Behavioral health practice valuations are based on a multiple of adjusted EBITDA. Multiples vary by sub-specialty, payor mix, practice size, census stability, and how dependent the practice is on a single owner or provider. TUSK offers a free, confidential practice valuation to give you an accurate number - with no obligation to sell.

No - not without first understanding what your practice is actually worth and what other buyers would pay. An unsolicited offer is the buyer's opening position, not their best one. Without a competitive process, you have no leverage and no way to know if you're leaving significant value on the table.

The most active acquirers of behavioral health practices include private equity-backed management services organizations (MSOs), regional behavioral health platforms expanding their geographic footprint, and strategic acquirers adding specific service lines such as ABA therapy, substance use treatment, or outpatient mental health.

Unlike traditional brokers, TUSK runs a full marketed sales process that creates competition among 200+ qualified buyers simultaneously. TUSK is a sell-side-only firm - we represent you exclusively, never the buyer.

Selling a behavioral health practice typically takes 6 to 12 months from initial engagement to closing. This includes the discovery phase (4–6 weeks), financial and go-to-market preparation (4–8 weeks), negotiation and LOI execution (4–8 weeks), and due diligence through closing (8–12 weeks). Timelines vary based on the business.

Yes. In most transactions, the seller remains in a clinical or leadership role for a defined period - typically 2 to 5 years - as part of the deal. Post-sale compensation and day-to-day responsibilities are all negotiable. TUSK helps you define your post-sale requirements early so we only bring buyers whose expectations align with yours.

TUSK screens buyers against your cultural requirements. We start by understanding what matters most to you - your team's continuity, clinical standards, and vision for the practice after the transition. We only bring you buyers whose operating model and values align with yours. The right partner matters as much as the highest price.

TUSK charges a success fee paid by the seller - only when your deal closes and you receive proceeds. There are no upfront fees and no retainers. TUSK never accepts fees from buyers, ensuring our incentives are fully aligned with yours. If your deal does not close, TUSK does not get paid.

Yes. TUSK conducts the entire process confidentially. All buyers sign a non-disclosure agreement before receiving any information about your practice. Your staff, patients, and referral partners are not informed unless and until you choose to disclose - typically at or after closing.