. The office is fully equipped and includes a procedure room with C-arm. All outpatient care with no inpatient coverage. Practice is located in a large professional building with ample space. Well trained staff and systems in place. Expansion opportunity by providing additional interventional services. Seller is willing to offer a flexible transition and buy-in structure. Ideal physician buyer would be residency or fellowship trained in medical pain management with exposure to interventional procedures. Up to 100% medical office financing is available to qualified buyer.

Electronic Medical Records and Meaningful Use: Upcoming Event

2011-06-13T15:20:00.000-07:00

Health care administration event coming up: Health Care Executives of Southern California is hosting an event entitled Electronic Medical Records, 21st Century Healthcare's Essential Tool. Event will be at California State University Long Beach on June 16, 2011 at 5:30 PM - 7:30 PM, CSU Long Beach - Pyramid Annex, 1250 Bellflower Blvd., Long Beach, CA 90850. Should be an excellent presentation given the increased important of Electronic Health Records and meaningful use requirements for Medicare reimbursement.

Practice for Sale Dermatology Southern California

2011-04-29T12:32:00.000-07:00

Opportunity to buy a dermatology practice in a highly desirable, affluent community of Southern California. This is a premier, high earning practice with gross collections of $3,700,000+ in 2010. Services offered include a range of medical, surgical and cosmetic services including Mohs micrographic surgery. Consistent organic growth and increase in patient volume. The medical office space is an aesthetically pleasing 5,000 square foot premises with 11 exam rooms, 3 physician offices, 2 business offices, a lab, and staff room. Dermatology financing available to qualified buyer. Selling physician will remain for transition assistance to new buyer.

Selling Medical & Interventional Pain Practice

2011-04-21T17:22:00.000-07:00

Excellent opportunity to acquire an interventional and medical pain practice in the Northeast. This is a solo practice generating annual collections of ~1,100,000. Great work/life balance with 100% outpatient based patient care. Service mix is currently 80% medical pain and 20% interventional pain but there is a great deal of expansion opportunity given the underserved patient need for interventional pain procedures in the area. The office is situated in large medical building with ample exam rooms and offices; additional room is available for expanding the procedure room into a surgery center. C-arm and other equipment already in place. This practice is the largest pain management practice in the region. A second medical provider and additional extenders could be added to accommodate patient volume. Currently the most common procedures performed are steroid injections. Selling doctor will assist new buyer with transition period. Financing is available to qualified buyer

Also visit new listings for medical practice appraisal services and optometry practice sales listings.

Florida Optometry Practice for Sale

2011-04-18T09:58:00.000-07:00

Selling an Optometry Practice on the beautiful West Coast of Florida. Comprehensive vision care practice with gross collection of ~$1,300,000 and robust growth. Roomr for new buyer to readily expand optometrist coverage. Selling optometrist will remain for post-sale transition period. Financing is available for optometry practice purchase.

Success Factors for Refractive Surgery Based Ophthalmology Practice

2011-04-13T17:03:00.000-07:00

Many refractive surgery-based ophthalmology practices have experienced difficulty in the wake of economic downturn and industry-wide changes. This has forced practice owners to re-evaluate critical factors and change focus in order to sustain ongoing success. Gaining new market share, maintaining patient volume, and increasing cashflow is vital to sustainability. This article is an overview of key factors to consider.

Business Focus

The business focus of a refractive practice varies by locale and should be considered in a changing market. The dynamics for refractive surgery can operate very differently from the services in the course of a normal ophthalmology practice. In a soft market for many elective eye surgeries, business diversification is necessary as a hedging strategy. Whether a new or existing practice is entering the refractive market, an investment requires serious capital and time resources. Generally, a practice will choose one of three major strategies: co-management only; handling a lower case volume of surgeries performed at a laser center; or developing a full volume in-house refractive practice. Choosing a primary strategy and maintaining a local geographic focus is crucial to establishing credibility within a market. An overextended practice with a wide focus or with remote locations is nearly impossible to maintain without increased financial resources, improved efficiencies and exceptional operational experience.

Market Share Analysis

A market share analysis of most metropolitan areas will yield similar results. A typical area can support one or two major refractive surgery practices and four or five secondary participants. Determining the primary and secondary players is not always straightforward, as private organizations do not typically make their statistics publicly available. A handful of the top practices generally comprise a lion’s share of the case volume within a specific market. The percentage of market share which each practice maintains is relatively static due to a fixed reliance on referrals. Significant changes in market share usually come from major marketing campaigns, the purchase of entities to secure referral sources (beware of Self-referral, Stark, Anti-Trust, etc), or errors from competitors. A practice’s ability to grow individually is as important as the overall growth in volume of the market in which it resides. One of the barriers to entering and remaining successful in many markets is the challenge of gaining even a small percentage of market share. Providers in the established markets are usually well-established players with many years’ experience and use the latest technology to leverage their market share. The key to remaining successful is continually monitoring the playing field and revising internal and external strategies to stay nimble.

Financial Forecasting

Although markets are often unpredictable, financial forecasting is a necessary part of planning the future of a refractive ophthalmology practice. Practice owners must transcend the focus on current numbers and anticipate new trends. The 3-5 year time horizon is important, even though forecasting methods may not always be accurate. Proposed initiatives must be made with cash flow consequences in mind as economic conditions warrant business changes. Practices must be prepared to make rapid shifts; their ability to scale up or down based on market trends and the general economy will dictate survival. Forecasting also involves apportioning for the acquisition of new surgical technology, and equipment considerations must contribute to the bottom line within a reasonable timeframe. New equipment must generate sufficient income to offset ongoing expenditure spent on building brand awareness and developing case volume.

Technology

The demand and marketability of refractive services can also be driven by advances in technology. The most sought after procedures usually include the latest technology, though older technology is still available. Practice owners must make careful capital considerations when deciding whether to acquire new lasers and equipment. They must also weigh the options of leasing equipment versus purchasing, or avoiding both options altogether by paying to use other surgery centers. The painful cash flow consequences of equipment acquisition are especially poignant in today’s economy, as many lasers are sitting idle in a soft market. Some ophthalmologists who do not own lasers may have less of a burden in a soft market, though their profit margins may be slimmer. Physicians with their own laser centers must make careful considerations to accommodate changing markets. In the past, surgeons have been too eager to acquire new technology without evaluating cash flow consequences first.

Market Niche Selection

Selecting and occupying a market niche is important especially in a saturated, mature market for refractive surgery. Niche selection is dependent on the skill of the surgeon as much as the current saturation of each particular niche within a market. Deciding whether to stick with a discount, value, or premium market niche will depend on the patient demographic, demand, and skill of the surgeon. Although a particular provider’s level of skill may warrant a premium niche status, the saturation of that niche can be a barrier to entrance. In addition, practicing within a particular niche involves certain expectations of services, care, and price points. Adjusting prices without adhering to market segment dynamics can be problematic. Simply reducing fees to increase volume can have the effect of reducing profit margins. Capital expenditure and working capital are required for future growth. These expenditures reduce cashflow to equity or invested capital in a refractive surgery practice. Tenure in the refractive surgery market and physician reputation in the community support different niches and price points. Some of the new strategies which have emerged in the last decade deal with difficulties in pricing and market saturation include price negotiation strategies, patient testimonials, live surgery observation, and in-house financing options.

