Valuation and Exit
EBITDA multiples, valuation methodology, preparing for sale, due diligence on the sell-side, share vs. asset sale, and the framework for practice exits.
Most practice owners eventually sell their practice. Strong exit outcomes require deliberate preparation over multiple years — financial cleanup, operational improvements, valuation maximization, and buyer process management. This path covers the valuation methodology and exit framework that applies across healthcare specialties.
The path, in order
How Healthcare Practice Valuations Are Calculated
EBITDA multiples vs. revenue multiples, normalization adjustments, and how valuation actually works for independent healthcare practices across specialties.
Read this postPractice Valuation Multiples for Independent Operators
The multiple ranges that apply to different specialties, what drives multiple variation, and how to read valuation results in context.
Read this postFactors That Reduce Practice Valuation
What discounts a practice's value: practitioner concentration, patient concentration, lease problems, equipment age, and the operational issues buyers and lenders identify.
Read this postPreparing Practice for Sale: 24-Month Framework
The structured approach to preparing a practice for sale over 24 months. Financial cleanup, operational improvements, valuation maximization, and buyer process management.
Read this postHow Private Equity Looks at Healthcare Practices
The PE perspective on healthcare practice acquisitions. What attracts PE buyers, what they pay attention to in diligence, and how PE buyer pricing differs from individual practitioner buyers.
Read this postFinancial Due Diligence: What Buyers Look At
What buyers verify in seller financials. Useful for sellers preparing for sale to understand what will be examined and address weak points proactively.
Read this postHow Practice Transitions Work in Canada and the US
The mechanics of practice transitions, how they differ between Canadian and US markets, and the typical timeline from initial conversation to closing.
Read this postSeller Financing in Healthcare Practice Transactions
When seller financing is appropriate, the typical terms, why sellers offer it, and how it affects deal economics and post-sale risk for both parties.
Read this postNeed specialty-specific resources?
The path above covers universal valuation and exit concepts. For specialty-specific exit considerations — dental DSO buyer landscape, mental health practice value tied to practitioner relationships, optometry retail valuation dynamics — the specialty resource pages cover specialty-specific exit considerations.
Browse by Specialty →Tools for valuation and exit
The Practice Valuation Reference produces an implied valuation range using EBITDA multiples primary methodology. The Profitability Calculator helps you understand the EBITDA picture buyers will see.
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