NYC practice sales hinge on structure: New York's corporate-practice-of-medicine rules dictate who can buy and how. Here's what practices are worth, how MSO deals work, and how to sell to the right buyer.
NYC medical and dental practice sales typically trade at 3.0x to 6.0x EBITDA, with private-equity-backed platforms and MSOs paying the higher end for scaled, multi-provider practices. The drivers are provider mix, payor mix, the lease, and how cleanly the deal can be structured under New York's professional-ownership rules.
| Metric | Typical Range (NYC) |
|---|---|
| EBITDA multiple | 3.0x – 6.0x (platforms/MSOs pay the top) |
| Solo / small practice | Often valued on SDE or a percentage of collections |
| Key value drivers | Associate providers, payor mix, recurring patient base |
| Buyer types | Other physicians/dentists, DSOs, MSOs, PE-backed platforms |
| Typical close timeline | 6 – 12 months (credentialing & structure) |
Ranges reflect recent NYC-metro market activity and SBA-eligible transactions. Your number depends on the specifics — request a free valuation for a real range.
A practice that runs on associate providers and systems — not solely on the selling doctor — reaches more buyers and a higher multiple. Heavy owner dependence pulls toward an SDE-based, lower valuation.
Documented, stable collections and a favorable commercial-vs-Medicaid payor mix are central to how buyers and lenders value the practice.
New York restricts non-physician ownership of medical practices, so non-clinical buyers acquire through an MSO/management arrangement. A clean, defensible structure widens the buyer pool to include DSOs, MSOs, and PE platforms.
A long lease, modern equipment, and a transferable EMR/credentialing footprint reduce friction and support value.
Selling in the five boroughs is not the same as selling in the suburbs. These are the New York City and State requirements that most often shape price, escrow, and the closing date:
New York generally prohibits non-licensed individuals and lay corporations from owning medical practices; only licensed professionals (or professional entities — PC/PLLC) may. Non-physician buyers therefore acquire the non-clinical assets and operate through a Management Services Organization (MSO) that contracts with the professional entity. We structure the deal so it's compliant and financeable.
Provider credentialing and payor enrollment don't transfer instantly; a buyer must re-credential, which drives the timeline. We map this early so revenue continuity is planned, not assumed.
Clean licensure and Office of Professional Medical Conduct (OPMC) standing for the selling and buying providers are verified in diligence. We make sure documentation is ready.
If your practice operates as or within a NYS Department of Health Article 28 diagnostic & treatment center, ownership changes require DOH/PHHPC review — a longer, separate track. See our Article 28 clinic guide and healthcare M&A hub.
New York's bulk-sale rule (Tax Bulletin TB-ST-70) requires the buyer to notify the NY State Department of Taxation and Finance on Form AU-196.10 at least 10 days before paying for or taking possession of the business assets. The state can hold sale proceeds in escrow to cover any unpaid sales tax the seller owes. We build this into the closing timeline so it never surprises either side.
In NYC the commercial lease assignment is the single biggest deal factor. Most leases require landlord consent to assign, carry a 'good guy guarantee,' and may include recapture rights that let the landlord take the space back instead of approving your buyer. We pull your lease early and get the landlord conversation started before you go to market.
Practice sales generally take 6–12 months because of structure, credentialing, and (for larger deals) PE/MSO diligence. The biggest accelerators are clean financials normalized to EBITDA, a defensible ownership structure, and an early credentialing plan. We prepare all three before going to market.
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Most trade at 3.0x to 6.0x EBITDA, with PE-backed platforms and MSOs paying the high end for scaled, multi-provider practices. Smaller owner-dependent practices are often valued on SDE or a percentage of collections.
Not directly — New York's corporate-practice-of-medicine rules restrict practice ownership to licensed professionals or professional entities. Non-clinical buyers acquire the business assets and operate through an MSO that contracts with the professional entity. We structure this to be compliant and financeable.
A Management Services Organization holds the non-clinical assets and provides management, while a physician-owned professional entity retains clinical ownership. It's how DSOs, MSOs, and PE platforms acquire practices in New York.
Typically 6–12 months. Deal structuring, provider credentialing, and payor transitions drive the timeline more than finding a buyer.
Yes. Article 28 diagnostic & treatment centers require NYS DOH/PHHPC review on a change of ownership, which is a longer, separate process. See our Article 28 clinic guide and healthcare M&A hub.
No. We work success-only and keep the entire process confidential.
We sell businesses across all five boroughs: Manhattan · Brooklyn · Queens · The Bronx · Staten Island. Other NYC selling guides: restaurants, bars & nightlife, delis & bodegas, laundromats, dry cleaners, and medical & dental practices.