Most sellers go to market underprepared—messy financials, undocumented processes, key person risk, and operational issues that buyers will find in diligence. The result: valuation haircuts, deal re-trades, or buyers walking away entirely.
What most sellers don't realize is that 6–12 months of targeted operational preparation can add up to 15–25% to enterprise value—often the difference between a life-changing outcome and a disappointing one.
In healthcare, the complexity runs deeper. Revenue cycle performance, provider retention, payor contracts, credentialing backlogs, and EHR dependencies all factor into how buyers assess risk and assign value. Financial advisors handle the transaction mechanics—but they don't fix the operational issues that drive valuation.
That's where we come in.
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We approach exit readiness as a healthcare operator, not a financial advisor. We have built and exited businesses, and we know what buyers scrutinize because we’ve lived it from both sides of the table.
Our engagement begins well before you go to market. We assess your operations through the lens of a sophisticated buyer—identifying every issue that could reduce your valuation, trigger a re-trade, or stall a deal. Then we help you fix them.
We work alongside your existing advisory team—investment bankers, brokers, attorneys, CPAs—as the operational member of your exit team. We’re complementary, not competitive.
Unlike traditional M&A advisors who focus on financial metrics, we bring deep healthcare operational expertise—RCM, credentialing, payor contracts, provider retention—the exact areas where deals get re-traded or fail post-close.
Exit Readiness Assessment
A comprehensive operational evaluation through the buyer’s lens—covering RCM performance, payor contract quality, provider retention and key person risk, credentialing status, technology dependencies, compliance posture, and organizational scalability.
Normalized EBITDA & Addback Analysis
We work alongside your financial advisors to ensure EBITDA is properly normalized and defensible—identifying legitimate addbacks, flagging questionable adjustments that will get challenged, and ensuring the financial story aligns with operational reality.
Operational Improvement Roadmap
A prioritized, sequenced plan for remediating every issue identified in the assessment. Quick wins (30 days), medium-term improvements (60–90 days), and strategic initiatives (90–180 days) are mapped against their expected impact on valuation and deal risk.
Data Room Preparation Support
We help you build or organize a diligence-ready data room with the operational documentation buyers expect: KPI dashboards, payor contract summaries, provider rosters, credentialing status, SOP documentation, organizational charts, and technology architecture.
Buyer Due Diligence Support
When buyers arrive with diligence requests, we help you respond efficiently and strategically. We anticipate the questions sophisticated healthcare buyers will ask—because we’ve asked them ourselves—and prepare your team to answer confidently.
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Business owners and founders contemplating or actively planning an exit within 6-24 months
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Managing partners of medical groups, behavioral health organizations, dental groups, or ASCs
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CEOs and leadership teams of healthcare services companies (RCM, credentialing, staffing, tech-enabled services)
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PE-backed portfolio companies preparing for secondary sale or recapitalization
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Organizations with $5M–$100M in annual revenue

Schedule a confidential exit readiness assessment. We’ll evaluate your operational posture, identify the highest-impact areas for improvement, and give you a clear roadmap.
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You’re considering an exit within 6–24 months, but haven’t started operational preparation
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Your M&A advisor or investment banker has flagged operational concerns
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Revenue is concentrated in a few key providers or payor relationships
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Financial performance is strong but operations aren’t documented or scalable
You’ve never been through a buyer’s due diligence process before
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You want to maximize valuation, not just complete a transaction

Our experienced team combines deep industry expertise, extensive networks, and a commitment to your success. Here’s what you can expect from partnering with us:
- Maximized Value: Through a rigorous process and expertise in negotiation, we help clients secure optimal deal terms and market valuations.
- Confidential and Discreet Process: We understand the importance of confidentiality in all M&A and business sale transactions, ensuring privacy and professionalism.
- Efficient, Results-Driven Approach: Our streamlined processes and proactive deal management reduce the time to transaction, minimizing disruption to your business.
- End-to-End Support: We manage every phase of the transaction to simplify complex processes and facilitate a seamless experience for you.
- Commitment to Your Success: Your goals are our goals. We work tirelessly to achieve results that meet or exceed your expectations.
Thinking About Selling? Let's Talk!
Whether you're considering a strategic acquisition, preparing to sell your business, or simply exploring your options, we’re here to help. Contact us today to start your buying or selling journey. We have partnered with the best, and together, we’ll build a brighter future for your business.
Frequently Asked Questions
Our investment banker/ broker handles our exit—why do we need you?
Your banker/ broker handles the transaction—marketing the business, managing the process, negotiating deal terms. We handle the operational improvements that drive your valuation higher before you go to market. We’re complementary: they position the story, we make the story stronger.
How early should we start?
Ideally 12–24 months before going to market. This gives you runway to implement meaningful improvements that are reflected in your trailing financials. That said, we’ve helped clients achieve significant impact in as little as 6 months.
What if buyers find issues we didn’t anticipate?
That’s exactly what our assessment prevents. We evaluate your business through the same lens a sophisticated healthcare buyer uses—RCM performance, payor contracts, provider retention, key person risk, credentialing, technology, compliance. We find issues before buyers do, so you can fix them on your terms.
Can you help if we’re already in a transaction?
Yes. Our engagement provides transaction support, including diligence response management, integration, management presentation preparation, and insight into operational matters. Even mid-transaction, we can help you manage buyer concerns and protect your valuation.
