Medical Exit GroupSell Your Multi-Specialty Medical Group

Medical Exit Group is an M&A advisor and broker for physician owners of multi-specialty medical groups across the United States. We value your group, help your partners choose between private equity, a health system or a larger group, and run a confidential sale from a free valuation through closing.

  • We represent sellers only
  • Buyers sign an NDA first
  • Full sales, recaps and partnerships
Physicians talking in the hallway of a multi-specialty medical group

How a medical group sale works

How do I sell a multi-specialty medical group?

To sell a multi-specialty medical group, first agree with your physician partners on goals and who sells. Then get a confidential valuation built on adjusted EBITDA, organize your provider, payer, ancillary and production data, plan how payer contracts, enrollment and physician agreements will move to the new owner, market the group to qualified buyers under NDA, compare letters of intent, and manage diligence through closing.

  1. Align the partners

    We review your shareholder and operating agreements and help your physicians agree on goals, price and roles before any buyer is contacted.

  2. Value the group

    A free, confidential valuation built on adjusted EBITDA, provider production, payer mix and the ancillaries you own.

  3. Reach the right buyers

    Private equity platforms, health systems and larger groups sign an NDA before they learn your group's name.

  4. Compare LOIs

    We compare letters of intent on cash at closing, rollover equity, post-sale compensation and governance, then run diligence to closing.

What buyers look at

What do buyers look for in a multi-specialty group?

Medical group buyers look hardest at provider depth and retention, the specialty mix, owned ancillaries, payer contracts, shared operations, and whether partners will stay and keep producing after the sale.

Provider depth

Several productive physicians and advanced practice providers who plan to stay are the core of what a buyer is paying for.

Specialty mix

A balance of primary care and specialists that keeps referrals inside the group makes revenue more dependable.

Owned ancillaries

Imaging, lab, infusion, physical therapy or a surgery center add earnings and are often a major reason buyers pay more.

Payer contracts

Rates, payer mix and any value-based or risk contracts with a track record shape how buyers see future earnings.

Shared operations

Central billing, scheduling, IT and management that run without the founders make the group easier to scale.

Partner alignment

Clear agreements and partners who agree on the sale make the deal faster and protect the price.

Medical group valuation

How is a multi-specialty medical group valued?

A multi-specialty medical group is usually valued on a multiple of adjusted EBITDA. In private equity deals, earnings are often restated after the physicians agree to a lower post-sale compensation in exchange for an upfront payment, and part of the price is paid in rollover equity. Owned ancillaries can raise the multiple.

Private equity and MSO deals

Higher multiple, more structure

A platform buys the management company, physicians keep the practice entity, and you trade part of your future pay for cash now plus equity that can be worth more at the platform's next sale.

Health systems and larger groups

Simpler terms, employment focus

A strategic buyer may pay a lower multiple on higher earnings, often with employment agreements and less upside from equity, but fewer moving parts.

Your number depends on your group. A free valuation looks at your providers, ancillaries, payers and partner structure, and gives you a realistic range before you talk to any buyer.

Get Your Free Group Valuation

The buyer pool

Who buys multi-specialty medical groups?

Multi-specialty medical groups are bought by private equity-backed physician platforms and MSOs, health systems and hospitals, insurer-owned medical groups, and larger independent physician groups.

Private equity platforms

Investor-backed physician groups and MSOs that buy a majority and keep physicians as partners through rollover equity.

Health systems

Hospitals and health systems adding physicians and ancillaries to their network, usually with employment for the physicians.

Insurer-owned groups

Medical groups owned by health insurers, often focused on primary care, Medicare Advantage and value-based contracts.

Larger physician groups

Independent groups adding specialties, locations and providers, sometimes through a merger rather than a sale.

Bright, quiet waiting area of a medical office

Private equity or health system

Should my medical group sell to private equity or a health system?

It depends on what your partners want: private equity usually pays more upfront with rollover equity and keeps physicians as owners in the platform, while a health system offers employment and stability with fewer moving parts. Younger and older partners often want different things, so the structure has to work for both.

  • Compare post-sale payHow much compensation you give up, for how long, and what you get for it matter as much as the headline price.
  • Understand the equityRollover equity can be valuable, but it depends on the platform's growth and its next sale.
  • We compare every pathOffers are put side by side so your partners can choose with the full picture.

Questions

Selling a medical group: common questions

How do I sell a multi-specialty medical group?

Agree with your physician partners on goals and who sells, get a confidential valuation built on adjusted EBITDA, organize provider, payer, ancillary and production data, plan how payer contracts, enrollment and physician agreements move to the new owner, market the group to qualified buyers under NDA, compare letters of intent, then manage diligence through closing.

Who buys multi-specialty medical groups?

Private equity-backed physician platforms and management services organizations (MSOs), health systems and hospitals, insurer-owned medical groups, and larger independent physician groups.

How is a multi-specialty group valued?

Usually on a multiple of adjusted EBITDA. In private equity deals, earnings are often restated after physicians agree to a lower post-sale compensation in exchange for the upfront payment, and owned ancillaries such as imaging, lab or an ASC can raise the multiple. A free valuation gives you a range for your group.

What is an MSO deal?

In many states, investors can't own a medical practice directly, so a private equity buyer typically buys a management services organization (MSO) that runs the business side of the group, while the physicians keep the practice entity. Physicians often roll part of the price into equity in the MSO.

Do all partners have to agree to sell?

Usually most do. Operating and shareholder agreements often require a vote or give partners rights over a sale, and buyers want the physicians who drive revenue to stay. We help partners align before any buyer is contacted.

How long does it take to sell a medical group?

Most sales take 4 to 9 months from the first valuation to closing, sometimes less and sometimes more. Groups with many partners or complex ancillaries can take longer.

How much does a medical group M&A advisor cost?

Medical Exit Group works on commission only, so we are paid when your group sells.

Free and confidential

Find out what your medical group could sell for

A free medical group valuation, with no obligation to sell. Nothing is shared with anyone.

Request a Free Group Valuation