Healthcare, Education & Personal Services · Buyer guide

Buying a Medical Practice business

Published · Reviewed by The Diligence Standard Team · Updated

a Medical Practice can look attractive on a summary P&L while the operating details underneath it change the cash flow, transferability and capital a buyer will actually own. Diligence should connect the reported earnings to the business-specific drivers that create them.

How the business works

Provider production, payer mix, collections, credentialing, referral sources, staffing and compliance determine enterprise value beyond physician compensation.

Risks to test

  • Owner-physician dependence
  • Credentialing delays
  • Payer concentration
  • Billing/compliance
  • Staff retention
  • Referral concentration

Evidence to request and reconcile

  • Provider production
  • Payer/collections
  • AR aging
  • Credentialing
  • Payroll/licenses
  • Compliance/audit records

Decision questions

  • What enterprise profit remains after physician market compensation?
  • Which payers/referrals dominate?
  • How long will credentialing take?
  • What AR is collectible?
  • Which providers must stay?