Advertising Budget

It is not uncommon for advertising to be one of the largest expenditures of refractive focused practices. The costs of print, television, radio, and internet advertisement can soar at rapid rates. Newer practices must spend especially significant sums on advertising to build a steady patient flow. After building this initial flow the practice can reduce advertising efforts as their referral base expands. The amount of advertising expenditure depends on local competition, growth goals, and the efforts applied to developing referrals. Consumer advertisement remains a crucial part of the overall marketing mix. The effective use of advertisement in this manner involves the proper tracking of response sources and a reliable follow-up system. Strategies used to convert ad responses into sales include free consultations, free meetings with surgeons, and public seminars.

Staff and Physician Extenders

Properly trained staff is crucial within a practice and effective management techniques are pivotal to honing their ability. Staff affects the ability to deliver continuity of care, good customer service, and the cultivation of a practice image. A typical office may include a refractive surgery coordinator/counselor, support staff, and a surgeon who can manage clinical and management tasks. The proper use of staff and extenders can also be a very effective cost reduction strategy. Hiring a lower cost extender such as an optometrist or medical ophthalmologist will allow the surgeon(s) to maximize their time in the operating room. The staff can help to categorize patients and appointments and direct workflow to the appropriate extender or physician. Greater practice efficiency is achieved by taking fringe work away from the operating surgeon and increasing profit per unit of time.

Patient Referral Base

The referral base is the lifeblood of a refractive dominated practice. Patient-to-patient referral remains the number one source of new patients in almost every mature practice. Maximizing referrals requires staying in touch with past patients and building relationships. This requires good patient database management, regular bulletins, and periodic survey calls. Another vital source of referrals comes from other providers such as Optometrists. Optometry referrals have a large and growing influence on the case sourcing mix in many practices. These referral networks are made through business alliances with optometrists, the sharing of co-management services and fees with optometrists, and buying an optometry practice for sale within the referral area. A practice’s market share can be increased considerably by acquiring additional referral sources. Acquisition strategy must involve careful consideration of self-referral, Stark, and Anti-Trust statutes. A medical practice sales consultant and healthcare attorney can assist with this process.

Recent Sale: Orange County Pediatric Practice

2011-03-24T14:06:00.000-07:00

SOLD: We just completed the sale of a medical pediatric practice in South Orange County California. This is an ideal opportunity for a pediatrician seeking work/life balance and take-home income above and beyond what could obtain as an employed physcian. Robust discretionary earnings in excess of $350,000 annually. The patient base primarily consists of small children and adolescents. Payor mix is a combination of PPO, HMO plans, MediCal, and other State managed programs. The clinic is all outpatient-based pediatric medicine, vaccinations, and minor procedures. Fully equipped space including Electronic Health Records. The office space is designed to be kid friendly and is painted in bright colors with murals and newer fixtures. The location is easily accessible from the 5 freeway with plenty of parking. Steady referral base of other Physicians, Patients, Hospitals, HMO and PPO Panels. Purchase loan financing available to qualified physician buyer.

Medical and Surgical Dermatology Office in Chicago Illinois

2011-03-15T10:45:00.000-07:00

Dermatology office for partnership buy-in or outright purchase located in the Chicago Area. Focus of the clinic is medical & surgical dermatology. Gross revenue collections of ~$1,000,000 dollars annually with 4 days per week of dermatologist coverage. Good sized space located in a Medical Professional with 3000+ square feet. There are seven exam rooms, two doctor’s offices, a procedure room, and a lab. The payor mix is primarily PPO insurance (60%). Remaining payors and insurance consist of Medicare (18%), HMO (12%), other insurance and patient pay (10%). Selling dermatologist is willing to remain for transition to new buyer. There is dermatology practice purchase financing available for this transaction. Seller may also entertain hiring the buyer as a locum tenens or associate doctor with a structured buy-in / buy-out. Please call medical practice broker for details.

Sold: Interventional Pain Management Practice California

2011-02-21T10:39:00.001-08:00

Just completed the sale of a pain management practice in central California. This is an established practice collecting $1,600,000+ annually. Emphasis on evaluations and pain management; well trained medical staff and office staff in place. Buying physician will retain selling doctor through transition period and fill-in coverage. The practice offers a spectrum of pain managmenet treatment including medication management, epidural steroid injections (cervical/thoracic/lumbar/caudal, facet blocks, discography, intercostal nerve blocks, radio frequency, intrathecal pump implants, and spinal cord stimulators. Visit our website for additional pain management practices for sale, medical physician job positions, and locum tenens opportunities.

Valuing physical assets and equipment in a medical practice.

2011-01-30T14:39:00.000-08:00

Doctors often wonder about the value of medical equipment and other physical assets within the context of a practice valuation. I wrote a short bit about tangible assets and how these are considered when determining the value of a medical practice. Physicial assets can be more or less relevant depending on the specialty, type of practice, and nature of the transaction.

Sale Pending on Pediatric Practice For Sale Orange County

2011-01-18T10:50:00.000-08:00

Sale is pending on this general medical pediatric practice in Orange County. This is a long established practice with a strong net income of ~$350,000 annually. Located in a highly desirable coastal community, providing full scope of pediatric care. Contact medical practice broker for details.

Starting a Dermatology Practice - Buying as an Alternative

2011-01-05T15:22:00.001-08:00

Buying a dermatology practice versus starting from the ground up depends on numerous factors including the specific market, patient demographic, and number of practices currently available for sale. With the difficulty in starting a medical practice from scratch, purchasing a practice outright is sometimes a better alternative. Earning income from day one and acquiring an established patient base are some of the primary benefits cited. I've previously discussed some of these topics in other articles, including a discussion about the items which should be included in a medical practice business plan. We currently have an opportunity available in Alabama which is an excellent example of a viable alternative to a startup. This is a solid practice focused on medical dermatology and surgical dermatology. The seller currently collects $700,000 annually and maintains a very efficient cost overhead of 32%. Discretionary earnings in the practice are quite robust. The office is situated in a great location within an expanding metro area of Alabama. A mature practice such as this has much potential to continue growing as the patient draw area develops greater needs for dermatologic care. One way in which an incoming buyer could grow and expand the practice is by offering Mohs micrographic surgery, which is currently referred out by the seller. In addition, a cosmetic component could also be offered which is not presently available to existing patients. While a startup can be a very rewarding option for a newly minted dermatologist, an acquisition such as this may be an ideal way to jumpstart a career and attain financial success.

