About HPNA
Healthcare valuation expertise, applied independently.
HPNA was established to provide healthcare business owners and their professional advisers with clearer, more specialised valuation advice.
Healthcare businesses operate within unique commercial, workforce and regulatory environments. Generic valuation assumptions can overlook the factors that materially influence their value. HPNA brings healthcare-sector understanding into every stage of the valuation process.
Independent. Specialist. Defensible.
Independent.
Conclusions reached independently and supported by the available financial, operational and market evidence.
Specialist.
A focus on the operational, workforce, funding and regulatory factors that influence healthcare business value.
Defensible.
Recognised valuation approaches applied to the business, the purpose and the information available.
Fixed fee, published.
Every fee is on the website, set by revenue band and agreed before work starts. It never depends on the conclusion, and HPNA takes no commission from any party.
About HPNA
Who HPNA is
HPNA (Healthcare Business Valuations) is an Australian valuation practice that provides independent business valuations for healthcare businesses, including medical practices, pharmacies, dental practices, NDIS providers, allied health practices, veterinary practices and aged care and community care businesses. HPNA combines accepted valuation methodology with healthcare-sector knowledge to produce clear, independent and defensible valuation conclusions for transactions, shareholder matters, tax and restructures, family law, disputes and planning. HPNA works with business owners and their accountants, lawyers and advisers across Australia.
Why HPNA exists
Valuation advice built for healthcare businesses
HPNA is an Australian valuation practice that values healthcare businesses, and only healthcare businesses, for the people who own them and the accountants and lawyers who advise them. We exist because most valuation models were built for businesses that sell a product to a customer, and a healthcare business does not work that way. Its right to earn revenue usually sits with a person or a permission: a practitioner registration, a provider number, a pharmacy approval attached to a set of premises, a registration with the NDIS Quality and Safeguards Commission. Much of its income is set by programs and payers it does not control. And a material share of its goodwill, the value of the business above its identifiable net assets, may belong to the owner personally rather than to the business.
That last point decides many valuations. Personal goodwill is the value attached to one practitioner's reputation, skill and patient relationships, and it leaves when they do. Transferable goodwill, also called commercial goodwill, is the value that stays with the business after the owner has gone: the location, the systems, the employed and contracted clinicians, the referral pattern and the brand. A valuation that does not separate the two produces a figure that a purchaser, a co-owner or a lawyer can pull apart in a single question.
HPNA exists to do that work properly, for a stated purpose and a stated valuation date, the specific day the conclusion speaks to. A valuation prepared to price a sale is not the same document as one prepared for a restructure or a property settlement, and the purpose changes the analysis rather than just the cover page. Purpose also settles the basis of value. Most of this work is prepared on a market value basis, which the ATO describes as the estimated monetary worth of an asset on the open market at a particular time, based on the most valuable use of the asset and on the amount a willing buyer and seller would agree to in an arm's length transaction, while noting that the definition for tax purposes may vary between particular provisions of tax law and types of asset. A shareholders agreement or a court order can require a different basis again, and the wording of the clause governs. What the figure means changes with it. An assessed value reached on stated assumptions is not a forecast of the price a particular buyer will pay on a particular day, because that buyer brings their own funding, tax position, existing sites and reasons for buying. The situations that bring owners to us are set out under reasons for a valuation, and the engagement itself under how it works.
Specialist healthcare focus
The sectors we value
We value medical practices, pharmacies, dental practices, NDIS providers and allied health practices, including physiotherapy, chiropractic and psychology practices, along with veterinary practices and aged care and community care businesses. Every sector we cover is listed under industries.
These are not variations on one business. At the time of writing, Ahpra works in partnership with 15 National Boards under the Health Practitioner Regulation National Law as in force in each state and territory, and registration under that scheme attaches to the individual practitioner, so a medical or allied health practice depends on registrations it does not hold and cannot sell. What those practitioners bill is also shaped from outside the practice, because the Medicare Benefits Schedule is the listing of Medicare services subsidised by the Australian Government, and a change to an item or to the benefit payable for it can move practice revenue without anything changing inside the business. A pharmacy is different again: under section 90 of the National Health Act 1953 a pharmacist applies to the Department of Health, Disability and Ageing for approval to supply PBS medicines, that approval attaches to the approved premises named in it, and a further application is required to change the ownership of an approved pharmacy. An NDIS provider carries a third set of obligations. A registered provider is assessed by an approved quality auditor against the NDIS Practice Standards, through a verification audit for lower risk, lower complexity supports or a certification audit for higher risk, more complex supports, and most providers that complete a certification audit then finalise a mid-term audit 18 months after the registration date. Ownership is itself a compliance event in that sector: a change of ownership that causes a significant change to the organisation or its governance is one of the circumstances in which the NDIS Commission can require a condition audit during a registration period.
