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1,700+ Medicare Lives 40-Year Family Medicine Practice in Northern DE

Business Information:

$500K+ Annual Shared Savings | 1,700 Medicare Lives | Family Medicine

Strategic acquisition opportunity for an established family medicine practice with 1,700+ active Medicare patients, proven value-based care infrastructure, and $500K+ in annual Medicare shared savings. Serving Northern Delaware for over 40 years, this practice offers attributed senior lives, successful ACO participation, and robust chronic care management—ideal for physician groups or value-based care organizations seeking quality primary care assets.

STRATEGIC VALUE DRIVERS:
• 1,700+ active Medicare patients with established longitudinal relationships
• $500,000+ in annual Medicare shared savings through ACO participation
• Chronic Care Management (CCM) program contributing 20%+ of revenue
• Additional revenue from other value-based contracts
• Care coordination team managing 1,000+ chronic care patients monthly
• Patient-Centered Medical Home (PCMH) infrastructure in place

HIGH-TOUCH CARE MODEL:
This practice operates a relationship-based, high-touch model with physicians seeing 18-20 patients daily—prioritizing quality over volume. This approach drives exceptional patient loyalty, strong quality metrics, and superior value-based care performance.

PRACTICE OVERVIEW:
Full-spectrum primary care for all ages with 5,624 active patients and 20,000+ annual visits. Averages 54 new patients monthly through organic referrals with minimal marketing. Clinical team includes ten providers and one LCSW providing integrated behavioral health. 31 support staff across two locations.

FINANCIAL SUMMARY:
• Gross Revenue: $4.7M (2024)
• Asking Price: $1,800,000
• Seller Financing: $300,000 available to qualified physician buyer
• Payor Mix: 53% Commercial, 31% Medicare, 16% Medicaid

COMPREHENSIVE SERVICES:
• Preventive care and Medicare Annual Wellness Visits
• Chronic disease management (diabetes, hypertension, asthma/COPD, CKD)
• Integrated behavioral health and psychotherapy
• Home visit program for homebound patients
• Women’s health including IUD/Nexplanon insertion
• Minor surgical procedures and in-office diagnostics
• Telemedicine for acute, chronic, and transitional care

TECHNOLOGY & OPERATIONS:
• Athena EMR with integrated patient portal
• TimeDoc for CCM tracking and Medicare billing
• Clearwave digital check-in and eligibility verification
• Extended hours including evenings and Saturdays
• Two locations with 20 total exam rooms

IDEAL BUYER PROFILE:
Seller seeks a strategic buyer—physician group, independent practice, or value-based care organization—committed to preserving the practice’s high-touch culture and quality-focused model. The right buyer will value relationships over volume and continue serving the diverse communities that have trusted this practice for four decades.

Not seeking private equity or hospital system buyers.

Confidentiality Agreement required. Serious strategic inquiries only.

  • Asking Price:
  • $1,800,000
  • Est. Monthly Payment:
  • $N/A
  • Gross Revenue:
  • $4,738,248
  • EBITDA:
  • $N/A
  • FF&E:
  • $N/A
  • Cash Flow:
  • $457,867
  • Cash Flow After Annual Debt Service:
  • $N/A
  • Inventory:
  • $N/A
  • Rent:
  • $13,368/ Month
  • Established:
  • 2000

Detailed Information:

  • Real Estate: Leased
  • Lease Expiration: 05/31/2027
  • Employees: 41
  • Facilities: Two modern clinical locations in Northern Delaware totaling 20 exam rooms. Primary site features spacious waiting area, 10 exam rooms (including 2 telehealth rooms), procedure room, lab, and dedicated administrative suite with care management center. Second location offers 10 exam rooms, 5 provider offices, procedure room, and on-site lab. Both leases expire 2027 with renewal options available.
  • Competition: Northern Delaware has a well-documented primary care shortage, with demand exceeding provider supply—creating favorable conditions for established practices with attributed Medicare populations. An aging population and high chronic disease prevalence support sustained demand for longitudinal care. Despite competition from health systems, independent practices with value-based care capabilities remain strategic assets. This practice’s 40-year reputation, PCMH model, and care coordination team make it an attractive acquisition for value-based networks.
  • Growth & Expansion: Immediate growth opportunities include adding 1+ FTE provider at the underutilized second location, where infrastructure and demand already exist. Expansion of behavioral health services can address rising community needs. The home visit program for homebound patients and hospital care services present additional revenue streams. Strategic buyers can leverage 1,700+ Medicare lives, strong ACO performance, and established care coordination and CCM infrastructure to expand risk-based contracts and shared savings.
  • Financing: $300,000
  • Support and Training: Owner open to staying involved during transition with flexible timeline—this is not an urgent sale. Training covers clinical operations, high-touch care model, EMR systems, care coordination workflows, CCM program, ACO participation, and value-based contract management. Established relationships with specialists, vendors, and payers ensure continuity. Terms negotiable
  • Reason for Selling: Founding physician planning retirement after decades of community service

Seller Financing

  • Business Listed By:
  • Shaun Rudgear

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