During the launch call, we introduce the client to their dedicated deal team and provide a comprehensive overview of the process. This call sets expectations, outlines key milestones, and ensures alignment on goals, communication, and next steps as we begin preparing the business for market.

At this stage, we collect detailed financial, operational, and legal information from the client and their designated advisors to prepare the practice for market. We also introduce our proprietary internal technology, designed to streamline data collection and accelerate the diligence process, ensuring a more efficient path to market readiness.

In the underwriting phase, our team of market-specific CPAs conducts a deep financial analysis of the practice. Beyond calculating adjusted EBITDA, we identify and validate strategic add-backs that can enhance the earnings profile. This detailed review is designed to position the practice as attractively as possible to potential buyers and help maximize valuation in the market.

Leveraging our network of over 200 vetted DSOs/MSOs and private equity groups, we execute a strategic outreach campaign to identify buyers that align with the unique financial and cultural goals of the owner. If the client chooses to pursue a private buyer path, we also have access to a proprietary list of over 250 qualified private buyers actively seeking opportunities. Throughout this stage, we work closely with the client to ensure we are approaching the right groups to generate competitive offers and strong long-term alignment.

Once offers are received, we consolidate and present the top 3 to 5 proposals in a detailed, side-by-side analysis that highlights valuation, deal structure, earn-outs, and post-close considerations. Drawing on our deep industry experience, we guide clients through the nuances of each offer, identifying key areas to redline, restructure, or renegotiate, ensuring they are positioned to select the deal that offers the strongest overall economic and strategic outcome.

During the due diligence phase, typically lasting 45 to 90 day, the buyer conducts a comprehensive review of the practice, including a Quality of Earnings (QoE) analysis, which is often performed by a third-party firm hired by the buyer. This is a critical stage where buyers may challenge the EBITDA and proposed add-backs, potentially impacting the overall sale price. Our experienced team actively advocates on behalf of the client, rigorously justifying add-backs and negotiating against any unfavorable adjustments to protect the practice’s valuation. Throughout this process, we manage all communications and document exchanges, alleviating the client from time-consuming inquiries while ensuring the diligence timeline stays on track for a smooth and timely closing.

In the closing stage, our team coordinates all final steps required to successfully complete the transaction. This includes overseeing and preparing critical documents such as The Flow of Funds, lien search report, purchase agreements, employment contracts, real estate purchase or lease agreements, and escrow instructions. Our proactive approach addresses any last-minute issues, facilitating a smooth and timely closing for all parties involved.