The same reported profit therefore means different things in each sector. It changes what has to be adjusted out of the accounts to reach maintainable earnings, the level of profit the business can reasonably be expected to repeat under a new owner, and it changes the risk that a purchaser is being asked to accept, which is what the multiple applied to those earnings reflects. The method follows the business rather than the other way round: capitalisation of future maintainable earnings where a practice has a settled trading history, discounted cash flow where earnings are expected to change materially and can be forecast with support, a net asset basis where the business is asset-heavy or is not trading profitably, and evidence from comparable transactions used as a cross-check where reliable evidence exists. Healthcare business valuation methods explains each approach, what is maintainable earnings covers the earnings step, what drives the value of a healthcare business sets out the factors we test, and does a medical practice have transferable goodwill works through the hardest question of the four.
- Medical Practices
Medical Practices
Independent valuations for general practices, specialist clinics, multidisciplinary medical centres and other privately owned medical businesses.
- General practices
- Specialist medical practices
- Medical centres and service entities
- Multidisciplinary medical clinics
- Pharmacies
Pharmacies
Independent valuations of community pharmacies and pharmacy groups that account for the section 90 approval, the Pharmacy Location Rules, 8CPA remuneration, script mix, margins, professional services and state ownership limits.
- Community pharmacies
- Pharmacy groups
- Shopping centre pharmacies
- Discount pharmacies
- Dental Practices
Dental Practices
Independent valuations of general and specialist dental practices and dental groups, including an assessment of principal dentist dependence, the active patient base, health fund network exposure, equipment renewal and transferable goodwill.
- General dental practices
- Specialist dental practices
- Orthodontic practices
- Multi-chair dental clinics
- NDIS Providers
NDIS Providers
Independent valuations of registered and unregistered NDIS providers, informed by participant concentration, support mix, price limits, workforce structure, Commission compliance and the transferability of registration and goodwill.
- Supported independent living (SIL) providers
- Specialist disability accommodation (SDA) owners
- Daily living and community participation providers
- Support coordination businesses
- Allied Health
Allied Health
Independent valuations of multidisciplinary and single-discipline allied health practices, from physiotherapy and psychology to occupational therapy and speech pathology.
- Multidisciplinary allied health practices
- Physiotherapy practices
- Chiropractic and osteopathy practices
- Psychology practices
- Aged Care and Community Care
Aged Care and Community Care
Independent valuations of residential aged care homes, Support at Home providers, Commonwealth Home Support Program services and community care businesses, built around Aged Care Act 2024 registration, AN-ACC funding, refundable deposits and care minutes.
- Residential aged care homes
- Support at Home providers
- Commonwealth Home Support Program providers
- Community nursing and home care services
Independent approach
What independence means in practice
Independence is structural, not a tone of voice. HPNA is engaged to reach a conclusion, not to support one that has already been settled. We do not sell healthcare businesses, we do not act as a broker or selling agent, and we take no commission or referral payment from a transaction, a purchaser or a financier. The fee is agreed before the work begins and does not move with the figure we reach or with whether a deal proceeds.
Part of what independence means here is that the fee is published rather than quoted case by case. The schedule sets a fixed amount by the annual revenue of the business being valued, and it is on the website, so anyone can see what the engagement costs before deciding whether to make an enquiry, and the person on the other side of a transaction can see it too. That is a deliberate contrast with how a figure is usually produced. An appraisal from a broker or agent is often provided at no charge because the broker is paid a commission when the business sells, which means the same person who states the number is paid more when the number is higher and paid nothing if no sale occurs. Charging by the hour avoids that, but leaves the cost unknown until the work is finished. A fee that is published, fixed by band, agreed in writing before work starts and unaffected by the conclusion removes the question entirely, which is why it belongs in the same paragraph as the rest of our independence rather than in a footnote.
That structure matters most when the report is read by someone other than the person who paid for it. At the time of writing, the ATO expects a taxpayer engaging a valuer to have set out the scope and purpose, acknowledged the valuer's independence to draw conclusions and write the report, and stated that any fee is not dependent on the outcome of the report. The Federal Circuit and Family Court of Australia (Family Law) Rules 2021, as in force at the time of writing, put it more strongly again for an expert giving evidence in a family law proceeding: the expert's duty to the court prevails over the obligation to the person instructing or paying them, and the opinion must be objective, unbiased, independent and impartial. Those expectations shape how we reason in every engagement, whatever the purpose the valuation is prepared for.
