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Nine Percent: The Readiness Gap Almost Every Practice Owner Shares — and Why It Isn't Your Fault
By Jacob Lynch, Managing Director, Healthcare Capital Advisors A survey landed this summer that quietly makes the case we make to owners every week — except now the argument is coming from someone else's data. Ensora Health surveyed more than 1,100 licensed therapists for its 2026 Practice Success Report. Ninety-five percent of practice leaders agreed that all five domains of practice health matter. Seven percent actually track all five. Only 18% called their practice “thrivi

Jacob Lynch
Sep 13 min read


The Buyer Pool Just Flipped: Why a Strategic — Not a PE Fund — Is Most Likely to Buy Your Behavioral Health Business in 2026
By Jacob Lynch, Managing Director, Healthcare Capital Advisors If you've been told to expect a private-equity add-on bid for your behavioral health company, your information is a cycle out of date. For two cycles, that was the right expectation. Sponsor-backed platforms were the most active acquirers in the lower middle market; if you ran a clean outpatient group or a mid-size addiction-treatment platform, the natural buyer was a PE-backed consolidator adding to a portfolio.

Jacob Lynch
Sep 13 min read


The Growth-Multiple Era in Behavioral Health Is Over —and the Question Every Buyer Now Asks First
By Jacob Lynch, Managing Director, Healthcare Capital Advisors For most of the last decade, behavioral health valuations ran on a simple engine: cheap capital, a roll-up thesis, and multiple expansion. A platform could buy a string of practices, bolt them together, and sell the sum for more than the parts — not because the businesses got better, but because the multiple did. That era is over, and it isn't coming back on the same terms. You can see it in the names making news.

Jacob Lynch
Sep 13 min read


How to Transition Your 1099 to W-2 Mental Health Practice (and Why It Matters)
Details on how to shift from a 1099 to w-2 business

Lisa Richardson
Apr 59 min read


Why Behavioral Health Organizations Are Turning to Fractional Executives For Help
Need interim behavioral health leadership? We are here to help you with c-suite expertise without the full-time price tag. Behavioral Health Executives to help cover transitions.

Lisa Richardson
Mar 93 min read


How Much Money Do You Need to Start a Private Therapy Practice?
Wondering how much money you need to start a private therapy practice? We outline some of the costs of launching a private practice and how to do it in a smart, fiscally responsible way. At Healthcare Capital Advisors, we support mental health providers every day as they navigate the transition from employee to entrepreneur. One of the most common questions we hear is: “How much money do I need to start my own private practice?” The answer depends on your location, business m

Lisa Richardson
Jul 16, 20257 min read


What Is Your ABA Practice Worth? Understanding Its Value
If you’re wondering what your ABA (Applied Behavior Analysis) practice is worth, you’re not alone. Many business owners eventually face this question. This happens whether they’re thinking about selling, considering bringing on a partner, or simply trying to gauge the value of what they've built. Start With the Right Question The question isn't merely "What is my business worth?" Instead, it’s crucial to ask: "What is my business worth to the right buyer, and why?" Valuation

Jacob Lynch
Apr 30, 20253 min read


The Complete Guide to Selling Your Behavioral Health Company
Selling your behavioral health company is one of the most important business decisions you’ll ever make. Success hinges on thorough preparation, clear thinking, and selecting the right partners. You wouldn't sell a farm during a drought, nor would you unload a great business just because you had a bad week. So, before you do anything, take a breath, grab a pen, and let’s walk through this process the right way. Understand Your Motivation for Selling Ask yourself: Why are you

Jacob Lynch
Apr 15, 20253 min read


What Factors Increase the Value of Your Mental Health Practice?
Your mental health practice is more than just a business—it's an essential community resource that reflects your dedication to increasing access to care and building healthier communities. If you're considering selling, attracting investors, or simply strengthening your practice, knowing what drives value is essential. Let's explore some key factors that can significantly increase the value of your mental health practice based on what buyers are looking for today. 1.

Jacob Lynch
Mar 26, 20254 min read


Is 2025 the Right Time to Sell Your ABA Practice / Pediatric Therapy Company (OT, PT, ST)?
In recent conversations, we’ve been talking with owners of ABA practices and pediatric therapy companies about a question that never goes out of style: Is now the right time to sell? Timing matters in every business transaction, and deciding when to sell is no different. In this post, we’ll walk through key considerations that any thoughtful seller should weigh before making the call to sell in 2025. The best time to sell your practice is when demand is strong and the market

Jacob Lynch
Jan 23, 20256 min read


Why M&A Deals in Behavioral Health Fail
Doing a deal is hard; doing a great deal is even harder. This is doubly true in the behavioral and mental health sector, where the stakes are high, and the landscape is anything but straightforward. Here’s our breakdown of the ten most common reasons deals fall apart—and some practical advice on how to avoid them. 1. Regulatory Hurdles In healthcare, red tape isn’t just a nuisance—it’s a deal killer. Transactions face intense scrutiny from regulators, ranging from licensing b

Jacob Lynch
Nov 28, 20243 min read


Statement on the Impact of the Election on Behavioral Health
The recent election may have brought shifts in political winds, but it hasn’t changed the steady momentum behavioral health providers and advocates have built over the years. Mental health awareness is no longer just a talking point; it’s an imperative woven into our social fabric and healthcare landscape. These gains aren’t going to vanish because of any single election outcome, and we’re confident that both parties recognize the critical role behavioral health plays in Amer

Jacob Lynch
Nov 11, 20242 min read


How to Maximize the Value of Your ABA Therapy Business Before Sale
Thinking of selling your Applied Behavior Analysis (ABA) therapy business in 2024? This year, ABA businesses are appealing to investors and providers as they look to serve more families and expand. Despite challenges like stagnant reimbursement rates and rising operational costs, the market presents a significant opportunity. With careful planning, we believe you can secure a favorable multiple for your company. 10 Steps for Selling Your ABA Therapy Business Step 1: Improve Y

Jacob Lynch
May 15, 20247 min read


Top Areas of Behavioral Health to Invest in 2024
It is a particularly attractive time to invest in behavioral health due to the increasing demand, the anticipated growth of the market, and elevated interest rates, which have brought valuations back down to earth. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), one in five adults in the US have a clinically significant mental health condition or substance use disorder. Investing in behavioral health not only offers the benefits of holding

Jacob Lynch
Apr 27, 20244 min read
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