How to Sell Your Healthcare Practice
A Financial Preparation Guide for Practice Owners
Selling your healthcare practice doesn’t have to be difficult. When you prepare properly, the process becomes clearer, smoother, and far more predictable. Practice owners who understand their numbers and address issues early avoid unnecessary delays, renegotiations, and deal fatigue.
This guide explains how to approach a sale in the right order: first understanding how buyers think, then preparing deal-ready financials, and finally going to market from a position of strength.
Phase 1: What You Should Understand Before Selling Your Practice
Before making changes or talking to a broker, it’s critical to understand how healthcare buyers evaluate a practice.
Buyers — whether PE firms, DSOs, or health systems — don’t just look at revenue or profit. They assess whether your financials are reliable, repeatable, and defensible.
What Buyers Typically Analyze
Payer mix breakdown (commercial vs. Medicare/Medicaid vs. self-pay)
Collections waterfall — how billed revenue converts to cash by payer class
Provider-level productivity and revenue per visit
If your numbers change every time someone asks a question, buyer trust erodes quickly.
Phase 2: Getting Your Books Deal-Ready (and What That Actually Means)
Many practice owners believe they have clean books, but clean does not always mean deal-ready.
Clean Books Usually Mean
Accounts reconcile
Financial statements exist
Taxes can be filed
Deal-Ready Books Mean
EBITDA holds up under buyer adjustments
Historical numbers tie month-to-month and year-to-year
Owner expenses are clearly identified and documented
Working capital can be explained and supported
Revenue is recorded accurately and consistently
This gap between clean and deal-ready is where most deals slow down or get repriced.
Phase 3: Going to Market With Confidence (Broker or Direct Buyer)
One of the biggest mistakes sellers make is going to market too early.
Once a broker is engaged or an LOI is signed:
Buyers bring in accountants
Questions increase rapidly
Timelines stretch
Leverage shifts away from the seller
When you enter this stage with a strong understanding of your practice and deal-ready financials:
Diligence runs more smoothly
Buyer confidence increases
Negotiations stay focused on value, not cleanup
Timelines shorten and deals close faster
Instead of reacting to questions, you’re prepared to defend your numbers.
Common Financial Issues Buyers Look for During Diligence
Even well-run businesses often run into the same issues:
EBITDA changing after LOI
Owner compensation not normalized
Personal expenses mixed into the business
Inconsistent monthly financials
Poor documentation for add-backs
No clear working capital story
Frequent bookkeeping errors
Most of these are fixable, but only if addressed before going to market.How Genki Solutions Helps Practice Owners Sell With Confidence
Where Genki Solutions Fits In
Selling a healthcare practice involves multiple advisors:
Brokers handle marketing and buyer outreach
Attorneys handle legal documents
CPAs handle tax filings
But none of them specialize in preparing deal-ready financials before the sale process begins.
Genki Solutions fills that gap.
How Genki Solutions Helps
Genki Solutions helps practice owners prepare deal-ready financials before selling or raising capital, including:
Historical bookkeeping cleanup and catch-up
Normalizing EBITDA or SDE
Identifying and documenting add-backs
Improving financial consistency and clarity
Preparing books to withstand buyer diligence
Ongoing monthly bookkeeping, if needed
Before starting Genki Solutions, I managed 100+ healthcare financial due diligence and Quality of Earnings engagements at a large national accounting firm. I now bring that same diligence-focused mindset to healthcare practice owners before they go to market.
Industries We Commonly Support
Genki Solutions works exclusively with healthcare practice owners, including:
Dental Services & DSO Platforms
Behavioral Health (ABA, Substance Abuse, Counseling)
Senior Living & Skilled Nursing Facilities
Med Spa & Aesthetic Practices
Home Health & Home Care Agencies
Medical Device Companies
Thinking About Selling Your Practice?
If you’re considering selling in the next three years, the best time to prepare is now, not after an LOI is signed.
You don’t need perfect books. You need understandable, defensible financials that allow you to negotiate confidently and protect value.
How to Get Started
You can reach Genki Solutions by:
Using the contact form on this website
Emailing SeijiUeda@GenkiSolutionsLLC.com
Calling or texting (626) 888-1014
If you’re considering selling your practice in the next one to three years, the best time to prepare is now — not after an LOI is signed.