Independence also shows in what a report is willing to admit. Our reports record the purpose, the valuation date, the information relied on, the assumptions made, the reasoning that connects them to the conclusion and the limitations that follow, including the places where information was not available. That reflects what those rules require of an expert's report, which must give the reasons for the conclusions, describe the methodology used, set out the facts and assumptions the opinion rests on, summarise any range of opinion on the matters dealt with, and disclose where an opinion is not a concluded one. A conclusion that hides its assumptions cannot be tested, and a valuation that cannot be tested is of little use in a negotiation, a restructure or a dispute. Business valuation versus business appraisal explains where that line sits.
Working with advisers
How HPNA works with owners, accountants, lawyers and advisers
Most engagements involve at least three parties: the owner, HPNA and the owner's accountant. The accountant usually holds the material the valuation needs, including financial statements, tax returns, depreciation schedules, company and trust records and contractor or service agreements, and understands why the figures look the way they do. We ask rather than assume. Where an adjustment to reported earnings turns on how something has been treated, the question goes to the accountant and the answer goes into the report.
Contractor arrangements are the example that comes up most often. Revenue NSW ruling PTA 041 explains that a contract between a principal and a contractor may be a relevant contract under Division 7 of Part 3 of the Payroll Tax Act 2007 (NSW), in which case the principal is deemed to be an employer, the contractor a deemed employee and payments under the contract for the performance of work deemed wages, and the ruling applies to entities conducting a medical centre business, including dental clinics, physiotherapy practices and radiology centres that contract with practitioners. Payroll tax is a state and territory tax, so the position in each jurisdiction differs and should be confirmed with your accountant or lawyer. For a valuation the point is narrower: the earnings a purchaser could expect to repeat depend on how the arrangement actually operates and on the cost base that would come with it, so we set out what we have been told and what we have assumed rather than resolving the tax question ourselves. See payroll tax, contractor arrangements and medical practice value.
Lawyers come in where the valuation has a legal purpose. In a family law proceeding the parties may agree to jointly appoint a single expert witness, and the court rules provide that a party must not communicate unilaterally with that expert and that any communication must be given to the other parties at the same time, so instructions and questions travel through both sides. In a shareholder or partnership matter the valuation usually has to answer the precise question posed by the shareholders agreement or the buy-sell clause rather than a general question about worth: whether the subject is the whole business or a parcel of shares, whether that parcel carries control or is a minority interest that cannot direct distributions or force a sale, and whether the figure is an enterprise value, the value of the business and the assets used in its operations before borrowings, or the equity value that follows once net debt is deducted, any surplus or non-operating assets are added and any adjustment for a normal level of working capital has been made. See family law valuations, share and equity valuations and shareholder dispute valuations.
Working closely with advisers does not blur the roles. HPNA does not provide legal, taxation or financial advice and does not decide whether a transaction or a restructure should go ahead. We provide the valuation and the reasoning behind it so the accountant, the lawyer and the owner can each do their own work with it. See tax and restructure valuations and succession planning valuations, or speak with us about a matter that is already under way.
Our team
The people behind HPNA valuations
Jackson Wilson
Founder and Signing Valuer
- B.Bus (Finance)
- RG146
- Valuing businesses since 2013
Jackson founded HPNA to bring healthcare-sector knowledge into valuation work that is too often done with generic assumptions. He signs the reports HPNA produces and is accountable for the methodology, the concluded valuation position and the independence declaration on each engagement, so there is always a named specialist standing behind the number.
He is also the founder and signing valuer of Oliver Group Valuations, HPNA's sister practice, where he has valued businesses across a range of industries since 2013. HPNA applies the same discipline to healthcare businesses specifically: practices, pharmacies, NDIS providers and allied health, where value turns on funding arrangements, practitioner dependence and how much of the goodwill would survive a change of owner.
Where we work
Healthcare valuations across Australia
HPNA works throughout Australia, in every state and territory, metropolitan and regional. Most of an engagement is conducted remotely. Information is exchanged securely, questions are handled by email and video meeting, and the draft and final report are delivered electronically. Distance is rarely the constraint on a valuation; the quality and completeness of the information usually is.
Where a physical inspection changes the answer, we attend the premises by arrangement. That is more likely where fitout, plant, stock or the physical position of the site carries real value: a pharmacy holding a shopping centre lease, a dental practice with several surgeries and imaging equipment, or a site used by an aged care or disability provider. Location also enters the analysis directly, through local workforce supply, competing providers nearby and lease terms. For pharmacies it enters through the approval itself, because PBS medicines may only be supplied at or from the approved premises listed in the approval and the PBS approval number is used solely for those premises. An application to establish a new pharmacy or to relocate an existing one is considered by the Australian Community Pharmacy Authority against the Pharmacy Location Rules, and where the Authority does not recommend the application a pharmacist may ask the Minister to use the discretionary power under section 90A of the National Health Act 1953. Request a valuation with the sector, the state or territory and the purpose, and we will confirm what the engagement requires.
