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BIZBITE

Occupational Health Clinic

Work injuries, DOT physicals, and drug screens are a cash flow machine nobody brags about

Bottom line

Worth studying, but do not buy without strong local proof.

Occupational health clinics serve employers with work injury care, pre-employment physicals, DOT exams, drug testing, respirator clearance, and compliance paperwork. The boring magic is that employers buy speed, documentation, and predictable turnaround, not bedside manner. Demand is supported by OSHA, DOT, and workers' comp workflows that do not disappear in a downturn.

32
Acquisition score
Speculative

Avg Revenue

$1.4M

Profit Margin

22%

Acquisition Multiple

3x - 6x

Startup Cost

$150K - $600K

How It Works

Clinics contract with local employers and TPAs to handle injuries, screenings, drug tests, and return-to-work paperwork. Revenue comes from per-visit billing, employer accounts, and occupational testing programs. Strong operators win by having fast front-desk throughput, employer sales relationships, and extended hours for walk-in injuries.

Revenue Range

Low End
$500K
Typical
$1.4M
High End
$4.0M

BizBite underwriting snapshot

Pass for now

Occupational Health Clinic has enough high-level data for a first look, but BizBite has not assigned a category-specific operating model yet. Treat the score as preliminary.

33
Avoid / 100
Data confidence
medium
52/100
Financing fit
medium

Category-level fit before lender-specific diligence.

Confidence cap
78

Weak source data caps the final score.

Why it may work

  • +SBA dataset shows 9 recent comparable loans

Be careful

  • !Source link status has not been verified yet
  • !No last-checked date yet
  • !No category operating model yet
  • !No category model yet

Real Acquisitions in This Category

SBA 7(a) change-of-ownership loans · NAICS 621498 · All Other Outpatient Care Centers

Deals tracked
20
9 in last 24 mo
Median loan
$991K
$300K–$1.6M p25/p75
Implied deal size
$1.2M
median · ~85% LTV
Charge-off rate
not enough resolved loans

Deal Size Distribution

<$150K
2
$150K–500K
5
$500K–1M
4
$1M–2M
6
>$2M
3

Deal Flow Over Time

12-month momentum
-20.0%
deal volume vs prior 12 mo
Median loan Δ
-60.2%
4 recent · 5 prior

Financing Profile

Median rate
10.00%
11% fixed · last 24 mo
Median term
120 mo
standard 10-yr
Collateralized
0%
of loans secured
Median jobs
12
supported per deal
Top lenders in this space
Oxford Bank2
The Huntington National Bank2
First Internet Bank of Indiana2
Celtic Bank Corporation2
Live Oak Banking Company2
Where deals happen
FL4
MI2
TX2
CA2
SC1
NE1
KS1
NV1
OK1
WI1

Recent Comparable Deals

ClosedStateLoanImplied deal
Nov 2025KS$293K$345K
Jul 2025TX$984K$1.2M
May 2025FL$100K$118K
May 2025FL$3.1M$3.7M
Mar 2025NV$441K$519K
Jan 2025KY$1.7M$2.0M
Aug 2024FL$4.1M$4.8M
Aug 2024FL$300K$353K
Aug 2024NC$1.6M$1.9M
Feb 2024WI$4.6M$5.4M
Volume rank #257/544Deal-size rank #154/544Momentum rank #236p90 loan: $3.1MData as of Mar 2026

Source: SBA 7(a) FOIA dataset, filtered to acquisitions (loans where business age is "Change of Ownership"). Implied deal size assumes an 85% loan-to-purchase ratio, a common SBA change-of-ownership structure. Charge-off rate shown only when 10+ loans have resolved (paid in full or charged off). Interest rates reflect last 24 months only. Actual deal values vary with equity injections, seller financing, and working capital terms.

Pros

  • +Recurring employer relationships and repeat testing volume
  • +Compliance-driven demand from DOT, OSHA, and workers' comp
  • +Can layer in diagnostics, physical therapy, and urgent-care style visits
  • +Less consumer marketing dependency than retail healthcare

Cons

  • -Licensing, staffing, and payer complexity are real
  • -Billing errors or slow turnaround can destroy employer accounts fast
  • -Clinical labor costs are high if provider utilization is poor

Best For

Healthcare operators who want B2B demand, compliance tailwinds, and repeat employer accounts

Operating Costs

Small occupational medicine clinics often trade around 3x-6x EBITDA depending on provider dependence and payer mix. Main costs are clinicians, medical assistants, rent, malpractice insurance, supplies, and billing/admin staff. Healthy clinics can keep 20%+ EBITDA with strong employer utilization and efficient scheduling.

SBA Financing Estimator

Adjust the deal — see if it cash flows after debt service

$-13648/mo
after debt service
Deal price — $3.5M
Range: $3.5M (3×) to $9.8M (6×+)
Down payment — 15% ($525K)
SBA minimum equity injection is 10% for change-of-ownership
Interest rate — 10.00%
SBA median for this category: 10.0%
Loan term — 10 years (120 mo)
SBA median for this category: 120 months
Down payment
$525K
15% equity injection
Loan amount
$3.0M
85% SBA-financed
Monthly payment
$39K/mo
$1.7M total interest
Monthly profit
$26K/mo
at 22% margin
Monthly cash flow after debt service
$-13648/mo
Margin does not cover debt service at these terms. Lower the deal price, increase the down payment, or extend the loan term.

Estimates only. Excludes owner compensation, capex, working capital draws, and taxes. Margin assumes average occupancy and volume. Actual SBA terms vary by lender and borrower profile.

Where to Buy

Scope Research

Occupational medicine valuation article citing roughly 3x-6x EBITDA for smaller clinics

BizBuySell – Medical Practice Benchmarks

Benchmark data for medical practice valuations and financial trends

BizBuySell – Georgia Health Care Businesses

Example listings including occupational health and diagnostic services businesses

32/100Speculative

Acquisition Score

Profit margin
15/30
Entry multiple
8/25
Market depth
1/20
Risk (charge-off)
8/15
Deal momentum
0/10

Scores margin (30), entry multiple (25), SBA market depth (20), category risk (15), and deal momentum (10). Higher = better acquisition candidate.

Quick Facts

Category
service
Difficulty
4/5
Buy price
$4.2M$8.4M

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