You DON'T Want to Buy This $15M Healthcare Call Center Business
Sep 19, 2025
The hosts delve into a lucrative $15M healthcare call center, revealing it has a formidable $4M EBITDA but significant risks. They highlight a concerning 92% dependency on insurer clients and discuss the challenges of staffing and attrition in this industry. The conversation touches on potential AI disruptions and a lengthy cash cycle tied to $2.9M in accounts receivable. Ultimately, they deliver a cautious verdict on the investment's viability, leaning toward a thumbs-down due to these complexities.
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insights INSIGHT
Compliance Enables Big-Client Access
The company is a Midwest healthcare contact center focused on enrollments, invoicing, and premium processing for payers and providers.
It claims high trust via HITRUST and SOC 2 Type II, which enables major healthcare clients to hire them.
insights INSIGHT
Extreme Customer Concentration Risk
Ninety-two percent of revenue comes from insurance companies and only 8% from hospitals.
That level of customer concentration creates significant client-risk for the business.
volunteer_activism ADVICE
Validate Ramp And Attrition Metrics
Investigate employee compensation and ramp processes to assess scalability and attrition costs.
Ask the seller for attrition metrics and onboarding time to full productivity before bidding.
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In this episode, the hosts dissect a fast-growing healthcare call center business with $4M EBITDA—and major risks around customer concentration, compliance, and workforce churn.
Business Listing – https://view.generational.deals/?qs=8a49d003d042ac87b1f83ac25a5e010857481ce24a855bec1732a67b0123f8fbca2acbb8b52a738808cc8dbae51ca8ba778b09622a79bce1a3c73329b056f81b73624ce434606bfc3f23118059290a12
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The hosts explore a Midwest-based healthcare contact center business generating $15M in revenue and $4M in EBITDA. Serving mainly insurance companies and hospitals, the company helps with member enrollment, invoicing, and premium processing, offering high-trust and SOC 2 Type II certified services.
Key Highlights: - Asking price likely ~$25M for $4M EBITDA on $15M revenue - 92% of business comes from insurance companies—major concentration risk - HIPAA, High Trust, and SOC 2 Type II certified—good compliance, limited moat - High employee churn risk with 160 non-union call center employees - Working capital red flag: $2.9M in receivables ties up nearly a full year of EBITDA
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