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Practice Legacy Planner | Concierge Medicine Today
Concierge Medicine Today
Pathways: Step 5 of 5

Practice Legacy Planner

What happens to my practice next? See an illustrative value range for your practice, what buyers look for, and how to plan for who will care for your patients next.

“We know concierge doctors may not be able to change the entire world of medicine, but they CAN change their patient’s world… and that matters.”Michael Tetreault, Editor-in-Chief, Concierge Medicine Today. Quoted in Medical Economics, “Highlights of the 2024 Concierge Medicine Forum,” November 6, 2024.

You built relationships that took years to earn. Planning your next chapter well protects your patients, your team, and the value of what you created.

What you will walk away with

  • An illustrative value range using two common methods, with your own physician pay accounted for
  • The readiness factors buyers tend to examine closely
  • Deal structures worth understanding before any conversation
  • A continuity checklist so your patients are cared for, whatever you decide

Before you start

This is not an appraisal, a fairness opinion, or financial, legal, tax, or accounting advice. It uses general industry multiples, not your financial statements or specialty comparables. Use it to prepare for a conversation with a credentialed valuation professional and a healthcare transactions attorney. Read the full disclaimers, methodology, and sources.

Part 1: Your practice’s numbers

Use your most recent full year.

Staff, rent, supplies, technology, and other overhead. Leave out what you pay yourself.
What a buyer would expect to pay a physician to do your clinical work. The default is an example only. Ask your valuation advisor for a benchmark for your specialty and market.

Part 2: Readiness factors

Check each one that is true today.

Methodology, limitations, and sources

How the numbers work

  1. Normalized earnings. Revenue minus operating expenses minus market-rate pay for each physician-owner. In an owner-run practice, reported profit often includes the physician’s own pay, so valuers first replace it with market compensation to see what earnings remain for a buyer.[2] This tool treats that figure as a simple stand-in for normalized EBITDA.
  2. Revenue method. Revenue times 0.5 to 1.0, a range published for smaller practices.[1]
  3. Earnings method. Normalized earnings times 6 to 12, a range published for practices depending on size, specialty, and positioning.[1] Smaller practices often sit toward the lower end.
  4. The two methods are shown separately and compared, not blended, because they can diverge widely. A valuation professional reconciles them for your situation.
  5. Readiness factors are shown as qualitative flags. The tool does not apply a numeric discount, because published discount figures vary and do not come from concierge-specific data.

Limitations

  • The multiples are general, cross-specialty figures, not concierge-specific transaction data. CMT’s annual industry reporting will refine them as concierge-specific data matures.
  • Real estate is valued and taxed separately and is not included in the estimate.
  • Physician compensation must meet fair market value standards under federal and state law in many arrangements. Your attorney and valuation professional will address this.

Sources

  1. Sofer Advisors. “Medical Practice Valuation Multiples 2025-2026,” as republished by Concierge Medicine Today, August 29, 2026. Revenue and EBITDA multiple ranges.
  2. BD Emerson. “Medical Practice Valuation: Methods, Multiples, and What Moves the Number.” September 12, 2026. On normalizing physician compensation. https://www.bdemerson.com/article/medical-practice-valuation
  3. Jacoby D. (Vector Medical Group) and Herschman G., Esq. (Baker Donelson). “Concierge Medicine Mergers, Sales & Succession: What’s Accelerating the Market.” Concierge Medicine Today, August 29, 2026. Deal structures and real estate lease terms.
  4. Concierge Medicine Today. “A Succession Playbook for Concierge Physicians,” September 16, 2025; and “Protecting Your Legacy: Succession Planning for Concierge Practices,” January 25, 2026.
  5. Schulze H. Excellence Wins. Zondervan, 2019; the three steps of service, including a fond farewell, as summarized by EHL Insights, February 27, 2020. https://insights.ehl.edu/delivering-service-excellence
  6. Miller D. Building a StoryBrand: Clarify Your Message So Customers Will Listen. HarperCollins Leadership, 2017.
  7. Henderson J. Know What You’re FOR: A Growth Strategy for Work, An Even Better Strategy for Life. Zondervan, 2019. ISBN 9780310356318; and Lead With Your Life, book notes on Henderson’s two questions, March 2022. Book notes
  8. Dixon E. The Power of Customer Experience: 5 Elements to Make an Impact. 2022; and Geraghty L., “Customer Experience author Elizabeth Dixon on the CX that makes an impact,” Intercom Blog, June 2, 2022. https://www.intercom.com/blog/podcasts/customer-experience-elizabeth-dixon-cx/

Sources reviewed September 2026.

This is an illustrative estimate built from published industry-wide multiples. It is not a business valuation, appraisal, or fairness opinion, and it does not use your financial statements, buyer market, or specialty-specific comparables. It is not financial, legal, tax, or accounting advice, and it does not recommend any transaction or buyer. Concierge Medicine Today, LLC makes no warranty as to the accuracy of any figure and disclaims liability for decisions made in reliance on it. Before pursuing a sale, partnership, or succession, engage a credentialed valuation professional, a healthcare transactions attorney, and an accountant. Designed around U.S. practice models.

© 2026 All rights reserved. Concierge Medicine Today, LLC.