Rare opportunity to acquire a 50-year established allergy & asthma specialty practice in Northern Nevada — where the owner physician currently sees patients only two days per week and the practice still produced $865,352 in 2025 Seller's Discretionary Earnings on $1.93M of revenue (44.9% SDE margin).

Founded in 1974 and under the current physician's ownership since 1995, this practice has built one of the most respected specialty franchises in the regional metro. Patients routinely travel 2-3 hours from across rural Northern Nevada and Northern California for care. The practice is the only provider of local pollen counts in the region — supplied to local media outlets twice weekly — reinforcing five decades of recognized specialty authority.

KEY METRICS

~24,500 annual patient encounters
~20,000 immunotherapy injections per year (~100/day)
~100 new patients per month
Payor mix: ~66% Commercial (incl. ~22% Anthem BCBS), ~26% Medicare, declining Medicaid (closed to new)
5-year SDE trajectory: $322K (2022) → $746K (2023) → $838K (2024) → $865K (2025)
SDE margin expansion: 16% → 45% over the past three years

WHY THIS PRACTICE IS DIFFERENT

The owner physician currently works only two days per week. A fully trained APRN and a long-tenured clinical team carry the rest of the schedule. The head Medical Assistant has 30+ years of tenure; the head Front Desk has 20+ years. This is a genuinely turnkey practice that does not depend on the owner being on-site full time.

Approximately 20,000 annual immunotherapy injections create a sticky, recurring revenue base — patients are typically on 3-5 year treatment courses with strong adherence. Revenue scales with the MA team's capacity, not physician hours.

LIFESTYLE ECONOMICS

On a ~16-hour clinical week, the owner produces ~$1,080 per clinical hour of physician time. A buyer can preserve the part-time schedule and still service the purchase price while taking home meaningful seven-figure-track earnings — or step into a full-time role and unlock the supply-constrained Northern Nevada specialty market.

OPERATIONS & TECHNOLOGY

Outsourced billing (Watland, since 2021), payroll (Nevada Payroll Services), accounting (Persing), and IT (BITS, LLC). Practice management on HealthPack with automated patient reminders; Roche software for immunotherapy tracking. 2 PFT machines and an exercise treadmill on-site. Administrative operations are fully computerized; clinical records remain paper-based — a clean EMR implementation opportunity for the buyer.

GROWTH OPPORTUNITIES

The current owner has explicitly capped capacity to two clinical days per week — demand exists; supply is the binding constraint. A buyer who simply moves to full-time unlocks the highest-yield growth lever. Additional levers: add a second physician (the facility supports it without modification), open a satellite in a surrounding community, restart in-person referral outreach to PCPs and pediatricians, modernize digital marketing for the fast-growing regional metro, and reactivate historically effective local TV advertising.

DEAL STRUCTURE

Asking price: $1,700,000 (~2.0x 2025 SDE)
Seller financing: $170,000 (10% carry-back) available to a qualified physician buyer, secured by practice assets and personal guaranty
Earnest Money Deposit: $25,000 minimum to open escrow
Accounts Receivable excluded from sale
Tangible assets, goodwill, telephone numbers, trade names, website, and patient relationships included
Lease ($7,150/month) assignable through December 2030
Transition support: market-based compensation, term and schedule by mutual agreement

Designed for an individual physician buyer or small group practice seeking a high-margin, recurring-revenue specialty franchise with genuine lifestyle economics.

In Association with Strategic Medical Brokers LLC - Shaun Rudgear #BR008458000