A medical practice in Decatur is priced on adjusted seller’s discretionary earnings after a buyer compares this book to Forsyth — not on a statewide rumor multiple. Illinois CBS-1 (10 business days). No Chicago 45-day city notice unless the business also operates in Chicago. The statewide medical practices playbook is on the industry hub; this page is the Decatur file. Confidential sale. No upfront listing fee.
Confidential • No upfront fees • Illinois statewide
Decatur market
Selling a medical practice in Decatur
A medical practice in Decatur is priced on adjusted seller’s discretionary earnings after a buyer compares this book to Forsyth — not on a statewide rumor multiple. Illinois CBS-1 (10 business days). No Chicago 45-day city notice unless the business also operates in Chicago. The statewide medical practices playbook is on the industry hub; this page is the Decatur file.
Decatur is a Macon County agri-processing city: ADM and related plants, lake and river industry, and a downtown that serves a factory-and-farm MSA, not a campus.
Industrial-service and trucking books track plant schedules and union history. Forsyth’s Hickory Point retail strip is a different buyer than a Decatur plant-services file. Chicago PE is uncommon; environmental and customer-concentration work come before any multiple talk.
Decatur has about 70,522 residents in Macon County, inside the Decatur area. Nearby markets buyers already compare this book to include Forsyth, Mount Zion. That comparison changes who shows up: a buyer who will drive from Forsyth is not the same buyer who will fly in from a coastal platform.
Planning facts
Typical multiple
4x–7x EBITDA
Typical timeline
9–18 months
SBA eligible
Often — confirm
County
Macon County
Population
70,522
Metro
Decatur
Nearby comps
Forsyth, Mount Zion
Closing clock
Illinois CBS-1 (10 business days). No Chicago 45-day city notice unless the business also operates in Chicago
Springfield, Bloomington-Normal, Decatur, and nearby county seats sell to operators who already know the trade area. State-vendor and campus calendars matter on some books.
File CBS-1 on time. Do not paste a Naperville multiple onto a Sangamon or McLean file.
Decatur demand for medical practices is the customer list and the license path — not the Census population figure. About 70,522 residents is context for who already lives in the trade area. It is not a sale price.
Medical Practice in Decatur
What a Decatur buyer will underwrite on this medical practice
A medical practice in Decatur is a personal license plus a panel that will still drive here after the seller leaves. Parking, payer mix, and who can own the clinical entity are Illinois rules; the trade area is Decatur versus Forsyth, Mount Zion. We will not invent a ZIP premium.
Medical Practices statewide typically plan around 4x–7x EBITDA and a 9–18 months process when books and the lease are ready. That is a planning range, not a price for this Decatur shop. Buyers here usually argue payer mix, patient panel size, ancillary revenue streams, physician tenure, compliance record.
Closing clock for this Decatur file: Illinois CBS-1 (10 business days). No Chicago 45-day city notice unless the business also operates in Chicago. License path: IDFPR physician licenses are personal and do not transfer. The industry hub teaches the statewide rule. This URL is the Decatur application of it.
In a major Illinois city like Decatur, physician groups, hospital systems, pe-backed platforms are the names that usually appear on the NDA list. A buyer who will drive from Forsyth is not the same buyer who will fly in from a coastal platform.
Buyer pool
Who buys a medical practice in Decatur
Industrial and owner-operator. Chicago PE is uncommon.
Illustration: a two-physician primary-care clinic in Oak Brook with a employed NP, a Medicare-heavy panel, and the founding physician still carrying 55 percent of wRVUs. Not a closed sale.
A medical practice whose customers already sit in Forsyth, Mount Zion is a larger business than one that stops at the Decatur city limit. Tell the truth about the route. Buyers will map it.
SDE recast
How a buyer will read the books on this Decatur medical practice
Physician-practice buyers underwrite EBITDA after a market-rate physician draw, not SDE that still includes the selling doctor’s under-market W-2. Ancillary (in-house labs, imaging, cosmetics) must stand without the seller’s referral gravity. One-time quality bonuses and COVID-era grants come out. A 4x–7x EBITDA band is planning language for a transferable panel, not a solo hero clinic.
Illustration only — not a quote for any Decatur shop. A medical practice whose tax return shows $527,000 of net profit is not worth $527,000 × a rumor multiple.
Add back the owner’s $207,000 W-2 and payroll tax, $19,000 of discretionary benefits, $2,000 of accepted one-time cost, and $10,500 of personal expenses that a buyer will not run. Then subtract $65,000 of replacement labor if the owner still diagnoses, sells, or closes the books.
Adjusted seller’s discretionary earnings are $700,000. At the planning range 4.0x–7.0x, enterprise value is $2,800,000 to $4,900,000. Mid-range 5.50x is $3,850,000 before debt, working capital, holdback, and tax. A Decatur buyer will argue the multiple after they ride with the staff and read the lease.
At 5.50 times $700,000 of seller’s discretionary earnings, enterprise value is $3,850,000 before debt, working capital, holdback, and tax. That is the planning conversation. It is not a listing-site guess.
SDE line items
Reported net profit (tax return, not the marketing P&L)
+ Interest expense
+ Income taxes (not payroll, sales, or property tax)
+ Depreciation and amortization
+ Owner W-2, bonuses, and payroll taxes on the owner
+ Discretionary owner benefits that a buyer will not keep (auto, personal travel, family on payroll with no role)
+ Accepted one-time or non-recurring expenses
− Market-rate replacement labor for owner work that will not transfer
= Seller’s Discretionary Earnings (SDE)
Illustration recast for a Decatur medical practice — not a quote
Net profit
$527,000
Owner W-2
$207,000
Benefits
$19,000
One-time
$2,000
Personal
$10,500
Replacement labor (subtract)
−$65,000
Recast SDE
$700,000
Planning EV at 5.50x
$3,850,000
Recast Seller’s Discretionary Earnings, then apply a planning multiple for medical practices.
