[off-market temporarily]
Well-managed, Well-Established Center with Great Margins
Executive Summary
This outpatient imaging center is a mature, independently operated diagnostic facility providing a full suite of radiologic services supported by modern equipment, strong clinical governance, and long-standing referral relationships. The Center has operated for decades and was acquired by the current owners in 2012 from a national imaging chain.
The business generates stable, growing revenue with strong profitability and EBITDA margins exceeding 35%. Operational discipline, predictable fixed costs, and efficient modality utilization underpin a highly scalable platform. Significant untapped growth potential exists due to limited local marketing, an underserved outpatient market, and the opportunity to introduce additional diagnostic services.
Business Overview
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– Corporate Structure: Delaware LLC registered as a foreign entity in Pennsylvania.
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– Facility Size: Approx. 8,000 sq. ft., with dedicated MRI, CT, ultrasound, X-ray, patient waiting, administrative, and technologist areas and room to add new modalities such as Mammo and DEXA
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– Staffing: Experienced technologists; all studies interpreted by board-certified, fellowship-trained radiologists.
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– Operations: Streamlined workflows, strong scheduling efficiency, and competitive turnaround times enhance provider satisfaction and patient retention.
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– Accreditation: Fully accredited by the American College of Radiology (ACR) across all modalities, valid through 2026–2027, ensuring quality, compliance, and payer continuity.
Service Offering & Equipment
Modalities
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– MRI: 1.5T system plus an open MRI option, enabling MSK, neuro, and general imaging coverage.
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– CT: 16-slice scanner suitable for routine and advanced studies.
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– Ultrasound: High-resolution systems serving abdominal, OB/GYN, vascular, and general applications.
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– X-Ray: Newly purchased (2023) high-frequency digital system with substantial remaining useful life.
Key Capital Assets (highlights)
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– 2017 GE Signa Explorer 1.5T MRI – high-performance magnet with software capability for multiple subspecialty sequences.
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– GE Brightspeed CT – reliable known workhorse, optimized for patient throughput.
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– 2023 digital X-ray system – reduces maintenance burden and improves exam efficiency.
Combined, the equipment configuration provides a broad diagnostic footprint with no immediate capital replacement needs.
Market Position & Competitive Advantages
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– Established Referral Base: More than a decade of consistent referral relationships with local physicians, specialists, and community providers.
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– Outpatient Convenience: Faster scheduling, greater price transparency, and patient-focused workflows compared to nearby hospital-based imaging alternatives.
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– Limited Local Competition: Only one primary competitor in the area; outpatient demand remains underserved.
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– Brand Recognition: Longstanding presence and clinical reputation provide momentum and defensibility.
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– Operational Strength: Consistent margins, predictable direct costs, and efficient fixed-cost leverage.
Financial Performance
The Center has demonstrated both top-line growth and margin expansion over the review period.
Revenue Trend (in USD)
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– 2022: $1,113,662
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– 2023: $1,241,343
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– 2024: $1,456,243
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– 2025 YTD (Oct): $1,134,620 • ~78% of 2024 full-year revenue
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– 2025 Projected: $1,361,544
EBITDA (in USD & EBITDA Margins)
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– 2022: $279,305 (24.0%)
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– 2023: $242,439 (19.5%)
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– 2024: $512,291 (35.0%)
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– 2025 YTD (Oct): $422,945 (37.3%)
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– 2025 Projected: $507,534 (~37%)
Key financial characteristics:
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Predictable cost base with strong labor and overhead control.
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Stable modality utilization that supports operating leverage.
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Cash-flow positive with no major near-term technology reinvestment required.
Growth Opportunities
1. Marketing & Referral Expansion
Ownership is not local and invests minimally in marketing. A buyer with regional presence or dedicated outreach could drive immediate volume growth.
2. Addition of New Modalities
Facility space, patient flows, and demand patterns support the introduction of:
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– Mammography
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– DEXA
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– Extended ultrasound (vascular, breast, specialty)
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– Pain management or minor interventional imaging
3. Operational Enhancements
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– Increasing scanner hours
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– Deploying modern scheduling tools
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– Enhancing throughput in MRI and CT
4. Strategic Integration
Attractive as a bolt-on for regional imaging groups seeking scale, or for healthcare platforms expanding outpatient diagnostics.
Why This Opportunity Stands Out
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– Demonstrated revenue growth with clear visibility into future performance.
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– High EBITDA margins uncommon for a single-site imaging center.
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– Strong equipment infrastructure and accreditation continuity.
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– Expansion-ready footprint with room for new modalities.
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– Stable, defensible market presence with competitive advantage over hospital-based centers.