Practice Acquisition Due Diligence Checklist

This is the list I actually run before I buy a practice, in the order I run it: financials first, contracts second, people and property last. It's not a substitute for your attorney or your CPA. It's the filter I use before I spend real money finding out whether a deal I liked on paper survives a second look.

The PDF is the print-ready version, organized the same way I organize the review itself, with a short line under each item explaining why it matters where that matters. The spreadsheet is the same list turned into a tracker, so you can work through a specific practice's documents one row at a time without losing your place.

What's inside#

• The PDF checklist: nine sections, from defining your own non-negotiables before you look at a listing through financials, the P&L add-backs, contracts, patients, the lease, equipment, the team, and liability protections
• The XLSX tracker: one row per item, with columns for the section it belongs to, status, notes, and who's responsible for chasing it down
• A Notes sheet in the spreadsheet naming the three articles every item is drawn from

How to use it#

1. Fill in your own answers to the "Before You Start" section before you look at any specific listing.
2. Work through the tracker in order as documents come in from the seller or broker, checking off status as you go.
3. Flag anything that doesn't hold up in the Notes column and take it to your attorney or CPA before you write an offer.
4. Keep the PDF on hand during the actual document review; use the spreadsheet to track progress across the whole list.