Description
Take Over an Established, Turnkey Non-Invasive Cardiology Practice
Opportunity to Own a Profitable, Fully Staffed Practice on Day One
Greater Sacramento Region El Dorado Hills / Folsom, California
The Opportunity
An opportunity is available for a board-certified or board-eligible cardiologist to step directly into ownership of a thriving, fully established non-invasive cardiology practice in one of Northern California’s most desirable and fastest-growing communities. This is not an associate position and not a start-up. It is the chance to acquire a turnkey practice with an experienced clinical and administrative team already in place, an active and loyal patient base, a mature referral network, and diagnostic infrastructure ready on day one.
The founding physician built the practice from the ground up beginning in 2015 and is now planning to retire and relocate. He is committed to a smooth, structured transition and will remain through an agreed transition period to personally introduce the incoming owner to referring providers, patients, and staff. An established management services organization (MSO) is already in place to continue handling HR, payroll, and practice management, so the administrative infrastructure carries over intact. For the right physician, this is a chance to bypass years of building a panel from scratch and to own a profitable, established practice on the first day of ownership.
Ideal for: a physician who wants the autonomy, upside, and long-term wealth-building of practice ownership without the risk and slow ramp of a de novo practice; a regional group seeking an established satellite location and patient panel; or an entrepreneurial cardiologist ready to grow an already-successful platform.
Compensation & Earning Potential
As the owner-operator, the incoming cardiologist captures both clinical compensation and the profit of the business. Independent, fair-market compensation analysis, drawn from 2025 national cardiology surveys including MGMA data places the market clinical compensation for the physician performing this practice’s clinical work at approximately $567,000 per year, consistent with prevailing Northern California non-invasive cardiology ranges of roughly $500,000 to $580,000.
Beyond clinical compensation, the owner also retains the net cash flow of the practice above that salary. The current owner works roughly 77% of a full-time schedule and takes approximately 12 weeks off per year, so a physician working a fuller schedule, together with the continued ramp of the practice’s physician assistant, represents meaningful additional upside not yet captured in current results. Management projects the practice will exceed $1.5 million in gross revenue in the current year.
Note: Compensation figures reflect fair-market survey benchmarks and the practice’s historical performance. They are illustrative of earning potential and are not a guarantee of future results. Full financial detail is available to qualified, credentialed candidates upon execution of a confidentiality agreement.
Practice at a Glance
| Specialty | Non-invasive / outpatient cardiovascular disease (solo practice) |
| Established | 2015, built and owned by the founding physician |
| Location | El Dorado Hills / Folsom area, greater Sacramento region, California |
| Facility | ~3,000 sq ft of purpose-built clinical space |
| Real estate | Building available to purchase in addition to the practice, or continue leasing on existing terms |
| Clinical team | Experienced physician assistant plus 11 non-physician staff (7 full-time, 4 part-time) |
| Management support | Established MSO already in place, handling HR, payroll, and practice management |
| Active patient charts | ~18,681 active charts (seen within the trailing three years) |
| Referral network | Established base of 100+ referring primary care and specialty providers |
| Service mix | Office E&M and echocardiography drive ~85% of charges; also EKG, stress testing, cardiac monitoring |
| Diagnostic capability | In-house echocardiography system and dedicated stress-testing suite |
| Payer mix | Favorable, commercial-weighted: ~50% commercial / managed care, ~40% Medicare |
| Practice management / EMR | Athena |
| Transition support | Founding physician will remain through a structured transition (minimum six months) |
Why This Practice Stands Out
Turnkey from day one. Established panel, trained staff, active referral relationships, and diagnostic equipment already in place, with no ramp from zero.
Exceptional market demographics. The service area is older, growing, and unusually affluent, a strong long-term driver of cardiovascular demand and favorable payer quality.
Commercial-weighted payer mix. Roughly half of patients carry commercial / managed-care coverage, which reimburses well above Medicare fee schedules.
Diagnostic revenue engine. In-house echocardiography and stress testing keep high-value diagnostic services, and their revenue, within the practice.
Built-in growth runway. Current owner works part-time; a full-time physician and the PA’s continued ramp offer clear, unforced upside.
Back-office already handled. An established management services organization (MSO) is in place to continue handling HR, payroll, and day-to-day practice management, letting the physician focus on patient care rather than administration.
Real estate optionality. The building is available to purchase in addition to the practice, giving the buyer the option to own the real estate and build long-term equity, or to continue leasing on the existing terms.
A committed, structured handoff. The founding physician will personally introduce the buyer to referral sources and patients to protect continuity and goodwill.
The Community: El Dorado Hills & Folsom, California
The practice sits in the El Dorado Hills / Folsom corridor at the base of the Sierra Nevada foothills, about 25 miles east of Sacramento along the Highway 50 corridor. It is one of the most desirable places to live and practice in Northern California, consistently ranked among the region’s top communities for schools, safety, income, and quality of life. For a physician relocating to the area, it offers a combination of professional opportunity and an outstanding lifestyle for families and outdoor enthusiasts alike.
Outdoor recreation at your doorstep
Folsom Lake State Recreation Area offers shoreline for boating, kayaking, paddleboarding, swimming, and fishing, minutes from the practice.
Miles of hiking, biking around the lake and along the American River Parkway and the South Fork of the American River, including the Darrington and Browns Ravine trails.
Lake Natoma and the CSUS Aquatic Center for rowing, sailing, and flat-water paddling.
An easy gateway to Lake Tahoe, Sierra skiing, and Gold Country, all within a scenic drive.
Community, dining & culture
Historic Folsom and Sutter Street, a walkable, tree-lined district of Gold Rush–era buildings, restaurants, wine bars, and boutiques, with a Thursday night market and year-round events.
El Dorado Hills Town Center, an open-air hub of dining, shopping, farmers’ markets, and community events.
Nearby Apple Hill and the surrounding foothills offer wineries, orchards, and seasonal family farms just a short drive east.
Upscale retail at the Palladio at Broadstone and the Folsom Premium Outlets, plus the Serrano Country Club and championship golf.
Family living & convenience
Highly rated public and private schools and a well-educated, family-focused population, with more than half of adults hold a bachelor’s degree or higher.
Median household incomes well above state and national averages, with El Dorado Hills near $165,000 and Folsom near $140,000.
A Mediterranean climate, with warm, dry summers and mild winters, and roughly 25–35 minutes to downtown Sacramento and light-rail service on the SacRT Gold Line.
Sacramento International Airport is within easy reach for regional and international travel.
Candidate Profile
MD or DO, board-certified or board-eligible in cardiovascular disease (non-invasive / general cardiology).
Active California medical license, or eligibility and willingness to obtain one. Under California law, physician ownership requires an actively licensed California MD or DO holding at least 51% of the practice.
Interest in practice ownership, autonomy, and the long-term financial upside of owning an established, profitable practice.
Non-physician investors may participate through a compliant Friendly-PC / MSO structure; inquire for details.
A Confidential Process
To protect the practice’s patients, staff, and referral relationships during the transition, this opportunity is being marketed on a confidential basis. The practice name, physician, and exact address are not disclosed publicly. Full financials, the practice valuation report, and identifying details are shared with credentialed, qualified candidates upon execution of a confidentiality agreement.
To learn more or request the confidential information package:
Zach Miller, MBA
MEDEX Practice Solutions, Inc.
Direct: (505) 377-0392 | Office: (209) 845-1346
Healthcare Practice Brokerage & Advisory
