Fully Built And Operational Outpatient Imaging Center

Business Overview

Acquisition of a fully built and licensed outpatient imaging platform located in Queens, New York. The facility operates a Siemens 1.5T MRI system and includes a CT scanner and a recently installed digital X-ray system that are currently not being utilized, creating immediate upside opportunity for a strategic operator.

The business has progressed through its initial launch and referral ramp phase. Based on verified operating data, the center averaged approximately ~155 MRI scans per month in 2025, equating to approximately ~7–8 MRI scans per operating day on a stabilized run-rate basis. Recent months demonstrate accelerating utilization as referral relationships have expanded, with late-2025 monthly volumes materially higher than early ramp periods.

Importantly, the building was recently acquired by an injury law firm, which presents a strategic adjacency opportunity and potential incremental referral flow for No-Fault and PI volume over time.

The investment thesis is driven by completed regulatory approvals, infrastructure investment, owned equipment, embedded referral upside, and speed-to-market advantage for a buyer seeking to scale utilization and optimize operations in a dense healthcare market. This opportunity is best suited for a strategic operator or healthcare platform capable of executing operational scaling and payer optimization.

3. Investment Highlights
• Turnkey outpatient imaging platform with completed regulatory approvals
• Dense Queens healthcare market location
• Siemens Espree 1.5T MRI system in operation
• Siemens CT scanner and modern digital X-ray system onsite — currently not utilized
• Stabilized 2025 MRI volume averaging ~155 scans per month
• ~7–8 MRI scans per operating day on a stabilized run-rate basis
• Trailing months demonstrate accelerating utilization (10–14 scans/day in peak months)
• 20+ active referral sources
• Building recently acquired by an injury law firm — potential embedded referral upside
• Significant unused capacity across modalities
• Long-term lease with extension options
• Replacement-cost advantage versus new development
• Platform scalability opportunity

4. Business Overview
• Business Type: Outpatient diagnostic imaging center
• Primary Modality: MRI
• Secondary Modalities: CT and Digital X-Ray (currently inactive)
• Operating History: Launched and ramped over prior 18–24 months
• Current Market Focus: No-Fault / PI weighted today; fully licensed for all insurance types
• Operating Days: Currently 5 days per week
• Ownership Involvement: Largely absentee operationally

5. Facility & Infrastructure
• Purpose-built imaging suite
• Shielded MRI room and control room
• High-capacity electrical infrastructure (80 AMP)
• Backup generator installed
• HVAC and cooling systems configured for imaging loads
• Efficient patient flow layout
• No known deferred capital requirements

6. Equipment Summary

MRI System
• Manufacturer: Siemens
• Model: Espree
• Field Strength: 1.5 Tesla
• Bore: 70 cm wide-bore
• Install Year: 2011
• Ownership: Owned outright
• Service Contract: Active

CT Scanner
• Manufacturer: Siemens
• Model: SOMATOM Perspective VC30B
• Platform: syngo CT VC30
• Status: Installed and operational — currently not in active use

Digital X-Ray
• Manufacturer: Konica Minolta
• Model: RAD U-Arm
• Manufacturing Year: 2022
• Status: Installed and operational — currently not in active use

7. Operating Metrics (Verified)
• Total MRI Scans – 2025: ~1,864 scans
• Average Monthly MRI Volume – 2025: ~155 scans
• Average Daily MRI Volume – 2025 Run-Rate: ~7–8 scans per operating day
• Total Historical MRI Scans (all periods reviewed): ~3,061 scans
• Total Cash Deposits (period reviewed): ~$947,000
• Historical Cash Collected per Scan (blended): ~$300–$320

Source: Internal operational volume reports and monthly deposit summaries provided by ownership.

8. Recent Volume Momentum (Trailing 2025)

Recent monthly MRI volumes demonstrate accelerating utilization following referral ramp and operational stabilization:
• July 2025: 172 scans
• August 2025: 176 scans
• September 2025: 184 scans
• October 2025: 277 scans
• November 2025: 301 scans
• December 2025: 225 scans

These trailing months support peak utilization levels of approximately 10–14 MRI scans per operating day during higher-volume periods.

9. Financial Snapshot (Historical – Cash Basis)
• Total Cash Collected (period reviewed): ~$947,000
• Average Monthly Cash Collections: ~$75,000–$85,000
• Revenue reflects ramp phase and underutilization of CT and X-ray
• No normalized EBITDA presented
• Financials unaudited

10. Referral Base & Market Dynamics
• 20+ active referral sources
• Dense local healthcare market
• Strong personal injury and No-Fault case density
• Building ownership by an injury law firm may support incremental embedded referral flow
• High barriers to entry due to regulatory approvals and buildout complexity
• Opportunity to diversify payer mix

11. Lease Summary
• Monthly Rent: ~$7,500
• Term: 10 years
• Extension: Additional 10-year option
• Favorable occupancy economics

12. Growth Opportunities
• Increase MRI utilization
• Activate CT referrals (currently inactive modality)
• Activate digital X-ray referrals (currently inactive modality)
• Expand operating hours and days
• Optimize billing workflows and collections efficiency
• Expand payer mix
• Leverage adjacency with injury law firm tenancy
• Platform expansion opportunity

13. Risk Factors
• Business currently in ramp stage
• Volume sustainability dependent on referral execution
• Billing systems not accounting-grade
• Payer concentration risk
• Operational scaling execution risk

14. Buyer Profile
• Strategic imaging operators
• Healthcare platforms
• Physician-backed operators
• Multi-site imaging groups
• Operators capable of scaling utilization and monetization