Brokerage · Strictly confidential
Sell Your Medical Practice in California
From a confidential first conversation to a completed sale, priced and negotiated by a Certified Valuation Analyst.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Selling a Practice Is Not Listing a Practice
Generalist business brokers list practices the way they list restaurants: a teaser on a marketplace site, a price set by rule of thumb, and a hope that someone calls. Physicians deserve a process, not a listing. Nechay Advisors runs sell-side engagements built specifically for medical practices: the price is set with appraiser-grade analysis, a curated buyer process generates competing interest confidentially, and a CVA — not a salesperson — negotiates the structure that determines what you actually keep.
Why Valuation-Led Selling Wins
The price is defensible from day one. Your asking price is set by a Certified Valuation Analyst running the same normalized-earnings analysis a buyer's diligence team will run, not a rule-of-thumb multiple. When a buyer challenges an adjustment, we are the ones who made it, and we defend it line by line.
You learn sellability before buyers do. The valuation surfaces the three factors buyers underwrite — clean financials, transferability beyond your personal brand, and growth potential. If something needs fixing first, you'll know before the market does, not after a failed process marks your practice as shopworn.
Know Your Buyers
Each buyer type pays differently and wants different things:
- Physician groups buy capacity and patient base; they move fast but pay practical prices.
- Hospital systems buy referral alignment and network coverage; compliance constraints shape their offers, often toward employment-plus-asset structures.
- Private equity / MSO platforms pay the strongest multiples for scale and provider leverage — typically with rollover equity and post-close compensation resets you must understand before comparing offers.
- FQHCs acquire practices serving Medi-Cal and underserved populations, often mission-driven buyers others overlook.
A one-buyer process leaves money on the table. Our job is making the right several of them compete.
Confidentiality Is the Whole Game
A leaked sale process can cost you associates, staff, and referral relationships before any check clears. Every buyer signs an NDA before learning your identity; sensitive data moves through a structured data room in stages tied to demonstrated seriousness; your team learns about the transaction when you decide, not when a marketplace listing tells them.
What About After the Sale?
Most medical practice sales include a transition: weeks to months of introductions, charting handoffs, and sometimes continued clinical work. We negotiate transition terms you can actually live with — duration, compensation, schedule — because a seller who resents the transition is a deal that sours. Selling a surgery center instead? See Sell Your Surgery Center. Want the valuation first and the decision later? Start with valuation for selling.
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.
Curious what buyers would pay — without committing to sell?
Start with the certified valuation. The decision stays yours.
Practices We're RepresentingNow
Ophthalmology
Premium Ophthalmology Practice — Orange County, CA
Orange County, CA
$2.85M revenue · Price on inquiry
View listingOphthalmology
Turnkey Ophthalmology Practice — New Jersey
New Jersey
$725K revenue · Asking $95K
View listingOBGYN
Established OBGYN Practice — Greater San Bernardino, CA
Greater San Bernardino, CA
$835K revenue · Asking $395K
View listingTrusted 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
Most practice sales take six to twelve months from going to market to closing, depending on specialty, location, and buyer demand; diligence, financing, and credentialing drive the back half. Practices with clean financials and transferable operations move meaningfully faster, which is why the pricing and preparation stage matters.
A commission is paid at closing. Our standard rate is 10% for most practice sales, with a sliding scale on larger transactions. Your exact fee is confirmed in writing before you engage us.
Not from us. Strictly confidential marketing, NDA-gated buyer access, staged information release. Most teams learn of a sale when the seller announces a completed transition plan.
Yes — that’s often the most valuable structure. PE and hospital buyers generally prefer sellers who stay; negotiated post-close employment with defined terms can raise total proceeds while easing your transition into retirement on your schedule.
A single-buyer negotiation is where sellers concede the most. At minimum, get the certified valuation so you know what fair looks like; full representation adds negotiation leverage and — often — a second bidder that changes the first buyer’s posture entirely.
One Advisor From Valuation to Close
CVA-set pricing, confidential marketing, and deal structuring that protects your net proceeds.
All inquiries are kept strictly confidential.