Florida Primary Care Practice – 1,558 Medicare Advantage Lives
THIS IS NOT AN EARNINGS ACQUISITION. IT IS A PANEL ACQUISITION. A 30+ year solo-physician family medicine practice in North Central Florida is available. Its principal asset is not its income statement. It is 1,558 Medicare Advantage lives – a concentrated senior panel, managed for chronic disease, in one of the most Medicare-dense counties in the United States. At the $1,800,000 offering price, that panel transfers at approximately $1,155 per Medicare Advantage life. For context, ECG Management Consultants – writing for the American Health Law Association – reports that non-health system buyers \”might pay up to $12,000 per Medicare Advantage life\” for primary care practices, precisely because of the value of managing that population under risk-based contracts. The gap between those two numbers is the opportunity here. WHY THE GAP EXISTS Plainly: a retiring solo physician never monetized the panel he built. – The office is open 32 scheduled hours per week and closes at 3:00 p.m. (noon Fridays). – It holds NO capitated contracts. – It joined an Accountable Care Organization (ACO) in 2024 and has taken NO shared savings. – It has NO website, no online scheduling, no SEO, no advertising, no business cards. – 2025 revenue was $702,869 with $115,493 of discretionary earnings. Every one of those is a lever the seller could not pull and a buyer can. Asked to name the biggest bottleneck in the business, the owner answered in three words: \”Probably my time.\” WHAT YOU ACQUIRE – 1,558 Medicare Advantage patients. More than half of all patients are 65+; pediatric patients are rare. – A genuinely comorbid panel: diabetes, hypertension, hyperlipidemia, thyroid disorders, renal failure, CHF, atrial fibrillation, CAD, PAD, fatty liver disease, metabolic syndrome – the exact clinical profile that drives risk-adjusted revenue in a value-based model. – ACO participation already in place, with none of its economics harvested. – Care-management muscle already in the building: the medical assistants already make the chronic care management calls. The hardest thing to buy in a value-based rollout – staff who will actually work a panel between visits – is already habit here. – Six long-tenured employees, two with 25+ years of service. Ownership anticipates the team would remain post-close. – A clean compliance record: no litigation, liens, OIG integrity agreements, program exclusions, HIPAA breaches, or outstanding taxes. – ~10 new patients per month, arriving on reputation alone. ~4.5-star average online. – Real estate available separately at $675,000 (approx. $218/SF), or lease at $4,650/month NNN. THE MARKET Florida is one of only seven states where more than 60% of Medicare beneficiaries are enrolled in Medicare Advantage. The county is among Florida\’s oldest and fastest-growing: per the U.S. Census Bureau, 29.7% of its 442,660 residents are 65 or older – against 18.0% nationally – and the population has grown 17.8% since 2020. THE CANDID RISK The owner is retiring, will not remain post-close, does not plan to practice in the area, and will sign a standard non-compete. In a solo practice that is the central risk in any acquisition, and it is why the panel is priced where it is. What offsets it: chronic-care patients who do not casually relocate their care (some have been with the practice 30 years), a staff expected to stay, a flexible transition, and a $300,000 seller-carryback note that keeps the seller invested in a successful handoff. TERMS $1,800,000 offering price. $1,500,000 cash at close; $300,000 seller carryback to a qualified physician buyer, secured by practice assets and personal guaranty. $25,000 minimum earnest money. Accounts receivable excluded. Real estate offered separately. Presented to qualified, NDA-executed parties only. Contact the broker for the Confidential Information Memorandum. Presented by Strategic Medical Brokers in association with ParaSell, Inc.