What if a buyer offered you 5x collections?

For four-plus years we've helped doctors sell their practices — and found there are three markets for it, though most doctors only ever hear about two. The third is the public markets, worth exploring before you sign with anyone else. Now evaluating Pain Management, Internal Medicine, Family Medicine, and Cardiology practices.

Schedule Your Confidential VSD Consultation →
No money out of pocket to get started · No disruption to your practice
Practice Value Report Month 06 · Confidential
Collections Multiple Est. 5x +
Revenue Multiple Est. 3.1x – 3.6x
EBITDA Multiple Est. 8x – 12x
Ancillary Revenue Trend ▲ Increasing
Illustrative example. Actual figures vary by practice, market, and buyer.
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There's a third market for selling your practice — public markets — most doctors never hear about.

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Qualified practices sell for 5x collections or more, because buyers resell the portfolio later near 15x.

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VSD ties the portfolio together as one entity — no money out of pocket, no disruption to your practice.

Listen to the VSD Overview
A brief explanation of how VSD helps healthcare practices improve performance, strengthen value, and create more options.
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Three Ways To Sell A Practice

Most doctors only ever hear about two of them.

Main Street Private Equity Public Markets
Typical Offer Often low Higher, tied to profitability 5x collections or more
What Happens After You may carry the note Continue working, meet aggressive production goals No disruption to your existing practice
Who's Involved Usually one buyer — another doctor One private equity group Multiple buyer types across a portfolio
Why 5x Collections

Why would someone pay 5 times collections?

Because they aren't keeping your practice — they're building a portfolio to resell later near 15x collections. That spread is what funds your offer today.

Buyer acquires practices at 5x collections or more
Practices are combined into a larger portfolio
Portfolio is later sold at 15x collections or more
That spread is what funds your offer today
This Is An Ancillary Based Portfolio

An ancillary-based portfolio enhances its own value.

Buyers pay 5x collections or more because VSD ties diverse practices together as one ancillary-based portfolio — valued as a single entity, not twenty separate practices.

Without The Nexus

Twenty Separate Entities

Twenty practices valued and sold individually, with no shared thread connecting them.

With The VSD Nexus

One Ancillary-Based Portfolio

The same twenty practices, connected by VSD, valued and sold as one larger entity — commanding a higher multiple.

Better Medicine Comes First

Every decision you make begins with one goal.

The best possible care for your patients. VSD helps identify cardiovascular and autonomic nervous system disorders early — often before they become emergencies. For 18+ years, doctors have used VSD to improve care while adding a stably, highly reimbursed diagnostic service.

  • Identify disease before serious complications occur
  • Improve treatment planning
  • Reduce avoidable hospitalizations
  • Improve patient outcomes
  • Improve quality of life
  • Increase patient confidence through proactive care
Why Better Patient Care Builds More Valuable Practices

Buyers want measurable, preventive care backed by proven clinical systems.

VSD practices show earlier detection, stable reimbursement, recurring revenue, and scalable operations — the same traits that make a practice more attractive to future buyers.

Clinical

Earlier Detection

Consistent clinical protocols.

Financial

Stable Reimbursement

Recurring ancillary revenue and stronger profitability.

Operational

Scalable Operations

Efficient, established systems that stand up to buyer diligence.

Try VSD Without Giving Up Control

Every participating practice begins with a six-month evaluation period.

You shouldn't have to commit long-term before knowing whether VSD is right for your practice.

There is no money out of pocket to get started, and no disruption to your existing practice. You remain in control. Always.

Know What Your Practice Is Worth Every Month

Most doctors discover what their practice is worth only after a buyer makes an offer. That puts the buyer in control.

VSD gives you a monthly Practice Value Report using two widely recognized approaches.

Revenue Valuation

Used by healthcare organizations grouping practices many times in roll-up structures.

EBITDA Valuation

Used by private equity and other healthcare investors focused on profitability.

VSD Is Like an EBITDA ATM

Imagine an ATM sitting quietly in the corner of your office.

Except instead of cash, it generates pure EBITDA — the more value you create for patients, the more valuable your practice becomes.

Every VSD test performed
Improves patient care & ancillary revenue
Increases profitability & practice value
Increases buyer interest
One Practice. Two Powerful Exit Strategies.

Every doctor has different goals. VSD gives you options.

Strategy One

Revenue Multiple Strategy

Healthcare roll-ups value practices on revenue growth and scale, commanding higher multiples than traditional sales — ideal for doctors joining a larger roll-up with VSD as the nexus.

Strategy Two

EBITDA Strategy

Private equity buys on profitability. VSD creates recurring ancillary income with strong margins — many buyers pay 8–12x EBITDA for practices using VSD.

You Decide Which Door to Walk Through

Traditional sales usually mean one buyer, one offer, one negotiation. VSD opens more.

Healthcare Roll-Up Organizations

Private Equity Groups

Strategic Healthcare Companies

Revenue-Based & EBITDA-Focused Buyers

You decide when to sell, who to sell to, and which strategy fits. It's your practice — your decision.

Why Buyers Want Practices With VSD

VSD helps position your practice with the characteristics buyers seek.

  • Better patient care
  • Predictable ancillary revenue
  • Strong EBITDA
  • Proven reimbursement history
  • Efficient operations
  • Scalable systems
  • Established compliance programs

Sophisticated buyers look for practices that demonstrate:

18+ yrsStable reimbursement history
8–12xTypical EBITDA multiple range
6 mo.Risk-free evaluation period
2Independent valuation models tracked monthly
Two Paths. One Goal.
Quick Exit

Ideal for doctors approaching retirement.

  1. Install VSD.
  2. Begin testing.
  3. Build documented revenue.
  4. Receive acquisition interest.
  5. Complete the sale when the timing is right.
Stay, Grow, Then Sell

Continue practicing. Continue improving patient care.

  • Continue increasing revenue and profitability
  • Monitor your monthly Practice Value Reports
  • When your practice reaches the value you want, choose your exit
Why Doctors Choose VSD

Better care. Greater value. More options. Complete support.

01

Better Patient Care

Earlier detection, better decisions, healthier patients, fewer complications.

02

Greater Practice Value

Recurring revenue, stronger EBITDA, monthly valuations.

03

More Exit Options

Revenue-based buyers. EBITDA-based buyers. Healthcare platforms. Private equity.

04

Complete Support

Implementation, training, billing, compliance, and ongoing support.

Frequently Asked Questions

What doctors ask before they start.

Every practice gets a six-month evaluation period, and you may withdraw anytime after. We're earning your confidence, not locking you in.

No. It's designed to integrate into your existing workflow, with full implementation and training support.

Yes. Your participation and any future acquisition discussions remain confidential.

No. Practices must meet minimum patient volume, operational, and clinical requirements.

Your Greatest Financial Asset Deserves More Than Hope

Would you entertain an offer of 5x collections?

Review it thoroughly. Speak to the players involved. Bring your CPA, attorney, advisor, or family to the call. You have nothing to lose — and the ability to sell for 5x collections or higher.

Would a buyer pay 5x collections for your practice? Schedule Your Confidential Call →