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Sell a Medical Practice business

Selling a medical practice comes down to cash flow a buyer can underwrite, the people who already do the work, and a file they can diligence. For the overview of selling a business, use the seller page. Start with a valuation and the notes on how the sale is financed. The complete medical practice guide covers buyers, diligence, and the handoff.

What buyers typically underwrite

  • Patient Retention

    Patients are often loyal to physicians. Communication and transition plans are critical.

  • Physician and Staff Retention

    Associate physicians and clinical staff are key assets requiring transition planning.

  • Regulatory Compliance

    Healthcare regulations, HIPAA, and state licensing laws are complex.

  • Technology Integration

    EHR systems, medical records, and billing systems require careful transition.

Collections, not charges, and usually SDE

A physician-owned practice is priced on seller's discretionary earnings of collections a successor can keep. After a real provider wage, owner-operated practices often trade around 2x–3.5x SDE. An associate or mid-level bench and a panel that already calls the office often move toward 2.5x–4.5x SDE. Production that was never collected does not get a multiple. A managed multi-site practice priced near $10 million is more often read on adjusted EBITDA, commonly about 3x–6x. These ranges are directional, not a quote, and not legal, tax, or lending advice.

Physician buyers first. Structure before a lender.

The buyer is usually a physician stepping into the panel or a local group adding a site. A non-physician buyer in a state with corporate-practice limits needs a structure counsel will sign before anyone models a loan. A solo practice where you still see every patient is an owner-operator sale. A staffed office sometimes draws a health system or a larger group. That is not the same file.

SBA 7(a) can fund a physician buyer when collections and credentialing support debt service. The SBA 7(a) cap is $5 million. Practice lenders also appear. This is not lending advice.

Florida panels as an example, not a legal opinion

Seasonal residents on a Florida coast can stack a winter panel that thins in summer. That is an example of concentration, the way a single hospital referral is in another state. Corporate-practice rules differ by state. Florida is one market, and a non-physician buyer still needs counsel. Bridge Point works medical-practice sales nationally and starts with collections, the provider schedule, and who the patients call.

How medical-practice purchases get financed

Medical practices finance on collections a successor physician can keep, not on a charge-master. Practice lenders and SBA 7(a) will look at a transferable book when payer mix, credentialing timelines, and a provider bench are real. Corporate practice of medicine rules in many states mean a non-physician buyer needs a friendly PC or management-services structure — that is counsel work before the loan, not after. Stark and Anti-Kickback issues show up when physicians refer designated health services; they are not a slogan we paste on every healthcare file.

Unused membership or concierge packages are liabilities. Malpractice tail and payer enrollment sit on the same calendar as funding. Seller notes and standby notes fill equity when the selling physician is still the producer or a large plan is unproven. We show the provider schedule and the CPOM path before anyone calls a lender.

Who typically buys a medical practice

Physicians stepping into a panel, independent groups adding a specialty or a site, and health-system or MSO buyers when the entity structure already fits CPOM. A non-physician investor without a friendly PC is not a buyer in states that forbid it. We decide the structure before we shop the book.

Complete industry guide

Primary care vs specialty, Stark/CPOM, and physician practice transitions.

Read Buying or Selling a Medical Practice: The Complete Guide

Frequently asked questions

Both appear. SBA 7(a) can fund a physician-buyer going concern when cash flow and credentialing support debt service. Practice lenders are often faster on equipment-heavy or specialty books. CPOM and any friendly-PC documents have to be in the file either way.

Ready to talk through a listing?

Request a confidential consult or call (352) 515-0226. We will tell you whether a sale is realistic before you go to market.