Wall Street capital is aggregating privately owned clinics into a single portfolio — and paying multiples the individual market has never offered. Depending on the clinic, 2X gross typically works out to somewhere in the range of 4–6X net. Watch the breakdown below.
Confidential · Institutional buyer · 3-minute qualification
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And the reason it exists now has nothing to do with your clinic being worth more. It has to do with who's buying.
Institutional capital can't deploy meaningfully into a $2M practice. It can deploy into a 40-clinic platform doing $120M. So the buyer isn't shopping for your clinic — they're shopping for the portfolio your clinic sits inside.
Aggregated healthcare platforms trade at institutional multiples. Individual clinics trade at small-business multiples. That spread is the entire opportunity — and it's what funds a 2X gross offer to you.
A package like this closes once. When the target clinic count is filled and the transaction goes to market, the window shuts — and clinic valuations revert to what a local buyer or a broker can get you.
A single clinic can't walk up to an institutional buyer and command an institutional multiple — the capital doesn't deploy at that size. The roll-up is the door in. It's a chance to exit at a level the individual market simply doesn't offer, and it only exists while the package is being assembled.
The conventional exit for a privately held clinic is a local buyer, a competing practice, or a business broker running a small-market process. Those buyers price off net income, they price conservatively, and they discount hard for owner dependence — the fact that when you leave, some of the revenue leaves with you.
A platform buyer doesn't price that way. They're underwriting your clinic as a unit inside a much larger asset, which means top-line revenue, patient volume, and service mix carry the weight — not the number at the bottom of your P&L after you've optimized it for taxes.
Same clinic. Same books. Fundamentally different buyer — and a fundamentally different number.
Drop in your annual collections. The math is not complicated — that's the point.
This is a simple illustration based on the numbers you entered — not an offer, an appraisal, or a prediction of any specific result. Actual figures vary by clinic and are established only after a review of financials, payer mix, and service lines, and any binding terms are set out in a letter of intent. The 4–6X net range shown elsewhere is a general frame, not a guaranteed outcome.
Get a Real Number on My ClinicThe package has a specific shape. Being honest about it saves us both a call — so here is exactly what we're assembling.
No listing. No public marketing of your practice. No staff or patients learning anything until you decide they should.
Three minutes of questions below. If the shape of your clinic doesn't fit the package, we tell you immediately rather than booking a call neither of us needs.
A direct conversation about your clinic, your timeline, and the structure of the transaction. You'll hear the honest range for a practice like yours before anyone asks you for a document.
Under NDA, we review collections and financials and issue a written letter of intent with a real number, real terms, and a real timeline.
Standard confirmatory diligence, then close into the platform. Owners who want to stay on and operate can; owners who want out are transitioned out.
Three minutes. Confidential. If you fit, you'll book directly onto the calendar on the next screen.
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Your information has gone straight to our acquisitions lead. Pick a time below and you'll get a real valuation range for your clinic on that call.
Booking calendar goes here
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It sounds high because you're comparing it to what individual clinics fetch from individual buyers — and that comparison is the wrong one. The multiple is funded by the spread between what aggregated healthcare platforms trade for at institutional scale and what single practices trade for locally. That spread is real, and it's the entire reason this opportunity exists. It also means the multiple is tied to the roll-up staying open, not to a permanent shift in what clinics are worth.
It depends entirely on your margin, so treat this as a rough frame rather than a promise: for most clinics, 2X gross tends to land somewhere in the range of 4–6X net. Practices that run leaner on margin generally see the higher end of that range, not the lower. Run your own numbers in the calculator above — the arithmetic tends to surprise owners who've only ever been quoted a multiple of earnings. Your actual figure is established only after a review of your financials.
There's no listing fee to have the conversation, no retainer, no broker agreement to sign, and no exclusivity asked of you up front. If a transaction moves forward, deal-related fees and terms are laid out transparently in writing before anything is binding — you'll see exactly how it works during the process, well before you commit to anything.
Not from us. Your practice is never publicly listed or marketed. Financial review happens under NDA, and communication to staff and patients is planned by you, on your timeline, as part of the transition — typically well after terms are agreed.
That's your call, and it's one of the more flexible parts of the structure. Some owners want a clean exit and a defined transition period. Others want to stay on and keep operating clinically without the ownership and administrative burden. Both work — tell us which one you want on the call and it gets built into the terms.
Structure varies by clinic and gets defined in the letter of intent. Typical components include cash at close, equity in the platform, and performance-linked consideration. The mix depends on your size, service lines, and whether you're staying on — and it's a conversation, not a take-it-or-leave-it.
Very few privately held clinics have institution-ready financials on day one, and that alone doesn't disqualify you. What matters is that your collections can be substantiated and that there's nothing structurally wrong underneath — unresolved billing exposure or licensing problems are the things that actually kill deals in diligence, not messy bookkeeping.
From first call to letter of intent is generally weeks, not months, because the buy-side thesis is already defined. Close timing depends on diligence, your payer contracts, and any partner or lease consents required. We'll give you a realistic timeline on the call rather than an optimistic one.
A package like this fills and closes once. The buyer is assembling a target number of clinics, and when that number is reached the transaction goes to market and the window closes. It isn't a marketing deadline — it's how roll-ups work. Once it's closed, a clinic owner is back to local buyers and local multiples.
Three minutes tells you whether the number on the table is one you'd say yes to. If it isn't, you've lost three minutes. If it is, it may be the most valuable three minutes of your career.
See If My Clinic QualifiesConfidential · No obligation · 3-minute qualification