Hourly Consulting
Scoped on your call
A second opinion without commissioning a full valuation. Physicians use it for an independent read on a private equity offer, a partner buy-in, or a purchase they are weighing before signing a letter of intent.
CVA-certified · 500+ valuations
Medical Practice Valuation Services in California
Certified, USPAP-compliant opinions of value, prepared by a CVA and built to stand up to the scrutiny of buyers, lenders, the IRS, and the courts.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
A Defensible Number, Not a Guess
Every valuation question a physician faces — Should I take this PE offer? What does my partner owe for a buy-in? What does the court need in my divorce? — comes down to one requirement: a number that holds up under scrutiny. Nechay Advisors has delivered more than 500 certified valuations across 45+ medical specialties. Every appraisal is prepared by Alexey Nechay, CVA, in compliance with USPAP, the recognized professional appraisal standard. That’s what makes the difference when the reader of your report is an IRS examiner, a family court judge, an SBA lender, or a private equity diligence team.
How We Determine Value
We normalize before we multiply. Historic financials rarely show what a practice truly earns. We restate owner compensation to market, remove one-time expenses, adjust related-party leases, and strip out personal spending — producing the normalized cash flow that sophisticated buyers actually price.
We apply all three approaches. We reconcile the three into one supportable conclusion, documented so any reviewer can trace how we got there.
Asset (Cost) Approach
Establishes your floor value from tangible assets net of liabilities. When earnings are thin, this approach can drive the conclusion.
Market Approach
Benchmarks against real comparable practice sales and the EBITDA multiples they imply — comps carefully selected, and their multiples adjusted to fit your practice.
Income Approach
Discounts your projected normalized cash flow at a rate reflecting your practice’s specific risks — payer concentration, provider dependence, growth capacity.
Three Engagement Tiers, One Standard
We scope the right tier on your discovery call — you never pay for more report than your purpose requires.
Summary Report
Starting at $3,950
A professionally developed conclusion of value in a streamlined report, grounded in normalized financials and real market data, and prepared in compliance with USPAP. The right fit for exit planning, pricing a sale, or anchoring a partner buy-in. Our most common engagement.
Detailed Report
Starting at $7,500
The gold standard, with full documentation of data, methodology, and assumptions, prepared in compliance with USPAP. Required where the number will be challenged: divorce, shareholder disputes, and gift & estate tax filings.
Valuations by Purpose
The purpose of a valuation changes the standard of value, the report depth, and sometimes the conclusion itself. Choose your situation:
Selling
Medical Practice Valuation for Selling a Practice
Know what your practice is truly worth before a buyer tells you what they want to pay.
Learn morePartner Buy-In & Buy-Out
Medical Practice Partner Buy-In & Buy-Out Valuation
A fair, independent number both partners can trust, whether buying in or cashing out.
Learn moreDivorce
Medical Practice Valuation for Divorce
Court-ready, USPAP-compliant valuations for marital dissolution involving a medical practice.
Learn moreShareholder Dispute
Medical Practice Valuation for Shareholder Disputes
Independent, litigation-ready valuations when partners disagree about what the practice is worth.
Learn moreSBA Loan
Medical Practice Valuation for SBA Loans
Lender-ready business valuations that satisfy SBA SOP requirements without slowing your closing.
Learn moreGift & Estate Tax
Medical Practice Gift & Estate Tax Valuation
IRS-defensible valuations for gifting, succession, and estate planning involving practice interests.
Learn moreOur 3-Step Process
From first call to certified opinion of value — in as little as one to two weeks.
- 1
Discovery Call
A confidential conversation about your practice, your timeline, and the purpose of the valuation. We scope the right report tier before you commit to anything.
- 2
Financial Analysis & Interviews
We interview you and normalize your financials. Owner compensation, one-time expenses, and related-party leases all get restated. Typical turnaround: 1–2 weeks.
- 3
Certified Opinion of Value
You receive a defensible, USPAP-compliant conclusion of value, walked through line by line. The report is documented to withstand scrutiny from a buyer, a court, a partner, or a lender.
Which report tier fits your situation?
Tell us the purpose — sale, buy-in, court, IRS — and we’ll scope it in one call.
From Valuation to Sale
If the valuation confirms it’s time to sell, you don’t need to find a broker — you already have one. Our brokerage practice takes the same certified analysis into confidential marketing, buyer qualification, and negotiation.
Trusted by physicians across California
Real Google reviews from physicians and practice owners we have served. Read them on Google
“As a physician with partnership transaction of medical practice, he was an exceptional to guide me and advise me. He showed not only professionalism but also his eagerness to help and guide me through. Highly recommend him for any business valuation and transaction.”
Dr. Kyong Kim
Partnership transaction
“Fantastic valuation/appraisal specialist. I reached out to Alexey to help me evaluate a medical practice buy-in on short notice. He was able to work me into his schedule and accommodate my timeline despite how busy he was and provided crucial insight into helping me decide my next steps.”
