PracticExit  ·  Preliminary Exit-Readiness Evaluation  ·  Sample Report

Suburban Foot & Ankle Associates

Podiatry  ·  Suburban Chicago Market (Naperville, IL)

2 Providers  ·  8 Staff  ·  Owner Age 62 ·  18 Years in Practice

Goal: Sell or partner with a larger group

72Moderate

Exit-Readiness Score

Sample report using mock data. Your report will reflect your actual practice.

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01

Executive Summary

Annual Revenue

$1,820,000

Adjusted EBITDA

$422,000

23.2% margin

Valuation Range

$1,470,000 – $2,310,000

3.5x–5.5xx Adj. EBITDA

Suburban Foot & Ankle Associates is an established podiatry practice operating in a suburban Chicago market. With 18 years of operation, two providers, and approximately $1,820,000 in annual revenue, this practice represents a solid foundational asset for a potential buyer or group partnership.

The overall exit-readiness score of 72/100 (Moderate) reflects reasonable financial performance tempered by meaningful operational risks — particularly around owner dependency. With targeted pre-sale improvements, a score in the 80–85 range is achievable within 12–18 months.

Based on the provided mock data, this practice may fall in a preliminary valuation range of 3.5x–5.5x adjusted EBITDA, or approximately $1,470,000$2,310,000 before deal-specific adjustments. This range is for preliminary planning purposes only.

02

Exit-Readiness Score Breakdown

72Moderate

Overall Score

72/100

Moderate — Addressable with a 90-day plan

Financial Cleanliness78/100
Billing & Collections70/100
Owner Dependency55/100
Staff & Operations80/100
Buyer Attractiveness75/100
80–100·Strong

Well-positioned for a transaction. Minimal pre-sale work required. Buyers will be competitive.

60–79·Moderate

Solid foundation with addressable gaps. An improvement plan is recommended before marketing to buyers.

Below 60·Needs Attention

Significant issues identified that will affect buyer pricing, deal structure, and certainty of close.

03

Financial Cleanliness & Billing and Collections

Financial Cleanliness — 78/100

The practice's financial records are generally well-organized with three years of tax returns and P&L statements available. Owner compensation has been consistently documented.

Add-back opportunity: Estimated $30,000–$50,000 in discretionary expenses (personal vehicle, owner CE, personal cell) have not yet been formally documented as add-backs. Proper documentation by a healthcare CPA before marketing could improve adjusted EBITDA and therefore valuation.

Action needed: Engage a healthcare-specialized CPA to prepare a clean adjusted EBITDA summary with documented add-backs before any buyer conversations.

Billing & Collections — 70/100

Collections performance is adequate but not optimized. Estimated clean claim rate of 87% leaves meaningful revenue recovery opportunity.

Est. Clean Claim Rate

~87%

Industry avg: 94%+

Days in AR

~48 days

Target: <35 days

Medicare %

58%

Single-payer risk

Collection Rate

~92%

Slightly below avg

Improving clean claim rate to 94% could recover an estimated $40,000–$75,000 in annual collections.

04

Owner Dependency & Buyer Attractiveness

Owner Dependency — 55/100 ⚠️

This is the practice's most significant valuation risk. Estimated 70%+ of patient relationships and referral sources are directly tied to the owner-physician.

Buyers — particularly PE groups — heavily discount practices with high owner dependency because of the risk that patients and referrals will not transfer post-sale.

Impact: Unaddressed, high owner dependency could reduce the valuation multiple by 0.5x–1.5x, or push buyers toward an earnout-heavy structure.

Buyer Attractiveness — 75/100

Despite the owner dependency concern, this practice scores well on buyer attractiveness due to its established brand, suburban market position, and consistent revenue growth.

Market position: Established 18-year suburban presence
Revenue stability: Consistent $1.7M–$1.8M over 3 years
Specialty demand: Podiatry demand growing with aging population
Owner dependency: Key-person risk — largest buyer concern
Lease stability: Under 3 years remaining — needs renewal
05

Key Red Flags Identified

These are issues buyers commonly surface during due diligence. Addressing them before engaging buyers can reduce deal friction, protect your multiple, and improve deal certainty.

High ConcernHigh owner dependency

Estimated 70%+ of patient relationships tied directly to the owner-physician.

Medium ConcernPayer mix concentration

Medicare represents approximately 52% of collections.

Medium ConcernLease term under 3 years

Remaining lease term is 2.5 years with no executed renewal option.

Low ConcernSingle-location concentration

Revenue concentrated in one location. Multi-site practices typically achieve higher multiples.

06

Value Improvement Opportunities

The following represent specific areas where pre-sale improvements are estimated to increase practice value or improve deal terms. Prioritize items with the highest ROI relative to your timeline.

Revenue Cycle

Improve clean claim rate to 94%+. Potential recovery: $40,000–$75,000 annually.

Owner Transition

Associate training now could improve multiple by 0.5x–1.0x.

Ancillary Services

Orthotics and wound care show untapped capacity: est. $80,000–$120,000 incremental annual revenue.

Lease Renewal

5-year renewal with options eliminates a key buyer concern.

EBITDA Cleanup

Documented add-backs for owner expenses: potential $30,000–$50,000 EBITDA improvement.

07

Recommended 180-Day Improvement Plan

A prioritized action sequence to meaningfully improve your exit-readiness score before engaging with buyers or brokers. These steps are sequenced for maximum impact.

1

Weeks 1–2

Compile 3 years of P&L statements, tax returns, and collections reports.

2

Weeks 3–4

Engage healthcare-specialized CPA for adjusted EBITDA review and add-back documentation.

3

Weeks 5–6

Initiate lease renewal discussion. Target 5-year term with 2 renewal options.

4

Weeks 7–8

Billing and collections audit. Identify top denial reasons.

5

Weeks 9–10

Begin associate or PA/NP recruitment to reduce owner dependency.

6

Weeks 11–12

Review and update provider contracts, vendor agreements, and HR documentation.

08

Suggested Next Steps Before Engaging Buyers

1

Engage a healthcare-specialized CPA to prepare a clean adjusted EBITDA summary with documented add-backs.

2

Initiate lease renewal discussions with your landlord before marketing the practice.

3

Consult a healthcare attorney to review provider contracts and employment agreements.

4

Begin associate recruitment or onboarding to reduce owner dependency before a formal process.

5

Request a formal certified business valuation from a licensed appraiser when you are ready to proceed to market.

Important Disclaimer

This report is a preliminary business evaluation for discussion purposes only. It is not legal, tax, accounting, investment banking, or certified valuation advice. The valuation range presented is based on publicly available market multiple data and the mock financial information provided. Actual transaction values depend on numerous factors including deal structure, buyer type, market conditions, due diligence findings, and negotiation. Final conclusions and decisions should be reviewed by qualified legal, tax, and financial professionals. All figures used in this sample report are fictional and for illustrative purposes only.