EPISODE · Jun 19, 2026 · 8 MIN
How a Local Pharmacy Hit 15x EBITDA with Adherence Data
from The Buyer & Seller Podcast with Fexingo: Business Brokers, Exits, and Private Sales Explained · host Fexingo
Lucas and Luna examine how a single-location independent pharmacy in suburban Ohio sold for a stunning 15 times EBITDA — not on prescription volume, but on the data it generated. The owner, a former hospital pharmacist, built a system that tracked patient medication adherence and shared anonymized reports with two local accountable care organizations. Lucas breaks down the math: 1,200 patients with 87 percent adherence rates, worth roughly $40 per patient per month to the ACOs under value-based contracts. Luna pushes back on replicability — can a pharmacy really pivot from dispensing to data? They discuss the competitive moat: most independent pharmacies lack the EMR integration to pull this off, and the few that do own a niche that big chains cannot easily copy. A concrete look at how data assets, not just recurring revenue, are rewriting small-business exit multiples. #PharmacyExit #EBITDA #HealthcareData #ValueBasedCare #BusinessBrokers #IndependentPharmacy #AdherenceData #ACO #DataMonetization #SmallBusinessSale #ExitPlanning #FexingoBusiness #BusinessPodcast #TheBuyerAndSellerPodcast #BusinessForSale #MAndA #PrivateSale #HealthcareBusiness Keep every episode free: buymeacoffee.com/fexingo
What this episode covers
Lucas and Luna examine how a single-location independent pharmacy in suburban Ohio sold for a stunning 15 times EBITDA — not on prescription volume, but on the data it generated. The owner, a former hospital pharmacist, built a system that tracked patient medication adherence and shared anonymized reports with two local accountable care organizations. Lucas breaks down the math: 1,200 patients with 87 percent adherence rates, worth roughly $40 per patient per month to the ACOs under value-based contracts. Luna pushes back on replicability — can a pharmacy really pivot from dispensing to data? They discuss the competitive moat: most independent pharmacies lack the EMR integration to pull this off, and the few that do own a niche that big chains cannot easily copy. A concrete look at how data assets, not just recurring revenue, are rewriting small-business exit multiples. #PharmacyExit #EBITDA #HealthcareData #ValueBasedCare #BusinessBrokers #IndependentPharmacy #AdherenceData #ACO #DataMonetization #SmallBusinessSale #ExitPlanning #FexingoBusiness #BusinessPodcast #TheBuyerAndSellerPodcast #BusinessForSale #MAndA #PrivateSale #HealthcareBusiness Keep every episode free: buymeacoffee.com/fexingo
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How a Local Pharmacy Hit 15x EBITDA with Adherence Data
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