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Deal Alert: 20-Year-Old Vein & Aesthetics Clinic — High-Margin, Low-Hours, Built for Expansion

📍 Location: [Confidential – U.S. Suburban Market]
💰 Asking Price: $1.1M
💸 2023 Revenue: $1.25M
📈 2023 SDE: $431K

🌟 Why This Business is Great:

✔️ Essential Services With Sticky Patients
This isn’t elective medspa fluff. Patients come for real medical issues — varicose veins, lymphedema, spider veins — that require clinical treatment and consistent follow-up. Once they start, they stay. The result? Predictable, recurring revenue from both the medical and aesthetics side.

✔️ Only Open 2 Days a Week (Yes, Really)
The owner-surgeon is working part-time and still generating over $400K in SDE. That’s a clear signal: the demand is there. Capacity isn’t. This is an operator’s dream — a business with proven demand, underutilized hours, and no real marketing in place.

✔️ Loyal Team, Smooth Ops
10 full-time employees. Most have been there for years. Front desk, surgical assistants, admin — all trained, in place, and running efficiently. This kind of operational stability is rare in healthcare and makes transition much easier.

✔️ Mix of Insurance and Cash-Pay
The clinic has a healthy blend: insurance-covered vein procedures + high-margin cash services like Botox, fillers, and hormone therapy. That means multiple revenue streams and flexibility in how you grow.

🚧 Challenges & Considerations:

 Only Viable for Clinical Operators
You need to be an MD, DO, NP, or have one on board to buy and run this. If that’s not you, skip this one (or partner with someone who fits the license).

 Founder-Led, No Growth Systems
No marketing funnel. No outbound. No digital acquisition. No practice manager. The surgeon is the system. That’s the risk — and the opportunity.

 High Lease (But Negotiable)
3,400+ sq ft recently renovated office. $9.2K/month in rent. It’s high, but the landlord is flexible, and the lease ends in Jan 2027. Plenty of room to renegotiate or even relocate over time.

🚀 Opportunities I See:

🔹 Go Full-Time
Clinic is operating at ~40% capacity. Simply opening 5 days/week and adding a second provider could nearly double volume. Same location. Same team. Minimal change — just better utilization.

🔹 Scale the Aesthetic Side
Botox, fillers, hormone therapy — these are cash-pay, high-margin services with little complexity. A well-targeted marketing campaign could turn this into a serious profit center.

🔹 Local SEO + Paid Ads
The practice has survived 20 years on reputation and referrals. But local PPC, SEO, and even basic retargeting would flood the calendar with new patients — especially on the aesthetics side. Healthcare + local intent = marketing goldmine.

🔹 Roll-Up Ready
For anyone doing an outpatient or aesthetic roll-up, this is a perfect tuck-in. Clean books, proven revenue, stable team. Plug it into a larger platform and scale it quickly.

🔹 Add Telemedicine + Follow-Ups
Vein procedures and hormone consults often require follow-ups. Adding virtual check-ins and reminders could increase visit frequency and improve outcomes — without straining the physical location.

🔍 My Analysis:

This deal is a quiet gem. It’s already profitable, with $431K in earnings, and the surgeon is only working two days a week. That tells me there’s real, proven demand — just not enough capacity. The team is loyal, the services are essential, and the aesthetics side adds high-margin, recurring cash flow. If you’re a licensed provider or working with one, this is a straightforward play: expand to five days, bring in another clinician, turn on local marketing, and watch revenue climb. With a solid foundation already in place, this could be a $2M+ business without needing to overhaul the operation. Simple steps, real upside.

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This Founder Got So Fed Up With VCs, He Built an AI to Replace Them

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Recent Case Study

Tyler bought 10 companies in different sectors [link]

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This $1.7M Acquisition Shows Where Smart Money’s Going


Four Corners Property Trust (FCPT) just acquired a Tires Plus location for $1.7 million at a 7.4% cap rate. It’s a small deal by dollar amount, but a strategic one—showing how FCPT continues to build its portfolio of essential service real estate assets, even in a tight market.

I love deals like this because they remind us that not every acquisition has to be flashy to be smart. A single-tenant, necessity-based property like this—especially with automotive services—offers stability in both good and bad times. When cap rates push above 7%, it's often a sign of opportunity... or risk. FCPT seems to believe it's the former.

For buyers in the SMB space: this is a reminder that the right mix of cash flow, niche utility, and strong location can still be picked up without needing to write a $10M+ check.

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