Medical Practices for Sale and Acquisitions in Texas

A well-structured merger can bring in growth capital, operational support, and negotiating leverage that's hard to access independently — while an experienced advisor keeps your voice and priorities at the center of the deal.

Acquiring an established practice gives a buyer an existing patient base, staff, and referral network from day one — often a faster path to growth than building a new location from scratch.

Healthcare transactions carry unique regulatory, licensure, and payer considerations a general business broker may not know well. We guide pricing, buyer screening, negotiation, and closing steps to reduce risk and protect confidentiality throughout the transaction process.

Patient volume and retention, payer mix, provider dependency, location, and specialty all factor in — along with how active buyer demand currently is for your particular practice type.

Working with a broker who maintains an active network of vetted sellers gives buyers access to opportunities that often never reach the open market, along with the financial and operational detail needed to evaluate them properly.

Physicians with a loyal, engaged patient base who want to preserve the character of their practice — and who are open to buyers experienced in running membership-based care — are often the best fit for this route.

Start with a clear picture of your goals and financing, evaluate opportunities against your criteria, complete thorough diligence, and lean on experienced guidance through negotiation and close.

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.

Texas has 71 federally funded health center organizations (HRSA, 2025), and about 54% of people on Medicare in the state are in Medicare Advantage or other private plans (KFF, 2024). That makes groups focused on value-based care especially interested in primary care practices with many senior patients. Because Texas limits ownership of medical practices to licensed physicians, investor-backed buyers usually work through a management company that partners with a physician-owned practice.

You can see examples of practices we have sold in Texas on our listings page. We can tell you which buyer types are most active for your specialty and location.

In most cases, no. Texas has one of the strictest rules in the country: only licensed physicians may own a medical practice, employ physicians or share in professional fees. The main exception is a nonprofit health organization certified by the Texas Medical Board. Practices are usually set up as a professional association (PA) or a professional LLC (PLLC), and investor-backed buyers work through a management services company that supports a physician-owned practice.

What changed recently: since September 1, 2025, SB 1318 limits physician non-competes, and in January 2025 the Texas Medical Board moved its medical records rules to a new chapter (22 TAC chapter 163). Rules like these change often, so have a health care attorney review the deal structure.

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.

Texas has no state personal income tax, so a building sale is not hit by a state income tax, though federal capital gains tax still applies. We help you compare the options with your CPA before the practice goes to market.

Usually yes. Buyers want to protect the patients and goodwill they are paying for, so a sale agreement normally includes a non-compete for the selling physician.

For physician agreements signed or renewed on or after September 1, 2025, Texas limits non-competes to 1 year and 5 miles from the main practice site and requires a buyout option capped at one year of salary. How these limits apply to a covenant signed as part of a practice sale is less clear, so your attorney should review the time and distance before you sign.

Texas Medical Board rules require records to be kept at least 7 years after the last treatment, and for minors until age 21 or 7 years, whichever is longer.

If you close, sell or move your practice, you must notify patients seen in the last 2 years by letter or email and post a notice in the office and on your website at least 30 days ahead, naming the new custodian if the records change hands. In a sale, the buyer usually becomes the custodian of the records, and we make sure this is written into the purchase agreement.