Occupational Health Clinic
Work injuries, DOT physicals, and drug screens are a cash flow machine nobody brags about
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.
Avg Revenue
$1.4M
Profit Margin
22%
Acquisition Multiple
3x - 6x
Startup Cost
$150K - $600K
Difficulty
4/5
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
Real Acquisitions in This Category
SBA 7(a) change-of-ownership loans · NAICS 621498 · All Other Outpatient Care Centers
Deal Size Distribution
Deal Flow Over Time
Financing Profile
Recent Comparable Deals
| Closed | State | Loan | Implied deal | Jobs | Franchise |
|---|---|---|---|---|---|
| Nov 2025 | KS | $293K | $345K | 2 | — |
| Jul 2025 | TX | $984K | $1.2M | 12 | — |
| May 2025 | FL | $100K | $118K | 13 | — |
| May 2025 | FL | $3.1M | $3.7M | 13 | — |
| Mar 2025 | NV | $441K | $519K | 5 | — |
| Jan 2025 | KY | $1.7M | $2.0M | 138 | — |
| Aug 2024 | FL | $4.1M | $4.8M | 18 | — |
| Aug 2024 | FL | $300K | $353K | 18 | — |
| Aug 2024 | NC | $1.6M | $1.9M | 12 | — |
| Feb 2024 | WI | $4.6M | $5.4M | 20 | — |
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
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
Occupational medicine valuation article citing roughly 3x-6x EBITDA for smaller clinics
Benchmark data for medical practice valuations and financial trends
Example listings including occupational health and diagnostic services businesses
Acquisition Score
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
Buyer's Toolkit
Essential tools to get started
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Largest business-for-sale marketplace in the US
SBA loans and business acquisition financing — get funded fast
ROBS financing — use retirement funds to buy a business tax-free
Bookkeeping for small business owners — hands-off financials
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