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.

Profitable established practice offering Chiropractic Treatments, Massage Therapy, Physiotherapies, Spinal Decompression and Acupuncture. Immediate growth and expansion available for additional medical services with available treatment room space. Detailed Information Location: Temecula, CA Owner operated Real Estate: Leased Lease Expiration: 04/2023 Rent: $2660 Reception area Office 3- treatment rooms 2- massage rooms 1- Large sonogram therapy room 1- x-ray capable room 1- kitchen storage area
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A needed and important business, this full service, licensed private adoption agency has been helping birthmothers match adoptive families for over 21 years. Opened in 2003, the business has been resistant to financial crisis, market fluctuations, interest rates but was impacted by Covid. Adoption agencies are critical services to have and the sellers knows the value a company like this bring to an area. The business has rebounded very well since the pandemic and will continue to growth with the right new owner. This business has help facilitate the adoption of over 1,300 children since it started. They have a network of attorneys nationwide and five employees including the owner. The seller is very motivated to find a buyer that can continue developing and growing the offerings of the company. ML8666
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.