Deal Alert: U.S.-Based Mental Health Clinic (Medication + Therapy Services)

📍 Location: U.S.
💰 Asking Price: $1.459M
💸 Revenue: $3.36M (TTM)
💵 Net Profit (SDE): $593K (~18% margin)
👩‍⚕️ Providers: 17 (with 5,000+ active patients)

🌟 Why This Business is Great:

✔ Large Patient Base, Established Trust
Over 5,000 active patients with stable recurring demand. In healthcare, trust is everything — and this business already has it baked in. Patients aren’t one-time buyers; they’re long-term relationships.

✔ 17 Providers in Place
The infrastructure is real. You’re not buying a solo practice, you’re buying a team. That’s critical for scale — a foundation most buyers spend years building.

✔ Medication-Driven Revenue
90%+ of revenue comes from medication management, which is sticky, high-demand, and recession-resistant. Therapy and other services (currently only ~10%) are optional upside.

✔ SBA Pre-Qualified
This deal is already SBA pre-approved, meaning financing is accessible. For the right operator, it’s a chance to control a $3M+ revenue business with relatively little capital upfront.

🚧 Challenges to Watch

❌ Staffing/Admin Heavy
Like most clinics, staffing is the biggest cost driver. Efficiency is possible, but it requires tight operational leadership. Contractor mix could be optimized.

❌ Owner Transition
The current owner is active in the business (wages included in SDE). A buyer will need to step in with strong ops or leadership, or hire a competent GM.

❌ Limited Marketing
Growth has been almost entirely word-of-mouth and insurance referrals. That’s great for stability but signals under-optimized demand generation.

🚀 Growth Opportunities I See

🔹 Expand Psychotherapy Services
Currently just 10% of revenue. Therapy carries higher margins than medication management and could double revenue with the right provider mix.

🔹 Hire More Providers
There’s patient demand + waitlist potential. Adding just a few additional clinicians could increase throughput without significant overhead.

🔹 Marketing Beyond Insurance Listings
Basic digital marketing (SEO, Google ads, referral programs) could unlock an entirely new layer of patient flow. This is low-hanging fruit in a sector where competitors already do it.

🔹 Operational Efficiency
Tightening admin, billing, and scheduling could improve margins beyond the current 18%. Healthcare rollups often push these margins into the 20s.

🔹 Platform Potential
With 5,000+ active patients and established systems, this could serve as the anchor asset for a broader behavioral health rollup.

🔍 My Analysis:

This is a straightforward, fair deal with real upside. The clinic already generates over $3M in revenue and nearly $600K in profit, backed by a strong provider base and loyal patients. At a 2.5x multiple with SBA financing available, it’s attractively priced. The challenges are typical — staffing, leadership transition, and lack of marketing — but all are solvable. For the right operator, adding more providers, expanding therapy, and running even basic marketing could push this business well beyond its current size.

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