Practice valuation · Selling
Medical Practice Valuation for Selling a Practice in California
Before you talk to a single buyer, know your number — and know exactly how a buyer will try to take it apart.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Price It Before You Market It
The most expensive mistake sellers make isn't underpricing — it's going to market without knowing what the practice will support. Overprice and serious buyers walk early; underprice and you never know what you left behind. A pre-sale valuation from Nechay Advisors gives you a certified, USPAP-compliant opinion of value calibrated to what physician groups, hospital systems, private equity, and FQHCs are actually paying for practices like yours.
What a Pre-Sale Valuation Examines
Normalized earnings first. We restate owner compensation to a market-rate replacement salary, remove one-time expenses, and adjust related-party rent — producing the normalized EBITDA every sophisticated buyer prices against.
Then the three approaches. Asset approach for your floor value, market approach against real comparable practice sales, income approach to capture what's specific to you — payer mix, provider leverage, growth runway. The reconciled conclusion becomes your anchor for negotiation.
Then sellability. Value and sellability aren't the same. We assess the three factors that determine whether buyers show up: clean financials, transferability beyond your personal brand, and demonstrable growth potential — and we tell you which fixes are worth making before going to market.
The Right Report for a Sale
For most sale engagements, a Summary Report is the right tier: an independent conclusion of value with documented normalization, at a cost proportionate to the purpose. If you've already received an unsolicited PE offer, hourly consulting may be all you need: an independent second opinion before you sign an LOI that locks you into exclusivity.
Valuation Into Brokerage, Seamlessly
When the number says go, the same advisor takes you to market. Our sell-side brokerage uses the valuation as the foundation for confidential marketing and negotiation. No re-education, no second fee for a broker to "re-price" the practice. Selling a surgery center instead? See ASC valuation for selling.
A clear, three-step process
- 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.
Thinking about selling in the next 1–3 years?
A pre-sale valuation now shows you what to fix before buyers see it.
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
Frequently asked questions
Yes — before signing anything, especially an LOI with exclusivity. PE offers are structured (cash, rollover equity, earnouts, post-close comp cuts) so the headline number rarely equals the real economics. An independent read typically costs a fraction of what it protects.
Within about 12 months, and updated if performance has shifted materially. We refresh prior clients' valuations efficiently since the normalization work is already built.
Serious buyers always run their own diligence. The point of your valuation is that their analysis lands on ground you've already mapped — every adjustment anticipated, every weakness already framed on your terms.
Then you've learned it cheaply, before a failed process told you publicly. The report identifies exactly which drivers — provider leverage, payer mix, expense structure — would raise value, so you can sell later from strength.
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.
Know Your Number Before Buyers Name Theirs
Certified valuation and brokerage under one roof.
All inquiries are kept strictly confidential.