A private therapy practice was priced at $680K based on $185K in SDE. But: ❌ Owner was the only licensed provider—no associates or admin staff❌ 75% of revenue was insurance-based with 45+ day reimbursement lag❌ Addbacks included meditation apps, wellness retreats, and personal mileage❌ No systems for tracking sessions, client retention, or outcomes ✅ Adjusted … Continue reading ⚠️ Red Flag Case Study: Solo Counselor, High Risk

 🧠 Behavioral health clinics can appear highly profitable—but valuations unravel if: The owner is the only licensed counselor or therapist No group practice structure or provider transition plan exists Revenue is heavily reliant on insurance with no adjustment for denials or delays Addbacks include wellness perks, family payroll, or non-clinical expenses 📌 Mental health services … Continue reading 🧠 Valuation Insight: Licensed = Limiting (If Not Transferable)

📘 Just released: Our Optometry Practice Valuation Checklist Includes:✅ Owner labor + credentialing normalization✅ Frame inventory tracking and asset classification✅ CapEx for diagnostic tools and patient systems✅ Payer mix and recurring care plans✅ SBA SOP alignment for clinical + retail valuation 📩 Click here to grab your copy.

An optometry clinic was priced at $1.05M based on $285K in cash flow. But: ❌ Owner conducted 100% of exams and contact lens fittings❌ Inventory for frames not itemized or tracked❌ Addbacks included home office, spouse payroll, and product samples❌ No staff optician or coverage plan for exit ✅ Adjusted FCF: ~$85K✅ Revised value: ~$465K … Continue reading ⚠️ Red Flag Case Study: Out of Focus

 👓 Optometry practices often report strong margins—but valuations go blurry when: The optometrist-owner performs all exams No transition plan or associate optometrist is in place Retail and clinical revenue are mixed with weak tracking 📌 If the owner’s eyes are on every patient—it’s not enterprise value.

📘 Just released: Our Physical Therapy Clinic Valuation Checklist Includes:✅ Owner vs. associate therapist risk✅ Payer mix normalization + reimbursement lag review✅ CapEx for tables, exercise gear, EHR✅ Patient visit volume + recurrence tracking✅ SBA compliance for licensed healthcare practices 📩 Click here to grab your copy.

A PT clinic priced at $875K based on $235K in SDE. But: ❌ Owner performed all sessions❌ 90% of payers were insurance, with long reimbursement delays❌ No recurring client tracking or CRM❌ Addbacks included exercise equipment, massage chair, and personal travel ✅ Adjusted FCF: ~$65K✅ Revised valuation: ~$385K post-staff normalization and insurance risk review 📌 … Continue reading ⚠️ Red Flag Case Study: Reimbursed, But Not Ready

 🦵 PT clinics can show great revenue—but valuations collapse if: The owner treats 100% of patients with no supporting staff Insurance reimbursements aren’t normalized or aged properly Patient volume is inflated during temporary contracts (e.g., rehab overflow) Addbacks include home gym use, personal wellness, or family payroll 📌 If there’s no team, no tracking, and … Continue reading 🧠 Valuation Insight: High Volume ≠ High Value

📘 Just released: Our Chiropractor Practice Valuation Checklist Includes:✅ Owner vs. associate labor and credentialing risks✅ Cash vs. insurance payer mix normalization✅ CapEx for tables, software, and wellness equipment✅ Patient tracking, visit frequency, and retention✅ SBA-compliant adjustments for licensed services 📩 Click here to grab your copy.

A solo chiropractor priced their practice at $650K based on $185K in SDE. But: ❌ Owner was the only licensed provider—no associate, no exit plan❌ 60% of patients paid cash with no tracking system❌ Addbacks included home massage chair, supplements, and child insurance❌ No EHR or recurring visit tracking ✅ Adjusted FCF: ~$60K✅ Final valuation: … Continue reading ⚠️ Red Flag Case Study: Spinal Misalignment