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The Exit Strategy: A 7-Step Guide to Selling Your GP Clinic

Selling a General Practice is a high-stakes transaction that requires months of preparation. Unlike selling a house, you are selling a complex ecosystem of patients, staff, and revenue streams.

Whether you are retiring or moving on, this guide outlines the roadmap to a successful sale, ensuring you maximise value and simplify your tax obligations.


1. Valuation: What is Your Clinic Worth?


Before listing, you need a realistic price. In Australia, GP practices are typically valued using a multiple of EBITDA (Earnings Before Interest, Tax, Depreciation, and Amortisation).

  • The Benchmark: A stable, mixed-billing clinic typically sells for 3x to 4x EBITDA.

  • The "Normalisation" Process: Your accountant must "normalise" your accounts. This means adding back one-off personal expenses (like your car lease or conference travel) to show the true underlying profit to a potential buyer


2. Preparation: The "Clean Up" Phase (3–6 Months Out)


Buyers hate uncertainty. Prepare a "Data Room" with the following:

  • 3 Years of Financials: Profit & Loss statements and Balance Sheets.

  • Staff Contracts: Ensure all staff have signed, up-to-date employment contracts.

  • Lease Security: If your premises lease expires in 12 months, the business is worth less. Negotiate a new 5+5 year lease option with your landlord before selling.

  • Provider Agreements: Written service agreements for all independent contractor GPs are mandatory for payroll tax compliance.


3. Finding a Buyer


  • Private Sale vs. Broker: You can sell privately (e.g., to an existing associate), but a specialist medical broker can often achieve a higher price by creating competitive tension.

  • Confidentiality: Ensure all potential buyers sign a Non-Disclosure Agreement (NDA) before seeing any sensitive patient or financial data.


4. Heads of Agreement (HOA)


Once an offer is accepted, you sign an HOA. This is a non-binding roadmap that sets the price and key terms (e.g., "Subject to finance approval" or "Subject to due diligence").


5. Due Diligence (The Inspection)


The buyer’s accountant and lawyer will audit your business for 14–30 days. They will check:

  • Payroll Tax Compliance: They will scrutinize your banking flows and contracts for payroll tax risks.

  • Billings Trends: Are active patient numbers declining?

  • Employee Entitlements: The value of Long Service Leave liabilities (which you may need to pay out or deduct from the sale price).


6. The Contract & Settlement


  • Restraint of Trade: Expect to sign a clause preventing you from opening a competing clinic within 5–10km for 3–5 years.

  • The "Earn-Out": Buyers often pay ~80% upfront and ~20% after 12 months, contingent on revenue remaining stable. This protects them if you leave and take loyal patients with you.

7. Tax Implications (The "Sting" vs. The Relief)


Selling a business triggers a Capital Gains Tax (CGT) event. However, medical practice owners often qualify for powerful Small Business CGT Concessions.

Eligibility: Generally, you must have an aggregated turnover under $2 million OR net assets under $6 million.


The 4 Concessions:

  1. 15-Year Exemption: The "Gold Standard." If you are over 55, retiring, and have owned the asset for 15 years, the sale is 100% tax-free. You can contribute up to $1.865 million (2025/26 CGT Cap) into superannuation.

  2. 50% Active Asset Reduction: Reduces the taxable gain by 50%.

  3. Retirement Exemption: Exempts up to $500,000 (lifetime limit) of capital gain. If you are under 55, this amount must be paid into a complying Superfund.

  4. Rollover: Defers the tax if you buy a replacement business asset within 2 years.


Disclaimer

This article is for general information only and does not constitute financial, legal, or tax advice. The "Small Business CGT Concessions" are complex and subject to strict eligibility criteria (e.g., the "significant individual" test). You must consult with a qualified medical accountant and commercial lawyer to assess your specific situation.


© Duwell Health Pty Ltd. All rights reserved.No part of this article may be reproduced, distributed, or adapted without prior written permission from Duwell Health Pty Ltd.

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