Practice valuation · Shareholder Dispute
Medical Practice Valuation for Shareholder Disputes in California
When partners stop agreeing, the valuation becomes the battlefield. Bring analysis that wins on methodology.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Where Partner Disputes Become Valuation Disputes
Departing physicians who believe their buyout is too low. Remaining partners who believe it's too high. Allegations that distributions were manipulated before a triggering event. Buy-sell formulas written fifteen years ago that nobody would agree to today. In nearly every medical group dispute, the legal questions eventually compress into one financial question: what is the interest worth? Nechay Advisors answers it with independent, USPAP-compliant analysis built for adversarial scrutiny.
Fair Value vs. Fair Market Value — The Decisive Distinction
Many California shareholder remedies apply a fair value standard, which typically excludes the minority and marketability discounts that fair market value permits. Applying the wrong standard is the most common — and most fatal — error in dispute valuations, and it can move a conclusion by 30% or more. We determine the governing standard from your agreements and the applicable statute with counsel, then build the analysis to that standard explicitly and put the reasoning in writing.
What We Examine
- The governing documents. Shareholder, operating, and buy-sell agreements often specify formulas, appraisal procedures, or standards of value that control the outcome.
- Earnings integrity. Were compensation, distributions, or expenses shifted ahead of the dispute? Normalization analysis surfaces manipulation — or rebuts the allegation of it.
- The interest itself. Voting rights, distribution rights, and transfer restrictions all shape what the disputed block is worth under the applicable standard.
Roles We Take
Retained expert for one party, rebuttal expert against an opposing report, or jointly stipulated neutral appraiser. Dispute engagements use our Detailed Report tier and connect with our broader litigation support practice, including deposition and testimony. Disputes within surgery center ownership groups have their own dynamics — see ASC shareholder dispute valuation.
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.
Is the buyout number being disputed?
An independent, standard-correct valuation usually breaks the deadlock.
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
Because formulas age badly and parties contest their inputs — what counts as "earnings," which year, whose adjustments. Courts and arbitrators frequently look to an independent appraisal either to interpret the formula or to establish value where the formula fails.
That's precisely what normalization analysis tests: compensation changes, expense timing, related-party payments, and deferred revenue patterns around the triggering date, benchmarked against the practice's own history and industry norms.
We perform a rebuttal review — auditing their standard of value, normalization, comparables, and discounts. Sometimes the right answer is a full competing appraisal; sometimes a targeted critique is enough to move settlement. We'll tell you which.
Most disputes settle once both sides see a credible, well-documented number. A rigorous independent valuation is usually the fastest route out of litigation, not deeper into it.
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.
Resolve the Dispute on the Strength of the Analysis
Fair value expertise. Detailed Reports. Testimony when needed.
All inquiries are kept strictly confidential.