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Selling a Healthcare Practice in Texas

Texas is one of the most active healthcare M&A markets in the country. DSO activity in dental, PE consolidation in behavioral health, and physician practice acquisitions by health systems all create strong buyer demand. Well-run practices with clean payer mix receive multiple competing offers.

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5–9x
EBITDA multiple for TX healthcare practices
Healthcare M&A Report
$265B+
Texas healthcare industry annual revenue
TX DSHS
Top 3
state for healthcare PE acquisition volume
PitchBook

What buyers focus on in Texas healthcare practice transactions

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

Texas does not have a corporate practice of medicine prohibition for most specialties

Payer mix analysis is critical : commercial vs. Medicaid significantly affects value

Non-compete enforceability in Texas is limited for physicians

HIPAA-compliant data room setup is required before any buyer diligence

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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