Guides
What I learned building a behavioral health group practice, selling it, and running the process myself — written for owners rather than for buyers.
What is my therapy practice worth?
How behavioral health group practices are actually valued: seller’s discretionary earnings, the multiple, and the adjustments that move the number most.
ReadWhat multiple do therapy practices sell for?
The actual SDE and EBITDA multiples behavioral health practices trade at, by size and structure — and why a multiple of revenue will mislead you.
ReadHow to sell a group therapy practice
The sale process end to end — preparation, buyers, the letter of intent, diligence and closing — written by a clinician who has been through it.
ReadSDE vs EBITDA for behavioral health practices
Which earnings basis applies to your practice, why the answer changes with size, and the replacement-clinician adjustment most owners miss.
ReadWhat buyers look for in a behavioral health practice
Owner dependency, transferable payer contracts, clinician tenure and documentation hygiene — what buyers actually underwrite, and what they discount.
ReadAsset sale vs stock sale for a licensed practice
Why state authorizations and payer contracts often force a sale of the entity rather than its assets, and what that changes for your tax bill and your risk.
ReadSelling your practice to your own clinicians
An internal sale keeps the culture intact and usually pays less — here is why, what the financing actually looks like, and what to settle before you raise it with them.
ReadHow to increase the value of your practice before selling
The changes that actually move the number, ranked by what they are worth against what they cost — and the popular ones that will not pay for themselves.
ReadDeal structure, earnouts, and what you actually receive
The headline price is not a wire transfer. How cash at close, escrow, seller notes and earnouts change what a sale is really worth — and why the lower offer often wins.
ReadWhat is a solo therapy practice worth?
Usually far less than its owner assumes, and the arithmetic is not close. What a solo practice actually sells for, why, and the one change worth three and a half times the number.
ReadIs a cash-pay practice worth more than an insurance-based one?
No — and the gap runs the opposite way from what most owners assume. How payer mix is actually weighted, why contracted revenue beats private pay on transferability, and what to do if you are private-pay.
ReadWhat is CCBHC status or a state certificate worth when you sell?
A buyer pays for what they cannot obtain themselves. Why a state certificate and CCBHC designation outrank the accreditations practices work hardest for — and how to score any credential you hold.
ReadWhen is the right time to sell your practice?
Three clocks decide it, and only one is the market. Why crossing a size threshold can be worth more than a year of growth, and why the preparation runway sets the timetable.
ReadWhat happens to your clients when you sell?
The question most owners lose sleep over. What actually changes for a client, why the buyer wants continuity as much as you do, and what to settle before signing rather than after.
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