Replacement labor is subtracted. This is a planning tool, not an appraisal.
Recast SDE—
Planning enterprise value—
Before debt, working-capital peg, holdback, and tax. Educational only.
Enter your annual Seller's Discretionary Earnings (SDE) — your net profit plus owner's salary and any personal expenses run through the business — to estimate a range.
$
1x3.0x8x
Estimated Value Range—to—
This is an estimate for planning purposes only. Actual value depends on lease terms, asset quality, customer concentration, and current market conditions. Request a professional valuation for a precise number.
Macon (Decatur) uses state CBS-1 and city licenses. Agri-processing and industrial businesses need environmental and union diligence.
IDFPR physician licenses are personal and do not transfer. Illinois corporate-practice-of-medicine constraints limit who can own the clinical entity; hospital and PE deals use specific structures that Main Street buyers cannot improvise. CLIA, radiology, and controlled-substance registrations sit with the named medical director. Medicare and Medicaid enrollments are change-of-ownership filings, not automatic.
Labor and lease
What has to keep working on Monday after close in Decatur
For a medical practice in Decatur, the first labor question is: Employed providers who stay and a panel that is not the seller’s nickname.
ADM and related processing shape labor and trucking. Forsyth retail is a different buyer than a Decatur plant-services book.
Central Illinois processing city. Cash flow and customer concentration first.
Diligence
What a serious medical practice buyer will open
Levers that move the multiple in this vertical: Employed providers who stay and a panel that is not the seller’s nickname; Clean payer mix and coding file; Ancillary that survives without the founder’s referrals; A legal ownership structure the buyer can actually close into; EMR and lease that do not reset the practice.
Have these ready before anyone hears the name of the Decatur business: wRVU and collections by physician, including the seller; Payer mix, prior-authorization burden, and any hospital alignment; Patient-panel age and attribution that will survive a logo change; Ancillary revenue that is truly employed-provider driven; Malpractice, IDFPR, and billing-compliance history; Lease, EMR ownership, and non-compete enforceability in Illinois.
Buyer tool
SBA payment sketch for a Decatur medical practice buyer
Most Illinois owner-operator acquisitions use SBA 7(a). This is a payment sketch, not an approval.
SBA 7(a) loans are the most common financing for business acquisitions. Estimate your monthly payment and required down payment based on the purchase price.
$
%
%
yrs
Down Payment Required—
Loan Amount—
Est. Monthly Payment—
This calculator provides estimates for planning purposes only. Actual SBA loan terms depend on your credit profile, the specific lender, and current market conditions. Contact us to connect with SBA-approved lenders in Illinois.
Sale steps
How to prepare a Decatur medical practice for sale
Recast this Decatur medical practice. Start with the tax return. Add owner pay. Subtract replacement labor if the seller still does the work a Decatur buyer must hire. Do not treat a spike year as the new normal.
Name who can operate on Monday. List every credential that lets this medical practice pull a permit or see a patient in Decatur, and whether that person stays. Personal licenses do not transfer with the assets.
Tell the truth about the Decatur trade area. Map customers against neighboring towns. Buyers will. A book that already covers those towns is larger than a book that stops at the Decatur limit.
Open the lease and the labor file. Remaining term and assignment in Macon County. Whether the crew can run without the seller living eight minutes away.
Calendar the notices that apply here. Illinois CBS-1 (10 business days). No Chicago 45-day city notice unless the business also operates in Chicago. Start them at letter of intent, not the week of funding.
Read the statewide playbook, then talk. The Illinois medical practices hub is the statute and recast teaching. This page is the Decatur file. Confidential consult — no upfront listing fee.
Answers for owners and buyers in Macon County, including local closing steps.
Illinois medical practices typically sell for 4x–7x EBITDA. Payer mix, patient panel size, ancillary revenue streams, and the sustainability of the practice without the selling physician all affect value.
Yes. Hospital systems are active acquirers of independent physician practices in Decatur. They often pay fair multiples for practices that align with their specialty mix and geographic footprint.
Illinois law requires proper patient notification when a practice is sold or a physician departs. We work with your attorney to ensure all notification requirements are met while maintaining confidentiality through the process.
We maintain a network of physician buyers — including young physicians completing training, employed physicians seeking ownership, and physician group investors. We match your practice to the most qualified candidates.
Significantly. Specialties with strong procedure revenue, minimal call burden, and attractive lifestyle characteristics (dermatology, ophthalmology, orthopedics) often command the highest multiples. Primary care practices sell well to hospital systems and PE groups focused on primary care platforms.
Most Decatur asset sales file Illinois Form CBS-1 at least 10 business days before closing. Macon County does not use Chicago’s 45-day city notice unless the business also operates there. Municipal licenses and the lease still need their own calendar.
The first serious call in Decatur is usually an owner-operator or a neighboring shop, not a coastal fund. Macon County buyers already know the trade area. Seller financing and a clean lease matter more than a headline multiple.
No. The planning multiple for medical practices is a statewide starting point, not a Decatur appraisal. Buyers in Macon County still adjust seller’s discretionary earnings, then argue the lease, licenses, labor, and owner dependency.
Service Area
Medical Practice Brokerage Near Decatur
We serve medical practices owners and buyers across Macon County and the surrounding region.