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The widest valuation spread in practice healthcare

Solo, owner-dependent veterinary practices cap around 3.5x to 6x EBITDA. Three-plus DVM practices with $1M or more in EBITDA clear 12x to 15x. Same profession, four times the multiple.

How veterinary practices are actually valued.

Veterinary practices are valued on adjusted EBITDA, and the spread by scale is the widest in practice healthcare. Solo, owner-dependent practices generally cap in the range of 3.5x to 6x and sell to SBA-funded individual buyers. Practices with three or more DVMs and $1M or more in EBITDA commonly clear 12x to 15x and sell to corporate consolidators.

Five things a buyer will normalize.

  • Owner veterinarian compensationRestated to what it would cost to employ a DVM to do the owner's clinical work. If that consumes most of the profit, there is little transferable business.
  • Inventory valuationVerified, counted, and adjusted for expired or obsolete stock. Overstated inventory is a common and easily discovered finding.
  • Unearned wellness plan liabilityTreated as an assumed obligation, and revenue restated if plans were recognized on receipt.
  • Personal expenses in the P&LEvery add-back is negotiated. Fewer adjustments means a more defensible number.
  • Deferred equipment and facility maintenanceAging equipment and buildout priced in as capital the buyer will need to spend.

Know what the market is doing right now

Veterinary is not in a uniformly strong moment. Invoice volume has declined at least 2% per year for four consecutive years, and the AVMA's chief economist declared the profession in a recessionary period beginning in November 2024, with possible recovery in the second quarter of 2026. Private equity bought nearly a tenth of all U.S. veterinary clinics during the pandemic and has struggled to exit as dealmaking slowed alongside visits.

For an owner, that cuts both ways. Buyers are more selective and more price-disciplined than in 2021. But the sector remains among the most consolidated in practice healthcare, and quality multi-DVM practices with clean numbers still command the top of the range.

The path from 5x to 12x

It is not a pricing negotiation; it is a structural change. Three or more DVMs, with the owner no longer producing the majority of revenue. Documented protocols so that care delivery survives a personnel change. Inventory managed and counted. Wellness plans deferred correctly. Clean, normalized financials across a trailing period long enough to be believed.

That takes two to three years, which is why the useful moment to start is well before an offer arrives. It also happens to describe a practice that is considerably better to own in the meantime.

MP
The MedPraxis CFO team

MedPraxis CFO provides bookkeeping and CFO advisory to veterinary practice owners. Veterinary practices →

Frequently asked.

What multiple does a veterinary practice sell for?

It depends almost entirely on scale and owner dependency. Solo, owner-dependent practices generally cap around 3.5x to 6x adjusted EBITDA and sell to SBA-funded individual buyers. Practices with three or more DVMs and $1M or more in EBITDA commonly clear 12x to 15x and attract corporate consolidators.

Is now a good time to sell a veterinary practice?

Conditions are more mixed than in 2021. Invoice volume has declined at least 2% annually for four consecutive years and the AVMA declared the profession in a recessionary period from November 2024, with possible recovery in Q2 2026. Buyers are more selective, but quality multi-DVM practices with clean financials still transact at the top of the range.

How do I increase the value of my veterinary practice?

Reduce owner dependency by adding DVMs so the owner is not producing most of the revenue, document clinical and operational protocols, manage and count inventory properly, defer wellness plan revenue correctly, and normalize owner compensation. Two to three years of trailing evidence is what a buyer values.

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