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Healthcare M&A FAQs

Answers to Common Questions About Transitioning Your Practice

Selling, valuing, and transitioning a healthcare practice or business raises important questions. Here are the answers to the ones we hear most.
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Common Questions

Frequently Asked Questions

How do I transition my healthcare practice or business?

Transitioning your healthcare practice or business involves preparing your business for sale or partnership, understanding its value, and identifying the right buyer or partner to meet your goals. The process typically includes financial and operations preparation, exploring deal options, and navigating due diligence through closing. The 7 Pillars process is designed to maximize the value you receive while also lessening the burden on you during the transition process.

When is the right time to sell my practice or business?

We recommend thinking early about when you want to begin your next chapter and then consider how far out you are from that timeframe. There is not a one-size-fits-all answer, but there are various factors that contribute to the amount of time it takes to find a buyer. Starting the conversation early gives you the most options and the strongest negotiating position.

How long does it take to sell a healthcare business?

The timeline for transitioning a practice or business can vary based on both internal and external factors at play. Factors like buyer readiness, practice preparation, deal structure, and alignment between both parties can all influence how long the process takes from initial planning to closing. While there may not be a universal answer, 7 Pillars can offer guidelines to help you create a plan and shed light on the answer for your specific situation.

What is my healthcare practice or business worth?

Understanding the value of your business early can help you plan strategically for the future. Practice valuations are driven by financial metrics like EBITDA, growth trends, patient retention, payer mix, and operational efficiency. We help you understand the true picture of your business’s value and what factors can drive it higher before going to market.

How do I increase the value of my practice before selling?

Our Advisory Program provides early-stage guidance, strategic preparation, and actionable insights to help you make informed decisions and achieve the strongest possible outcome. We connect you with our network of trusted partners who support growth with your transition in mind, from financial optimization to operational improvements.

What is EBITDA and why does it matter in a sale?

EBITDA (Earnings Before Interest, Taxes, Depreciation, and Amortization) is a key financial metric used in healthcare M&A to measure a practice or business’s core operating profitability. It removes financing, tax, and non-cash expenses so buyers and advisors can evaluate true performance and compare healthcare practices on a more standardized basis. In healthcare business sales and valuations, EBITDA is the primary driver of practice valuation multiples, buyer analysis, and deal structure discussions.

How do I choose the right buyer for my practice or business?

Transitions are more than finding a buyer. It’s about finding a partner who will play a meaningful role in your life’s next chapter. We help you identify and evaluate potential partners that fit you and your practice based on culture, clinical philosophy, growth vision, and deal structure. Our partner selection process ensures you find the right fit before financial terms cloud the overall picture.

Do I need an M&A advisor to sell my practice?

You’re not required to have an M&A advisor to sell or transition your practice, but working with one can significantly improve your outcome, both financially and personally. 7 Pillars helps to position your practice, create competitive tension among buyers, and negotiate both price and deal structure. We serve as your guide for every step of the process, ensuring nothing is left on the table.

Still Have Questions?

Every situation is unique. Let’s have a confidential conversation about your specific goals and how we can help you achieve them.

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Explore Our Services
"Everything I did with 7 Pillars was not only thorough, detailed, and well done, it was enjoyable. I really had a great time working with all of them...The peace of mind that I had knowing that every 'i' was dotted and every 't' was crossed and that I wasn't missing something was huge."
Dr. Kelly Toombs, DDSPractice Owner
Dr. Kelly Toombs, DDS
"I can't even imagine doing this process on my own... not only the negotiations way more than paid for itself, but just the process of due diligence—the way that 7 Pillars walked me through due diligence—I barely had to do anything... I highly recommend 7 Pillars. They were phenomenal."
Dr. Hilton Goldreich, DDSMulti-Location Practice Owner
Dr. Hilton Goldreich, DDS
"7 Pillars made sure that we knew what we were getting into, what to expect, and questions we didn't even know to ask and you know they had the answer before we even knew we needed them...I just couldn't imagine doing it by ourselves. I would recommend 7 Pillars to anybody going through this process."
Dr. Jason Montgomery, DDSPractice Owner
Dr. Jason Montgomery, DDS
"One of the things that really stood out to me was that they were very direct. They were very honest about what the process was going to look like, what our involvement was going to be, and also what to expect."
Alix LaurainCEO
"7 Pillars were not forcing us into the marketplace... they were really willing to value our practice, see if this makes sense for us, and provide us with the information ahead of time. 7 Pillars is to us what we are to our patient... they had the information, I could ask questions, I could do some research on my own if I wanted, but they were the experts."
Dr. Kimber Holmes, DDSPractice Owner
"7 Pillars gave me the whole picture. They understood my practice, they understood the offers, they broke it down to that next level so that I really understood what the deal was. We felt that even towards the end and after our transaction took place that everybody was still there still working to make sure that everything got put to bed... everything was done to a sublime level."
Dr. Joseph GrayPractice Owner
"Once they've got a feel for who you are and what your practice is, they can connect you with the right people. 7 Pillars just went over and beyond what I think anybody else would do to help, and that's what really stands out with them. If I had to do it all all over again, I wouldn't use anybody but 7 Pillars."
Dr. Richard BoatmanPractice Owner
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Let’s have a conversation about the right path to preserving your legacy. Gain more clarity about your options in a 30-minute conversation with our team.

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