Trusted Medical Practice Broker in Massachusetts

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.

Massachusetts has 37 federally funded health center organizations (HRSA, 2025), and about 36% 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. Because Massachusetts limits ownership of medical practices to licensed physicians, investor-backed buyers usually work through a management company that partners with a physician-owned practice.

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

Generally no. Massachusetts courts recognize a ban on the corporate practice of medicine, and the Board of Registration in Medicine's rules leave out ordinary business corporations, so practices are owned by licensed physicians. Physicians can use professional corporations, LLCs, partnerships or nonprofits, and lay investors usually work through a management company that runs only the business side.

What changed recently: a law signed in January 2025 (Chapter 343 of the Acts of 2024) brings private equity firms, significant investors, health care REITs and management companies into Health Policy Commission notice and reporting, and keeps the 60-day notice before closing a material change. 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 Massachusetts, Medicaid (MassHealth) has less than half of its members in traditional 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 66 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.

Massachusetts taxes long-term capital gains at 5%, and a 4% surtax applies to income over $1,107,750 in 2026, which a large one-time sale can trigger. We help you compare the options with your CPA before the practice goes to market.

Massachusetts law voids physician non-competes in employment, partnership and other professional agreements.

Whether this reaches a non-compete signed as part of selling your practice has not been clearly settled, so your attorney should review how any covenant in the sale is written.

Massachusetts requires records to be kept at least 7 years from the last visit, and for minors 7 years or until age 18, whichever is longer.

There is no specific Board rule on notice when closing a practice, but telling patients ahead of time and keeping their records available is the safe approach. In a sale, the buyer usually becomes the custodian of the records, and we make sure this is written into the purchase agreement.