Plastic Surgery Practice for Sale

2011-01-05T11:17:00.000-08:00

Selling a Cosmetic Surgery Practice in a prime west-side Los Angeles location. Includes AAAASF certified ambulatory surgery center. The office is located in a prominent medical office building with 2100 square feet inclusive of the surgery center, exam rooms, and consult room. Gross collections are approximately 1,000,000 annually. Most common procedures currently performed include breast augmentation, rhinoplasty, liposuction, and tummy tuck. Incoming buyer could readily expand the practice by offering additional facial plastic procedures to the existing patients. Selling doctor is willing to assist with a Purchase financing is available to qualified buyers. For additional information please contact Medical Practice Sales Consultant: Mo Majdi 800-416-2055 (x225)

Primary Care Practice for Sale - Los Angeles

2010-12-30T14:05:00.000-08:00

Great primary care medical practice located in the Long Beach vicinity. Focus on Geriatrics. Seller will remain for transition to new buyer. Acquisition purchase financing available.

Geriatric Primary Care Medical Practice for Sale

2010-12-27T10:55:00.000-08:00

Los Angeles California Primary Care Geriatric Medical Practice for Sale. This clinic has been established over 30 years. Seller has a reputation for providing high quality care. Annual gross collections of ~$780,000 with very low overhead. Practice operation is will-run and highly efficient. High net income opportunity. Focus on geriatrics. Medical practice financing available.

SOLD Ophthalmology Practice in East Texas

2010-12-21T17:39:00.001-08:00

We just completed the sale of an Ophthalmology practice in East Texas. This is an established medical ophthalmology practice with an optical shop. Annual gross collections were ~$1,000,000+ annually with annual net income of ~$650,000+. View additional Ophthalmology practices for sale on our website.

Completed Optometry Office Startup Financing

2010-11-16T15:11:00.000-08:00

We just completed a new optometry startup financing project in Houston Texas. The practice will provide the full scope of vision care services including: comprehensive eye exams, contact, contact lens fitting, treatment of ocular diseases and trauma, pediatric vision exams, LASIK laser eye surgery consultations, sports vision & eye nutrition, and latisse. Updated pictures from the launch of the new optometry office are posted on our website.

Practice Valuation for Associate Doctor Buy-in

2010-11-16T11:20:00.000-08:00

There are many considerations in an associate buy-in/buy-out arrangement. Practice valuation is one of these important aspects to consider in deal negotiation. Appraisal can also impact the mechanics of a structured buy-in occurring over many years. In these types of arrangements, the buying doctor often purchases multiple minority interests from the selling doctor on a piecemeal basis over a set time line. This makes the proper calculation of discounts and premiums of utmost importance. Check out the article about appraisal for buy-in on MomMD, a website geared towards the female physician.

Completed Sale: Medical Dermatology Practice In Maryland

2010-11-11T12:15:00.000-08:00

We just completed the sale of a dermatology practice in Prince George’s County, Maryland. This is a medical dermatology practice collecting $500,000 on 3 days per week of MD coverage. The practice is well regarded and has been in the same area for over 35 years. In the structured deal, the Seller will remain with the practice buyer for a post-employment period to assist with transition.

Optometry practice appraisal and vision care industry

2010-11-10T12:17:00.001-08:00

We just completed the appraisal of an optometry practice in the midwest for a partnership buy-in. As part of this project we analyzed the overall vision care industry and specific market in which the practice was located. In assessing fair market value for an optometry practice is it important to consider how health care reform may affect the growth rate and the optometric market overall. The expansion of insurance plans and vision care coverage for small businesses may be a potential benefit to optometric offices. The small business health options program will be a method for small businesses to obtain better rates and plans through pooling. The increase in coverage may be a positive aspect for vision care providers who will have a larger potential patient base to serve. Added to the growing need for optometric services of our aging population, the vision care industry will be a definite area of growth into the future.

Also see my upcoming articles on dermatology appraisal and the practice use of a medical valuation.

Selling Family Medical Practice - Long Island New York

2010-10-25T19:21:00.000-07:00

Selling a medical practice in Long Island New York. Well established primary care practice collecting ~1,500,000+ in revenue annually. Also provides a host of ancillary services and respiratory therapy. High quality of care has contribute to the practice growth. Strong referral base from other local physicians. Buyer has the option of retaining the practice seller for long term transition period following the sale. Medical practice purchase financing is available for qualified buyer.

Book Review: Guide to Healthcare Valuation (2010 Edition)

2010-10-23T14:27:00.000-07:00

I am currently reading the Guide to Healthcare Valuation (2010 Edition), published by Business Valuation Resources (BVR) and the American Health Lawyer’s Association (AHLA). This is a great resource written by Dietrich and a number of other experienced authors. They cover a wide array of healthcare valuation topics and industry subsectors; it’s hard to find this collective wisdom all in one place. The book is thick…921 pages inclusive of appendices. A valuation book of this size typically means you’re in for a monster technical read, but this book is refreshingly different. There are plenty of practical insights and applications offered by multiple authors over diverse chapters. I was impressed by the 2009 edition of this book, which I would also recommend, and the 2010 edition clearly builds on the first issue in a major way. As I get through more of the book I’ll update this blog with reviews about specific topics and chapters. I’m especially looking forward to the chapters devoted to ambulatory surgery, dialysis, home health, and imaging. Stay tuned.

Using a medical practice appraisal

2010-10-22T17:26:00.001-07:00

New article about the use of a medical practice appraisal
I've written a Q&A article about the application of a medical practice appraisal when involved in the purchase or sale of a medical practice. A clear approach and expectation when going through the valuation process can be of great assistance when negotiating a deal. You can find the article on our website.

Q&A from the Institute of Business Appraisers

2010-10-22T16:39:00.000-07:00

Great article on the Institute of Business Appraisers website entitled "Building on a History of Excellence – A Discussion with IBA Headquarters on the Future of Business Valuation in the United States". Great information about leadership, standards, and trends within the business valuation community. Visit IBA's News blog to read the entire Howard Lewis interview.

Medical practice appraisal

2010-10-15T11:21:00.000-07:00

East Texas Ophthalmology practice for sale | Dallas | eBay Classifieds (Kijiji) | 1189716

2010-10-12T13:23:00.000-07:00

East Texas Ophthalmology practice for sale | Dallas | eBay Classifieds (Kijiji) | 1189716

Ophthalmology Practice for Sale: JUST SOLD

2010-10-11T15:59:00.001-07:00

SOLD: Ophthalmology practice in Orange County. We just complete the sale of this long established general ophthalmology practice. This practice is located in a popular beach community of Orange County, Southern California. Gross collections of $1,500,000+ annually on part-time physician coverage by the seller. Much growth potential realizable through expanding the scope and coverage of the practice. Payor Mix: PPO: 44% Medicare: 25% Cash: 18% VSP: 8% HMO: 2% Other insurance: 3%. Optometrist and optician are also employed in the practice. Retiring seller is providing transition assistance.

