The Nechay Advisors blog
Medical Practice Valuation & Brokerage Insights
Practical, data-informed articles on what California medical practices and surgery centers are worth — and how to sell them well. Written by a CVA, not a content farm.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Every article here comes from real engagements: the questions physicians actually ask during valuations, buy-ins, and sales. Start with our in-depth guides, filter by topic below, or grab this free EBITDA guide for valuing a medical practice.
Valuation · June 1, 2026
How Medical Practice Valuation Works in California
A CVA explains how medical practice valuation works in California: EBITDA normalization, the three approaches, multiples, and report types. Read the guide.
Read articleValuation · March 25, 2026
Surgery Center Valuation: A Complete Guide to ASC Multiples and Methods
A complete guide to surgery center valuation — EBITDA multiples, the factors that drive ASC value, the major valuation approaches, and industry benchmarks.
Read articleSelling a Practice · February 13, 2025
Five Things to Know Before Selling Your Practice to an MSO
Selling your medical practice to an MSO? Learn how MSOs and CPOM work, the benefits and drawbacks, and why to insist on fair market value in cash.
Read articleValuation · October 23, 2024
Dermatology Practice Valuation: When a Sale Falls Through
Learn how a dermatology practice valuation saved a failed sale — a real case study covering DCF methodology, referral retention risk, and equipment adjustments.
Read articleValuation · September 1, 2024
How to Use EBITDA Multiples in a Medical Practice Valuation
A CVA explains how EBITDA multiples drive medical practice valuations — what EBITDA is, how to normalize it, and a step-by-step dermatology example. Read on.
Read articleValuation · July 26, 2024
Steps in Valuing My Urgent Care Clinic
Learn how urgent care clinic valuation works — valuation methods, multiples, and key factors like patient volume and reimbursement rates that drive value.
Read articleValuation · July 25, 2024
Getting an Independent Valuation for Your Dermatology Practice
Learn how dermatology practice valuation works — key metrics, multiples, value-driving factors, and how to enhance your practice's worth before a sale.
Read articleValuation · July 23, 2024
What Are Surgery Center Valuation Multiples?
Learn how surgery center valuation multiples are determined, including EBITDA's role, size impact, and industry benchmarks for accurate ASC valuation.
Read articleValuation · July 22, 2024
How To Value a Physical Therapy Practice
Learn how to value a physical therapy practice using income, asset, and market approaches — and the key factors that drive PT practice value up or down.
Read articlePractice Management · July 13, 2024
Identifying and Targeting Niche Markets in Healthcare
How to identify and target niche markets in healthcare — market research, demographics, real examples, targeting strategies, and the challenges to plan for.
Read articleValuation · July 12, 2024
How To Get a Fair Market Value for a Pain Management Clinic
Learn how pain management clinic valuation works — including income, market, and asset approaches, FMV compliance under Stark Law, and key value drivers.
Read articleBuying a Practice · June 7, 2024
How Much Does It Cost to Buy an Internal Medicine Practice?
Discover the factors driving the cost to buy an internal medicine practice — market trends, financing options, operational costs, and legal considerations.
Read articleSelling a Practice · June 7, 2024
How Do I Sell My Dermatology Practice?
Learn how to sell your dermatology practice — from valuation and preparing financials to finding buyers, negotiating terms, and closing the deal successfully.
Read articlePractice Management · April 9, 2024
Training for Medical Billing Staff
A guide to training medical billing staff — core responsibilities, required skills, certifications, and best practices for accurate, compliant billing.
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