MBI Medico: Medical Practice Brokers Serving MD's, DO's, DPM's & DC's
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The speed at which medical practices sell can vary widely due to a variety of reasons.
Factors such as valuation and pricing, seller-motivation, timing, buyer-qualification, financing, and location can slow down or speed up a sale.
From consultation to deal close, our listings typically close within 6-9 months (69%).
MBI Medico - Preparing For Medical Practice Sales & Transitions No Matter Your Situation; Not all medical professionals—whether MD/DO doctors, podiatrists, or chiropractors—have the luxury of planning their exit strategy 1, 2, or even 3 years in advance. Life can throw unexpected challenges, making the need to sell a practice urgent. A doctor may face an illness, injury, loss of licensure, burnout, relocation, or an earlier-than-expected retirement. Regardless of whether you have years to prepare or need to sell quickly, careful planning is crucial to ensure a smooth transition. At MBI Medico, we’ve helped doctors navigate every kind of sale, and we’re here to assist you in preparing your practice for a quick, efficient sale.
If you're considering selling your medical practice, obtaining a professional practice valuation is indeed an important first step.
It helps you understand the fair market value of your practice, allowing for informed decision-making.
MBI Medico’s business intermediaries can provide a cost-effective and efficient analysis, ensuring you have a clear picture of your practice's worth.
This valuation can also enhance your negotiation position when you decide to list your practice for sale.
Would you like to know more about the valuation process or how to prepare for selling your practice? Contact us today to learn more!
Once the selling doctor is clear on the medical practice valuation and ready to list their practice, MBI Medico's marketing team will initiate a targeted campaign designed to attract qualified buyers.
This proactive approach ensures that the practice is presented effectively to the right audience.
After generating interest, MBI Medico conducts a rigorous buyer screening process.
This step is necessary for filtering out unqualified leads and focusing on serious buyers who have the financial capability to make a purchase.
This combination of strategic marketing and thorough vetting helps facilitate a smoother and more efficient sale.
Once a qualified buyer is identified, the negotiation process begins. MBI Medico facilitates discussions to ensure both parties reach a mutually beneficial agreement.
This involves finalizing the terms of the sale, which can cover everything from price and payment structure to any contingencies.
After the terms are agreed upon, the necessary agreements are executed to formalize the deal.
MBI Medico will also assist with the financing process, ensuring that the buyer has the necessary resources to complete the purchase.
Finally, the closing process is coordinated, ensuring all legal and financial aspects are handled smoothly.
This structured approach helps ensure that the sale progresses efficiently, minimizing potential issues.
Finding the right doctor to take over a medical (MD/DO), podiatry, or chiropractic practice is extremely important for several reasons, both for the financial health of the practice and for maintaining continuity of care for patients.
The transition of ownership in a medical practice involves much more than simply transferring assets—it's about ensuring that the practice thrives long-term, the existing patients are well taken care of, and the practice's reputation is preserved. Here’s why it’s so crucial to find the right successor:
Patient Continuity and Trust
Maintaining Reputation and Brand
Staff Retention and Morale
Maintaining Financial Stability
Minimizing Disruption to Operations
Long-Term Growth and Stability
Ensuring Legal and Compliance Continuity
Cultural Fit and Long-Term Compatibility
Smooth Transition and Seller Peace of Mind
How to Find the Right Doctor for Your Practice:
Evaluate Professional Compatibility: Look for a doctor who shares your clinical approach, practice philosophy, and values.
Assess Personality Fit: Ensure the candidate is someone who will gel well with your staff and patients.
Consider Business and Management Skills: A doctor who is also a good business manager can help maintain operational efficiency and financial success.
Look for a Long-Term Commitment: Ideally, the successor should be someone who is looking to build a long-term career with the practice and not just someone passing through.
Seek Experience and Vision: Look for someone who has the experience to handle the practice’s operations and the vision to continue growing the practice in a way that aligns with your goals.
The brokers at MBI Medico feel that finding the right doctor to take over a medical, podiatry, or chiropractic practice is essential for maintaining patient care, staff morale, operational continuity, and financial stability.
The right successor can ensure that your practice continues to thrive long after you've stepped away, protecting the value of your life’s work. Whether you have time to plan a gradual transition or need to sell quickly, it’s worth investing the time and effort to find the right person to take over your practice.
The brokers of MBI Medico are often asked if Goodwill holds any value when selling a medical practice. "Michael Pope indicates that "Yes, lenders often consider goodwill when analyzing the valuation of a medical practice, but with some caveats."
Goodwill can play a role in determining the overall value of the practice, especially if it is a key part of the practice’s ability to generate ongoing revenue. For example, a strong, loyal patient base, an established reputation, and experienced staff can make the practice more attractive to a lender. These factors may improve the lender's confidence that the practice will continue to generate income after the sale.
However, lenders typically approach goodwill with caution. Goodwill is an intangible asset, meaning it doesn't have a clear, measurable value like tangible assets (e.g., equipment or real estate).
As a result, some lenders may only be willing to lend a portion of the total value of the goodwill, or they may place more emphasis on the tangible assets and the practice’s historical financial performance (such as revenue, profitability, and cash flow) when determining the loan amount.
