Hygiene specialist with 300 practices on annual packages
You work alone with two employees. The model works, but it does not scale without you.
Does this sound familiar?
Two situations we know
QM alongside billing
You offer QM to your billing clients. Both should go to one owner together.
Your day-to-day, as we know it
This is what happens in your business before anyone talks about succession
Inspection by the authority
The supervisory authority asks for the hygiene plan, reprocessing records and proof of expertise. The practice then looks for documents you should have been maintaining all along.
Reprocessing of medical devices
Classification, validated procedures and batch release under the MPBetreibV must be documented. One gap is enough for a complaint.
Outdated QM manual
The G-BA QM directive requires a system that is actually used. When the KV takes a sample, current records are often missing.
Staff turnover
The hygiene officer leaves, and the briefings for the new colleagues are missing. You start over with signature lists.
How we measure your company
The metrics we look at in the first call
We look at the numbers you use to run your business yourself. The right column shows our acquisition criterion.
| Metric | What it tells us | Our benchmark |
|---|---|---|
| Share of annual contracts | How recurring your revenue is. | The more annual contracts, the better. |
| Number of practices served | How broad your client base is. | We look for a broad spread. |
| Renewal rate | How firmly practices stay with you after the first year. | We look for multi-year client relationships. |
| Mix of medical and dental practices | How well you cover both worlds of reprocessing. | We look for experience in both areas. |
| Fit with a billing or back-office platform | Whether your service fits existing clients of a larger group. | Only as an add-on to a platform. |
What actually changes after the acquisition
Step by step
We automate the desk work. Professional decisions and customer contact stay with your people.
TodayAdapt the hygiene plan and QM documents for each practice
With GTPDrafts are built from the practice profile, equipment and range of services. The hygiene specialist checks and approves.
TodayTrack deadlines for validation, maintenance and briefings
With GTPA calendar per practice sends reminders automatically. Your team steps in when a deadline is at risk.
TodayReview reprocessing records and batch documentation
With GTPThe system checks records for gaps. The specialist assesses anything unusual and trains the practice.
TodayPrepare inspections
With GTPA checklist of missing records is ready in advance. Support on site stays with your specialist.
Your systems stay in use:QEP (KBV)
AI potential in the segment
How much desk work can really be automated here
This is GTP's assessment. We show it upfront so you can see what we will work with after the acquisition.
Generate hygiene plans per practice
A language model creates hygiene plans from the practice profile and the state ordinance. The specialist approves them.
Inspection reports from dictation
Speech recognition turns inspection notes into finished reports with a defect list and deadlines.
Monitor deadlines and records
A scheduling module monitors validations, training and inspections and sends reminders automatically.
What limits the technology here
On-site inspections and the validation of reprocessing equipment remain manual work, because the G-BA directive and state ordinances require personal proof.
What this means for you
Your specialist keeps doing the site visits, the system writes the documentation and keeps track of deadlines.
There is no reliable public study on the level of automation in this segment. The assessment comes from GTP.
What we want to see
The documents we need
After the first call and the non-disclosure agreement, these five documents are enough for a solid offer.
- Client list with contract type, term and annual revenue per practice
- Template contracts and service description for hygiene and QM
- Qualification certificates of employees, such as hygiene specialist and reprocessing expertise
- Template library: hygiene plans, QM manuals, briefings
- Liability provisions and insurance cover for advisory errors
What we buy
Our acquisition profile for this segment
Criteria
- Annual contracts as the core of the business
- 5 or more employees
- Only as an add-on to a billing or back-office platform
- Documented inspection and audit processes
Value drivers
- Annual packages with automatic renewal
- Validation equipment in-house
- Client base matches billing
Value reducers
- High share of individual consulting alongside the packages
- Know-how held by one person
- Inspection reports without a standard template
How you can tell we know your business
Three facts you can quote
- 01QM has been mandatory for statutory health insurance physicians since 2006 under the G-BA directive.
- 02State hygiene ordinances require hygiene plans and validation of reprocessing in practices.
- 03About 100,000 medical practices (assumption, KBV practice type statistics) and 37,423 dental practices (KZBV 2024) are in the target group.
Market range, third-party source
What comparable companies trade at in the market
| Size class | EBITDA multiple |
|---|---|
| Micro-cap, revenue below €5m The relevant class for most succession cases in this segment | 4.0x to 6.0x |
| Small-cap, revenue €5m to €50m | 5.5x to 7.2x |
Category healthcare: care and service providers. Source: DUB KMU-Multiples Q2/2026. The DUB figures show asking prices and price expectations on a business marketplace. They do not include completed transactions. The range comes from an independent third party and is not an offer from GTP.
From multiple to cash
The multiple gives the enterprise value. What reaches your account depends on four items:
- Net financial debt
- Loans, leases and shareholder accounts are deducted, cash is added.
- Working capital
- We assume a normal level. An account emptied before the sale reduces the price.
- Investment backlog
- Vehicles, measuring equipment and software due in the next two years are deducted from the price.
- Payment structure
- Part of the price is paid only after signing, through a rollover or a performance-based component.
What lowers the value
If one of these points applies, the value drops:
- The owner personally holds the key customers
- Short remaining terms or contracts that can be terminated at any time
- If a large share of revenue depends on one customer, the price goes down.
- No second management level that runs the business without the owner
We calculate your value in the first call using your numbers. We go through the four items openly with you, even if the result is below your expectations.
All market data and the regulatory timeline for non-medical healthcare services
Frequently asked questions
What owners in this segment ask
Will you buy my QM firm on its own?
No, only together with a billing or back-office platform in the same region or with the same client base.
What counts for the value?
Annual packages with renewal, number of inspections, validation equipment. One-off consulting hardly counts.
What do you automate?
Hygiene plans, training records, inspection reports. The specialist inspects, the system documents.
Do I stay?
6 to 24 months, then advisory board or exit.
Non-medical healthcare services
More segments in this area
Sell a medical billing office
GOÄ billing for practices and hospitals, with or without a platform.
Sell a therapy billing companyBilling with statutory health insurers under Section 302 SGB V for therapists, medical supply stores and nursing services.
Sell a medical controlling companyCoding, MD management and revenue assurance for hospitals.
Sell a dental billing companyBEMA and GOZ billing as a service, without factoring on the own balance sheet.
Sell an ambulance billing companyBilling of transports and missions with insurers and operators.
Sell a practice back office companyHR administration, accounting and contract management for practice groups, without billing.
Why we buy this segment
In billing, the know-how sits in the heads of your specialists. AI takes over the data capture, the decision stays with your team. Whoever checks today will do so after the acquisition too.
I have automated back-office processes in large organizations. Where companies cut jobs first, they later lacked the know-how for billing.
For M&A advisors, tax advisors and succession advisors
Response on your client usually within 72 hours
Acquisition profile, teaser metrics and our commitments for all 24 segments are on a separate page. We only approach your client through you.
First step
Talk to a buyer who knows your segment
A 30-minute call is enough to know whether we fit. Afterwards you get a written assessment with reasons.
Request a confidential first call
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