Underwrite a Deal
The Target
Verdict
- WatchAsking 3.0x against a 1.46x to 2.94x band
Above the cited range for this industry. Either the business is genuinely better than its peers and you can show why, or the ask is soft.
- WatchOwnership or licensing is restricted here
Corporate-practice-of-medicine rules in most states bar non-physician ownership of the clinical practice.
- Watch2 PE firms already consolidating this industry
Ardent Health, Shore Capital Partners. Expect competition on price, and a plausible exit if you build something bigger.
- GoodDSCR after your salary is 2.29
Above the 1.25 rule of thumb.
The Number That Should Set Your Offer
At $500,000 of SDE, a $100,000 owner salary, $200,000 of cash, and a 10% seller note, the most this business can carry at a 1.25 DSCR is $2,561,235. The ask sits $1,061,235 under it.
Structure
- Equity (your cash)
- $200,000
- Seller note
- $150,000
- 7(a) loan
- $1,150,000
- Annual debt service
- $174,813
- DSCR
- 2.29
- Implied multiple
- 3.00x
- Cited band
- 1.46x–2.94x SDE
Context
- Industry charge-off
- not measurable
- State median loan
- –
- State FY2025 loans
- –
Licensing: A management services organization holds the business while a physician owns the medical entity; confirm the state's rule and the medical-director requirement.