Looking for advice from a non-licensed operator of wellness clinics (Acupuncture/Chiro/Med-Spa)
January 15, 2026
by a searcher from INSEAD in Seattle, WA, USA
Searchfund community — I’m based in WA State and looking at acquiring wellness clinics (acupuncture, chiropractic, naturopathic, and medspa) using an MSO model as a non-licensed operator.
Would love perspectives and insights on:
• Structuring PC/PLLC + MSO to stay clearly compliant in WA State?
• Economics: What MSO fee approaches are working in practice (e.g., fixed FMV admin fees, cost-plus, per-service pricing) while avoiding fee-splitting concerns?
• Valuation: What multiples are you seeing/underwriting for 2026–2027 (by specialty if possible)?
• Exit paths: Most realistic exits (strategic/MSO platform, PE add-on, recap, etc.) and what buyers care about most?
If you’ve done deals in WA or west coast states with tighter regulations, I’d greatly appreciate a quick reply or DM.
Thanks!