Your practice is worth more than you think! DSOs, MSOs and PEG’s value practices based on a multiple of free operating cash flow (aka EBITDA). In general, multiples climb as EBITDA grows.

Examples:

$1M EBITDA sells for 7x multiple = $7M Total Enterprise Value

$5M EBITDA practice sells for 10x multiple = $50m Total Enterprise Value

Transactions are complex and time consuming. Having a representative and advocate will save you time, maximize your deal value, and get you the best structure possible.

TUSK’s seasoned analytics team rebuilds your financials from the general ledger up, identifying every penny that can be added back to maximize your EBITDA. Without an analytics team fighting for your EBITDA, buyers can layer on additional costs or exclude meaningful add-backs from their buyside analysis. Beyond the financial work, having an advisor run a competitive process means buyers are bidding against each other rather than anchoring on a number they control. Most practice owners who go unrepresented leave significant value on the table, not because they lack business acumen, but because they are negotiating alone against a full team of experienced M&A professionals.

Unlike most practice advisors, TUSK is not paid by buyers. TUSK is paid a success fee at the close of your transaction. If you do not sell your practice, you do not owe us a penny.

Because our success fee is a percentage of Total Enterprise Value, we are 100% aligned with your goals, working side by side with you to maximize your EBITDA and your multiple. There are no upfront fees and no hidden costs. Our incentive is simple: the better your outcome, the better ours.

We bring four or more offers to the table for the vast majority of our sellers. That competition is not incidental, it is by design. TUSK runs a structured, confidential marketing process that presents your practice to a curated pool of qualified buyers simultaneously, creating the leverage that drives better pricing and better terms than any single-buyer negotiation can produce.

A competitive marketed process typically takes 6 to 9 months from signing of TUSK’s engagement agreement to close of the transaction. Timeline varies depending on the complexity of diligence, deal structure, and buyer responsiveness, but our team actively manages each stage to keep the process moving and protect your momentum.

Preparation (4 to 6 weeks): TUSK and client kickoff call, TUSK populates virtual data room, TUSK deep dives into financials and develops initial valuation model, and conducts add-back calls.

Marketing (4 to 6 weeks): TUSK finalizes valuation model, develops marketing materials, announces deal to buyside, gets NDAs signed, and grants buyer access to virtual data room.

Bids (8 to 10 weeks): Calls with prospective buyers, TUSK receives, reviews, and models offers, TUSK recommends, selects, and notifies continuing participants, TUSK and client conduct in-person meetings with final buyer pool, TUSK negotiates best deal terms, and client signs the LOI.

Exclusive Diligence (12 to 16 weeks): Quality of Earnings, legal diligence, negotiate final deal terms, and close the transaction.

It is important to align not only on the valuation they’re giving you for your business, but also on the team, their track record, their timeline, their strategy, and their culture. Most of our sellers stay on for 3-5 years post close and roll 20-40% of their equity into the future partnership, so it is important to be aligned with the DSO or PEG that buys your practice.

TUSK maintains active relationships with hundreds of qualified buyers and helps sellers evaluate not just the offer, but the organization behind it.