Home / Sell by State / Tennessee
Tennessee · Sell-Side M&A
Tennessee sits inside the country's health care industry capital. Nashville's health care ecosystem represents a $72.1 billion industry annually, supports more than 370,000 jobs in the local economy, and is home to 17 publicly traded health care company headquarters, per the Nashville Health Care Council's 2025 study with EY. More than 900 health care companies operate across Middle Tennessee, the region's largest and fastest-growing industry, and Nashville-area companies operate more than half of the nation's privately-owned hospital beds, per the Nashville Area Chamber of Commerce. We represent Tennessee owners only, and we build your process around the depth of buyer and operator expertise sitting next door.
A confidential ballpark in under two minutes, no email required.
Tennessee's Real Differentiator
Nashville's health care ecosystem represents a $72.1 billion industry annually and supports more than 370,000 jobs in the local economy, according to the Nashville Health Care Council's 2025 economic impact study conducted with EY. Seventeen publicly traded health care companies are headquartered in Nashville, and more than 900 health care companies operate across Middle Tennessee, per the Nashville Area Chamber of Commerce, making health care the region's largest and fastest-growing industry. A Tennessee seller is not hoping a buyer notices the state. The buyer pool for health care assets already lives here.
Nashville's health care ecosystem represents a $72.1 billion industry annually, according to the Nashville Health Care Council's 2025 study conducted with EY. That scale of activity is the backdrop your Tennessee practice sells into, not a distant market you are hoping to reach.
The same Nashville Health Care Council study finds the industry supports more than 370,000 jobs to the local economy annually. That is a deep, working bench of health care operators, executives, and clinicians already inside the state.
Seventeen publicly traded health care companies are headquartered in Nashville, per the Nashville Health Care Council. Public-company infrastructure, capital markets access, and executive talent for health care deal-making sit in-state rather than somewhere a seller has to reach.
More than 900 health care companies operate in Middle Tennessee, the region's largest and fastest-growing industry, and Nashville-area companies operate more than half of the privately-owned hospital beds in the United States, according to the Nashville Area Chamber of Commerce.
Figures are drawn from the Nashville Health Care Council's 2025 economic impact study conducted with EY (healthcarecouncil.com/health-care-industry/economic-impact) and the Nashville Area Chamber of Commerce's Health Care target-industry page. Accurate as of July 2026.
| Metric | Figure | Note |
|---|---|---|
| Med spas nationwide | 11,000+ | More than 100,000 employees |
| Revenue & jobs added (3 yrs pre-report) | $4B+ / 30,000+ | Industry growth trajectory |
| Average annual revenue per med spa | $1,398,833 | Up from $1,307,587 |
Figures are published nationally by the American Med Spa Association's 2024 State of the Industry report and its executive report recap. AmSpa publishes national data only and does not break figures out by state or city, so no Tennessee-specific med spa count is shown or implied.
National Backdrop
The U.S. medical spa industry now counts more than 11,000 locations and over 100,000 employees, per the American Med Spa Association's 2024 State of the Industry report. The industry added more than $4 billion in total revenue and more than 30,000 jobs in the three years before that report, and average annual medical spa revenue reached $1,398,833. A Tennessee seller operates inside that national growth curve, with Nashville's health care capital next door.
Run my numbers →See Your Number First
A confidential ballpark in under two minutes. No email required to see your range. The estimate is generated on your device. Nothing is stored or sent unless you choose to continue.
Step 1 · Instant ballpark
Estimated enterprise value
Practices like yours trade around 2.6x – 5.3x adjusted earnings.
What raises your number
What lowers your number
Step 2 · What you receive when you continue
Your custom valuation report. Comparable transactions, your likely buyer pool, and timing analysis.
Your buyer-readiness scorecard. The specific moves that raise your multiple before you go to market.
A confidential 30-minute strategy call with Bill Walker. No obligation, no pressure.
Your information is never shared, and we have never broken a client's confidentiality.
Estimate only. A ballpark from limited inputs plus published industry M&A benchmarks.
What Moves Value Here
No Tennessee-specific sale multiple is published, and we will not invent one. The honest anchor is the national vertical range already on our med spa, cosmetic dermatology, and plastic surgery hubs. What changes for a Tennessee seller is who is close enough to notice: Nashville's concentration of health care companies, capital, and operating talent.
We use the same national vertical multiple range for your practice type that we use everywhere, built from a health care industry that added more than $4 billion in revenue and more than 30,000 jobs in the three years before AmSpa's 2024 report. Tennessee does not change the math. It changes who is reading it.
