High Desert

Practice Appraisal & Brokerage

APPRAISALS​

Valuing Your Practice ​

At High Desert Advisors, our extensive decades-long experience in healthcare allows us to provide comprehensive and precise practice valuations. Our dedicated team of medical practice brokers equips you with the strategic insights necessary to maximize the value of your practice not only during the transition but also before and after.

Medical treatment

Evolving Valuation Methodology

The healthcare industry’s economic landscape is ever-changing, and so is the way we evaluate practice worth. Today, the most widely accepted benchmark for practice valuation revolves around multiples of Earnings Before Interest, Taxes, Depreciation, and Amortization (EBITDA). This shift has ushered in greater precision and transparency in the valuation process.

 

Tradition vs. Modern Valuation Methods

Traditionally, solo practitioners viewed their earnings as the total compensation received from their practice, blurring the lines between clinical care earnings and business-generated profit. Modern valuation methods, however, recognize that investors focus on the business’s profitability itself, assessing the practice’s actual cash flow on a debt-free basis. This approach aligns closely with valuation practices in other industries.

 

Selecting the Right Multiple

Choosing the appropriate multiple for your practice is a nuanced process, influenced by various factors, including:

  • Investment Opportunity: Evaluating growth potential and expansion possibilities.
  • Risk Assessment: Carefully considering the relative riskiness associated with the investment.
  • Return on Investment (ROI): Ensuring the investment provides a reasonable rate of return for potential investors.

Numerous additional factors also come into play, such as practice location, staff expertise, revenue stream stability and growth, payer mix, facility conditions, service variety, patient demographics, and overall profitability.

 

Understanding Diverse Buyer Perspectives and Goodwill Value

In today’s dynamic marketplace, it’s crucial to recognize that different types of buyers bring varying perspectives on earnings and goodwill value to the table:

  • Private Equity Firms: Often aiming to invest in businesses or partner with founders, they prefer retaining existing management teams for business continuity. However, they may make EBITDA adjustments if they believe additional management team members are needed for further growth.

  • Strategic Buyers: These buyers, with existing group practices and industry experience, may adjust EBITDA upward based on synergies, such as duplicative management team members or third-party vendors, more favorable contracts, and advantageous payer agreements.

  • Individual Buyers: Often seeking to purchase a job rather than an investment, they focus on Seller’s Discretionary Earnings (SDE). This typically results in lower multiples compared to EBITDA-based valuations.

 

Understanding these intricacies is pivotal to achieving a successful practice transition that aligns precisely with your unique goals and expectations. At High Desert Advisors, we provide the insights and expertise needed to ensure your practice’s true value is not only recognized but maximized, regardless of where you are in your practice journey.

Brokerage

Buying a Practice

At High Desert Advisors, we understand that acquiring a medical practice is a significant decision, whether it’s your first venture or part of your expansion strategy. Our dedicated team is here to guide you through every step of the process, ensuring that you identify and secure the ideal medical practice for your needs and aspirations.

Handsome medical doctor

Tailored Solutions for Every Buyer

We recognize that each buyer’s situation is unique, and our approach reflects that understanding. Our expertise covers a wide range of healthcare specialties and practice types, allowing us to provide tailored solutions that align with your goals and preferences. Whether you’re a seasoned investor or a first-time buyer, we have the knowledge and resources to support your acquisition journey.

 

A Confidential and Comprehensive Search

Our commitment to your success starts with a confidential and comprehensive search for suitable medical practices that match your criteria. We understand the importance of discretion in these transactions and work diligently to protect your privacy throughout the process.

 

Thorough Due Diligence

Due diligence is a critical phase of any practice acquisition. Our experienced team conducts thorough due diligence to ensure that you have a clear understanding of the practice’s financial health, patient demographics, staff, contracts, and other key factors. This detailed analysis empowers you to make informed decisions and mitigate potential risks.

 

Negotiating Favorable Deal Terms

Securing favorable deal terms is essential to a successful practice acquisition. High Desert Advisors leverages its negotiation expertise to help you structure deals that align with your financial goals and expectations. We work tirelessly to ensure that the terms of the acquisition are in your best interest.

 

A Perfect Match for Your Growth Strategy

Our exclusive focus on healthcare practice acquisitions allows us to understand the nuances of the industry intimately. We leverage this knowledge to find the perfect match that complements your growth strategy. Whether you’re looking to expand your services, enter a new market, or enhance your existing practice, we have the expertise to connect you with opportunities that align with your vision.

 

Your Trusted Partner in Practice Acquisition

High Desert Advisors is your trusted partner in the journey of acquiring a medical practice. We are dedicated to delivering a personalized and seamless experience, helping you realize your goals and contribute to the continued success of your healthcare practice. Let us be the guiding force that leads you to the perfect practice acquisition opportunity.

Brokerage

Selling a Practice

When it comes to selling your medical practice, we at High Desert Advisors understand that this decision is deeply personal and complex. We recognize that every practice is unique, and there is no one-size-fits-all solution. Whether you’re contemplating retirement, looking for growth opportunities, or planning a strategic transition, we offer customized solutions designed to facilitate the efficient sale of your practice at its optimal value.

Cropped shot of a doctor shaking hands with a businessman in a hospital

Tailored Solutions for Your Goals

Whether you’re contemplating retirement after a long and successful career, seeking new avenues for growth, or strategically planning the next phase of your practice, we are here to offer tailored solutions that will facilitate the efficient sale of your practice, ensuring you receive optimal value for your life’s work.

 

Guiding You with Expertise

Our seasoned team of medical practice brokers brings a wealth of experience in guiding medical practice sales. With their expertise, we navigate the intricate nuances of the selling process with the utmost care and precision. Our mission is clear: to orchestrate a seamless transition that not only preserves the integrity of your professional legacy but also upholds the highest standards of patient care that your practice has always represented.

 

Emotional Support and Attention to Detail

We understand that this journey can be filled with complex emotions and intricate details. That’s why we are committed to being your steadfast partners every step of the way, providing you with the assurance and peace of mind you deserve. Our primary objective is to craft a tailored solution that aligns precisely with your unique needs and aspirations for the next chapter in your practice’s journey.

 

Trusted Allies in Practice Transition

At High Desert Advisors, we are not just experts in the field of medical practice sales; we are your trusted allies, dedicated to ensuring that your practice’s legacy continues to thrive and evolve, leaving a lasting impact on the healthcare landscape.

Success Stories

How High Desert Advisors Transforms Practices

Practice Brokerage

Assisting in the Sale of a Utah Office Based Lab

High Desert Advisors played a crucial role in the acquisition of a Utah clinic by a well-established New Mexico clinic. Our expertise and coordination ensured a seamless cross-state transaction, enabling the acquiring clinic to expand while maintaining high-quality patient care. This success demonstrates our commitment to strategic healthcare alliances and navigating complex transactions for our clients.