Specialty focus · Cardiology
Between hospital alignment pressure and the OBL opportunity, independent cardiology has never had more valuation questions — or more leverage.
Every independent cardiology group in California faces the same recurring decision: stay independent, align with a hospital, or join one of the cardiology platforms now consolidating the specialty. Each path has a value — and most groups debate them with rhetoric instead of arithmetic. A certified valuation converts the debate: what the practice earns normalized, what an alignment offer truly pays once professional-services rates and ancillary transfers are modeled, and what platform buyers would pay for the same group. We've done this math for cardiologists; it changes meetings.
Certified, USPAP-compliant appraisals for sales, buy-ins, divorce, disputes, SBA loans, and estate planning.
Valuation servicesConfidential, valuation-led brokerage that puts your practice in front of the buyers active in cardiology across California.
Brokerage servicesEcho, nuclear, vascular ultrasound, stress testing, device clinics — in-office ancillaries are cardiology's earnings engine, and their site-of-service economics are exactly what hospital buyers monetize and platform buyers preserve.
Office-based labs for peripheral and coronary work multiply earnings for interventional groups. We value OBL economics — and the regulatory durability behind them — alongside the practice; cath-capable ASC interests too.
Interventional, EP, imaging, heart failure — mix drives revenue per physician, replacement cost, and buyer appetite. EP depth is currently a premium asset.
Hospital call coverage, ED referral flows, and PCP networks anchor volume; their durability and transferability feed the discount rate.
Imaging equipment ages; OBL buildouts are expensive. Honest valuations net future capital needs against earnings — buyers certainly will.
Hospital systems acquire for alignment (often structured as asset purchase plus professional services agreement); cardiology platforms acquire for scale with rollover equity; large multispecialty groups acquire for ancillary capture. The structures differ so much that comparing them requires modeling, not instinct — which is what our valuation and brokerage engagements deliver.
Platform and hospital offer evaluations; group-level valuations for partner buy-ins and buy-outs (cardiology's multi-partner structures make these frequent); OBL interest valuations; divorce and estate matters for senior cardiologists.
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.
We interview you and normalize your financials. Owner compensation, one-time expenses, and related-party leases all get restated. Typical turnaround: 1–2 weeks.
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.
Put numbers on both paths before the next partners' meeting.
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
By present-valuing both paths: alignment compensation stream versus independent earnings plus eventual sale proceeds. The valuation makes the comparison apples-to-apples — and frequently strengthens the alignment offer itself, since systems negotiate differently with groups that know their worth.
Separately analyzed, jointly presented. OBL economics carry their own reimbursement trajectory and regulatory posture; buyers price them distinctly, and so do we. Where ownership sits in a separate entity, related-party flows get restated to market.
Ancillary-rich earnings, an aging patient base, outpatient migration of procedures, and a fragmented independent landscape — the same recipe that drew PE to other specialties, arriving in cardiology later and still accelerating in California.
A common impasse with structural answers: staged buy-outs, recapitalizations that cash out seniors while juniors retain equity, or alignment deals with differentiated terms. It starts with a valuation all partners accept — the jointly retained independent number is what unlocks the conversation.
Certified valuations and representation for heart groups.
All inquiries are kept strictly confidential.
