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Q4 2026Price published at release — up to 50% below it if you register before then. No credit card required now.Register →
Medical and healthcare

Someone else sets your prices

A medical practice does not price its own work. Payors do, and the mix between them decides revenue more than volume or effort ever will.

$2.80M
Net collections
$824K
SDE
$544K
EBITDA
1.63×
Property coverage
What the tool shows

SDE is $824K and EBITDA is $544K. The $280K between them is what a replacement physician costs, and a buyer pays on one basis or the other, never both.

Net collections$2.80M
EBITDA, physician at market$544K
SDE, owner producing$824K
The difference (derived)$280K
Business loan coverage10.91×
Property coverage1.63×

Read from the calculator on its shipped example. Lines marked (derived) are the difference between two of its figures rather than one it displays directly.

Every figure above is computed from inputs you control. Change one and the whole model moves.

Coming Soon →

What it looks like

Two earnings figures, one practice
SDE, owner producing
$824K
EBITDA, physician at market
$544K
The difference
$280K

The gap is the replacement physician. Mixing the two bases is the commonest mispricing in practice sales.

Coverage, tested separately
Business loan
10.91×
Property
1.63×

Property debt is where coverage is thin. A blended ratio would have buried it.

These charts are the calculator’s own, drawn from the example it ships with. Put your figures in and they redraw.

Coming Soon →
The mistake it prevents

Quoting SDE against an EBITDA multiple. They differ by exactly the replacement physician's cost, and here that is $280K of earnings — more than a million of price at four times. Coverage is tested separately for property and business debt, because a blended figure would have hidden that property sits at 1.63× while business debt sits at 10.91×.

What it models
  • Payor mix, and what each pays for identical work
  • Collection rate against production, where the money leaks
  • Provider compensation normalized to a market replacement
  • Ancillary revenue at its own margin
  • Coverage tested separately for property and business debt
Conventions, not research
  • The practice health score weights are the tool's own, not an industry standard.
  • Multiples default to bands that circulate in medical practice M&A.

Rules of thumb that circulate because they are roughly right. The calculator labels them as such and asks you to record your own source.

The tool applies all of this to your numbers, and tells you where it disagrees with itself.

Coming Soon →

Questions people ask

How is a medical practice valued?

On earnings, adjusted for what a replacement physician costs. The tool computes SDE and EBITDA separately because they differ by exactly that cost — $280K on the worked example — and a buyer prices on one basis or the other, never both.

Does payor mix really change what my practice is worth?

Yes, more than volume does. Commercial, Medicare, Medicaid and self-pay pay differently for identical work, so two practices seeing the same patient numbers can differ by a third in collections.

What is a good collection rate?

Below ninety percent of production usually means money is being left in a process problem rather than a pricing one. The tool shows production against collections so the gap is visible.

Will a private equity platform pay more?

Sometimes, and only where one is active in your specialty and region. The tool prices the practice on ordinary earnings first, because that is the floor if no platform is buying.

The answers above use the worked example. Your practice will give different ones.

Coming Soon →

How a purchase funds

A practice purchase is rarely one loan. The price, the building and the imaging are usually three facilities, and the order they are arranged in decides whether the deal clears coverage.

  1. 1
    SBA 7(a) →Start here

    Up to $5M over ten years. The long amortization is what makes coverage work on a practice where the earnings are real but not large.

  2. 2
    Acquisition structure →Before you offer

    Bank debt, seller note and equity tested together. The same price is affordable or impossible depending on how the stack is built.

  3. 3
    SBA 504 →If real estate is included

    Only if the building comes with it. Cheapest money available, slowest to arrange, and it will not fund working capital.

  4. 4
    Equipment loan and lease →For ancillary equipment

    Imaging and in-office diagnostics, where a vendor lease hides its rate in a money factor. Convert it before comparing.

  5. 5
    Seller financing →If the gap needs bridging

    A note on full standby counts toward part of the injection, and a physician who will not carry paper tells a buyer something.

  6. 6
    Personal financial statement →Required either way

    Every 20% owner files one. On a practice this size the guarantor is most of the credit decision, and liquidity matters more than net worth.

Coverage is tested separately here for property and business debt, because a blended ratio hides the weaker one. On the worked example property sits at 1.63× while business debt sits at 10.91×.
Before release · Q4 2026

Up to 50% off for owners who register now

Payor mix and collection rate decide what the practice collects, and neither is quick to change. Register now and have the model ready before the conversation with a buyer, not after.

No credit card required now. As long as your details are in the system, we send the discount access details when the software opens.

And the financing calculators are free and working today. SBA 7(a), 504, CAPLines, Form 413, equipment and seller paper — your account opens all of them the moment you register, months before the valuation software ships.

  • No payment now. Nothing is taken until you choose to buy.
  • Pricing is published at release; your price is up to 50% below it.
  • The discount applies to the first calculator you buy at launch.
What you hand over

The whole analysis exports as one PDF, generated server-side — every tab, the five-year history, the normalization and the working behind each figure. Not a screenshot of the tab you happen to be on.

It carries the business name, the period, who prepared it and for whom, so a lender or a buyer can act on it without asking who produced the figures.

An illustration of the export layout, not a real page. The PDF is generated from your figures.
Register for early access

One email when the software opens, and nothing else. Your details are not sold or passed on.

Open Medical practice →12 tabs · save your work if you want to · current as of August 2026