Alcara Partners

Health and wellbeing businesses in Castellón: buying, selling and valuation

The INE (Spanish National Statistics Institute) records 2,040 establishments in human health and social work activities in Castellón at the start of 2025, 10.1% of the Valencian Community (Comunidad Valenciana). Most of them, 1,872, are human health activities: clinics, medical and dental practices, physiotherapy and other centres. The rest are divided between residential care activities (85) and social work without accommodation (83).

This figure does not include wellbeing businesses such as gyms, beauty centres or spas, which are classified under other activities. In the count of companies by broad groups, education, health and social services total 3,189 active companies in the province.

Health and wellbeing · Castellón in figures

Active establishments in the province (CNAE activity code 86, 87, 88)

2,040

Share of the Valencian Community

10.1%

Active companies in the province (all activities)

40,045

What affects the value of health and wellbeing businesses in Castellón

A clinic is as transferable as its professionals are. If the principal is the one who treats most patients, the buyer wonders what will happen when they stop. A centre with several professionals who have their own patient lists, with stable contracts and no clauses allowing them to take the patients with them, is clearly worth more.

The source of income is analysed separately: private patients, agreements with mutuas (health insurance mutuals) and insurers and, where applicable, contracts with public authorities. Insurer agreements bring volume, but their prices are set by the payer and can be revised; private patients give more margin, although they depend on reputation. Knowing the weight of each source and the duration of the agreements is essential.

The centre's health authorisations, linked to its facilities and to its responsible person, are a requirement for continuing to operate. The buyer will check that they are valid and what procedures the change of ownership requires, which it is worth confirming with a legal adviser. Medical equipment, its maintenance and its financing are also reviewed, as is the management of clinical records in line with data protection rules.

In care homes and social services, the authorised places, occupancy, the proportion of public or publicly funded places and the staff needed to meet the required ratios also carry weight.

Indicative valuation multiples

MethodRangeMedian
SDE (small businesses)2.5× – 4.5×3.2×
EBITDA (medium-sized businesses)5× – 8×6×
Indicative estimate based on Alcara Partners' valuation model.

Frequently asked questions

The INE counts 1,872 establishments in human health activities in the province. This includes clinics, practices, diagnostic centres and others, without distinguishing between specialities.

No. The data on this page covers human health activities, care homes and social services. Gyms, beauty centres and similar businesses are classified under other activities and have no provincial figure here.

On the basis of normalised profit, deducting the market salary of the professional who runs it, and adjusting for dependence on the principal, the stability of the team, the weight of insurers versus private patients and the condition of the equipment.

It works in two ways. Modern, well-maintained equipment is part of what is being bought, but if it is financed, the outstanding debt is deducted from the price. And if there are machines that will need replacing soon, the buyer will subtract that investment from their offer.

In many cases yes, provided the centre has the professionals and the person responsible for healthcare that its authorisation requires. The requirements vary by type of centre and speciality, so it is worth confirming this with a legal adviser.

Clinical records contain specially protected health data. How they are kept and transferred, and how patients are informed, must be planned before the sale; it is worth confirming this with a legal adviser.

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Sources

Latest official data available on the date given for each source.

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