Confirm licensing, credentialing, and payer enrollment transfer
Clinical practices depend on provider credentials, facility licenses, and payer contracts that may not pass to a new owner; verify before close.
Similar businesses sell at 1.2x to 6.3x SDE. Compare live listings and connect with sellers.

This well-established full-family practice medical clinic has operated from the same location for 23 years. It is located in the tri-cities in an excellent-high traffic area

This is a highly profitable dental office that has been operating for over 30 years. It is located in a medical/office building in one of the most central areas of the city of Vancouver close to public transportation. This is a complete turn-key operation generating over $500,000 of free cash flow.
National transaction benchmarks for health care and fitness business businesses.
Under $500K
$500K to $2M
Over $2M
A variety of factors can cause businesses to trade outside this range, including earnings quality, operational transferability, key-person risk, growth trajectory, and geography, so a listing priced above or below the typical multiple usually reflects real differences in the underlying business.
Cofounder & CEO
Key diligence, valuation, financing, and transition considerations for buyers evaluating health care and fitness business acquisitions.
Clinical practices depend on provider credentials, facility licenses, and payer contracts that may not pass to a new owner; verify before close.
A practice heavy in one insurer or in declining reimbursement carries different risk than cash-pay or membership; get revenue by payer and the trend.
The dentist, physician, or lead trainer often is the practice — know who holds the patients or members and what non-competes are in place.
Gyms live on retention; high churn behind a growing top line is a warning. Get gross and net retention, not sign-ups.
HIPAA, billing audits, malpractice history, and inspections are real liabilities; confirm coverage and open matters.
Clinical equipment and fitness build-outs age and date — and a gym relocation alone can run $100K–$500K. Budget what's been deferred.
Answers to common buyer questions for this market.