AudiologyOnline Phone: 800-753-2160


Starkey - Edge - October 2024

How do the Number of Years in Practice and Patient Files Affect Practice Valuation?

Craig A. Castelli, Ronald Gleitman, PhD

March 23, 2015

Share:

Question

How do the number of years in practice and number of patient files influence the value of a hearing care practice?

Answer

Craig Castelli: It has an influence, to a degree.  A much more established business with a much larger file base presents greater stability and greater opportunity for the buyer.  However, once a practice is at least five to seven years old, especially when practices get to ten years old, they have been around long enough so that there is not much difference in the value of a 10-year old practice and a 40-year practice.  The value is driven by the P&L and some of those key risk factors. 

You may have a 40-year old business, but if you have some major customer concentration risk, you might not be worth as much as a 10-year old business that is more profitable and has none of the customer concentration risk.  There should be more stability in a mature practice, which is seven years or older. 

Ron Gleitman: I think the other issue is analyzing the marketing strategy.  If a seller has gone to the well and marketed to their database for the last three years to drive all their revenue, then your repeat business over predicted cash flow is going to be different in the future because repurchasing habits do not happen in one or two years.  There is more risk involved. 

This Ask the Expert was taken from the course, Advanced Transaction Strategies, by Craig Castelli and Ron Gleitman, presented in partnership with the Academy of Doctors of Audiology.


craig a castelli

Craig A. Castelli

Founder, Caber Hill Advisors

Craig Castelli is the Founder of Caber Hill Advisors and serves as the company's CEO.  He has over 10 years of audiology industry experience and has worked with hundreds of private practices.  He launched Caber Hill because he wanted to transform the business brokerage industry by bringing a higher level of service and professionalism that would produce above average results for his clients.  Caber Hill was formerly the Chicago office of Bridge Ventures, which Mr. Castelli founded in 2010 and rebranded as Caber Hill at the end of 2013. 

At Caber Hill, our mission is simple: to share our expertise with current and future business owners who want to buy, sell, or grow a private practice.  Contact Craig at craig@caberhill.com.


ronald gleitman

Ronald Gleitman, PhD

Vice President of Business Development and Practice Management, Siemens Hearing Instruments

Dr. Ronald Gleitman brings more than 20 years of hearing industry experience to Siemens Hearing Instruments, Inc. 
In his role as Vice President of Business Development and Practice Management, Ron is responsible for increasing market penetration in the Independent sales channel while overseeing the development and growth of SHI’s world-class preferred customer program. 
Ron is an industry veteran with an extensive background in both a corporate and clinical environment. Before joining Siemens, he served as CEO and Executive Vice President of Right Hear, LLC, providing vision and oversight for the company. Prior to that, he worked for Phonak as the Director of Practice Development. Ron also spent many years working as an Audiologist in a clinical setting, including owning his own private practice. 
 
In 1992, Ron earned his Ph.D. in Audiology from Purdue University. He has published numerous articles on 
hearing care and has taught at both Northwestern and Purdue University.


Related Courses

Understanding Privilege, for Healthcare Professionals
Presented by Esther Clervaud, EdS
Recorded Webinar
AudiologyOnline

Presenter

Esther Clervaud, EdS
Course: #36096Level: Intermediate1 Hour
  'Instructor and information presented should make work places better for everyone'   Read Reviews
Systems of privilege have created a wide division of inequality. This course will help hearing care professionals identify their privilege and determine how to make a difference in their places of employment.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Creating Leadership in Audiology Through a Mentoring Circle
Presented by Natalie Phillips, AuD
Recorded Webinar
AudiologyOnline

Presenter

Natalie Phillips, AuD
Course: #37632Level: Introductory1 Hour
  'I had no idea the value of a mentor in audiology!'   Read Reviews
There are so many components to quality patient care that it is challenging to “master” them all. What if you could come together with other professionals who possess knowledge or experience that could help you or your practice? There are a number of veteran audiologists as well as rising professionals who have wisdom, qualifications, narratives, and unique journeys to share. The purpose of this talk is to rethink the traditional mentor/mentee vertical relationship and explore collaboration in the form of circle…where all professionals, regardless of age or experience, learn from each other.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Using Patient-Reported Outcome Measures (PROMs) to Improve Patient-Clinician Communication and Enhance Treatment Efficacy
Presented by Carren Stika, PhD
Recorded Webinar
ReSound

Presenter

Carren Stika, PhD
Course: #35841Level: Introductory1 Hour
  'Good refresher'   Read Reviews
Due to the recent increased focus on providing patient-centered healthcare, use of patient-reported outcome measures (PROMs) have become an essential component of assessing whether the services provided improved patients’ health and sense of well-being. This course will discuss the role of PROMs in healthcare and how using these measures in clinical practice can enhance treatment efficacy, improve patient-clinician communication, and assist clinicians in providing better person-centered care.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Learn to Earn the Salary You Deserve: Negotiating Like a Boss
Presented by Natalie Phillips, AuD
Recorded Webinar
AudiologyOnline

Presenter

Natalie Phillips, AuD
Course: #32770Level: Introductory1 Hour
  'The statistics of the salaries and percentage of each male and female that negotiate their salaries'   Read Reviews
The ability to negotiate your income displays immediate knowledge and confidence in your skillset and worth. In this course, we will examine a revenue and pay justification method to put into place as audiology business owners, employers, and employees.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Core Topics for Audiology Assistants
Presented by James W. Hall III, PhD, Kathleen Weissberg, OTD, OTR/L, Amit Gosalia, AuD
Recorded Webinar
AudiologyOnline

Presenters

James W. Hall III, PhDKathleen Weissberg, OTD, OTR/LAmit Gosalia, AuD
Course: #37123Level: Introductory3 Hours
  'I am currently working as a Patient Care Coordinator and studying for my Audiologist Assistant Certification'   Read Reviews
This course includes one hour of content on each of the following topics: 1) ethical concepts and decision-making; 2) universal safety precautions, including the Occupational Safety & Health Administration's (OSHA) bloodborne pathogens standard, and 3) patient confidentiality and the Health Insurance Portability & Accountability Act (HIPAA).

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.