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Selling a Healthcare Practice in Maryland

Maryland healthcare practices benefit from Johns Hopkins and University of Maryland health system influence. The state's certificate of need program affects some acquisitions but creates barriers to entry that protect existing practices' value.

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5–8x
EBITDA multiple for MD healthcare practices
Healthcare M&A Report
$55B+
Maryland healthcare industry annual revenue
MD DHMH
Top 15
state for healthcare PE acquisition volume
PitchBook

What buyers focus on in Maryland healthcare practice transactions

These are the items that consistently come up in due diligence and negotiation for healthcare practice businesses in Maryland. Understanding them before going to market gives you time to address them.

Maryland's certificate of need program affects hospital and some specialty acquisitions

NIH proximity creates unique buyer profiles for research-adjacent practices

Non-compete enforceability in Maryland has been limited by recent legislation

Behavioral health and specialty practices attract the most competitive offers

The preparation timeline that matters

Most owners underestimate how long it takes to prepare a healthcare practice business for sale. The items in the list above are not things you can address in the 30 days before you go to market. They require months of advance work. Owners who start early (typically 12 to 24 months before their target sale date) consistently achieve better terms than those who rush.

The free crash course gives you the framework. Seven lessons covering valuation, timing, financial preparation, due diligence, and deal structure. No account required.

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