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.
Selling a Practice · September 19, 2026
Retiring From Medical Practice: When to Cut Back Before a Sale
Retiring from medical practice? Learn how cutting back before a sale can affect earnings, buyer confidence, and your retirement transition.
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
Selling Your Medical Practice to an MSO: Compare the Offer
Selling your medical practice to an MSO? Compare cash, rollover equity, compensation, transition terms, and a conventional physician-to-physician sale.
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
Medical Practice Valuation Multiples: How EBITDA Is Applied
Learn how EBITDA multiples are used in medical practice valuation, which adjustments matter, why multiples vary, and how to estimate equity value.
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 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
Learn how to identify a viable niche market in healthcare, weigh the tradeoffs, and understand what specialization can mean for practice value, with examples.
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 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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