2026 Edition · Owner's Guide Series
What your practice is worth, what moves the number, and how to capture it when you sell. Written for owners of practices with $1M–$10M+ in EBITDA.
22 pages of institutional-grade market intelligence, written for practice owners who are 3–24 months from a possible sale.
Middle-market healthcare M&A hit $191B in 2025, but deal counts are down 30% year-over-year. What that means for your timing.
Adjusted EBITDA, add-backs, and the illustrative bridge from reported profit to the multiple that lands in your LOI.
What separates a 6.5x deal from a 10.0x deal on the same EBITDA — a $10.5M swing on a $3M EBITDA practice.
Observed 2024–2026 ranges across 11 specialties. Plus the "size premium" from add-on to platform pricing.
Six-to-nine-month timeline broken into four phases, plus the five deal structure terms that matter as much as price.
Every mistake with a dollar cost attached — and how to avoid each one before it becomes an issue at the LOI stage.
An honest framework for deciding when representation matters, and when it doesn’t.
A single-page checklist covering what to do at 24 months, 12 months, and 6 months before a sale. Share with your partners.
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