Corporate buyers underwrite a practice on associate coverage, production mix and whether it runs without the owner. A practice with two or more doctors, signed associate agreements and a healthy surgery and dentistry mix looks like a durable asset and is priced accordingly. A single-doctor practice where the owner is the practice is a very different risk, and the multiple reflects that.
Ask specifically about purchasing and formulary control, fee schedules, staffing levels, and whether your associates are required to sign new agreements. Ask what happens to your support team, who many owners care about more than the price. And ask for the name of a veterinarian who sold to the group at least two years ago; recent sellers are still in the honeymoon window.
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If continuity of your clinical style matters more than maximizing proceeds, or you want a genuinely clean exit without a multi-year commitment, an associate or private buyer can be the better answer. The number will typically be lower. Whether that gap matters is a personal question, not a financial one, and it is worth answering deliberately rather than by default.
Multi-doctor practices commonly trade between 8 and 12 times adjusted EBITDA, with smaller single-doctor practices closer to 5 to 7 times. Associate coverage, production mix and whether the practice runs without the owner move the number more than revenue does.
Usually yes, because the team is a large part of what they are buying, but the terms are negotiable and should be negotiated explicitly rather than assumed. Get commitments on staffing levels, roles and compensation in writing before signing, and raise it early rather than at the end.