Hourly Consulting
Scoped on your call
A second opinion without commissioning a full valuation. Physicians use it for an independent read on a private equity offer, a partner buy-in, or a purchase they are weighing before signing a letter of intent.
Urgent Care · Certified valuation
Four-wall EBITDA by site, contract-rate analysis, and a certified conclusion buyers can't wave away.
We construct urgent care valuations the way acquirers underwrite them: four-wall EBITDA per location (revenue, staffing, occupancy, supplies — site by site), corporate overhead allocated honestly, owner management restated to market cost, and ramp-stage sites modeled on trajectory rather than blended into the average. Seasonality — flu surges, COVID-era distortions, slow shoulder months — normalizes across multi-year data. The result is a unit-economics model that doubles as your data room core if you proceed to a sale.
Per-visit revenue is a function of payer contracts, and urgent care contracts vary enormously. We analyze rate quality by payer, contribution by contract, renewal and termination posture, and exposure to any single payer's repricing. Occ med contracts get valued as their own B2B stream. This analysis frequently changes the conclusion more than any multiple debate — and it's exactly what buyer diligence will reconstruct, so we build it first.
Income approach on normalized portfolio cash flow; market approach against urgent care transactions matched on site count, brand maturity, and geography; asset approach flooring each site's buildout and equipment. Purposes: sale pricing (see urgent care brokerage); expansion financing and SBA loans; partner buy-ins; disputes and divorce.
We scope the right tier on your discovery call, so you never pay for more report than your purpose requires.
Scoped on your call
A second opinion without commissioning a full valuation. Physicians use it for an independent read on a private equity offer, a partner buy-in, or a purchase they are weighing before signing a letter of intent.
Starting at $3,950
A professionally developed conclusion of value in a streamlined report, grounded in normalized financials and real market data, and prepared in compliance with USPAP. The right fit for exit planning, pricing a sale, or anchoring a partner buy-in. Our most common engagement.
Starting at $7,500
The gold standard, with full documentation of data, methodology, and assumptions, prepared in compliance with USPAP. Required where the number will be challenged: divorce, shareholder disputes, and gift & estate tax filings.
The purpose of a valuation changes the standard of value, the report depth, and sometimes the conclusion itself. Choose your situation:
Selling
Know what your practice is truly worth before a buyer tells you what they want to pay.
Learn morePartner Buy-In & Buy-Out
A fair, independent number both partners can trust, whether buying in or cashing out.
Learn moreDivorce
Court-ready, USPAP-compliant valuations for marital dissolution involving a medical practice.
Learn moreShareholder Dispute
Independent, litigation-ready valuations when partners disagree about what the practice is worth.
Learn moreSBA Loan
Lender-ready business valuations that satisfy SBA SOP requirements without slowing your closing.
Learn moreGift & Estate Tax
IRS-defensible valuations for gifting, succession, and estate planning involving practice interests.
Learn moreA 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.
Our valuation model becomes your data room.
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
Explicitly: pandemic-era testing surges and visit distortions get isolated, and sustainable run-rate volume is established from the cleanest recent periods plus pre-pandemic baselines. Every urgent care buyer makes this adjustment; our valuations make it transparently.
As local consumer equity, measured by what it produces: walk-in share, repeat-visit rates, review presence, and occ med relationships. Urgent care brands are real but local — valued on evidence, not aspiration.
Value first. The analysis shows whether the site is a ramp problem (hold), a trade-area problem (close or sell separately), or a drag a buyer would fix (negotiating point). Closing prematurely can destroy lease and option value a buyer might have paid for.
Yes. Valuation engagements are handled remotely from our California office. We work from your financials, interview you by phone or video, and send you the finished report. We have completed valuations in more than 35 states, and an on-site visit can be arranged when an engagement calls for it. Many physicians have no local appraiser who focuses on medical practices, so working with a specialist remotely often serves you better than hiring a generalist nearby.
Certified urgent care valuations, site by site.
All inquiries are kept strictly confidential.