Professional values
How we work
Independence first
We are engaged to reach a conclusion, not to confirm one. No brokerage, no commission and no fee that varies with the figure in the report. The fee schedule is published, so the basis of it can be checked before we are engaged.
Evidence over assertion
Every material adjustment and every risk we weigh is traced to a document, a record or an answer we have been given, and the trail is set out in the report.
Healthcare only
Healthcare businesses are the only businesses we value. The narrowness is deliberate: it is what allows sector-specific questions rather than general ones.
Plain explanation
An owner should be able to follow the reasoning without a valuation background, and an adviser should be able to test each step of it.
Care with information
Practice financials, patient and participant data and shareholder arrangements are handled confidentially and used only for the engagement they were provided for.
FAQs
About HPNA: frequently asked questions
Who does HPNA work with?
Owners of Australian healthcare businesses and the professionals advising them. That includes sole practitioners and practice partnerships, companies and trusts operating clinics, pharmacies and NDIS or community care services, and the accountants, lawyers and financiers acting for them. We are also engaged by an incoming purchaser or partner who wants an independent view before committing, by co-owners settling an entry or exit price, and by executors dealing with an estate that holds a practice interest.
Does HPNA sell healthcare businesses or act as a broker?
No. HPNA is a valuation practice only. We do not list businesses for sale, introduce buyers to sellers, negotiate terms or take a commission, referral payment or success fee from a transaction. That separation is the point of the model: an adviser paid on completion has an interest in a deal proceeding, and a valuer cannot. We can value a business that is being prepared for sale. See sale and exit valuations and preparing a healthcare business for sale.
Does HPNA value the whole business or a shareholding?
Either, and which one is settled before the work starts because it changes the analysis. Valuing the business means valuing its operations and the assets used in them, an enterprise value measured before borrowings. Valuing a shareholding means working from that to an equity value: net debt is deducted, any surplus or non-operating assets are added, and an adjustment is made where the business is carrying more or less than the working capital it needs to trade. The next question is what the particular parcel is. A parcel that carries control is not the same asset as a minority interest that cannot direct distributions or force a sale, and a shareholders agreement often prescribes how the parcel must be valued. See share and equity valuations.
Will HPNA work with my accountant?
Yes, and in most engagements we do. The accountant generally holds the financial statements, tax returns, depreciation schedules and entity records the valuation relies on, and can explain how items have been treated over the period under review. Working directly with them shortens the information stage and reduces the number of assumptions we have to make. It does not compromise independence: the accountant supplies information and context, and the valuation conclusion remains ours alone.
How is independence protected?
Through the terms of the engagement and the content of the report. The scope, the purpose and the valuation date are agreed and recorded before work starts, the fee is agreed in advance and does not depend on the conclusion, and no commission is received from any party to a transaction. The fee schedule is published rather than quoted case by case: a fixed amount set by the annual revenue of the business being valued, so the basis of it can be checked before we are engaged. The ATO expects a taxpayer engaging a valuer to have acknowledged the valuer's independence and to have stated that the fee is not dependent on the outcome of the report. The assumptions, information relied on and limitations are then stated in the report so the reasoning can be tested by anyone reading it.
Does HPNA give tax, legal or financial advice?
No. HPNA prepares valuations and explains the reasoning behind them. We do not advise on the tax consequences of a transaction or restructure, we do not act on a legal question, and we do not recommend whether a deal, a buy-out or a succession plan should proceed. Those decisions sit with you and with your accountant, lawyer or licensed adviser, and everything on this website is general information rather than advice. Where a valuation depends on a tax or legal position, for example how a contractor arrangement is characterised, we state the position we have been instructed to adopt and the assumption we have made, so your advisers can test it.
Can an HPNA report be used for legal and tax purposes?
That depends on the purpose agreed at the outset, which is why we settle it first. A report prepared for internal planning is not automatically suitable for the ATO, a court or a lender, because each expects different content and a different level of support. The ATO expects a valuation report to state its purpose and scope, the asset valued, the date it was conducted, whether it is retrospective, the records explaining the basis of the market value and the value itself. It also states that a taxpayer who engages and properly instructs a professional valuer will generally not face penalties if the valuation is found to be deficient. Where the purpose is legal, the format follows the relevant rules and your lawyer's instructions. Tell us the purpose, and confirm the requirements with your accountant or lawyer.
Make your next decision with a clear understanding of value.
Tell us about your healthcare business and the purpose of the valuation. We will confirm the appropriate scope, information requirements, timeframe and the fee band that applies.
