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Veterinary Practice EBITDA Multiples: 2026 M&A Data

Solo practices sell at 4-6x EBITDA. Multi-doctor at 8-12x. National platforms pay 10-16x. Here's what drives the multiple and how to increase yours before selling.

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The veterinary M&A market is on fire. Over 500 practice transactions closed in 2025 alone, with corporate consolidators and PE-backed platforms competing aggressively for quality practices. If you're thinking about selling — or just want to know what your practice is worth — understanding EBITDA multiples is essential.

Current EBITDA Multiples (2026)

Buyer TypeMultiple RangeTypical Deal Size
Individual buyer (associate)4-6x EBITDA$200K-$800K
Small group (2-5 locations)6-8x$500K-$3M
Regional consolidator7-10x$1M-$10M
National platform (NVA, VetCor, etc.)8-12x$2M-$20M
Mars/VCA-level acquirer10-16x$5M+

What Drives Higher Multiples

Revenue Over $1.5M

Practices under $1M revenue are considered "small" and attract 4-6x. Above $1.5M, corporate buyers get interested and multiples jump to 7-10x. Above $3M, you're in platform territory at 10x+.

Multiple Doctors

A solo practice has key-person risk — if the owner leaves, the practice may lose 30-50% of revenue. Multi-doctor practices with associate retention demonstrate sustainability and command 1-2x higher multiples.

Revenue Per Exam Room Above $500K

This metric tells buyers the practice is operationally efficient. Below $350K/room signals underperformance. Above $550K signals a well-run practice with upside through the acquirer's operational playbook.

Growth Trajectory

A practice growing 5-10% annually commands higher multiples than a flat or declining practice — even at the same EBITDA. Buyers pay for momentum.

Clean Financials

EBITDA add-backs are standard (owner compensation above market rate, personal expenses run through the practice, one-time costs). But messy books with unclear add-backs create risk for buyers. Two years of clean P&L with clear documentation of add-backs = higher multiple.

How to Calculate Your EBITDA

EBITDA = Earnings Before Interest, Taxes, Depreciation, and Amortization.

  1. Start with net income from your P&L
  2. Add back: interest, taxes, depreciation, amortization
  3. Add back: owner compensation above market rate ($120K-$170K for an associate DVM)
  4. Add back: personal expenses (owner's car, phone, health insurance if above market)
  5. Add back: one-time expenses (lawsuit, renovation, equipment that won't recur)
  6. Result = Adjusted EBITDA (also called Seller's Discretionary Earnings for solo practices)

Typical EBITDA margins in veterinary: 15-22% of revenue for well-managed practices. Below 15% suggests operational issues. Above 22% is exceptional and usually involves high-margin services (emergency, specialty).

Valuation Example

Line ItemAmount
Gross Revenue$2,200,000
Net Income (per P&L)$180,000
Add back: owner comp above market+$130,000
Add back: personal expenses+$25,000
Add back: depreciation+$45,000
Add back: interest+$15,000
Adjusted EBITDA$395,000
EBITDA margin18%
Valuation at 8x$3,160,000

How to Increase Your Multiple Before Selling

  • 12-24 months before: Hire a second doctor to reduce key-person risk
  • Clean up P&L: Stop running personal expenses through the practice
  • Grow revenue 5-10%: Add services (dental, ultrasound, laser therapy)
  • Increase per-room revenue: Target $500K+ per exam room
  • Lock in associates: Offer contracts with non-competes
  • Document SOPs: Buyers want turnkey operations, not tribal knowledge

Model Your Practice Valuation

Use our free Vet Practice Revenue Calculator to see your per-room revenue, benchmark against industry data, and estimate your practice valuation based on current production.