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.
Sacramento · Northern California
Medical Practice Valuation in Sacramento
Certified opinions of value that credit the capital region's stable payers and growth demographics — instead of applying a coastal discount.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Calibrated to the Capital Region
The methodology is our statewide standard (full detail); the Sacramento calibration is what protects your number. Replacement compensation benchmarks against a market where recruiting is easier than the Bay Area but tightening as demand grows. Payer durability analysis credits the CalPERS-and-state-employment commercial base — among the most stable in California. Growth-corridor demographics (Roseville, Folsom, Elk Grove, Rocklin) feed supportable income-approach assumptions that static analyses miss. And comps get drawn from capital-region and structurally similar inland transactions, not from coastal markets whose economics don't transfer.
Common Sacramento Engagements
- Sale and succession valuations for the region's large cohort of late-career physicians — often the first credible number they've ever seen for the practice.
- System-offer evaluations as UC Davis Health and Sutter pursue ambulatory alignment across the suburbs.
- Buy-ins for growing groups absorbing the region's patient influx (see buy-in valuation).
- SBA appraisals — Sacramento's affordability keeps physician-to-physician purchases unusually common, and lenders need qualified valuations.
- Divorce and estate matters at the Detailed Report tier.
Practicalities
Remote-efficient document flow, in-person interviews where they sharpen the work, 1–2 week turnaround, free discovery call first. If the number says sell, Sacramento brokerage proceeds from the same analysis.
Three Engagement Tiers, One Standard
We scope the right tier on your discovery call, so 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 moreA 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.
Never had the practice professionally valued?
Most Sacramento owners haven't. The first look usually surprises.
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
Favorable: CalPERS-linked coverage is stable, renewal-consistent commercial volume — durability the income approach explicitly credits. It's one of Sacramento's structural advantages over flashier metros.
Through evidence: new-patient rates, capacity utilization trends, and corridor demographics distinguish structural growth (valued) from transient bump (risk-adjusted). Sacramento's migration story makes structural growth genuinely common — and documentable.
Yes — capital-region transactions plus structurally similar inland-California markets give us a workable set, and the income approach carries proportionate weight where comps thin. The reconciliation discloses exactly how much each approach drives the conclusion.
More in Sacramento and statewide
Medical Practice Valuation — Statewide Our full California service page Sacramento Overview All services in Sacramento ASC Valuation in Sacramento Surgery center and interest valuations across a growing outpatient market. Sell Your Medical Practice in Sacramento Confidential processes for a market buyers are actively entering.
Your Region's Strength, In Your Number
Certified Sacramento valuations in 1–2 weeks.
All inquiries are kept strictly confidential.