AudiologyOnline Phone: 800-753-2160


MED-EL - Bimodal Streaming - July 2025

Is EBITDA Used for Valuation of a Hearing Care Practice?

Craig A. Castelli, Ronald Gleitman, PhD

April 20, 2015

Share:

Question

Is EBITDA usually the standard valuation for a hearing care practice?  How does that number determine a selling price - is it that number or a multiple?

Answer

Craig Castelli: It will be a multiple.  We will use the EBITDA, which will be the primary input in a variety of calculations.  There is no hard-and-fast rule, but you will see a general range; three to five times EBITDA is standard for smaller businesses, especially in sales to independent companies.  We are looking at more than just applying the multiple to it. 

There is more than one year’s worth of EBITDA.  That would be a steep discount.  It is usually at least three times the EBITDA as a safe floor for a price. 

Ron Gleitman: You will want to have concurrent validity about a price.  You should do multiple methods of evaluation, and there should be overlap in those prices.  That overlap is likely the realistic price.  If you are doing an EBITDA and the multiplier and then you apply your discounted cash flow, for example one price is $500,000 and the next is $475,000.  The price should be traditionally between $475,000 and $500,000.  The person should then analyze the risk involved along with the other opportunity costs or risk. 

Craig Castelli: Yes, it’s always a range.

This Ask the Expert was taken from the course, Advanced Transaction Strategies, by Craig Castelli and Ron Gleitman, presented in partnership with the Academy of Doctors of Audiology.


craig a castelli

Craig A. Castelli

Founder, Caber Hill Advisors

Craig Castelli is the Founder of Caber Hill Advisors and serves as the company's CEO.  He has over 10 years of audiology industry experience and has worked with hundreds of private practices.  He launched Caber Hill because he wanted to transform the business brokerage industry by bringing a higher level of service and professionalism that would produce above average results for his clients.  Caber Hill was formerly the Chicago office of Bridge Ventures, which Mr. Castelli founded in 2010 and rebranded as Caber Hill at the end of 2013. 

At Caber Hill, our mission is simple: to share our expertise with current and future business owners who want to buy, sell, or grow a private practice.  Contact Craig at craig@caberhill.com.


ronald gleitman

Ronald Gleitman, PhD

Vice President of Business Development and Practice Management, Siemens Hearing Instruments

Dr. Ronald Gleitman brings more than 20 years of hearing industry experience to Siemens Hearing Instruments, Inc. 
In his role as Vice President of Business Development and Practice Management, Ron is responsible for increasing market penetration in the Independent sales channel while overseeing the development and growth of SHI’s world-class preferred customer program. 
Ron is an industry veteran with an extensive background in both a corporate and clinical environment. Before joining Siemens, he served as CEO and Executive Vice President of Right Hear, LLC, providing vision and oversight for the company. Prior to that, he worked for Phonak as the Director of Practice Development. Ron also spent many years working as an Audiologist in a clinical setting, including owning his own private practice. 
 
In 1992, Ron earned his Ph.D. in Audiology from Purdue University. He has published numerous articles on 
hearing care and has taught at both Northwestern and Purdue University.


Related Courses

Understanding Privilege, for Healthcare Professionals
Presented by Esther Clervaud, EdS
Recorded Webinar
AudiologyOnline

Presenter

Esther Clervaud, EdS
Course: #36096Level: Intermediate1 Hour
  'The presenter kept my interest throughout the presentation'   Read Reviews
Systems of privilege have created a wide division of inequality. This course will help hearing care professionals identify their privilege and determine how to make a difference in their places of employment.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Creating Leadership in Audiology Through a Mentoring Circle
Presented by Natalie Phillips, AuD
Recorded Webinar
AudiologyOnline

Presenter

Natalie Phillips, AuD
Course: #37632Level: Introductory1 Hour
  'The presenter was very knowledgeable and comfortable discussing this topic'   Read Reviews
There are so many components to quality patient care that it is challenging to “master” them all. What if you could come together with other professionals who possess knowledge or experience that could help you or your practice? There are a number of veteran audiologists as well as rising professionals who have wisdom, qualifications, narratives, and unique journeys to share. The purpose of this talk is to rethink the traditional mentor/mentee vertical relationship and explore collaboration in the form of circle…where all professionals, regardless of age or experience, learn from each other.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Core Topics for Audiology Assistants
Presented by James W. Hall III, PhD, Kathleen Weissberg, OTD, OTR/L, Amit Gosalia, AuD
Recorded Webinar
AudiologyOnline

Presenters

James W. Hall III, PhDKathleen Weissberg, OTD, OTR/LAmit Gosalia, AuD
Course: #37123Level: Introductory3 Hours
  'Great three-part series, thank you!'   Read Reviews
This course includes one hour of content on each of the following topics: 1) ethical concepts and decision-making; 2) universal safety precautions, including the Occupational Safety & Health Administration's (OSHA) bloodborne pathogens standard, and 3) patient confidentiality and the Health Insurance Portability & Accountability Act (HIPAA).

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Engaging Deaf Professionals in the EHDI System
Presented by Sheri Farinha, MA, Julie Rems Smario, EdD
Recorded Webinar
AudiologyOnline

Presenters

Sheri Farinha, MAJulie Rems Smario, EdD
Course: #37893Level: Intermediate1 Hour
  'hearing from deaf professionals and their perspective of how they can help through their lived experiences'   Read Reviews
The course explores ways to draw on Deaf professionals' expertise in working with families of Deaf and hard of hearing infants and young children. A highlight of Deaf people's knowledge, experiences, expertise, and contributions in the EHDI (Early Hearing Detection and Intervention) System will be discussed.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Innovative Audiologic Care Delivery
Presented by Rachel Magann Faivre, AuD, Lori Zitelli, AuD, Heather Malyuk, AuD, Ben Thompson, AuD
Recorded Webinar
AudiologyOnline

Presenters

Rachel Magann Faivre, AuDLori Zitelli, AuDHeather Malyuk, AuDBen Thompson, AuD
Course: #38661Level: Intermediate4 Hours
  'Great content and some new information'   Read Reviews
This four-course series highlights the next generation of audiology innovators and their pioneering approaches to meeting unmet audiologic needs in their communities and beyond. This peer-to-peer educational series highlights researchers, clinicians, and business owners and their pioneering ideas, care delivery models, and technologies which provide desperately needed niche services and audiologic care.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.