Sell from strength. The number gets built long before the listing.

That depends on what you want the sale to do for you. A dental support organization, or DSO, often pays more up front than a private buyer and asks for more in return. The terms can include rolled equity, an earnout, and several years of continued work under someone else's direction. A private buyer often pays less and lets you leave sooner. We model both paths against your numbers before you answer anyone, because the headline price and what you keep are rarely the same figure.

Start with how the buyer arrived at the number. Most group offers are a multiple of adjusted EBITDA, and the adjustments are where the value moves. We rebuild the earnings the way the buyer's analysts will, compare the terms as well as the price, and show you what the offer is worth after the holdback, the rolled equity and the work-back period. Do this before you sign a letter of intent, because your leverage drops once you do.

The same trade applies in every profession. A veterinary group, a chiropractic group or a med spa platform backed by private equity will often pay more up front than a private buyer and ask for more in return, including rolled equity, an earnout and continued work. We model both paths against your numbers before you answer anyone.

A practice is worth what its normalized earnings and its risk profile support. The Practice Value Tool gives you an indicative range in about four minutes. A Comprehensive Practice Review produces a valuation with every adjustment documented, which is the version you can hand to a lender, a partner or a buyer.

You need representation. Whether that comes from a broker, from us, or from both depends on the practice. A broker lists the practice and runs the buyer process. We prepare the business so the listing is worth more and diligence does not stall, and we run the sale ourselves when no broker is involved. Most of our sell-side work runs alongside a broker.

No, and it is the arrangement we prefer. Your broker keeps the listing, the relationship, and the process. We do the readiness work and stay through diligence. Most of our sell-side work runs alongside a broker rather than instead of one.

Twelve to twenty-four months before you intend to sell. Normalized earnings improve over trailing periods, receivables take time to collect, a lease renegotiation takes months, and reducing provider dependency takes longer than that. Ninety days out, most of what moves the number is already out of reach.

The readiness work runs through Operations Management at its published monthly fee, because it is the same work. The success fee at closing is separate and it is charged on enterprise value.

Because receivables are already being worked through the management program. Collecting receivables through the management program means the money is in your account before the transaction rather than being discounted inside it, and charging a transaction fee on top of that would be charging twice for the same dollar.

Then you own a practice that produces more, collects better, and runs without you in every decision. Nothing in the readiness work is wasted on an owner who stays, which is why we are comfortable recommending it before anyone has committed to a sale.

That depends on the buyer, and it is one of the things worth negotiating rather than accepting. Retention terms, roles, and compensation are all on the table, and we treat them as part of the deal rather than an afterthought handled in the last week.

Yes. The readiness work is the same in any owner-led healthcare business. Buyers open the same files, which are normalized earnings, receivables, the lease, provider dependency and the management team. Our transaction history is deepest in dentistry, and we say so.