Cardiology · Confidential brokerage
Sell Your Cardiology Practice in California
Platforms want your ancillaries. Hospitals want your alignment. The competitive tension between them is your negotiating capital.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Run the Paths Against Each Other
Cardiology sellers hold a structural advantage most specialties lack: two fundamentally different buyer universes — hospital systems and PE-backed cardiology platforms — that fear losing groups to each other. A process that engages both, anchored by our valuation, forces each to price its best version: systems sharpen alignment economics and professional-services rates; platforms sharpen multiples and rollover terms. Single-track negotiations surrender exactly this leverage. We run the process confidentially throughout.
Deal Points That Decide Cardiology Outcomes
- Ancillary treatment. Whether your echo/nuclear/vascular revenue survives in the deal — or converts to hospital billing with you compensated otherwise — swings total economics more than the headline price. We model post-close physician economics under every structure.
- OBL and ASC handling. Procedure-facility interests get bought, carved out, or restructured; each has tax and income consequences we price before you choose.
- Group cohesion terms. Multi-partner groups need allocation methodologies partners accept, differentiated terms for near-retirement versus mid-career physicians, and rollover splits that don't fracture the group. We've managed these dynamics — they're half the deal.
- Compensation model post-close. Platform comp resets and hospital wRVU models both change your annual income; the purchase price is only half your economics. Side-by-side modeling, always.
Preparing a Group for Market
Clean ancillary compliance, current equipment assessments, documented call arrangements, and a partner consensus on objectives — assembled before outreach. Groups that align internally first negotiate externally from strength.
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, and private equity platforms. We negotiate competing offers and structure the sale to protect your net proceeds.
Hospital courting you? Platform calling?
Let them compete. We'll run the process.
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
Yes — a valuation engagement with scenario modeling (stay independent, align, sell to platform) is exactly how divided groups reach consensus. The decision becomes arithmetic plus preference instead of faction politics.
It changes them — call arrangements, directorships, and referral patterns get renegotiated. Anticipating which relationships carry economic weight, and protecting them in the deal terms, is part of our process design.
Competitive multiples of post-reset EBITDA for ancillary-rich, multi-physician groups — with wide variance by EP/interventional depth and OBL economics. Your specific number requires your specific normalization; that's engagement one.
Monetize Decades of Cardiology Practice
With both buyer universes at the table.
All inquiries are kept strictly confidential.