Medical Practice for Sale

2010-10-10T16:17:00.000-07:00

Medical practice for sale in the Lake Tahoe area on the border of California and Nevada. This is a primary care practice providing a variety of services including cosmetic and aesthetic procedures (e.g. vein & hair removal and acne treatment). Long established outfit providing office based internal medicine care as well as allergy testing and treatment. Robust income with gross collections averaging $700,000k+ annually and a high net income. Primarily Medicare and PPO insurance with no Medicaid or HMO. The practice is fully equipped and has highly trained staff as well as an EMR System. Medical practice seller will assist new buyer with transition assistance.

Designing an Optical Dispensary for an Optometry Practice

2010-10-05T14:02:00.001-07:00

I found an older article on the Review of Optometry website about building a startup optometry practice from scratch, written by Dr. Diecidue OD. An interesting excerpt discusses the design and building of an optical dispensary: Combining the dispensary with the reception area gives patients the opportunity to browse frame inventory while staff helps to pre-select eyewear. Designing the dispensary and reception area to be open and airy is important to create a non-confining or claustrophobic environment. Higher ceilings (9 foot+ ceilings) and windows foster an open atmosphere for browsing frame inventory. The presentation and showcase of frame inventory is also important in driving optical sales. Mapping out the dispensary for patient flow is an equally important part of this process. On the practical aspect of completing a project, the article also discusses startup optometry loan financing.

Funding is usually the crucial first step in getting the project underway. The nuances of project based financing for start-up optometry practices and other vision care offices need to be carefully planned for. I've previously written about the importance of having an optometry business plan and projections, which are good tools in developing an approach to foreseeable challenges when starting from scratch. The transition phase from construction/build-out of the physical space, into the actual practice opening and development of the business as a going concern can be treacherous if not properly addressed in advance.

Urgent Care Startup versus Urgent Care for Sale

2010-10-05T10:52:00.000-07:00

I recently read an article discussing urgent care practice start-up alternatives. Many of the options listed involved taking over or purchasing an existing underperforming urgent care center. The points made in the article were fair, but didn’t fully address the option of purchasing an existing urgent care practice with good cash flow. The “fixer upper” mentality may work for real estate but doesn’t always pan out for going-concern medical practices. Buying a successful urgent care practice may be one of the better options available to urgent care physicians. Acquiring a marginal, underperforming practice or converting another specialty practice into a high volume treatment center may cost more in the long run. It can take substantial time to build a location into a well-established practice generating sufficient profits to warrant the specific risk premium. Another factor to consider is the opportunity cost of foregoing better income while the practice is being built up. This is an additional risk added to the actual cost of investing into the practice. Buying an urgent care medical practice which is already proven and generates robust income from the onset may be a better option. This may involve paying a higher price point and taking a larger medical practice purchase loan but can be less risky and more profitable in a shorter timeframe. View one of our current listings: Urgent Care for Sale

Dermatology Practice for Sale in Washington State & accessible to Seattle Metro

2010-10-04T16:27:00.000-07:00

Dermatology Practice for Sale accessible to Seattle Metro, located in Washington State. Thriving solo medical and surgical dermatology practice collecting $1,9000,000+ annually on 4 days/week. Beautiful 4000+ sq/ft freestanding building, well designed for optimal efficiency and patient comfort. Approximately 11,000+ active patient charts: 50% PPO, 48% Medicare & 2% Cash. Well trained dependable staff includes 2 physician assistant extenders. Substantial growth potential by opening an additional day and accepting new Medicare patients. Largely untapped cosmetic dermatology market. Small town charm with access to big city amenities in nearby Seattle Metro. Dermatology Practice Acquisition Financing Available.

Healthcare Practice Sales and Financing firm develops new division specializing in Appraisal

2010-09-29T14:26:00.000-07:00

Check out our press release Announcing Medical Practice Appraisers as an independent service for valuation and appraisal engagements. We have been retained by a number of medical practices, clinics, and healthcare business entities for these assignments. As a result, our team of valuation consultants and appraisers has grown into a separate division providing a dedicated service. Medical Practice Appraisers (MPA) is a division of Transition Consultants, a recognized leader in practice financing solutions, healthcare business consulting, and medical practice brokerage. For more information call 800-416-2055 or visit Transitionconsultants.com

Internal Medicine Practice For Sale - Lake Tahoe Area

2010-09-28T18:14:00.000-07:00

Practice medicine in a fantastic resort area location near outdoor recreation and serene Lake Tahoe. Long established, solo primary care practice providing office based internal medicine, allergy testing & treatment. Also provides some cosmetic procedures including vein & hair removal and acne treatment. Gross collections averaging $700,000k + annually with high net income. Primary payors are Medicare and PPO insurance. No Medicaid or HMO. Fully equipped office, highly trained staff, and EMR System. Seller will assist new buyer with transition assistance.

Business Valuations: Putting a value on valuation

2010-09-17T17:40:00.000-07:00

Business Valuations: Putting a value on valuation This is an older article from Accounting Today (2007) covering the development of standards for business valuation and appraisal. Interesting to see how the field has fared under multiple governing bodies trying to promulgate their own standards which don't come in conflict with other standards. These developments are great progress considering the questionable and unfounded valuations that float around out there. Some of the appraisals I've seen are exceptionally bad. Appraisals can involve quite a bit of subjective judgement, but it's widely accepted that appraisers should use generally accepted principles under standards USPAP and other bodies. A bad valuation opinion can be especially detrimental to those who rely on the judgement of valuation professionals in order to make appropriate business decisions (pretty much everyone). One of the best undertakings has been development of standardized language under the international glossary of business valuation terms.

Central California - Pain Management Clinic for sale

2010-09-17T16:29:00.000-07:00

Long-established outpatient pain management practice with emphasis on both evaluations and pain management. Collecting $1,600,000+ annually. Services include medication management, pain pump refills, trigger point injections, epidural steroid injections, facet blocks, pump implants. Balanced payor mix and referral sources. Well trained staff and management in place. Seller is willing to provide generous transition assistance to new buyer to ensure a successful transaction. Ideal opportunity for a physiatrist, anesthesiologist, or other physician specialist trained in pain management. 100% financing available.

Refinance Practice Loan - Medical and Optometry

2010-09-15T10:23:00.000-07:00

Refinancing a practice loan and consolidating debt can greatly improve cash flow and alleviate working capital needs. However, the process by which a doctor can obtain this type of financing may be less apparent. In a tight economic environment where capital guidelines may be more stringent it is important to plan ahead for this process. A practice loan application may have one opportunity to be considered, and approved or denied based on a myriad of factors which must be anticipated in advance. To have a clear picture of the application going into the process it is vital to keep organized financial statements and tax returns. This will allow a loan consultant to preempt possible issues and prepare supplemental information to support the request. A well-formulated business plan and projections may be required as well. Ample time and sufficient documentation are the key components to preparing for a practice loan refinance and debt consolidation as well as other practice financing requests.

