Specialized Legal Counsel for Medical Practices & Healthcare Businesses
Healthcare M&A requires deep understanding of regulatory compliance, reimbursement models, and operational complexities. Our selective practice ensures managing partner Alex Lubyansky is personally involved in every healthcare transaction, from solo practices to multi-location specialty groups.
Healthcare consolidation is reshaping Michigan's medical landscape. Independent practices face unprecedented opportunities to join larger platforms while maintaining clinical autonomy.
The convergence of value-based care, technology adoption, and private equity investment has transformed healthcare M&A. Whether you're a retiring physician, expanding group practice, or healthcare services company, understanding current market dynamics is essential for successful transactions.
Family medicine, internal medicine, and pediatric practices navigating consolidation.
Typical Valuation: 4-6x EBITDA
General dentistry and specialty practices joining DSOs and group platforms. See our dental practice acquisition guide.
Typical Valuation: 5-7x EBITDA
High-value specialties attracting premium valuations and strategic buyers.
Typical Valuation: 6-10x EBITDA
Growing sector with strong buyer demand and regulatory complexity.
Typical Valuation: 4-7x EBITDA
Mental health and addiction treatment centers experiencing rapid consolidation.
Typical Valuation: 5-8x EBITDA
Supporting healthcare services with recurring revenue models.
Typical Valuation: 4-6x EBITDA
Healthcare valuations depend on unique factors beyond traditional business metrics. Understanding these drivers helps maximize your practice value:
Ensure regulatory compliance, organize medical records, review payer contracts, and address any compliance gaps before going to market.
Comprehensive practice valuation considering revenue quality, EBITDA adjustments, and market comparables specific to your specialty.
Target strategic buyers, private equity platforms, and healthcare systems while maintaining strict confidentiality.
Navigate comprehensive healthcare due diligence including clinical, financial, regulatory, and operational reviews. Detroit-area practices also require specific Wayne County due diligence procedures for local compliance.
Execute definitive agreements, manage regulatory notifications, and ensure smooth patient care continuity.
Warning: Healthcare transactions require careful regulatory navigation. Violations can result in significant penalties, exclusion from federal programs, and criminal prosecution. Always work with experienced healthcare M&A counsel.
PE-backed platforms aggressively consolidating practices across specialties.
Regional health systems expanding ambulatory networks.
MSOs and management companies offering partnership models. Learn about MSO structures.
Medical practices are typically valued using EBITDA multiples ranging from 4-10x depending on specialty, size, and growth. Adjustments include normalizing physician compensation, removing one-time expenses, and accounting for non-clinical revenue. Additional factors include payer mix quality, provider productivity, patient demographics, and competitive position.
Patients must be notified of practice sales per HIPAA requirements. They retain the right to choose their provider and request record transfers. Most buyers prioritize continuity of care, keeping providers and staff in place. Patient care typically continues uninterrupted, often with expanded services and resources under new ownership.
Yes, most healthcare acquisitions include multi-year employment agreements for selling physicians. Terms typically include competitive compensation, productivity bonuses, clinical autonomy protections, and gradual transition options. Many deals structure 3-5 year commitments with flexibility for reduced schedules over time.
Healthcare practice sales typically take 6-9 months from initial preparation to closing. Timeline includes: preparation (1-2 months), marketing (2-3 months), due diligence (2-3 months), and closing (1 month). Regulatory requirements and payer contract transfers can extend timelines. Well-prepared practices with clean compliance sell faster.
Whether you're planning retirement, joining a larger platform, or exploring strategic alternatives, our healthcare M&A expertise ensures optimal outcomes while maintaining focus on patient care.
HIPAA-compliant process • Regulatory expertise • Confidential consultation