Valuing a General Practice or Specialist Rooms in Wollongong

A group practice in Fairy Meadow, a GP clinic in Dapto and specialist rooms in the CBD each earn their value differently. What matters is the profit left once consulting sessions are paid at market rates, and every step of that reasoning is written down so it can be tested.

Most medical practices in the Illawarra are valued on capitalised future maintainable earnings. We replace the principal's drawings with a market rate for the sessions they actually consult, remove one-off and related-party items, and divide the result by a capitalisation rate built from a risk-free rate and specific risk premiums. Sales of comparable practices and the resale value of equipment and fit-out are then used as checks.

Why Illawarra practice owners ask for a valuation

A valuation request usually follows a decision that cannot wait. A GP who has run a Shellharbour clinic for decades wants to wind back, and a younger doctor has offered to take over the list. A group in Albion Park Rail has had a call from a larger operator. A specialist with rooms in Wollongong is separating, and the court process needs a figure for the practice interest as at a set date. A lender wants support before funding a second site, or the practice accountant is restructuring the service entity and needs a market value the ATO will accept.

Many established practices in the region were built up by one or two founding doctors, so a good share of valuations here concern succession inside the practice rather than a sale to a stranger. Having the number early shows what the clinic earns when the principal consults less, which is what an incoming partner is really buying. It also lets you separate the price of the goodwill from the price of the years you would be asked to stay on, two things that should be negotiated apart.

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How a practice valuation is put together

The Income Approach comes first. A stable patient list generates recurring fees month after month, and an earnings-based method exists to measure exactly that kind of repeat income.

We build the capitalisation rate in layers instead of choosing it. Long-dated Commonwealth bond yields supply the risk-free rate. An equity risk premium, a size premium and a premium for the health sector go on top, followed by a loading specific to the practice. That loading looks at how much billing depends on one or two doctors, the time left on the lease, the balance of bulk billing and private fees, and the quality of the patient records.

One maintainable earnings figure is usually enough, divided by the discount rate less long-term growth. When the coming years will not resemble the past ones, a discounted cash flow is better suited. A registrar being brought through to partnership, a satellite clinic opening in the western Illawarra, or rooms about to be re-leased at a different rent can each be modelled year by year, which a single multiple cannot show.

Market cross-check

Prices paid for similar practices, measured per full-time doctor or per active patient, show whether the earnings answer is in line with the market. Two or three close matches count for more than a long list of practices that only resemble yours at a distance.

Asset cross-check

Consulting room fit-out, clinical and diagnostic equipment and any imaging machines are restated from book value to what they would sell for now. A practice that trades at a profit should not be worth less than the net proceeds of its assets, so that sum acts as a floor.

Bringing a practice's earnings to a maintainable figure

Two valuations of the same practice most often part ways at this stage, so each adjustment appears in the body of the report with its reasoning. For a medical practice the usual list is as follows.

Where medical practices sit in Wollongong and the Illawarra

Practices here follow the hospitals and the housing. Wollongong Hospital is the tertiary referral centre, and Shellharbour Hospital serves the southern end of the region, both within the Illawarra Shoalhaven Local Health District. Specialist suites tend to cluster in and around the CBD and North Wollongong. General practices are spread from Helensburgh in the north through Fairy Meadow and Unanderra to Dapto, Albion Park Rail, Shellharbour and Kiama. The University of Wollongong also adds a steady stream of younger patients and trainee doctors to the local mix.

Those differences decide which sales make a fair comparison. A specialist suite near Crown Street and a family clinic in Dapto share a region and little else: billing mix, rent, referral reliance and dependence on one name all differ. Payroll tax adds a further layer. Whether payments to contracted GPs are wages under the Payroll Tax Act 2007 (NSW) depends on how the arrangements work in practice, and Revenue NSW administers it, so the way a clinic engages its doctors can change both its earnings and the risk a buyer prices in. We check the position as it stands at the valuation date and do not assume it.

The health sector keeps adding businesses. 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 practices means more sales to compare against, and more buyers competing for clinics with several doctors and a long lease.

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 a practice report contains and why it stands up

A report opens by recording why the valuation was prepared, the standard of value, the valuation date and the documents relied on, including any gaps in them. It then walks through each approach considered, the method chosen under it, every earnings adjustment with its basis, and how the results were weighed into a range.

Weighing is where challenges land. If the report cannot say why earnings were preferred to sales evidence, or why the multiple sits where it does, an opposing expert will find the gap, whether the matter is in the District Court at Wollongong, the Supreme Court of New South Wales in Sydney, or a property settlement under the Federal Circuit and Family Court of Australia. Experts in court proceedings are bound by the Expert Witness Code of Conduct in the court rules. Where doctors share a practice under a partnership with no written exit terms, the Partnership Act 1892 (NSW) can shape what interest is being valued, and the report states the basis adopted. Every report follows APESB, APES 225 Valuation Services and is signed by a certified valuer who will explain and defend it.

One question for any valuer you speak to

Ask which assumption in your practice valuation is most exposed to challenge, and how they would support it under cross-examination. If the answer is slow to come, the work is not finished.

Choosing the report for the practice decision

An Indicative valuation suits a principal who wants a private benchmark before replying to a corporate approach or pricing a junior partner's entry. It is for internal decision-making and is not written for third party reliance. A Summary report covers most partner admissions, internal retirements and lending applications. A Detailed report is the right level for a property settlement, a dispute between practice owners, or any matter where another expert will go through the opinion.

Purpose sets depth. The more likely it is that a judge, a bank, the ATO or an opposing valuer will test the figure, the fuller the report needs to be.

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 GPs and specialists ask us

Nearly always by capitalising its earnings. We start from reported profit, substitute a market rate for the sessions the principal consults, strip out one-off items and charges that were not at arm's length, and reach maintainable earnings. That figure is divided by a capitalisation rate made of a risk-free rate and several risk premiums. Sales of comparable practices and the current value of the fit-out and equipment test the answer rather than replace it.
Where a known change is coming. A settled clinic earns steadily and one maintainable figure describes it well. If a registrar is about to become a partner, a second site is opening, or the lease will be repriced, a discounted cash flow lets each year be modelled on its own terms.
It lowers value to the extent patients are loyal to one doctor and not to the clinic. A buyer cannot acquire the loyalty of patients who would follow a departing practitioner, so that portion is identified and set aside, and only the goodwill that transfers is valued. Clinics with several doctors, sound systems and a location that attracts new patients hold value best.
It acts first on earnings. Whether payments to contracted doctors are wages under the Payroll Tax Act 2007 (NSW) depends on how the arrangements operate in practice, and Revenue NSW administers the tax. Where a liability exists or may arise, we deduct it from maintainable earnings before capitalising, and if the position is unsettled at the valuation date, we reflect it again as a risk loading in the capitalisation rate.
Certified Summary and Detailed reports are ready from seven business days once the information is in. The timing mostly depends on how quickly the clinic can supply its financial statements, lease, service entity agreements and doctor contracts. The report type accounts for the rest.
Yes, though a buyer will usually pay less and ask the founder to stay through a handover. Some patients leave with their doctor and the price allows for that. The more billings are spread across several doctors, the better the systems run without the founder, and the more new patients come because of the address, the more value carries over.
Yes, because the risks differ. Specialist suites in the CBD and North Wollongong depend on referrals and hospital access, and pay rent that reflects the address. A general practice in Dapto or Albion Park Rail depends on a wide local patient base, a growing western Illawarra population and keeping its doctors. Each is set against sales of its own kind, and the capitalisation rate carries whichever referral or doctor concentration risk 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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