Sacramento · Northern California
Sell Your Medical Practice in Sacramento
Buyers are arriving in the capital region faster than quality practices are coming to market. That timing favors prepared sellers.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
A Market Tilting Toward Sellers
Sacramento's practice market has quietly inverted: demand-side arrivals — UC Davis Health's ambulatory expansion, Sutter's hometown consolidation, FQHC growth across the region's Medi-Cal population, specialty platforms extending north from the Bay and east from the coast, and relocating physicians seeking affordable established practices — now outpace the supply of well-run practices coming to market. Sellers who enter that imbalance prepared capture it; sellers who respond to one unsolicited approach give it away. Our process: valuation and positioning first, then NDA-gated parallel outreach across the buyer categories, then negotiated structure (full process).
Selling Notes for the Capital Region
- Platforms arriving means terms are negotiable. Late-entering consolidators need footholds; foundational practices in a new market command better terms than add-ons in saturated ones. We position accordingly.
- The relocation buyer is real here. Sacramento's affordability draws physician buyers continuously — SBA-financed individual purchases remain a genuinely competitive exit channel, especially for primary care and pediatrics.
- Growth corridors sell themselves — with data. Practices in Roseville, Folsom, Elk Grove, and Rocklin sit on demographic stories buyers pay for; we document corridor growth into the marketing narrative.
- Government-stable panels are an underwriting gift. CalPERS-linked commercial volume reads as durability in every buyer's model; we make sure it's presented that way.
Confidentiality and Execution
Sacramento's medical community is collegial and connected; our blind-profile, staged-disclosure process keeps your plans private until your announcement. Management meetings run discreetly; we coordinate with your local counsel and CPA throughout.
From valuation to close — our three-step process
- 1
Confidential Consultation
A private, no-obligation conversation about your goals, your timeline, and what a successful exit looks like. We share an informed perspective on the current market for practices like yours, and you decide whether to move forward.
- 2
Valuation & Positioning
We perform a valuation of your practice, normalizing earnings and weighing real transaction data, to arrive at an asking price that reflects its fair market value. We then position the practice for the buyer types that fit your goals.
- 3
Confidential Marketing & Sale
We market the practice confidentially, under NDA, through our buyer network and targeted outreach to physician groups, hospital systems, private equity platforms, and FQHCs. We negotiate competing offers and structure the sale to protect your net proceeds.
Buyers are entering your market. Meet them prepared.
Valuation first. Competition second. Signature last.
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
Maybe — and that's a modeling question, not a hunch. The valuation plus market read tells you what today offers; we'll be honest about whether your specialty's buyer depth here is still building or already peaked. Early in a consolidation wave often beats late.
Headline multiples sometimes trail SoCal's most-consolidated specialties — but normalized earnings here are often stronger, and competition among arriving buyers is closing gaps. Net proceeds are what matter, and they're frequently better than owners assume.
Sacramento has one of the state's most active FQHC ecosystems plus managed-care-aligned groups building Medi-Cal networks. Mission-driven buyers with real budgets — an exit channel we work regularly.
More in Sacramento and statewide
Sell Into Sacramento's Momentum
Confidential, valuation-led, competitively negotiated.
All inquiries are kept strictly confidential.