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Free EBITDA Valuation Guide

Valuing a Medical Practice Using an EBITDA Multiple

Get the same three-step framework private equity buyers use to value practices — calculate your EBITDA, apply the right multiple, and estimate what your practice could sell for. Written by a Certified Valuation Analyst who specializes in medical practice valuation and brokerage.

  • How to calculate your practice’s normalized, adjusted EBITDA — with a fill-in worksheet
  • How to turn EBITDA and a multiple into an estimated equity value, step by step
  • The normalization adjustments most owners miss — owner comp, add-backs, related-party rent
  • CVA Certified NACVA Valuation Analyst
  • USPAP Compliant Appraisal Reports
  • 500+ Valuations 45+ specialties
Cover of the free EBITDA medical practice valuation guide by Nechay Advisors

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A Number in Three Steps

A simple, plain-English walkthrough of how to value a medical practice using EBITDA multiples, with worked examples and a fill-in worksheet you can complete with your own numbers.

1

Calculate Your EBITDA

Start from your earnings and normalize them — owner compensation, one-time expenses, discretionary spend — to reveal your practice’s true earning power.

2

Select the Right Multiple

Understand what an EBITDA multiple actually represents, what drives it up or down, and the range of multiples we’re seeing in the market today.

3

Estimate Your Equity Value

Apply the multiple, account for debt and deal structure, and arrive at a defensible estimate of what your practice could be worth.

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USPAP-Compliant Appraisals

Alexey Nechay, CVA — Principal of Nechay Advisors

Written by a Certified Valuation Analyst

Alexey Nechay, CVA is the principal of Nechay Advisors. He has completed 500+ valuations across 45+ specialties and 35+ states, delivering certified, USPAP-compliant opinions of value for physicians weighing a sale, partner buy-in, or acquisition.

This guide distills the same methodology used by market participants today. Use it with your own numbers to see where you stand.

More about Alexey

Common questions

Yes — completely free. Enter your name and email and we’ll send the PDF straight to your inbox. There’s no cost and no obligation to do anything further.

Think of it as an estimate and a starting point — not a formal opinion of value. A certified valuation goes further, accounting for payer mix, physician concentration, growth, and deal structure, which is why the headline multiple alone can be misleading. The guide gets you to a working number you can reason about.

There’s no single answer. Across medical practices we typically see multiples from the low single digits (2–3x) to the high single digits (7–8x), depending on practice size, payer mix, geography, and growth. The guide walks through the factors that move your multiple up or down.

Physicians and practice owners who are curious about what their practice is worth — whether you’re weighing a sale, bringing on a partner, considering an acquisition, or simply planning ahead.

Prefer to Just Talk It Through?

If you’d rather get a real, certified number than estimate it yourself, schedule a confidential consultation. No pressure, no obligation.

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