Mohs Surgery & Derm Coastal CT $6.7M Collections

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.