10/06/2026
Not all reported revenue in a healthcare practice is sustainable under new ownership.
This is one of the most consequential issues in practice acquisitions, and one that diligence is specifically designed to surface.
Revenue that depends on the selling owner's personal relationships, clinical reputation, or production capacity may decline materially after a transition.
Revenue that reflects billing practices the buyer will not continue should not be used to support a purchase price.
Lenders evaluate revenue durability, whether collections can be maintained by a new owner operating the practice as it is, not as it was.
The question buyers should be asking is not what the practice earned.
It is what the practice will earn under new ownership, under standard billing protocols, with the patients who will stay.
That number is often different from what appears on the tax return.
Schedule a consult with us to discuss the importance of understanding the gap, and pricing for it, is what separates defensible acquisitions from overleveraged ones:
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