San Francisco · Northern California
Sell Your Medical Practice in San Francisco
Independent practices are scarce in this market. Scarcity sells well — when the seller knows it.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
The Scarcity Sale
Decades of consolidation have thinned San Francisco's independent practice ranks — which quietly transformed the exit math for the independents that remain. Systems filling specialty and geographic gaps, platforms wanting a Bay Area beachhead, concierge operators buying proven panels, and individual physicians priced out of starting fresh: each faces a short list of acquirable practices, and a well-run process makes sure your practice is presented to all of them at once. Ours starts with the certified valuation — decisive in SF, where normalization separates real earnings from survival bookkeeping — then proceeds through NDA-gated marketing and parallel negotiation (full process).
SF-Specific Selling Realities
- The lease can be half the deal. Favorable legacy space is a transferable asset; expiring or unassignable leases are deal risks. Lease diligence happens before marketing, not during.
- Panel quality is the premium story. High-income, loyal, commercially insured (or cash-paying) panels are what Bay Area buyers fundamentally purchase. We document retention, demographics, and payer depth into the data narrative.
- Staff continuity is priced. In the Bay Area's brutal clinical labor market, an intact, tenured team is worth real money to buyers — and worth protecting with retention terms we negotiate.
- Discretion in a small professional city. SF medicine is socially compact; blind profiles and staged disclosure protect you until your announcement.
Timeline and Alternatives
Most sales run six to twelve months from launch to close. Where a sale isn't optimal — thin normalized earnings, lease cliffs — we'll say so plainly and outline alternatives: concierge conversion, merger, or structured wind-down with panel placement. An honest "don't sell yet" is part of the service.
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.
One of the last independents on your block?
That scarcity has a price. Let's establish 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
Possibly more than you think: in a scarce market, even modest practices with quality panels attract concierge operators, returning-to-independence physicians, and gap-filling groups. The valuation costs little and answers definitively.
SBA financing plus seller notes bridge wider gaps than most owners assume — and an internal sale at certified-valuation pricing avoids the discount of a forced external process later. We model the financing reality before ruling anyone out.
Transition expectations vary by buyer: systems and platforms often need months of overlap; some concierge and panel acquisitions move faster. Your timeline is a process input — tell us on day one and we'll design around it.
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Exit San Francisco Medicine on Your Terms
Valuation-led, discreet, and honest about alternatives.
All inquiries are kept strictly confidential.