Your Premier Healthcare Brokerage in Maryland

The most active buyers right now are hospitals and health systems, physician groups backed by private equity, Federally Qualified Health Centers (FQHCs) and individual physicians who want to own a practice.

Maryland has 16 federally funded health center organizations (HRSA, 2025), and about 24% of people on Medicare in the state are in Medicare Advantage or other private plans (KFF, 2024). Medicare Advantage is less common here than in many states, so traditional Medicare and commercial insurance still drive most of the interest.

We can tell you which buyer types are most active for your specialty and location.

Often, yes, but get advice first. Maryland courts have never clearly adopted a corporate practice of medicine ban, hospitals and HMOs may employ physicians, and management agreements with physician practices are common. The Board of Physicians does not give formal guidance on this. Professional corporations are limited to a single profession, and LLCs may provide professional services unless another law says otherwise.

What changed recently: a 2024 law (HB 1388) limits non-competes for health care workers and ordered a state study of private equity in health care. Rules like these change often, so have a health care attorney review the deal structure.

Most practices are valued on their adjusted yearly profit, often called EBITDA or seller's discretionary earnings, times a multiple. The multiple goes up with steady revenue, a loyal patient base, providers and staff who will stay, clean financial records and a practice that does not depend only on you. It goes down with heavy reliance on one payer, falling patient numbers or a short lease.

In Maryland, Medicaid runs mostly through HealthChoice managed care plans, so your mix of Medicaid, Medicare and commercial patients and the plans you contract with weigh heavily in the price. The state has 56 primary care shortage areas, and practices that serve these communities often draw strong buyer interest because patients have few other options.

A confidential valuation is the best way to see where your practice stands.

All three can work, and the right choice depends on your goals and the buyer. Selling the building with the practice gives you one clean exit and more cash at closing, but some buyers cannot finance both. Leasing it to the buyer gives you steady income and often makes the practice easier to sell, as long as the rent and terms are at market rate and the lease is long enough for the buyer's lender. Keeping the building and leasing it to someone else is also an option if you want to hold it as an investment.

Maryland's top income tax rate is 6.5%, counties add their own income tax, and a 2% surtax applies to capital gains for filers with income over $350,000. We help you compare the options with your CPA before the practice goes to market.

Maryland voids non-competes for licensed health care workers in direct patient care who earn $350,000 a year or less, and above that they are limited to 1 year and 10 miles.

The law does not clearly address non-competes signed when selling a practice, so your attorney should review how any covenant in the sale is written.

Maryland requires records to be kept at least 7 years after they are made, and minors' records until they reach adulthood plus 7 years, unless the patient or parent is notified first.

On retirement, closing or death, patients must be notified before records are destroyed or transferred, and a designated custodian must tell the Board in writing that it will follow the rules. In a sale, the buyer usually becomes the custodian of the records, and we make sure this is written into the purchase agreement.