Buying a medical supply business in South Florida

• Many accounts and referral sources, with no single clinic, health system or physician driving most sales.
• Sales reps whose accounts would stay with the company if they left.
• Recurring revenue from rentals, resupply programs and standing orders, rather than one-time sales.
• A billing team with few denied claims and documentation that holds up in audits.
• Supplier relationships and pricing a new owner can keep, including any exclusive territory for a product line.
• A rental fleet tracked by serial number, with cleaning and maintenance logged on schedule.
• Current accreditation and licenses with no lapses, and a clean record with Medicare and the Medicaid plans it bills.
• Delivery routes, inventory counts and reorder points kept in a system, not in the owner's head.

• Medicare pricing. Medicare's competitive bidding program is coming back as a single nationwide round, with bids due in early 2027 and contracts starting January 1, 2028 (CMS's target dates). It covers continuous glucose monitors, insulin pumps, ostomy and urological supplies and some off-the-shelf braces, and only winning bidders can bill Medicare for those items. If they matter to this business, ask whether the seller is bidding.
• Audits. Audits by Medicare and the plans, denied claims and repayment demands, and whether patient files have valid orders and proof of delivery. Florida Medicaid can hold a buyer liable for overpayments identified by closing (section 409.907(6)).
• Referral arrangements. Payments, free staff or perks for doctors or other referral sources can break federal anti-kickback law. Have a health care attorney read every such contract.
• Customer contracts. For distributors, how much of sales rests on a few customers, and the terms of any contracts with group purchasing organizations or health systems.
• Inventory and fleet. Expired or slow-moving stock, goods held on consignment, and the age and condition of rental equipment.
• Supplier agreements that end, or need the manufacturer's consent, when ownership changes.

• Which products bring in the most revenue and profit, and how much comes from rentals and resupply compared with one-time sales?
• Who are your largest payers or customers, and are any contracts up for renewal soon?
• Which doctors, hospitals or clinics send you most of your patients or orders?
• How often are claims denied, and have you had any audits or repayment requests?
• Which accreditation and licenses do you hold, and when are the next renewals and surveys?
• Do any manufacturer or distribution agreements need consent to move to a new owner?
• Who runs billing, delivery and the warehouse day to day, and would they stay?

South Florida covers Miami-Dade, Broward, Palm Beach and Monroe counties: Miami, Hialeah, Doral, Fort Lauderdale, Hollywood, Pompano Beach, West Palm Beach, Boca Raton, Jupiter, and the Florida Keys down to Key West. It's the state's largest metro area and its most international. PortMiami, Port Everglades and Miami International Airport tie the region to Latin America and the Caribbean, which supports a deep base of wholesalers, freight forwarders and logistics firms, many of them near the airport. Tourism and cruises, finance and wealth management, health care, real estate and construction carry much of the rest. Palm Beach County adds wealthy seasonal residents and, out west near Lake Okeechobee, sugarcane and vegetable farms. In the Keys, nearly everything turns on visitors, fishing and boating.

Companies that serve homes, condo buildings and other businesses do well here: the building trades, property services, insurance agencies, medical and dental practices, and professional firms.

Costs run high: commercial rent, wages and, above all, property and windstorm insurance. Price the insurance before you make an offer, not after. Miami-Dade and Broward make up the Florida Building Code's High-Velocity Hurricane Zone, with stricter rules for roofs, windows and structures. That raises building costs, and it also gives steady work to the contractors who know those rules well.

Much of the workforce and many customers speak Spanish as well as English, and a company that works well in both languages has an edge. The winter season matters more in Palm Beach County and the Keys than in Miami. In the Keys, the cost of housing makes hiring and keeping staff one of the hardest parts of running a company. Ask any seller there how they find workers and where those workers live.