Gastroenterology Practice Valuation
Gastroenterology Practice Valuation Calculator & Exit Planning Built for GI Practice Owners
We built one platform that tracks your GI practice's value monthly, identifies exit gaps early, and ensures your personal finances align with your exit timeline.
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Most GI Practice Owners Have No Idea What Their Practice is Actually Worth
Current GI / Gastroenterology Practice Valuation Multiples (2026)
GI practice valuations are premium due to procedure volume and ASC economics. Here's the market:
Every business is different. That's why you need to track your value.
Included in Your Exit Value is a complete Exit Planning Assessment where you track your progress quarterly against your results from the previous quarter.
Know your number and watch it grow
Most business owners guess at their value. You'll know it with precision.
Our platform uses six proven valuation methodologies to give you a complete picture of what your business is worth today—and tracks how that number changes month over month. No more waiting for annual appraisals or paying $15K+ for outdated reports.
See your trends. Spot opportunities. Make informed decisions
What Actually Drives GI Practice Value
Your clinical expertise matters, but sophisticated buyers evaluate these factors that determine premium pricing:
Procedure Volume
High Colonoscopy/EGD Count
GI economics depend on procedure volume—colonoscopies, EGDs, and other endoscopic procedures. Track monthly procedure counts by physician. Growing volume demonstrates capacity utilization and market demand. Declining volume raises concerns about competition, capacity, or physician productivity.
Low volume = efficiency concerns
ASC Ownership
Owned or Partnered ASC
GI practices with owned or partnered ASCs capture facility fees that hospital-based practices miss. ASC ownership dramatically improves practice economics and is highly valued by acquirers. If you don't own ASC equity, you're leaving significant value on the table.
No ASC = lost facility revenue
Provider Coverage
Multiple GIs + APPs
If you're doing all the scopes yourself, the practice depends on you personally. Having multiple gastroenterologists and advanced practice providers demonstrates capacity and reduces key person risk. Building a team takes time but significantly increases transferability and value.
Solo GI = key person risk
Ancillary Services
Pathology, Infusion, Anesthesia
Ancillary services—in-house pathology, infusion services, anesthesia—capture additional revenue streams. Infusion for IBD biologics, in particular, can be highly profitable. Understanding your ancillary capture helps identify opportunities to improve economics.
No ancillaries = limited capture
Chronic Care Management
IBD, Hepatology Patient Base
Patients with IBD, liver disease, and other chronic conditions provide recurring visits and often high-value treatments. A strong chronic care patient base provides predictable revenue beyond screening colonoscopies. Track your patient panel composition and chronic care revenue.
Screening-only = transactional
Payer Mix
Favorable Reimbursement Contracts
Reimbursement varies by payer—commercial insurance typically pays more than Medicare. Understanding your payer mix and contract rates helps assess practice economics. Practices with strong commercial mix and favorable contracts command better valuations.
Poor payer mix = margin pressure
How to Value a Gastroenterology Practice
The U.S. gastroenterology market includes approximately 14,000 GI physicians practicing across thousands of groups, generating significant revenue from both professional services and ambulatory endoscopy centers. GI has become a top PE target specialty.
EBITDA is the standard valuation method for GI groups, while SDE applies to smaller practices. GI practices typically sell for 2.0x to 3.5x SDE for smaller groups, or 6.0x to 10.0x EBITDA for larger multi-physician practices. Practices with ownership in ambulatory surgery centers (ASCs) can command significantly higher total valuations when the ASC income is included.
Revenue multiples for GI practices generally range from 0.60x to 1.0x annual collections. However, the ASC revenue stream is often the most valuable component and may be valued separately at higher multiples due to its facility fee revenue and growth potential.
The unique valuation factor in gastroenterology is ASC ownership and ancillary revenue. A GI group that owns or co-owns an endoscopy center captures both the professional fee and the facility fee for procedures — often doubling the revenue per case compared to performing procedures at a hospital. Buyers evaluate ASC ownership percentage, case volume trends, payer mix, and whether the ASC has capacity for additional physicians or specialties. Practices without ASC ownership are valued significantly lower.
GI has seen aggressive PE activity from platforms like GI Alliance, US Digestive Health, and Gastro Health. These platforms specifically target groups with ASC ownership and growth potential. Use our free calculator above to get your instant estimate, then track your value monthly with YourExitValue.
Frequently Asked Questions
What multiple do GI practices sell for?
GI practices typically sell for 4.0x – 8.0x SDE or 7x – 14x EBITDA. Practices with ASC ownership, high procedure volume, and multiple physicians command premium multiples.
How does ASC ownership affect GI value?
Dramatically. ASC ownership captures facility fees that hospital-based practices miss. It's one of the biggest value drivers in GI and highly valued by acquirers.
Who buys GI practices?
PE-backed GI platforms (very active—multiple large consolidators), multi-specialty groups, hospital systems, and GI management companies building regional networks.
Does procedure volume affect GI value?
Yes. GI economics depend on procedure volume. Track monthly colonoscopies and EGDs. Growing volume demonstrates capacity utilization; declining volume raises concerns.
Should I add physicians before selling?
If volume supports it, yes. Multiple gastroenterologists reduce key person risk and demonstrate capacity. Solo-GI practices are heavily owner-dependent.
What's the fastest way to increase my GI practice value?
Three high-impact moves: 1) Acquire ASC ownership or partnership interest, 2) Add GI physicians to increase capacity and reduce dependency, 3) Develop ancillary services (infusion, pathology).