What Your Wollongong Allied Health Clinic Is Worth

A solo physiotherapy room in North Wollongong and a team of podiatrists and exercise physiologists in Shellharbour are weighed against sales of clinics like them, then tested on how much of the caseload stays when the principal treats fewer patients.

Allied health clinics in the Illawarra are normally valued against sales of similar clinics, matched on discipline, number of clinicians, referral sources and lease, with the resulting multiple applied to maintainable earnings. Those earnings are struck after paying the principal a market rate for treatment hours and a separate salary for managing the clinic. Patients loyal to one practitioner count as personal goodwill and are left out.

What prompts an Illawarra clinic owner to ask for a valuation

A change in ownership is usually close. A senior physiotherapist at a Fairy Meadow clinic has asked for a third share. A national allied health group has made an offer for a podiatry business with rooms in Wollongong and Dapto. The founder of a psychology practice in Kiama is retiring, and two associates plan to buy her out. A property settlement needs the clinic valued at a set date. Or the accountant is moving the practice into a company, and the ATO will expect the transfer to be at market value.

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How the value of an allied health clinic is worked out

The Market Approach comes first. Physiotherapy, podiatry, psychology, chiropractic and exercise physiology practices change hands often enough to supply real evidence, and a price agreed between an informed buyer and seller says more about value than a forecast that simply assumes the diary will keep filling.

The weight on the income approach rises as the principal's own caseload falls. If most fees are earned by employed or contracted clinicians and the owner mainly manages, the earnings should survive a sale, and capitalising them is as dependable as the sales evidence. If the principal still sees most of the patients, the comparable sales decide the answer.

In practice we use guideline transactions. Comparable sales are sorted by discipline first, then by treating clinicians, referral sources, suburb and remaining lease term, and value is expressed as a multiple of maintainable earnings. Fees per clinician and per treatment room test that multiple but never set it.

Income cross-check

The principal is costed twice before earnings are capitalised, once at a market rate for each hour of treatment and once at a market salary for running the clinic. Separating the two roles shows the profit an owner who did neither would actually take home.

Asset cross-check

Treatment beds, rehabilitation gym and hydrotherapy gear, ultrasound and shockwave machines, gait and orthotic scanners and the fit-out are each restated to current resale value. The total is the floor, and for a one-practitioner clinic it can be most of the value.

Adjusting an allied health clinic's earnings

Two valuations of one clinic tend to drift apart at normalisation, so each adjustment is shown in the report with its reason. For allied health clinics the usual adjustments are these.

Allied health practice in Wollongong and the Illawarra

Referrals follow the hospitals. Clinics within reach of Wollongong Hospital and Shellharbour Hospital, both part of the Illawarra Shoalhaven Local Health District, pick up more post-surgical and specialist work. A clinic in Dapto, Albion Park Rail or Helensburgh leans more on local GPs and on patients living nearby. The two carry different risks, so neither makes a good comparable for the other. Around Crown Street and Fairy Meadow, many clinics share premises with a gym, a sports club or a medical centre, and the terms of that arrangement can matter more to a buyer than the fit-out. The University of Wollongong also supplies a steady source of graduate clinicians and student patients.

Funders add another layer. In New South Wales, treatment for injured workers is funded through the workers compensation system, which SIRA regulates and icare insures through its schemes. The NDIS, Medicare and private health funds cover most of the remainder. Fees, approvals and payment timing differ between them. A clinic leaning heavily on one of them carries the same risk as a business with one dominant customer, and the capitalisation rate reflects it.

The sector keeps growing. Across Australia, health care and social assistance businesses rose 6.7 per cent between 2025 and 2026, to 227,702 (Source: ABS, Counts of Australian Businesses, June 2026, released 18 August 2026). More clinics means more sales to compare against, and buyers compete hardest for practices with several clinicians and settled referral relationships.

6.7%
rise in Australia's health care and social assistance businesses over 2025 to 2026
Source: ABS, Counts of Australian Businesses, June 2026, released 18 August 2026
227,702
health care and social assistance businesses across Australia at June 2026
Source: ABS, Counts of Australian Businesses, June 2026, released 18 August 2026

What the clinic report sets out and why it stands up

Each report opens with the reason for the valuation, the standard of value, the valuation date and the records relied on, and notes where those records fall short. It explains every approach looked at and the method applied, lists each earnings adjustment with its reason, and finishes with a range in which the weight given to each approach is explained in everyday language.