See the national range →Seventeen publicly traded health care companies are headquartered in Nashville, and more than 900 health care companies operate across Middle Tennessee, per the Nashville Health Care Council and the Nashville Area Chamber of Commerce. That is a buyer and operator class that already understands health care economics, not one a Tennessee seller has to educate from scratch.
See the Nashville numbers →A $72.1 billion regional health care economy supporting more than 370,000 jobs, inside a national med spa industry adding more than $4 billion in revenue and 30,000 jobs in three years, is scale working in a Tennessee seller's favor. Preparation is what converts that scale into your number.
Run my numbers →We reference the national vertical multiple range published on our practice-type hubs. We do not publish a Tennessee-specific multiple, because none exists in a citable, defensible form. Your real range comes from a confidential, practice-specific analysis of your earnings and your comps.
Who Is Actually Near You in Tennessee
A Tennessee seller does not have to fly a buyer in from out of state to find someone who understands health care economics. Nashville is the corporate home of a $72.1 billion health care ecosystem, seventeen publicly traded health care companies, and more than 900 regional health care companies, per the Nashville Health Care Council and the Nashville Area Chamber of Commerce. That density does not name your buyer for you. It means the professional class that buys and operates health care assets is already in the state. Compare every market on the Sell by State directory.
Detail bars are redacted by design. Every name and activity claim on this board is published from verifiable records; anything beyond the public record stays confidential.
Figures come from the Nashville Health Care Council's 2025 economic impact study with EY and the Nashville Area Chamber of Commerce's Health Care target-industry page. No specific in-state acquisition is claimed here. The verified facts describe Nashville's macro health care market position, not a named buyer or a completed Tennessee transaction.
Tennessee Sale FAQ
Nashville is not incidental to a Tennessee sale. According to the Nashville Health Care Council’s 2025 economic impact study conducted with EY, Nashville’s health care ecosystem represents a $72.1 billion industry annually and supports more than 370,000 jobs in the local economy. That concentration of health care capital, operators, and expertise sits inside the same state as your practice, and it shapes who understands your business and who is positioned to buy it.
Per the Nashville Health Care Council, Nashville’s health care ecosystem represents a $72.1 billion industry annually and supports more than 370,000 jobs to the local economy, based on a 2025 study conducted with EY. A market with that scale of health care activity is not a spectator to consolidation, it drives it. A Tennessee seller benefits from being inside that ecosystem rather than adjacent to it.
Yes. The Nashville Health Care Council reports 17 publicly traded health care company headquarters in Nashville. That is a concentration of corporate health care leadership most states do not have, and it means the executives, capital, and deal-making infrastructure for health care transactions are already local rather than something a seller has to import.
According to the Nashville Area Chamber of Commerce, more than 900 health care companies are located in Middle Tennessee, making health care the region’s largest and fastest-growing industry. The Chamber also reports that more than half of the privately-owned hospital beds in the United States are operated by Nashville-area companies. That is depth most sellers never get to sell into.
No. There is no published Tennessee-specific multiple, and we will not invent one. What we use is the national vertical range for your practice type, the same range published on our medical spa, cosmetic dermatology, and plastic surgery hubs, drawn from a health care industry that added more than $4 billion in revenue and more than 30,000 jobs in the three years before AmSpa’s 2024 State of the Industry report, with average annual medical spa revenue reaching $1,398,833. Your real number comes from a confidential, practice-specific analysis, not a state-wide formula.
Yes, unless and until you choose to tell people. We run every process under strict confidentiality, with confidentiality agreements, secure data rooms, staged disclosure, and a vetted buyer process. Premature disclosure can unsettle staff, shake patient confidence, and weaken your negotiating position, so you decide what is shared, with whom, and when. Sell-side-exclusive representation means we work for you alone and never sit on the buyer’s side of your table.
Match Your Practice Type
How recurring and membership revenue, provider capacity, and key-person risk set a med spa's value, inside a market anchored by Nashville's health care economy.
Med spa sell-side →How a cosmetic dermatology practice is valued for sale, and why Nashville's concentration of health care capital changes who is at the table.
Cosmetic derm sell-side →The valuation and deal-structure work for a surgical aesthetic practice, mapped to Tennessee's health care industry depth.
Plastic surgery sell-side →
Who you work with
Bill Walker founded Aesthetic Brokers after leading mergers and acquisitions for a large private-equity-backed healthcare services organization. Before that he flew for the Marine Corps at the Presidential Helicopter Squadron and commanded a squadron in combat. He knows how an investor values a practice, and how to make sure that value lands with you, not the buyer.
Talk with Bill about your practiceStart with a confidential, two-minute read on where you stand.