Loans tide over L.A. County health clinics

2010-09-14T22:05:00.000-07:00

Community clinics in Los Angeles who rely on Medi-Cal as their primary payor have been dealing with reimbursement shortfalls due to California's budget problem. Cash flow from payor reimbursements is the lifeline of these clinics and they can be especially susceptible when a small number of payors comprise a large portion of their business. Lines of credit and practice staff cuts are some of the short term actions being made to bridge the gap until normal reimbursements return. "Stung by a budget stalemate that is costing Los Angeles County community clinics more than $330,000 a day in reimbursements, many clinic managers have been forced to take out loans and contemplate cuts to staff and services." Small rural practices and health clinics with less access to capital in the interim, likely will find it even more difficult to keep their doors open.

Poll: Buy a practice or start your own?

2010-09-09T13:57:00.000-07:00

I found an interesting poll on SDN Forum (from 2009) about practice options as a new physician. The results were interesting but not surprising. As I mentioned on the thread, I see this response from many new physicians who are coming out of medical school with a mountain of debt and are looking for stability. It would be interesting to see the same optometrists and ophthalmologists polled with the same questions after three to five years into their careers. It probable that the response would shift. Producing for a group as an employed physician can have a profound effect on a doctor's perspective. Work experience and production capability can lend confidence in being able to successfully start or acquire a practice.

Poll Options

How do you plan on beginning your career?
Starting your own private practice
Buying somebody's private practice
Joining a group
Working in a University setting
Other

Medical device markets with import restrictions

2010-09-09T07:59:00.000-07:00

An article from DotMed on countries who forbid the re-sale of used medical equipment. Worries over safety have led to these countries to impose import restrictions on anything but new medical equipment. With so many underutilized capital assets in Western countries, there are plenty of uses for safe equipment especially in underdeveloped nations.

Selling a dermatology practice in Ohio Northeast

2010-09-02T16:10:00.000-07:00

Ohio Northeast - Selling dermatology office, long established solo medical/surgical practice collecting $600,000 annually on part time hours. High net income of $400,000. Lots of growth potential by expanding scope of the practice and accepting more insurance. Well established and good reputation for providing high quality care. 96% Medical/surgical dermatology, 4% cosmetic. Excellent staff. Tremendous growth potential by expanding practice scope and provider coverage. Retiring seller will assist to facilitate a successful transition. 100% Dermatology Practice Loan Purchase Financing Available.

Optometry practice for sale

2010-09-01T21:12:00.000-07:00

Optometry practice appraisal and sales. Florida west coast optometry practice for sale Exceptional opportunity grossing $1,300,000 + in 2009. Exhibiting strong organic growth rate of 10-15% over the last three years. Additional revenue potential by expanding optometrist coverage hours. Optometry loan financing available.

On the Flipside: When trimming overhead in a medical practice goes too far

2010-08-31T11:22:00.000-07:00

I wrote an article about managing medical practice overhead expenses by looking for some creative ways to cut cost. Also found this blog entry on MGMA about being mindful about not going too far. When margins get leaner it can be tough to manage all of these aspects, but cash flow in the practice tantamount to operating a successful practice. The important thing is ascertain which expenses need to go and which cuts would cause strife within the practice. Running an efficient operation is also very important to the pre-sale planning process when a selling doctor is looking to transition out.

Suddenly Solo: Blog from Urologist on Starting a practice

2010-08-30T13:44:00.000-07:00

Found an interesting blog called The Independent Urologist, and a posting regarding starting up a practice from scratch. He makes a good point about dealing with obstacles in a practice from the ground up:

"....My obstacles in February 2006 included lack of office space, little practice management knowledge, not enough money, no patients, no hospital staff privileges, no referring doctors, etc. Your obstacles may be similar to mine, but might be different, but you will have obstacles. Identifying them will help you to overcome them. It is essential that you list all--I mean all---of your obstacles. Slowly but surely, in a systematic fashion, you’ll overcome them."

Also makes a keen point about establishing concrete goals, not just grandiose ideas of the amount of income or level of success one would like to achieve by having their own practice:

"Finally, you must have goal. And not something like “to make a lot of money.” You’ll never have enough money. I mean to set a professional goal. What you want from your practice, profession, life, etc. My goal was my ideal practice—my dream practice. The practice I always wanted, but never thought I could have. If you don’t have a goal, get one. If your goal is nebulous, focus it, on paper."

Good blog. Looks like he's got a book too.

Cutting overhead in the Medical Practice

2010-08-27T18:10:00.000-07:00

HEALTH PLAN ACQUISITIONS TARGET SMALL- TO MEDIUM-SIZED COMPANIES

2010-08-27T17:55:00.000-07:00

HEALTH PLAN ACQUISITIONS TARGET SMALL- TO MEDIUM-SIZED COMPANIES
Analysts say Medicaid-heavy health plans also will be especially attractive to private equity firms and others.
By Emily Berry, amednews staff .

As a newly reformed health system takes shape, private equity firms are eyeing investments in health plans. "Private equity funds are out to make money, to invest money, and they've got money they want to put to work now," said Chip Clark, partner in the provider care sector in Ernst & Young's North America Transaction Advisory Services practice. The practice, among other services, advises corporate clients on merger and acquisition strategies. Investments are likely to target small- to medium-size plans that won't elicit intense regulatory scrutiny, as well as Medicaid contractors likely to continue making money from growing Medicaid rolls and cash-strapped states, observers said. Experts said investment groups now see the consequences of health system reform clearly enough to consider putting some money into health care ventures, even if major elements of the new health system have yet to take shape. [...]

Read the entire article in American Medical News:

www.amednews.com/2010/bisa0809

SENDER'S COMMENT: FYI...maybe we should try to get a piece of this pie!

Nationwide - Dermatology Jobs - Employment positions for Dermatologists

2010-08-27T17:15:00.000-07:00

Nationwide - Dermatology Jobs - Employment positions for Dermatologists

Hospital for Sale

2010-08-27T16:00:00.000-07:00

Recently saw an advertisement for a hospital for sale, selling the medical facility only. Looks like an interesting acquisition opportunity for the right medical group. Video here:

Selling Dermatology Practice - Medical/surgical Derm - Ohio

2010-08-23T13:13:00.000-07:00

SOLD: Optometric Office in Ventura County California

2010-08-17T10:35:00.001-07:00

SOLD: South Ventura County Optometric practice for sale. Free Standing 2100-sq.ft office on major street. Over 6200 patient files. Two fully equipped exam rooms. Situated in a very desirable community, conveniently located off the Ventura Freeway. Ideal setting for an Optometrist or Ophthalmologist looking for a start-up practice alternative or expansion of an existing vision care practice. Gross revenue ~$400,000 in 2008. Retiring optometrist seller will assist with transition.

