Northern California
Medical Practice Valuation & Brokerage Services in Sacramento
California's fastest-growing major practice market — government-anchored payers, UC Davis Health gravity, and suburbs absorbing Bay Area migration.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
The Capital Region's Quiet Strength
Sacramento gets underestimated by coastal physicians — and overlooked by coastal appraisers, which costs capital-region owners money. The fundamentals here are among the strongest in California: a metro growing past 2.4 million as Bay Area households migrate to Roseville, Folsom, Elk Grove, and Rocklin; an employment base anchored by the State of California, whose CalPERS-covered workforce provides unusually stable commercial-payer volume; UC Davis Health expanding aggressively as the region's academic anchor; and Sutter Health (headquartered here), Dignity/CommonSpirit, and Kaiser competing across the suburbs. Growing populations, stable payers, and system competition: that's a practice-value recipe, and Sacramento has all three.
Market Forces We Price in Sacramento
- Government-anchored payer stability. State-employee coverage and CalPERS plans give Sacramento practices a commercial base less exposed to economic cycles than tech- or tourism-dependent metros — a durability premium the income approach should capture.
- Growth-corridor demographics. Placer and El Dorado County suburbs are adding insured families faster than physician supply is following; established practices in these corridors hold genuine scarcity value.
- UC Davis Health and Sutter gravity. Academic expansion and a hometown system headquarters drive active ambulatory strategy — and acquisition interest — across the region.
- Cost advantage with rate respectability. Operating costs run well below Bay Area levels while commercial rates remain solid: normalized margins here frequently beat coastal equivalents, surprising owners and buyers alike.
- Late-arriving consolidation. PE platform activity reached Sacramento later than SoCal; it's accelerating now, which often means first-mover terms for well-positioned sellers.
What we do in Sacramento
Medical Practice Valuation
Medical Practice Valuation in Sacramento
Certified opinions of value calibrated to capital-region economics.
Learn moreASC Valuation
ASC Valuation in Sacramento
Surgery center and interest valuations across a growing outpatient market.
Learn moreSelling a Medical Practice
Sell Your Medical Practice in Sacramento
Confidential processes for a market buyers are actively entering.
Learn moreSelling Your ASC
Sell Your Surgery Center in Sacramento
Sell-side representation where growth math sells.
Learn moreHow We Serve the Capital Region
From Newport Beach, Sacramento engagements run on our standard model: secure remote document work, targeted in-person interviews and walkthroughs (Southwest makes Sacramento closer than it looks), certified USPAP-compliant conclusions in 1–2 weeks, and brokerage run as a structured, competitive process. With 500+ valuations across 35+ states, an out-of-town address has never diluted local judgment — the analysis travels; the calibration is local.
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.
The market is growing around your practice.
Find out what that growth is worth in a certified number.
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
Sacramento questions, answered
Often the opposite once normalized: lower operating costs against respectable commercial rates can produce stronger margins than coastal equivalents. Coastal-biased appraisers who haircut Sacramento reflexively are leaving owner money on the table — we price the actual economics.
Directly: growing insured populations feed the income approach's durability and growth assumptions, and buyers — systems especially — pay for corridor positions ahead of demand. Demographics are destiny in practice valuation, and yours are favorable.
UC Davis Health and Sutter on the system side, Kaiser in its lane, FQHCs across the region's substantial Medi-Cal population, arriving specialty platforms, and individual physicians relocating for cost-of-living reasons. Deeper than most owners expect.
Yes — interviews and facility walkthroughs are done in person where they add value, scheduled within the engagement's 1–2 week arc.
Sacramento's Fundamentals Are Your Leverage
Certified valuations and confidential sales in the capital region.
All inquiries are kept strictly confidential.