When a clinic sale or a partner's exit becomes a dispute, the reconciliation is the first thing the other side reads. A report that cannot say why clinic sales outweighed capitalised earnings, or why the multiple landed where it did, gives an opposing expert an easy target, whether the matter is heard in the District Court at Wollongong, in the Supreme Court of New South Wales in Sydney, or as a property settlement under the Federal Circuit and Family Court of Australia. Court experts are bound by the Expert Witness Code of Conduct in the court rules. We work under APESB, APES 225 Valuation Services, and a certified valuer signs each report and is ready to explain and defend the opinion.

A test for any valuer before you sign

Ask which assumption in your clinic valuation an opposing expert would attack first, and how they would answer. If the reply is not ready, the report probably is not either.

Picking the report for your clinic

An Indicative valuation helps an owner decide whether to start a sale or open buy-in talks with an associate. It is for internal decision-making and is not written for third party reliance. A Summary report fits an associate coming in as an equity partner, a sale to a clinic group, or finance for a new fit-out. A Detailed report is the level for a property settlement, a dispute between principals, or any matter where another expert will check the figures.

Consider who will read it in the end. If a court, a lender, the ATO or a second expert is likely to examine the opinion, choose the fuller report.

Indicative

For internal decision-making. Useful for testing an offer, setting an expectation before a negotiation, or deciding whether to go to market. It is not written for third party reliance.

Summary

Sets out the approaches applied, the normalisation adjustments made and the reasoning behind the conclusion. The usual choice for a sale, an ownership change or a finance application.

Detailed

Applies and reconciles all relevant approaches in full. The level required where a court, the ATO, a lender or another expert will review the opinion.

Compare the three report types

Questions Illawarra clinic owners ask us

Mainly by comparing it with sales of similar clinics, matched on discipline, number of treating clinicians, referral sources and lease. The multiple those sales support is applied to maintainable earnings, calculated after a market rate for the principal's treatment hours and a salary for running the clinic. Capitalised earnings and the resale value of the equipment are then used as cross-checks.
Turnover tells you what the clinic bills, not who produces it. If the principal treats most patients, buyers see a business that depends on them, and the value falls. If employed or contracted clinicians produce most of the fees, the earnings are more likely to continue after a sale, which is why the clinician count usually drives the multiple more than revenue does.
The transferable parts are the premises arrangement, the booking and records systems, the brand, the referral relationships and the associate clinicians. Patients who come only for the founder generally cannot be sold, and that personal goodwill is excluded or discounted. Clinical records also carry professional confidentiality duties, so the handover process affects what a buyer can rely on.
They affect it through earnings and risk. Workers compensation work in New South Wales runs under a system that SIRA regulates and icare insures, and the NDIS is a federal scheme. Each has its own fees, approvals and payment timing. A clinic that depends heavily on one funder carries concentration risk, which a buyer prices in through a higher capitalisation rate.
Only if you ask for it, and always as a separate exercise. We first reset the rent in the clinic accounts to a market level, so that a family or trust arrangement neither inflates nor depresses the earnings, and then value the practice on that basis. The property is a different asset with different buyers.
Certified reports are ready from seven business days once the information is in. We ask for three to five years of financial statements, the lease, associate and contractor agreements, an equipment list and a summary of referral sources and funders. How fast those arrive usually sets the timetable.
Not automatically. A clinic close to the hospital may receive more post-surgical and specialist referrals, but it can also face higher rent and heavy reliance on a few referrers. A clinic in Dapto or Albion Park Rail may have a growing local population and loyal GP referrals. Each is compared with sales of its own kind, and the capitalisation rate reflects the referral concentration that applies.

Book a Free Consultation

Talk your situation through with a certified valuer before you commit to anything, at no cost.

Andrew Mackson
Andrew Mackson, CFA, ABV, CBV
Managing Partner · 15+ years
Book a Free Consultation →

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