Otolaryngology ENT practice sale - Los Angeles CA

2010-08-10T23:26:00.000-07:00

Video highlight - Selling Otolaryngology ENT clinic in Los Angeles California. Ideal for ENT physician buyer or other related specialty. View full listing

Timing the selling process can make (or break) the deal

2010-08-05T13:28:00.000-07:00

Proper timing of the selling process is hardly a new topic of discussion but is an area which is extremely important in achieving the successful sale of a medical office. Unfortunately, timing is a factor which is often overlooked and can be extremely detrimental to marketability and practice value if executed improperly. Practice sale situations are commonly driven by other factors within a larger transition plan for the retiring doctor. It is imperative that the practice be brought to market early enough to achieve the objective. While timing to market may not guarantee that the clinic will sell, it can increase the probability that full value can be realized. Even small, marginally profitable practices can have inherent value which can may be capitalized upon if priced and marketed properly. The most unfortunate cases of ill timing occur when mature, premium practices lose tremendous value. This can occur when sellers hold out too long to bring the practice to market, wait for "perfect deal" to materialize (which may never occur), or simply get burned out and lose the desire to maintain the practice at full productivity. While a practice in decline may still attract a Buyer, the Seller will need to make an appropriate discount to asking price and recognize that obtaining financing for the acquisition will be much more challenging. Overall it is important for Sellers to 1) Prepare the practice for sale in advance 2) Bring the practice to market in a timely manner 3) Maintain the business at full capacity throughout the process 4) Be flexible in a buyer's market 5) Be willing to act when a good selling opportunity presents itself 6) Rely on a trustworthy sales adviser and be willing to take advice. The transaction process is not perfect, but a successful outcome is more likely when the a proper approach and mindset are brought into the selling process.

Preparing A Business Plan - Optometry Loan Startup & Refinance

2010-08-03T10:34:00.000-07:00

Every start-up Optometry practice should write a comprehensive business plan including an analysis of the competition within the geographic area. We review numerous business plans and projections of Optometry start-ups during the financing process. From my experience with these projects, it is crucial to differentiate one's optometric office and service offerings. This is especially relevant in heavily saturated markets and large metropolitan areas. The best business plans we have come across include an in depth analysis of other vision care providers in the area including some of the following factors:

Total OD coverage (not all practices have the same FTE coverage, and thus different market share)
Hours of operation (a potential area in which to capture market share via patient convenience)
Type of vision care services offered (basic optometric care, medically oriented, low vision, vision therapy, etc)
Strata of dispensing (low end frames, high end designers, contact lens weighted)
Breakdown of optical vs. optometric income
Private practices vs. commercial locations (each has different customer appeal, experience, etc)
Draw of each practice to the target patient base (see previous bullet)
Aggressiveness of current marketing efforts by competitors
Relationship with Lasik centers, Ophthalmology practices, and other providers

This type of information obtained by the start-up candidate about the surrounding competition will help him/her to conduct a SWOT analysis for the new practice. An in-depth examination at the onset of the project will give the startup practice a better chance to obtain the needed financing, gain market share, and differentiate itself in a challenging market.

Otolaryngology ENT practice for sale - Los Angeles CA - Selling Doctor will assist Buyer with transition

2010-08-02T12:38:00.000-07:00

Selling Otolaryngology ENT medical practice in Los Angeles CA.

Established for 30+ years
Average gross collections of $700,000+ annually with low overhead and high net income
Well diversified payor mix including IPA capitation contracts
Trained staff and & fully equipped medical office space
Seller will assist with transition to new buyer
Providing office based ENT Otolaryngology care, facial plastic reconstructive and cosmetic surgery, hearing testing, hearing aid dispensing, and VNG diagnostics
Seller will assist new buyer with transition period
Contact consultant for info

Optometry Startup Project Completed

2010-07-30T12:46:00.000-07:00

St. Cloud Eye Care is a start-up optometry office in Florida which we helped to secure loan financing... The physical build out just came to completion it really turned out well. Previous pictures of this vision care office during construction can be found here: St Cloud Eye. Fantastic job!!

LA Times Article - ACO's, Physician-Hospital Practice Sales, Employment, Alliances

2010-07-28T18:43:00.000-07:00

An article in the LA Times discussing Accountable Care Organizations and Physician-Hospital Practice Sales, employment arrangement, and alliances. The article touches on many points of a multifaceted phenomenon without going into additional depth. It's an interesting read for some basic observations of many issues pertaining to healthcare mergers, acquisitions, and alliances. Below I've included some key passages from the article. The last quote I've highlighted is important to note. The changes occurring are undeniable but the level of fear seems to drive many into a frenzy. There will be many more mergers and consolidations among medical practices, hospitals, and health systems, but whether these deals are driven by logic or fear will depend on how changes in the greater healthcare environment will actually play out.

"Three of San Antonio's hospital systems are competing to form alliances with local doctors who are giving up their private fee-for-service practices in exchange for paid positions on a hospital's team. Healthcare experts have long argued that such a unified approach to medical care offers the best hope for improving quality and saving money. While a few institutions such as the Mayo Clinic and Kaiser Permanente have thrived doing this, the entrenched, competing interests of providers were widely seen as a barrier to nationwide change. It is possible the current rush will fail to reproduce the best models or their results. Further consolidation in the $2.5-trillion healthcare industry might drive up costs for everyone. It could also reprise problems from the 1990s, when HMOs were criticized for restricting patient choice and access to care...

...But some experts and providers see the new courtship dances as a surprisingly hopeful sign. The healthcare debate may have helped spark doctors, hospitals and others to rethink what they do, raising the prospect of better outcomes for millions of Americans. Not everyone is interested in these overtures. Dr. Manuel M. Quinones Jr., who dissolved a partnership with Santa Rosa several years ago, said physicians should be wary. "When a hospital controls the lion's share, it will always be first in line to get the money," he said. But like Carrier, many doctors in San Antonio see a changing world in which it's increasingly difficult to practice on their own. "It's scary," said Dr. A. Charles Rabinowitz, a cardiologist who has watched many colleagues sell their practices. "There is a lot of paranoia out there."

Allied Health and Healthcare Businesses for Sale - New Category on TC Website

2010-07-28T18:06:00.000-07:00

We've recently added a new category on the website for Allied Healthcare Practices and Healthcare Businesses for sale. This is the result of new listings for a variety of businesses including Diagnostic Service Facilities, Home Health, and Assisted Living, as well as Allied Health including Physical Therapy and Podiatry practices. These haven't been traditional areas of focus for us but we've taken on selective assignments and affiliate listings as deemed appropriate. There are number of good opportunities for buying healthcare businesses through our organization.

Inland Empire California - Selling Assisted Living Home Health Business

2010-07-28T16:33:00.000-07:00

Assisted living business for sale. Real estate included. Live-in quarters and office included in this large 2,000 square feet home, built in 1972. Included in the purchase is a van used for transportation of patients. This business has an excellent reputation in the surrounding community. Buyer needs criminal clearance, live scan, with DOJ and FBI. May take 6 months to qualify but will be a condition of the sale of the business to obtain the proper permits. The seller is able to stay on board as the administrator and the care-giver of record until the process is completed. Many patients come as referrals. Potential for growth opportunity through maintaining a higher occupancy rate. Average patient pay is $2500 per month; high-end patient pay from those who are financially capable is ~$4300 per month. Assisted living facilities can be rewarding healthcare business opportunities, providing safe, secure, and welcome environments for those in need during the later stages of life. Please inquire for details.

