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About this sample: This preview shows selected pages from a Calculation of Value report — our core deliverable. The actual report typically runs 15–25 pages and includes additional sections not shown here, including a detailed company overview, economic and industry analysis, comparable transaction exhibit, glossary of terms, and analyst certification. Every engagement is governed by NACVA Professional Standards and tailored to the subject company.
CALCULATION REPORT
Business Valuation
Clinica del Valle Medical Group, PSC
As of December 31, 2025
Report Date: March 15, 2026
Prepared By:
Certified Valuation Analyst
AXIS Independent Advisory
NACVA Member | CVA Designated
CONFIDENTIAL
Cover Page
Executive Summary

Clinica del Valle Medical Group, PSC | Professional Services Corp | Valuation Date: December 31, 2025 | Standard: Fair Market Value

AXIS Independent Advisory was retained to provide a calculation of value of 100% of the ownership interests of Clinica del Valle Medical Group, PSC ("the Company"), a multi-physician general medical practice operating in Ponce, Puerto Rico. This engagement was performed under NACVA Professional Standards and AICPA SSVS No. 1 as a Calculation of Value for internal succession planning purposes.

The Analyst applied a market approach using comparable transaction data from DealStats (BVR). The SDE Multiple Method received 70% weighting based on 6 selected comparable transactions (median 2.15x SDE). The Revenue Multiple Method received 30% weighting as a corroborating indicator. Historical financial data for fiscal years 2021 through 2025 was analyzed, with normalizing adjustments applied to reported earnings to reflect the economic benefit available to a single owner-operator.

Calculated Fair Market Value (Illustrative)
$1,150,000

The sections that follow provide the detailed analyses, data, and rationale supporting this conclusion.

Executive Summary — Page 1

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IV. Financial Summary and Normalizing Adjustments
Historical Financial Performance
Line Item 2021 2022 2023 2024 2025
Revenue $1,820,000 $1,950,000 $2,080,000 $2,150,000 $2,210,000
Cost of Services $728,000 $780,000 $832,000 $860,000 $884,000
Gross Profit $1,092,000 $1,170,000 $1,248,000 $1,290,000 $1,326,000
Gross Margin 60.0% 60.0% 60.0% 60.0% 60.0%
Operating Expenses $765,000 $810,000 $852,000 $885,000 $910,000
Net Income $327,000 $360,000 $396,000 $405,000 $416,000
Normalizing Adjustments (Most Recent Year)
Adjustment Amount Rationale
Reported Net Income $416,000 Per Form 1120-S, FY2025
+ Owner/Physician Compensation $185,000 W-2 salary + K-1 distributions to principal physician
+ Depreciation & Amortization $32,000 Non-cash. Per Form 4562.
+ Interest Expense $8,000 Equipment financing. Buyer decision.
+ Personal/Discretionary $14,000 Personal vehicle, cell phone, travel per GL detail
+ Non-Recurring Items $22,000 FY2025: one-time EHR system migration costs
+ Rent Adjustment $6,000 Related-party lease below market ($3,500/mo vs. $4,000/mo est.)
Normalized SDE $683,000

The normalized SDE of $683,000 for fiscal year 2025 was selected as the representative benefit stream, reflecting the Company's current operating performance and steady revenue growth over the analysis period.

Financial Summary — Page 5
VI. Valuation Conclusion
Reconciliation
Approach Indicated Value Weight Weighted Value
SDE Multiple Method (1.68x) $1,147,440 70% $803,208
Revenue Multiple Method (0.52x) $1,149,200 30% $344,760
Weighted Enterprise Value 100% $1,147,968

The SDE Multiple Method received 70% weight based on a robust comparable set of 6 transactions in NAICS 621111 (Offices of Physicians). The selected multiple of 1.68x falls below the median of 1.85x, reflecting the Company's owner-physician dependency, limited management depth, and Puerto Rico-specific geographic risk factors. The Revenue Multiple of 0.52x provides corroborating support.

No discounts for lack of marketability (DLOM) or lack of control (DLOC) were applied because the subject interest represents 100% ownership and the comparable transactions reflect whole-practice sales.

Calculated Fair Market Value of 100% Ownership Interests (Illustrative)
$1,150,000

(Rounded to reflect imprecision inherent in the valuation process.)

Valuation Conclusion — Page 8
What Every Calculation of Value Includes
Cover Page — Branded, confidential
Table of Contents — Section-by-section navigation
Executive Summary — Key findings at a glance
Introduction & Scope — Purpose, standard, premise of value
Company Overview — Business description, ownership, operations
Economic & Industry Conditions — National, Puerto Rico, and sector context
Financial Summary — 3-5 year income statement + normalization
Valuation Approaches — Methods applied with documented rationale
Glossary of Terms — 28 terms defined in plain English
Assumptions & Conditions — NACVA-compliant limiting conditions
Analyst Certification — Signed certification with credentials
Comparable Transactions — Full exhibit with screening methodology

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