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Mohs & Derm Practice | ~$1.9M SDE For Sale

New London County, CT, United States Virgin Islands
Asking Price:
$4,400,000 (USD) Furniture / Fixtures included
Sales Revenue:
$9,292,618 (USD)
Cash Flow:
$3,227,572 (USD)

A 20-year-old, fully independent Mohs surgery and medical dermatology practice in coastal southeastern Connecticut is available for acquisition. Offered at $4,400,000 — approximately 2.3x a normalized Seller’s Discretionary Earnings (SDE) of $1,887,364 (the four-year average SDE adjusted for 3% 2026 growth).

This is a direct-to-physician opportunity — not structured for private equity, MSOs, or financial acquirers. The ideal buyer is a fellowship-trained Mohs surgeon or board-certified dermatologist ready to own and operate an established, fully operational practice in one of coastal New England’s most desirable communities. A board-certified dermatologist who is not personally Mohs-fellowship-trained may also acquire the practice, provided they employ a fellowship-trained Mohs surgeon to perform the Mohs caseload.

KEY METRICS:

  • Asking Price: $4,400,000 (~2.3x normalized SDE)
  • Normalized SDE: $1,887,364 (4-yr avg + 3% growth)
  • $4,000,000 cash at close; $400,000 seller financing for qualified physician buyers
  • 16,820 annual encounters | 11,150 established patients | 1,000–1,200 Mohs cases/yr
  • Avg base collections/encounter: $398 | Payer mix: 62% Medicare, 34% commercial — no Medicaid
  • Google rating: 4.7 / 5.0 | Founded 2006

2025 REVENUE NOTE:
2025 included a non-recurring skin-substitute (placental allograft) revenue stream the practice is discontinuing in 2026 due to Medicare reimbursement changes. The valuation deliberately normalizes this out; buyers should model from normalized SDE, not 2025 reported figures. Full detail provided under NDA.

WHAT YOU’RE ACQUIRING:
Three experienced providers — a fourth joining mid-2026 — all expected to remain post-sale. PA-Cs generate 55–60% of base net collections through medical dermatology, biopsies, and procedures, feeding Mohs cases directly to the physician-owner. This built-in referral engine reduces key-person risk and supports a full schedule from day one. Full procedural breadth: Mohs micrographic surgery, CLIA-certified in-office histopathology lab, excisions, biopsies, cryotherapy, allergy patch testing, SRT, ALA photodynamic therapy, and cosmetic Botox. The incoming physician steps into a complete clinical infrastructure — no build phase, no rebranding, no stabilization period.

FINANCING: Conventional medical practice financing at competitive rates (currently sub-6%, 15-year amortization) for qualified physician buyers; SBA 7(a) also available; $400,000 seller financing.

Property Information

Real Estate:

Lease

Location:

New London County, CT

Premises Details:

Freestanding medical/professional office building in coastal southeastern CT. 11,015 sq ft total; 5,192 sq ft clinical space. 7 exam rooms, 6 procedure rooms, 3 provider offices, fully equipped in-office Mohs histology lab, on-site SRT treatment room, 28 dedicated parking spaces. Assumable lease through Oct 2028; one 3-year renewal option.

Size in square feet:
11,015

Business Operation

Management type:
This business is owner operated.
Expansion Potential:

Fourth PA-C joining mid-2026 — already recruited, no capital required. Full PA schedules confirm demand exceeds provider capacity; 11,015 sq ft facility supports additional providers without renovation. Cosmetic laser services currently referred out — capturable revenue for an owner with laser capability. Affluent, health-conscious coastal patient base is ideal for cosmetic expansion. SRT revenue-sharing partnership optimizable or in-houseable. Website and SEO represent low-cost new patient acquisition opportunity.

Competition / Market:

Southeastern CT primary catchment: ~283,000 residents; 20% over age 65, 75% white — the highest-risk demographic for skin cancer. Secondary catchment into Westerly, RI (~20,000 residents, 89% white, older skew). Regional consolidation has created a documented specialist shortage; Mohs surgeons now travel between locations to provide coverage. New patient wait times are elevated. Practice accepts 1,070 new patients annually, reflecting both unmet demand and team capacity. Demographic tailwinds are durable.

Reasons for selling:

Founding physician is relocating family to Southern California — personal decision, not clinical, competitive, or financial. Practice is operationally active, financially sound, and clinically stable. No distress, no regulatory concern. Seller’s priority is finding an excellent, caring physician to carry the practice forward as a fully independent practice.

Years established:
2009

Other Information

Support & training:

Founding physician committed to a structured transition — duration and compensation by mutual agreement. Will remain in a clinical capacity to support Mohs surgery coverage and patient continuity. PA-Cs, practice manager, and full front office team expected to remain post-sale. FAQ video with seller available to qualified buyers upon request.

Financing available:

$400,000 seller financing available to qualified physician buyers