Dr. Xuan Cao
Medical practice buy-in
“They get 5 stars across the board. Alexey was extremely thorough and detailed oriented. He did a deep dive into my practice’s financials, coding and practice history. He was easily approachable and prompt in answering questions and in completing the Appraisal. I am confident in the results and I would highly recommend him to any physician/practice for an appraisal.”
Dr. Robert Sacks
Ophthalmology practice
“I called Nechay as I was navigating the potential of selling my practice, and I had a lot of questions about my various offers for sale. Nechay was so responsive, methodical, and educational. He really allowed me to understand the landscape of selling my practice. He is an effective communicator, very patient on the phone and obviously extremely knowledgeable. I will be hiring him to help complete my transactions!”
Dr. Garima Lal
Evaluating sale offers
“I hired Nechay Appraisals to value my ophthalmology practice last year and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. The end result was a highly professional and polished valuation report that provided valuable insights on the current state of my business.”
Dr. David Salvay
Ophthalmology practice valuation
“Alexey has been an excellent asset in evaluating our practice. His experience and practice suggestions have helped us tremendously. His working knowledge of medical practice evaluation and application of these skills is second to none. He is always readily available at a moment’s notice.”
Dr. Elio Vento
Practice evaluation
“Very attentive. Quick to respond. Knowledgeable.”
Dr. Betty Daniels
“Very professional, responsive and creates an excellent report and is accessible. Thank you!”
Dr. Daniel Laroche
“Alexey is very professional and a pleasure to work with. I was under time constraints and he completed his review on time despite those additional pressures.”
Dr. Charles Jackson
“Nechay listened carefully and provided objective feedback tailored to my specific situation. His honest communication and expertise made a complex process much easier. I highly recommend him.”
Dr. Maria Soledad Romero
“Highly recommend! From start to finish, he demonstrated expertise, professionalism, and genuine care. Not only did he deliver a thorough, well-researched valuation report, but he also took the time to explain key findings, offer strategic advice, and answered all our questions — even talked to our accountant and bookkeeper to dig deep into our situation.”
Dr. Alicia Sanchez
Medical practice valuation
“We hired Nechay Appraisals to value our ophthalmology practice the year before last and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. He was very organized and very patient with us as we gathered what he needed. Every week he would check in to make sure everything was on track. We are getting ready to utilize his services again and are looking forward to working with him.”
Jenna Keller
Ophthalmology practice valuation
“I greatly appreciate the help from Alexey. The process was easy and the information was invaluable. The data provided was comprehensive and gave me perspective of my company that I was not aware of. I highly recommend Alexey and his company.”
Dr. Linh Ngo
Medical practice valuation
Medical practice valuation questions
Typically 3–5 years of tax returns and P&Ls, a current balance sheet, production reports by provider, payer mix data, your lease, and any existing agreements (employment, buy-sell, MSO). We provide a checklist after the discovery call and work directly with your accountant if that’s easier for you.
Goodwill is the value above tangible assets — driven by patient base, referral patterns, payer contracts, workforce, and reputation. We measure it through the income and market approaches, and we distinguish practice goodwill (transferable) from personal goodwill (tied to you), a distinction that matters enormously in divorce and in deal structuring.
A valuation is an opinion of fair market value; an offer reflects a specific buyer’s strategy, synergies, and structure. Our conclusions are calibrated to real transaction data, so they land where serious buyers land — and when an offer deviates, the report shows you exactly why and gives you grounds to negotiate.
Yes. Normalization exists precisely for this — non-recurring disruptions are adjusted so the conclusion reflects sustainable earning power, not a bad year.
Yes. Minority interests raise questions of control and marketability discounts, which we quantify and document — critical in buy-ins, disputes, and estate planning.
Summary Reports, our most common engagement for sales, buy-ins, and SBA loans, start at $3,950. Detailed Reports, required for divorce, shareholder disputes, and gift & estate tax, start at $7,500. Hourly consulting is available for a quick second opinion. The final fee depends on scope, which we confirm on a free discovery call.
We can do that. When the client and the appraiser agree in advance on the methods and procedures to be used, the engagement is called a calculation engagement, and it produces a calculated value rather than an independent conclusion of value. It is a legitimate tool, common when a buy-sell or operating agreement prescribes a valuation formula the parties want applied. On the discovery call we will talk through what you need the number for and tell you honestly whether a calculation fits the purpose or whether it calls for a full appraisal.
Yes. Valuation engagements are handled remotely from our California office. We work from your financials, interview you by phone or video, and send you the finished report. We have completed valuations in more than 35 states, and an on-site visit can be arranged when an engagement calls for it. Many physicians have no local appraiser who focuses on medical practices, so working with a specialist remotely often serves you better than hiring a generalist nearby.
Get a Number That Survives Scrutiny
500+ certified valuations. 100% USPAP-compliant appraisals. One advisor, start to finish.
All inquiries are kept strictly confidential.