2.6× The typical medical practice for sale in the US asks 2.6 times its yearly cash flow.
We read 769 medical practices listed for sale on a major online marketplace and compared each asking price with the cash flow its seller reported.
The findings in eight sentences.
- The middle half of medical practices ask between 1.9 and 3.6 times their yearly cash flow.
- Medical practices ask what the typical business for sale asks, 2.6 times.
- The typical asking price for a medical practice is $695,000.
- Measured against revenue, the typical medical practice asks 0.8 times its yearly sales.
- 27% of medical practices for sale offer seller financing, against 22% overall.
- 58% of owners who say why they're selling are retiring.
- 12% of medical practices for sale show no revenue, cash flow or EBITDA, against 18% overall.
- 16% of the medical practices for sale are listed in Florida, 14% in California and 12% in Texas.
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Of the health, beauty and fitness industries, medical practices ask more than most.
Home health and senior care agencies and pharmacies ask the most, 3.0 times their yearly cash flow, and assisted living and care homes the least, 1.4 times.
- Home health and senior care agencies: median 3.0×, middle half from 2.0× to 4.0×
- Pharmacies: median 3.0×, middle half from 2.2× to 4.8×
- Gyms, fitness studios and spas: median 2.7×, middle half from 2.0× to 3.5×
- Medical practices: median 2.6×, middle half from 1.9× to 3.6×
- Hair salons and barbershops: median 2.0×, middle half from 1.4× to 3.0×
- Chiropractic practices: median 1.8×, middle half from 1.6× to 2.6×
- Nail salons and beauty studios: median 1.8×, middle half from 1.1× to 2.7×
- Assisted living and care homes: median 1.4×, middle half from 1.0× to 2.8×
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In 2019, before ChatGPT, the median asking multiple for medical practices was 1.9× cash flow. Measured the same way today, it is up 40%. How every industry moved since
53% of medical practices ask between two and four times their yearly cash flow.
30% ask less than two, and 17% more than four.
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Bigger medical practices ask less for each dollar of cash flow.
The typical ask is 2.7 times below $100,000 of yearly cash flow, 2.6 times at $100,000 to $250,000, 2.6 times at $250,000 to $500,000 and 2.5 times at $500,000 to $1 million.
- Under $100k: median 2.7×, middle half from 2.0× to 4.0×
- $100k to $250k: median 2.6×, middle half from 1.9× to 3.1×
- $250k to $500k: median 2.6×, middle half from 1.7× to 3.4×
- $500k to $1M: median 2.5×, middle half from 1.9× to 3.8×
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What medical practices for sale say they run on.
18% of medical practices for sale say what they run on, and 90% of those name scheduling, dispatch or industry software. 2% of medical practices for sale pitch technology as a way to grow.
- Scheduling, dispatch or industry software: 90%
- Online booking, ordering or store: 17%
- Point-of-sale or payment system: 7%
- Accounting or payroll software: 5%
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Each bar is a share of the listings that say what they run on. A listing can name several.
What a medical practice like yours would ask.
The middle half of similar listings ask
$468,000 to $953,000
The typical one asks $718,000, 2.6× its yearly cash flow.
Based on medical practices with $250k to $500k of yearly cash flow. These are asking prices, not sale prices or appraisals.
After the close.
We write the software a newly bought business runs on, one process at a time, such as quoting, scheduling or billing, and the new owner keeps the code. How we work with buyers and operating partners.
The data.
We read the listings on September 24, 2026, and their full details from September 25 to 30, 2026.
Questions
What multiple of cash flow do medical practices sell for?
Medical practices listed for sale in the US ask a median 2.6 times their yearly cash flow (seller's discretionary earnings), and the middle half ask between 1.9 and 3.6 times. Sale prices usually come in lower.
How much does it cost to buy a medical practice?
The typical medical practice for sale asks $695,000, and the middle half ask between $367,000 and $1,300,000. Sale prices usually come in lower.
How many medical practices for sale offer seller financing?
27% of medical practices for sale offer seller financing, against 22% overall.
What multiple of revenue do medical practices ask?
The typical medical practice for sale asks 0.8 times its yearly sales, and the middle half ask between 0.6 and 1.2 times.
What software do medical practices use?
18% of medical practices for sale say in their listing what they run on. Of those, 90% name scheduling, dispatch or industry software, 17% online booking, ordering or an online store, 7% a point-of-sale or payment system and 5% accounting or payroll software.
Why are medical practices for sale?
58% of owners who give a reason are retiring. 19% are moving on to other businesses or interests, and 8% are relocating.
How we did it
We read every listing on a major US online marketplace for businesses for sale on September 24, 2026, and went back to each one from September 25 to 30, 2026 for its full details. This page covers the 769 established medical practices among them. 442 show both an asking price and a cash flow, and 424 of those are left after the exclusions below.
Older listings use a flat list of named categories, and newer ones a two-level list whose subcategories have no names. A listing without its own photo shows its category's default photo. Each default photo almost always shows up in a single newer subcategory, so each named category joins the subcategory where its photo appears.
A multiple is the asking price divided by the seller's discretionary earnings the listing reports. We left out multiples below 0.3 or above 20, and listings whose price includes the property. Prices and cash flows on this page come from the listings with a multiple. These are asking prices, and a business usually sells for less than it asks. The full method.
The section on what medical practices run on counts what listings say. A page has it when at least 30 of its listings say what they run on.
Cite this page
Fulkerson Advisors (2026). What medical practices for sale ask. From What Small Businesses for Sale Ask: 39,587 US Listings, September 2026. https://www.fulkersonadvisors.com/research/small-business-multiples/medical-practices
Use any of these numbers or charts. Credit Fulkerson Advisors and link to this page. The data is under a CC BY 4.0 license.