How to Sell a Gastroenterology Practice
Learn how to sell a gastroenterology practice: how endoscopy centers and ancillaries drive value, PE platform buyers, preparation, and a competitive sale.
By Carlo Ronci · Sell-Side Representation & Valuations, Tenet M&A
Gastroenterology practices are among the highest-multiple specialties, often around 6–9× Adjusted EBITDA, driven largely by endoscopy center (ASC) ownership plus pathology and anesthesia ancillaries. PE-backed GI platforms compete aggressively for scaled groups. See how this compares in our valuation multiples by specialty guide.
Gastroenterology has been one of the most active specialties in healthcare private equity, with large GI platforms forming across the country. Endoscopy center economics, strong screening demand, and valuable ancillaries have made well-run GI practices highly sought after. For owners, that consolidation wave creates real opportunity — if you understand what today’s buyers pay for and run a disciplined process. This page explains how to sell a gastroenterology practice and how Tenet M&A helps you maximize value.
Tenet M&A advises gastroenterologists on confidential sales, partnerships, and transitions. When you are ready, we help you sell your gastroenterology practice the right way. For the full process, see our complete guide to selling a practice.
Why gastroenterology attracts strong investment
GI pairs high procedural volume with durable, recurring demand. Colorectal cancer screening drives a steady flow of colonoscopies, while ambulatory endoscopy centers let independent practices own the facility revenue that procedures generate. Add ancillaries such as pathology, anesthesia, and infusion, and a GI practice can control several profit pools at once. Those economics are exactly why PE-backed GI platforms have consolidated the specialty so aggressively.
What drives the value of a gastroenterology practice
- Endoscopy center ownership. An ASC/endoscopy interest is often the single largest value driver.
- Screening and procedural volume. Steady colonoscopy and endoscopy demand signals durable earnings.
- Ancillaries. In-house pathology, anesthesia, and infusion add high-margin revenue.
- Provider depth. Multiple gastroenterologists and advanced-practice providers reduce owner dependence.
- Growth and geography. Expansion runway and a desirable market increase strategic appeal.
See our medical practice valuation guide and what buyers value most.
Who buys gastroenterology practices?
GI sellers typically attract PE-backed gastroenterology platforms, health systems, and larger GI groups. Platform buyers often pay premium multiples for practices with endoscopy-center ownership and strong ancillaries, frequently offering equity rollover and physician-led governance with an ongoing clinical role. Weigh the trade-offs in selling to private buyers vs. MSOs or platforms.
How to prepare your gastroenterology practice for sale
Prepare 12 to 36 months ahead. Document endoscopy-center and ancillary economics, strengthen provider depth, keep clean financials with a clear add-back schedule, secure referral relationships, and resolve compliance and coding issues before diligence. These steps directly raise the multiple — see how to prepare your practice for sale.
How Tenet M&A helps you sell a gastroenterology practice
Tenet M&A runs a confidential, competitive process built for GI — a healthcare-specific valuation that captures endoscopy-center and ancillary value, careful preparation, access to GI platforms and strategic buyers, and skilled negotiation of price and terms. Explore our advisory services or start a confidential conversation. This page is educational and not tax or legal advice.
Frequently asked questions about selling a gastroenterology practice
How much is my gastroenterology practice worth?
GI practices are valued on a multiple of Adjusted EBITDA, with endoscopy-center ownership, procedural and screening volume, ancillaries, and provider depth driving the multiple. Practices with an ASC interest can command premium values, and platform buyers may pay more for a strong fit.
Why is private equity so active in gastroenterology?
GI combines high procedural volume, recurring screening demand, and valuable ancillaries like endoscopy centers, pathology, and anesthesia — complementary, high-margin revenue streams that scale well in a roll-up.
Does owning an endoscopy center increase my value?
Typically yes, and often substantially. An ambulatory endoscopy center interest captures facility revenue that platform buyers value highly, frequently making it the largest single driver of a GI practice’s worth.
How long does it take to sell a gastroenterology practice?
Most sales take about nine to eighteen months from preparation to closing. Starting early lets you document endoscopy-center and ancillary economics and run a competitive process.
Carlo built his career at the intersection of finance and medicine. A former owner of a healthcare-focused accounting firm, he specializes in sell-side representation, valuations, and accounting advisory for medical and dental practices.
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