Valuation depends on financial performance (EBITDA), payer mix, referral networks, geographic location, reputation, compliance history, and growth opportunities. Well-established centers with diversified referrals often command higher valuations.

Challenges may include regulatory compliance, reliance on referral sources, reimbursement pressures, and owner-dependency. Buyers prefer businesses with strong operational processes and reliable patient volumes.

Buyers often include hospital systems, private equity firms, family offices, and strategic healthcare operators looking to expand in post-acute or specialty care.

On average, the process takes 6 to 12 months, depending on the size of the business, financial performance, and market demand. Having clean financial records and compliance in place can shorten the timeline.