Orange County California - Selling an Urgent Care Clinic

2010-07-23T14:18:00.000-07:00

Orange County California - Selling an Urgent Care / Primary Care medical practice. Gross collections in excess of $1,500,000 annually on 1.5 FTE MD providers. Providing an array of testing and ancillary services including X-Ray, Lab, Dexa scan, Spirometry, EKG, Scope sigmondoscopy & EGD, Drug screening. Large 3000+ square foot medical office space with 10 exam rooms, three doctor's offices, x-ray room and lab. Payor mix: Medicare: 45% PPO: 30% Patient Pay: 10% Medicaid: 5% Other Insurance: 10%. Source of new patients: patient referrals, other physicians, walk in patients. Well-run operation with efficient staff and good payor mix. Seller is willing to remain with the practice and work part time, if desired by Buyer. Medical practice loan financing available.

Selling Optometry Office - Philadelphia area

2010-07-21T16:47:00.001-07:00

Selling optometry office in a Philadelphia Suburb. Practice grossing $920,000+ in 2009. Reputable, long established with an emphasis on contact lenses and primary care. Located in a desirable, rapidly growing community. Optometry acquisition loan financing available.

Forbes.com - The Worst-Paying Jobs for Doctors

2010-07-21T11:51:00.000-07:00

An article from Forbes.com regarding the disparity in pay between primary care physicians and specialists: physician employment. This article also discussed student loans which are posing a potential burden on physicians who enter the workforce. Some of the salary data which I've observed myself in the field is even lower than the amounts cited in the article: "At $180,000 for pediatricians and $175,000 for family practitioners, primary care providers make an awful lot less than the typical orthopedic surgeon, who makes $519,000, or a urologist, who earns $400,000, according to the Merritt Hawkins data. That disparity has contributed to a serious shortage of primary care doctors. The American Medical Association predicts a shortage of 35,000 to 40,000 primary care physicians by 2025." Much of the same information regarding physician pay and physician supply has been covered in a variety of media outlets. From my perspective, all of this information is interesting to note as it relates to the value of physician practices. I see truth to these concerns but the overall doom-and-gloom which is preached when it comes to the appraisal of medical clinics is blown out of proportion (in my opinion). There is such a wide range of variation as it relates to specific practices and regions that it's impossible to apply these broad observations of american healthcare to every practice in this country. That's where an appraiser's competency plays a role in determining the degree to which these variables apply to the specific project.

REITs and Healthcare Real Estate Acquisitions

2010-07-19T18:41:00.000-07:00

Interesting news item regarding the acquisition of St. Vincent Medical Office Building in Cleveland by Grub & Ellis Healthcare REIT II. Their list of acquisitions is growing. I've also been looking at growth in a variety of other healthcare REITs including HCP. There certainly will be a growing need for physical space in which to render patient care and house staff. REITs have been buying a variety of properties including medical offices, professional buildings, hospitals, and large tertiary care facilities. I'm interested to see how these healthcare real estate deals will be impacted by changes in health economics and policy. My primary concern is the potential impact of lower reimbursements on healthcare entites who occupy these spaces, and whether occupany and lease rates will suffer as a result. These REITs likely have developed strategies to deal with these future uncertainty, but the spectre of change still looms.

Best Hospitals 2010-11: The Honor Roll

2010-07-15T14:30:00.000-07:00

Was reading MSN health and came across this article on rankings of large tertiary hospitals and medical centers.

From MSN Health By Avery Comarow, U.S. News & World Report Best Hospitals 2010-11: The Honor Roll "The new U.S. News rankings showcase 14 hospitals with high scores in six or more specialties.

Rank	Hospital	Points	Specialties
1	Johns Hopkins Hospital, Baltimore	30	15
2	Mayo Clinic, Rochester, Minn.	28	15
3	Massachusetts General Hospital, Boston	27	15
4	Cleveland Clinic	26	13
5	Ronald Reagan UCLA Medical Center, Los Angeles	24	14
6	New York-Presbyterian University Hospital of Columbia and Cornell	21	11
7	University of California, San Francisco Medical Center	20	11
8	Barnes-Jewish Hospital/Washington University, St. Louis	17	10
9	Hospital of the University of Pennsylvania, Philadelphia	16	12
10	Duke University Medical Center, Durham, N.C.	16	10
11	Brigham and Women's Hospital, Boston	14	10
12	University of Washington Medical Center, Seattle	14	8
13	UPMC-University of Pittsburgh Medical Center	13	8
14	University of Michigan Hospitals and Health Centers, Ann Arbor	12	8

Great tool from the American Medical Association - 2009-2010 RBRVS Calculator

2010-07-15T14:18:00.001-07:00

Though a bit dated, the AMA has a cool resource which you can download from their website. I just came across it, so maybe I'm the one who's dated!! It's an RBRVS calculator showing the SGR cut without passage of H.R. 3961.

From their website:

Download the 2009-2010 RBRVS Calculator
"Find out how the 2010 SGR cut will affect you if Congress does not pass H.R. 3961, the “Medicare Physician Payment Reform Act of 2009”. This free software program, developed by MIT Solutions, Inc., reports individual RVUs and calculates adjusted and unadjusted totals as well as calculating the Medicare allowable. This program performs both a complete RBRVS analysis for the 2009 database as well as a practice- or physician-specific Medicare financial impact analysis by comparing RVU, conversion factor and Medicare frequencies for 2009 data to 2010 data."

Selling gastroenterology gi clinic missouri

2010-07-15T10:18:00.000-07:00

Missouri - Selling gastroenterology GI clinic. Collecting $550,000 annually with a very low overhead & minimal call schedule. Owner's net income of ~$450,000 annually. Specializing in gastroenterology gi procedures and digestive diseases. Good sized medical office space with 3 exam rooms and 2 doctor's offices. Comfortable suburban community near hospital and large referral base of patients. Most common in-office outpatient procedures are infrared coagulation treatment for hemorrhoids and capsule endoscopy. New patients primarily come from patient referrals, other physicians, and directories. No emergency call. Well balanced insurance and payor mix. Seller will provide generous transition assistance to incoming buyer. Physician purchase financing available

Missouri - Gastroenterology Practice for sale

2010-07-13T16:52:00.001-07:00

Missouri - Gastroenterology Practice for sale. Collecting $550,000 annually with a very low overhead & minimal call schedule. Comfortable suburban community near hospital. Generous transition assistance. 100% financing available.

International Medical Graduates in General Surgery: Increasing Needs, Decreasing Numbers

2010-07-12T12:11:00.000-07:00

International Medical Graduates in General Surgery: Increasing Needs, Decreasing Numbers

Conclusion of this study: "General surgeons are in high demand, and until now have remained inherently dependent on IMGs to reinforce their ranks. Current numbers of IMGs in practice are declining. This decline, coupled with inadequate numbers of trainees in domestic general surgery programs, creates a crisis of urgency."

