Selling your HOF clinic: how to assess its value

· 7 min read

Editorial illustration about selling an HOF clinic

Quick facts

What is sold
Facilities, equipment, brand, contracts and, with limits, the patient base
Sensitive point
Patient data and records are not merchandise
Basis of value
Recurring earnings and organization, not just revenue
Caution
Formal valuation and a contract drafted with an accountant and a lawyer

At some point, every clinic owner asks: "what if I sold all of this?". It might be exit planning, a move to another city, a partnership that did not work out, or an offer that arrived without warning. The difficulty is that an orofacial harmonization (HOF) clinic is a peculiar business: part of the value lies in the walls and the equipment, but a good portion lies in the trust patients place in one person, and that trust cannot be transferred by contract.

This guide explains what makes up the value of an HOF clinic, how to prepare before any conversation, what to do with the patient base and the records, and what risks arise in the negotiation. There are no magic formulas or market ranges: the real value comes from a formal valuation. The legal references on this page are those of Brazil. If the question is bringing in a partner rather than selling, see partner in the HOF clinic.

What makes up a clinic's value

A rational buyer looks at what the clinic delivers repeatably and how much of that remains after the owner leaves.

Component What the buyer looks at Common weakness
Equipment and facilities Condition, age, legal standing, location Items without invoices or maintenance
Recurring earnings Stable profit over time Large swings between months
Brand and presence Name, website, Google listing, social media Brand confused with the owner's name
Contracts Lease, suppliers, staff Informal or expiring contracts
Team Professionals and employees who stay Dependence on one key person
Processes Written routines and documents Everything "in the owner's head"
Compliance Business permit, licenses, and registrations Health or tax issues pending
Patient base Loyalty and history (with limits) Disorganized data or no legal basis

Note that revenue appears only as a backdrop. What is valued is the earnings, after costs and the owner's salary. A clinic that bills well but depends on discounts, on the owner's excessive hours, and on hidden costs is worth less than its revenue suggests.

The owner factor: how much of the clinic is you?

In HOF, the patient usually chooses the person, not the clinic. That is an emotional asset and a transfer problem. The buyer asks: if the owner leaves, do the patients stay?

To make the clinic more transferable before any sale:

  1. Build the clinic's brand, beyond your personal brand. See HOF clinic name and brand and the HOF professional's personal brand.
  2. Spread patient care across other professionals, so the patient knows more than one face.
  3. Document processes in a simple manual, as in the clinic's process manual.
  4. Reduce dependence on the owner's schedule and personal referral network.
  5. Organize the team with clear roles and regular contracts.

Financial and document preparation

Someone who sells with the numbers in order negotiates better. Getting organized takes time, and it is not done in the week the offer arrives.

If the books are not organized, the clinic will look less valuable and riskier. The HOF clinic indicators show the numbers that usually matter, and the accountant for an HOF clinic can lead the formal valuation.

The patient base: what is and is not allowed

This is the most delicate and most misunderstood point. Patient data does not belong to the clinic as merchandise to be sold, and patient records are subject to professional confidentiality.

What is usually possible, in general terms, is to organize a transition of care in which patients are told about the change and decide whether to stay with the new provider, and in which access to records follows the applicable rules. The contract should state who is the custodian of the records, for how long, and how patients access their own data. See patient record retention period, LGPD in patient records and photos, and disposal of patient photos and data.

You also need to look at what the buyer inherits. A clinic that keeps patient photos on personal devices, in messaging conversations, or in uncontrolled cloud storage needs to sort this out beforehand: the buyer should not receive a data liability.

How a value is reached

There are several valuation approaches, and each emphasizes something different. You do not need to master the technique, but it helps to understand the logic when talking to the specialist.

  1. By assets: adds up the value of equipment, stock, and improvements, minus debts. It usually gives the floor.
  2. By earnings: looks at recurring profit, after paying the owner, and the risk that it falls. It is the basis of many negotiations.
  3. By comparison: looks at similar deals, when reliable information exists, which is rare for small clinics.
  4. By future cash flow: projects expected earnings and brings them to present value. It requires well-justified assumptions.

The final range comes from the combination, and it is negotiated. The hypothetical example that follows shows only the logic: if annual recurring earnings after paying the owner are R$ 240,000.00 and the buyer agrees to pay the equivalent of two years of those earnings, the negotiated value would be R$ 480,000.00, give or take adjustments for assets and debts. The multiple and the adjustments vary widely, and this number is not a benchmark. A break-even simulator and the monthly net profit calculator help you understand real earnings.

Clauses that usually go into the contract

Selling a healthcare business has its peculiarities. Bring these to the conversation with your lawyer:

  • Subject of the sale: what is included (equipment, brand, location, contracts) and what is not.
  • Payment terms, with guarantees, deadlines, and the consequences of delay.
  • Transition period, in which the seller introduces the clinic to the team and the patients.
  • Non-compete: a time and area limit, within what the law allows.
  • Liabilities: debts, lawsuits, and issues from before the sale, and who is responsible.
  • Lease and staff contracts: assignment or a new contract.
  • Data and records: custody, access, and responsibility.
  • Use of the brand, website, and social media.

Alternatives to a full sale

Selling everything is not always the best exit. Depending on the goal, other options may fit, such as bringing in a partner, a partial sale, leasing the facility, or converting the model to a shared room. Compare with rented room or own clinic and with expanding the HOF clinic before deciding.

If the clinic comes to run on standardized processes, its value tends to be higher and the transition simpler. This even includes how the plan is presented: in Harmy, marking, planning, and the PDF quote follow the same sequence for any professional in the clinic, with the logo and contact set up in My clinic, which contributes to an identity that does not depend on a single person.

Quiz: what will the buyer ask?

The first step

Before listening to any offer, spend three months organizing numbers, contracts, and processes, as if you were going to sell. Even if the sale never happens, the clinic ends up more profitable, safer, and less dependent on you. And when the opportunity appears, you negotiate like someone who knows their own business.

Frequently asked questions

How do I know how much an HOF clinic is worth?

Value combines assets (equipment, facilities), recurring earnings, brand, contracts, and dependence on the owner. There is no single formula; a valuation by an accountant or a business-valuation specialist gives a well-founded range.

Can I sell the patient base?

Patient data and records have legal protection and professional confidentiality. Instead of selling lists, the usual approach is to organize a transition of care, informing the patient and respecting LGPD (Brazil's data protection law) and the professional council's rules.

What happens to patient records in the sale?

They have a retention period and are subject to confidentiality. Responsibility for custody should be set out in the contract, and the buyer's access depends on the legal basis and the applicable rules.

Is a clinic that depends on its owner worth less?

Generally yes, because the value is concentrated in one person. The more the clinic runs on its own processes, team, and brand, the more transferable it is.

Do I need a contract and a lawyer to sell?

Yes, it is strongly recommended. The negotiation involves a sale contract, transition, non-compete, responsibilities, and liabilities, which a corporate lawyer should review.

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