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Mohs Surgery & Derm | $3.4M SDE For Sale

New London County, CT, United States Virgin Islands
Asking Price:
$4,400,000 (USD) Furniture / Fixtures included
Sales Revenue:
$6,701,239 (USD)
Cash Flow:
$3,397,862 (USD)

A 20-year-old, fully independent Mohs surgery and medical dermatology practice in coastal southeastern Connecticut is available for acquisition. The practice generated $6.7 million in gross collections and $3.4 million in Seller's Discretionary Earnings (SDE) in its most recent fiscal year -- a margin exceeding 50%, consistent with the premium economics of a high-volume surgical dermatology practice.

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.

KEY METRICS:
2025 Gross Collections: $6,701,239
2025 SDE: $3,397,862
Asking Price: $4,400,000 (~2x SDE)
$4,000,000 cash at close; $400,000 seller financing available to qualified physician buyers
16,820 annual patient encounters | 11,150 established patients
1,000-1,200 Mohs surgery cases annually
Average collections per encounter: $398
Payer mix: 62% Medicare, 34% commercial -- no Medicaid
Google rating: 4.7 / 5.0 | Founded 2006

WHAT YOU'RE ACQUIRING:
Three experienced providers -- a fourth joining mid-2026 -- all expected to remain post-sale. PA-Cs currently generate 55-60% of net collections through medical dermatology, biopsies, and procedures, feeding Mohs cases directly to the physician-owner. This built-in referral engine substantially reduces key-person risk and supports a full schedule from day one.

Full procedural breadth: Mohs micrographic surgery, CLIA-certified in-office histopathology laboratory, excisions, biopsies, cryotherapy, allergy patch testing, superficial radiation therapy (SRT), ALA photodynamic therapy, and cosmetic Botox. SRT is delivered through an established revenue-sharing partnership that transfers with the practice.

The incoming physician steps into a complete clinical infrastructure -- no build phase, no rebranding, no stabilization period.

FINANCING: Conventional medical practice financing available at competitive rates (currently sub-6%, 15-year amortization) for qualified physician buyers through lenders with dedicated healthcare practice departments. SBA 7(a) financing also available. Seller financing of $400,000 available to qualified buyers.

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:

Third PA-C joining mid-2026 -- already recruited, no capital required. Full PA schedules confirm demand currently 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 extends into Westerly, RI (~20,000 residents, 89% white, older skew). Regional consolidation has created a documented specialist shortage; Mohs surgeons now traveling between locations to provide coverage. New patient wait times are elevated. Practice currently 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 stated 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