Medical Playbook

Want to understand the full sale process? Start by reading Essential Playbook—our weekly newsletter breaking down every stage of selling an essential services business, from prep to close.

Off-market buyers hunt discounts. Skipping a real process can cost you 30–50% of your business’s value.
Middle-market M&A has slowed, but top businesses still draw strong valuations. With $2.6T in dry powder, sellers who adapt are set to lead the next wave of deals.
Private equity is embracing employee ownership. Firms like KKR give workers equity—boosting performance, retention, and legacy. Founders win, teams win, and businesses grow stronger.
Gen Z is choosing trades over college. HVAC, plumbing & electrical programs are booming—bringing more talent, growth, and succession options to essential service business owners.
Maximize your business valuation with strong teams, recurring revenue, solid systems, and clean financials.
Your business is valued on a multiple of Adjusted EBITDA—true earnings minus one-time, owner, or non-core costs—giving buyers a clearer view of long-term profit potential.
Tradespeople are becoming millionaires by selling to PE. Strong cash flow and high demand make HVAC, plumbing, and electrical businesses prime targets for big exits.
Private equity is targeting small trades like HVAC and plumbing. With strong cash flow, $2M–$10M firms are now top acquisition targets in today’s shifting market.
Private equity is buying plumbing businesses for their margins, loyalty, and growth potential. Founders gain a big payday, better systems, and a partner to scale.
Boomers are selling their businesses in record numbers. It’s a rare chance to buy or sell in a once-in-a-generation shift—don’t miss the opportunity to lead.
The Advisory is a FINRA-registered investment bank, not a broker. We run a compliant, competitive sale to connect you with top PE buyers and maximize the value of your business.
To sell your business, prepare tax returns, bank statements, contracts, payroll, and customer data. Clear, organized records help defend your valuation and speed up the sale process.
Essential service businesses sell for 6–12× EBITDA. Recurring revenue, low churn, and strong ops all help drive higher valuations and attract serious private equity buyer interest.
Traditional banks miss Main Street. The Advisory is purpose-built for essential service founders—tech-driven, strategic, and focused on getting you the exit you deserve.
Private equity is targeting HVAC, plumbing, and electrical firms. Boomer retirements and strong cash flow mean big exits for essential service business owners.
VCs are eyeing HVAC and trades—AI and roll-ups make Main Street the next big opportunity.

Meet an M&A Advisor

Expert Guidance

End-to-end support from dedicated and licensed

Licensed by FINRA

Our investment bankers are legally licensed are by FINRA

Engaged Buyers

High-intent private equity owned platform buyers only, we do not sell to SBA buyers

Cash Offers

Because we only sell businesses to private equity groups, offers are mostly full cash

The Advisory Advantage

Our technology enabled process ensures you have white glove service every step of the way. Investment Banking, Rebuilt for the Real World.

Understand your market value

Our M&A advisors will walk you through what your business is worth, backed by real data.

We will identify and engage hundreds of buyers with relevant operating or investing experience.

Skip endless e-mail chains and upload documents in minutes using our secure portal.

Stay up-to-date on buyer activity in real-time through our centralized deal workspace.

FAQ’s

Answers to frequently asked questions.

What is The Advisory?

The Advisory Investment Bank is a FINRA-licensed M&A firm specializing in physician groups, dental practices, physical therapy clinics, behavioral health providers, and other health and wellness operators who keep communities healthy. We run a full-service, white-glove sell-side process designed to deliver top-tier terms and maximum valuation for founders. Backed by proprietary AI tools and a curated network of strategic and private equity buyers, we uncover every serious acquirer—so you never leave money on the table. We work for you, the business owner.

We maintain detailed profiles on over 4,500 private equity firms and strategic acquirers actively investing in health and wellness businesses across the U.S. Our proprietary AI platform analyzes each firm’s strategy, portfolio, acquisition history, behavior, and geographic focus to surface the most relevant, best-fit buyers for your business. On average, our process identifies 1,000+ qualified buyers per deal—far exceeding the reach of traditional M&A firms.

We partner with profitable, founder-led businesses across the health and wellness economy—physician groups, dental practices, physical therapy clinics, behavioral health providers, and other health and wellness operators. Our clients typically generate $2–100 million in annual revenue and have at least 5 years of operating history. If you’re an operator who’s built something in the real world, we’re built to help you sell it right.

We operate on a 100% success-based model—no retainers, no upfront fees, no surprises. You only pay us when your deal closes. It’s that simple. Our incentives are fully aligned with yours from day one.

Once materials are ready, our clients typically receive qualified offers within 30–45 days, thanks to our streamlined process and AI-driven buyer targeting. From accepted offer to closing, expect an additional 60–90 days for buyer diligence and quality of earnings review. In most cases, deals are completed in 90–120 days total.

Ready to unlock the full value of your business?

Speak with our M&A experts and take the first step toward a faster, more profitable exit.