In short, while goodwill is considered in a medical practice's valuation, lenders tend to focus more on the tangible, financial aspects of the business, and they may apply conservative estimates for the value of goodwill in their lending decisions.
In plain English, at MBI Medico, we calculate a medical practice's Goodwill and Goodwill is part of our practice analysis. We tend to lean towards utilizing Lenders that also see the true value in Goodwill. Goodwill needs to be calculated correctly to be considered by a Lender, and we utilize the correct formulas that allows us to maximize the value of Goodwill.
If you would like to discuss your medical practice valuation options, please call us at (800) 575-7082 or email us at MBI@physicianbuysell.com.
Selling a chiropractic office can be challenging for several reasons, many of which are unique to the nature of the business. Here are some key factors that contribute to the difficulty:
Intangible Nature of the Service
Chiropractic care is a service-based business, and the value it provides is often intangible and based on relationships with patients. The success of the practice is largely built on the rapport between the chiropractor and their patients. When you try to sell the practice, potential buyers may be unsure how to transfer or maintain these relationships, which makes them hesitant to purchase.
Patient Retention
Chiropractic offices tend to rely heavily on repeat patients, and these patients often develop a personal relationship with the chiropractor. If the seller is the primary doctor, the goodwill associated with their personality and care style may not easily transfer to a new owner. This creates uncertainty about future patient retention after the sale, which can lower the perceived value of the practice.
Financing Challenges
Many chiropractors are small business owners with relatively modest income, making it harder for them to secure financing to buy a practice. Lenders may be cautious because the value of the practice is tied to personal goodwill rather than tangible assets. This makes it harder for buyers to secure loans, which could limit the pool of potential buyers.
Dependence on Reputation and Branding
Chiropractic practices are often built around a strong personal brand or local reputation. This can be an asset, but it also presents a challenge because the practice’s success might be too closely linked to the seller’s identity. If the buyer cannot maintain or build upon that reputation, the practice could lose its value quickly.
Specialized Knowledge & Skills
The buyer needs to have specific knowledge and training to operate the practice effectively. While chiropractic care itself is a niche field, managing the administrative, financial, and business aspects of a practice also requires specialized skills. Many chiropractors may not want to manage a business on top of their clinical duties, and prospective buyers may not have both the clinical background and the business acumen necessary to keep the practice running smoothly.
Limited Market of Buyers
The market for chiropractic practices is relatively small compared to other types of businesses. Potential buyers usually need to be licensed chiropractors, limiting the pool of qualified buyers. Additionally, chiropractic practices may have specialized equipment or treatment approaches that might not appeal to a broader audience, narrowing the pool further.
Regulatory and Legal Considerations
Chiropractors must adhere to strict regulatory standards, including licensing, malpractice insurance, and scope-of-practice regulations. These legal and regulatory requirements can complicate the sale, especially if the practice is located in a region with complex rules governing healthcare services. Buyers need to be aware of these requirements, and the process of transferring licenses or ensuring compliance can slow down the sale.
Operational Complexity
A well-established chiropractic office usually involves various operational considerations like staffing, billing systems, insurance contracts, and patient management. Ensuring that the practice is running smoothly at the time of the sale is critical, and problems with any of these elements could cause potential buyers to shy away. For example, if the practice has outdated equipment or inefficient billing processes, it might be harder to find a buyer willing to take on those operational challenges.
Financial Performance and Valuation
Valuing a chiropractic practice can be tricky because the business is often valued based on a combination of tangible assets (like equipment and office space) and intangible assets (like patient lists and goodwill). However, determining an appropriate price can be difficult because financial performance may fluctuate, and some aspects of the business are not easily quantifiable. If the practice has inconsistent income or a declining patient base, potential buyers might perceive it as a risky investment.
Transition Period
Even when a sale does happen, a smooth transition is crucial for patient retention and practice continuity. Many sellers underestimate the need for a structured handover period where the old chiropractor stays involved to introduce the new owner to patients and staff. A poorly executed transition can result in patient attrition, which significantly impacts the value of the practice.
Emotional Attachment
Chiropractors often develop deep emotional connections with their practices, especially if they have invested years of work into growing it. This emotional attachment can cloud the objectivity required for a sale, either by overpricing the business or failing to fully prepare for the transition. Buyers can also sense this emotional energy, which can complicate negotiations.
Economic Factors
Economic downturns, changes in healthcare policy, or even local market conditions can also make it harder to sell a chiropractic practice. If there’s uncertainty in the market, buyers may be hesitant to commit to a practice, especially one with high patient attrition risk or other vulnerabilities.
Selling a chiropractic office is not only a financial transaction but also an emotional and relationship-driven process. The challenges of transitioning personal goodwill, managing patient retention, and addressing financial and operational complexities make it a difficult process. A well-prepared seller, who has established strong systems and can facilitate a smooth transition, is more likely to successfully sell their chiropractic practice, but even then, finding the right buyer can take time and effort.
"Since the chiropractor is often the heart of the business, with the practice closely tied to their personal reputation and approach, much of the value of a chiropractic office is intangible—primarily in the form of goodwill." -- Mark Robertson, MBI Medico
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