Annual Revenue - $41M
This well-established, multi-location dermatology and aesthetic medicine practice represents a rare opportunity to acquire the largest privately held dermatology groups in Montana. Founded in 1990, the practice has built a dominant market presence over more than three decades, supported by a strong referral network, consistent patient demand, and a reputation for comprehensive, high-quality care across medical, surgical, and cosmetic dermatology.
The flagship location operates from a large, professionally designed medical office footprint totaling approximately 10,400 square feet across multiple contiguous suites. The facility supports efficient patient flow and a wide range of clinical and ancillary services, including general dermatology, Mohs surgery, phototherapy, cosmetic laser treatments, and aesthetic procedures. Additional satellite locations extend the practice’s reach throughout surrounding communities, allowing for broad regional coverage and referral capture. Lease documentation, square footage details, and staff allocations are available for qualified buyers.
The provider team includes four board-certified dermatologists, one of whom is fellowship-trained in Mohs surgery, supported by a robust mid-level team of physician assistants and nurse practitioners, as well as licensed aesthetic staff. This diversified provider structure enables high patient throughput, scalability, and flexibility for future growth. The practice maintains active waitlists and a substantial referral base from primary care providers and regional specialists, underscoring unmet demand in the market.
Ancillary and cosmetic services are a major strength of the practice. The integrated aesthetic division, established over a decade ago, offers a comprehensive suite of laser, energy-based, regenerative, and body-contouring technologies. Equipment includes advanced platforms for photodynamic therapy, narrowband UVB treatment, fractional resurfacing, vascular and pigment treatments, body contouring, skin tightening, and medical-grade facial services. An on-site laboratory further enhances efficiency and continuity of care.
The practice utilizes a leading dermatology-specific electronic medical record system, with approximately 60,000 historical paper charts fully converted to digital format. Detailed financial documentation is available, including charges and collections by CPT code, payer class, provider productivity, payroll by role, and payer mix percentages across commercial, Medicare-Medicaid, and cash payers.
The region served by the practice is experiencing sustained population growth, with notable increases in older demographics and strong in-migration driven by lifestyle appeal, outdoor recreation, and quality of life. These trends continue to fuel rising demand for dermatologic care, skin cancer treatment, and cosmetic services, creating meaningful long-term upside for an incoming owner.
Current marketing efforts are professionally managed across digital platforms, SEO, social media, email campaigns, review generation, and community sponsorships, providing consistent inbound patient flow with additional room to scale.
Growth Opportunities & Expansion Potential
The practice is exceptionally well-positioned for continued growth due to strong underlying demand, established infrastructure, and limited regional competition. Current operations are intentionally conservative in several areas, leaving meaningful upside for a strategic or growth-oriented buyer.
• Provider Expansion: Persistent waitlists and a large referral base support the addition of dermatologists, mid-level providers, or surgical specialists to increase access and throughput.
• Cosmetic & Aesthetic Growth: Continued expansion of laser, energy-based, regenerative, and body-contouring services, with opportunities to optimize scheduling, package offerings, and provider utilization.
• Satellite Optimization: Opportunity to extend clinic days, add providers, or consolidate services across existing satellite locations to maximize regional coverage and efficiency.
• Marketing Leverage: Professional digital infrastructure is already in place, with additional upside through targeted service-line campaigns, paid acquisition strategies, and deeper cosmetic-focused outreach.
• Ancillary Services: Potential to further develop in-house services such as phototherapy, regenerative treatments, and lab-based offerings to increase revenue per patient encounter.
• Operational Scaling: Standardization of workflows, centralized scheduling, and expanded use of mid-level providers to further enhance margins and patient capacity.
Key Practice Highlights
• Established multi-location dermatology and aesthetic practice founded in 1990
• Largest private dermatology group in its regional market
• Diverse provider team including board-certified dermatologists, Mohs-trained surgeon, and experienced mid-levels
• Comprehensive medical, surgical, and cosmetic service offerings
• Significant on-site clinical footprint with modern infrastructure
• Robust laser, aesthetic, and body-contouring equipment portfolio
• Strong referral network with ongoing waitlists
• Fully implemented dermatology-specific EMR with extensive digitized records
• Favorable demographic and population growth trends supporting long-term demand
This opportunity is well-suited for a strategic healthcare group, private equity-backed platform, or physician buyer seeking a market-leading dermatology practice with scale, infrastructure, and multiple avenues for continued growth.
100% Bank Financing is available with approved credit, making this an ideal opportunity for those looking to own a well-established practice. Please inquire.

For details on this medical practice for sale opportunity or for more information on
How To Sell Your Medical Practice, please call (512) 659-0643 or email: info@tinsleymedicalpracticebrokers.com
Sean Tinsley
Tinsley Medical Practice Brokers
https://tinsleymedicalpracticebrokers.com