Hot Listing

Established Gastroenterology Practice & ASC - East Texas, CRE Included

Asking PriceNot Disclosed

Cash Flow

EBITDA$2,250,000

Gross Revenue$4,600,000

InventoryNot Disclosed

FF&E$1,000,000
Included in asking price
Real Estate$1,000,000
Included in asking price
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Hot Listing

Established Gastroenterology Practice & ASC - East Texas, CRE Included


Asking PriceNot Disclosed

Cash Flow

EBITDA$2,250,000

Gross Revenue$4,600,000

InventoryNot Disclosed

FF&E$1,000,000
Included in asking price
Real Estate$1,000,000
Included in asking price

Seller Financing Available
Business Description
This is a rare opportunity to acquire an established, physician-led gastroenterology practice together with its affiliated ambulatory surgery center; offered as a combined transaction, with the option to include the real estate that houses both in East Texas.

The surgery center has been in continuous operation since the early 2000s, with the professional practice's roots extending back to the early 1990s. Together they've built a loyal referral base and a diversified payer mix spanning major regional commercial carriers and Medicare.

The business has generated strong, consistent owner-level cash flow historically, and the underlying facility-level economics have proven durable; holding steady even through a recent period of clinical transition, a reflection of how much of the practice's value sits in the surgery center's referral relationships and infrastructure rather than any single physician's book of business.

The practice and surgery center occupy a purpose-built clinical facility of approximately 8,300 square feet, owned by the sellers and available as part of the transaction or on a long-term lease-back basis.

This is a turnkey, cash-flowing platform suited to a physician-owner, a multi-site GI or ASC operator, or a private equity platform seeking a de novo entry into East Texas. Meaningful upside remains through additional physician recruitment, expanded payer contracting, and ancillary service lines.

The transaction may be eligible to be structured for SBA 7(a) companion + conventional/Pari Passu financing; prospective buyers should be prepared to demonstrate a minimum $2.5M+ in liquidity. Full financials, entity structure, and transition terms are available to qualified buyers upon execution of a non-disclosure agreement.

Seller is committed to a structured transition period to ensure continuity of patient care and a smooth handoff to new ownership.
About the Business
Years in Operation
20
Employees
20 (17 Full-time, 3 Contractors)
Facilities & Assets
Purpose-built, single-story medical office and ambulatory surgery center totaling 8,387 SF on a 0.44-acre lot.
The facility combines a full physician office practice, reception/waiting area, and six-plus private exam rooms; with a dedicated, self-contained endoscopy center featuring its own entrance and signage.
The clinical wing includes a procedure area, a dedicated post-procedure recovery room, and a purpose-built reprocessing room equipped with an automated endoscope reprocessor, and eyewash/emergency station meeting standard infection-control protocols.
The facility also includes an in-house commercial laundry for linens, reducing reliance on outsourced services.
Recent capital investment includes new flooring (2024) and periodic scope/imaging upgrades.
Brick exterior with mature, well-maintained landscaping and a covered entrance.
Market Outlook / Competition
Gastroenterology is one of the more resilient specialties in outpatient healthcare.
The recommended screening age dropped from 50 to 45 in 2021, adding roughly five years of eligible patients overnight. GI now accounts for over a quarter of Medicare ASC volume nationally, growing as procedures shift from hospitals to surgery centers.
This market shows why. The Company sits in a Deep Rural Texas trade area of 100,000+ people, serving as the medical hub for a larger rural region; patients drive in because there's nowhere closer to go. Nearest competitors are clinic-only (no endoscopy) or in a distant metro, a wide, uncontested referral radius backed by long-standing hospital relationships.
Texas requires no Certificate of Need for ASCs, so there's no regulatory wall here. The real barrier is more basic: the capital and time to build and license a surgery center, and the difficulty of recruiting a gastroenterologist to rural Texas, which has kept this market from a second player.
Opportunities for Growth
Recruit an additional GI physician to expand clinical and procedure-volume capacity
Broaden payer contracting and in-network coverage
Add ancillary service lines (e.g. anesthesia partnership structures)
Leverage owned real estate for expansion or additional lease income
Real Estate
Owned or Leased
Owned
Included in asking price
Building Sq. Ft.
8,300
About the Sale
Seller Motivation
Physician retirement / succession planning.
Transition Support
Seller-physician available for a defined transition period to support continuity of patient care, staff retention, and referral relationships through the handoff.
Financing Options
Some level of Seller Financing may be available for qualified buyers.
Listing Info
ID
2526954
Listing Views
24

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Business Listed by: Kerdai Advisors Kerdai Business Advisors

Listing ID: 2526954 The information on this listing has been provided by either the seller or a business broker representing the seller. BizQuest has no interest or stake in the sale of this business and has not verified any of the information and assumes no responsibility for its accuracy, veracity, or completeness. See our full Terms of Use. Learn how to avoid scams.


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