Interesting to review this study in light of the general surgery practice selling in New Jersey. The physician supply will affect the valuation of medical practices in different ways depending on the specialty, other supply-demand factors, reimbursements, and the prevailing appraisal formula used in medical practice valuation. There is a great demand in general surgery and a declining supply of providers.

ADA: American Dental Association - ADA sees new PECOS enrollment requirement as 'unnecessarily burdensome'

2010-07-12T12:09:00.000-07:00

ADA: American Dental Association - ADA sees new PECOS enrollment requirement as 'unnecessarily burdensome'

UC Irvine - Great opportunity for continuing education on minimally invasive surgery!!

2010-07-08T16:48:00.000-07:00

UCI has been putting on great seminars and forums. I've especially enjoyed the forum on health policy and economics. They consistently get heavyweights from the public and private sectors to speak at these event. This has been a golden source of information for my research on health economics and the effects on physician practice valuation. UCI is putting on a continuing eduction opportunity in August regarding minimally invasive surgery. It will cover the currently utilized approaches as well as potential future uses. Sounds like a great resource for physicians, surgeons, extenders, and healthcare administrators alike. Minimally invasive surgery is especially applicable to specialized care in Bariatrics, Colon & Rectal, Endocrine, Esophageal & Gastric, Endovascular, Gynecology, Pancreas, Thoracic, Transplant, Urology, and Vascular. Here is the link to the program brochure: http://www.meded.uci.edu/CME/CMEBrochures/MISInviteFinalSinglePage.pdf

Calling all entrepreneurial Dermatologists.....

2010-07-08T16:12:00.000-07:00

Are you an entrepreneurial Dermatologist?
Do you have the mojo to successfully own and run a Dermatology practice?
Want to carve out your own niche and purchase a profitable, cash-flowing Dermatology practice?

Selling dermatology practices in the following locations:

Idaho Dermatology Practice Sale - Idaho-Derm-Sale

New York Dermatology Practice Sale - NewYork-Derm-Sale

Texas Dermatology Practice Sale - Texas-Derm-Sale

Maryland Dermatology Practice Sale - Maryland-Derm-Sale

Nevada - Open MRI and Ultrasound facility for sale

2010-07-08T13:33:00.001-07:00

Open MRI and Ultrasound facility for sale in Nevada. Gross collections of 1,000,000 annually. GREAT location surrounded by a vibrant medical community. The facility boasts a beautiful environment unlike any other facility in the marketplace. High back leather chairs, walls of artwork, soft colors, hard wood floors, etc. give the facility a home-like, non-clinical and soothing setting that leads to a high level of patient satisfaction. The facility is fully staffed and all equipment (Hitachi Aris II, 2 Ultrasound units, and one Bone Density unit) fixtures, supplies and systems will allow for a first day, first scan opportunity.

*actual equipment not shown*

Medical Practice Sales and Appraisal

Internal Medicine Practice for Sale - Florida

Dental Practice for Sale – Korea-town, Los Angeles

OB/GYN & Maternal-Fetal Medicine Practice for Sale – Los Angeles, California

Dental Practice for Sale - Glendale, California

Internal Medicine Practice for Sale - San Joaquin Valley, California

Healthcare Fraud, Medicare Exclusion, and Federally Funded Healthcare

Pain Management Practice for Sale – Santa Cruz County, California

Family Medical Practice for Sale – San Fernando Valley, CA

Dentistry Practice for Sale – North Orange County

What is your Dental Practice Worth?

Dentistry Practice for Sale - West Los Angeles

Optometry Practice for Sale - Kentucky

Physical Therapy Practice Southern California

Optometric Practice for Sale – North Carolina

Auburn, Alabama Dermatology Practice

Orange County Dermatology Clinic

Why Dentists Should Understand Their Active Patient Count

Dental Practice Start-Ups: The Good and the Bad

Pediatric Practice for Sale California Orange County

Leasing space for a dental practice

Income-based method for valuing a medical practice

New source for Optometry Practice Financing

Growing an optometry practice by obtaining certifications

Dental Practice Valuations

Westchester New York - Selling Dermatology Practice

Optometric Loans Funded this Week

Just Sold: ENT Otolaryngology Practice in Los Angeles California

Practice for Sale Dermatology Southern California

Medical group mergers and acquisitions

Ophthalmologic Surgery Center for Sale

Priced for Immediate Sale: Medical/Interventional Pain Practice

Electronic Medical Records and Meaningful Use: Upcoming Event

Practice for Sale Dermatology Southern California

Selling Medical & Interventional Pain Practice

Florida Optometry Practice for Sale

Success Factors for Refractive Surgery Based Ophthalmology Practice

Recent Sale: Orange County Pediatric Practice

Medical and Surgical Dermatology Office in Chicago Illinois

Sold: Interventional Pain Management Practice California

Valuing physical assets and equipment in a medical practice.

Sale Pending on Pediatric Practice For Sale Orange County

Starting a Dermatology Practice - Buying as an Alternative

Plastic Surgery Practice for Sale

Primary Care Practice for Sale - Los Angeles

Geriatric Primary Care Medical Practice for Sale

*SOLD* Ophthalmology Practice in East Texas

Completed Optometry Office Startup Financing

Practice Valuation for Associate Doctor Buy-in

Completed Sale: Medical Dermatology Practice In Maryland

Optometry practice appraisal and vision care industry

Selling Family Medical Practice - Long Island New York

Book Review: Guide to Healthcare Valuation (2010 Edition)

Using a medical practice appraisal

Q&A from the Institute of Business Appraisers

Medical practice appraisal

East Texas Ophthalmology practice for sale | Dallas | eBay Classifieds (Kijiji) | 1189716

Ophthalmology Practice for Sale: JUST SOLD

Medical Practice for Sale

Designing an Optical Dispensary for an Optometry Practice

Urgent Care Startup versus Urgent Care for Sale

Dermatology Practice for Sale in Washington State & accessible to Seattle Metro

Healthcare Practice Sales and Financing firm develops new division specializing in Appraisal

Internal Medicine Practice For Sale - Lake Tahoe Area

Business Valuations: Putting a value on valuation

Central California - Pain Management Clinic for sale

Refinance Practice Loan - Medical and Optometry

Loans tide over L.A. County health clinics

Poll: Buy a practice or start your own?

Medical device markets with import restrictions

Selling a dermatology practice in Ohio Northeast

Optometry practice for sale

On the Flipside: When trimming overhead in a medical practice goes too far

Suddenly Solo: Blog from Urologist on Starting a practice

Cutting overhead in the Medical Practice

HEALTH PLAN ACQUISITIONS TARGET SMALL- TO MEDIUM-SIZED COMPANIES

Nationwide - Dermatology Jobs - Employment positions for Dermatologists

Hospital for Sale

Selling Dermatology Practice - Medical/surgical Derm - Ohio

SOLD: Optometric Office in Ventura County California

SOLD Ophthalmology Practice in East Texas