Three practices. Built around the shape of the work.
We organize our engagements the way our clients experience them: pre-close, post-close, and the steady-state in between.
Transition Management
Post-close is where most deals lose their thesis. We install the structure that protects it.
100-Day Integration Plan
A workstream-by-workstream roadmap built in week one and operated through day 100. Governance, KPIs, and a weekly cadence that executives actually attend.
Clinical Integration
Aligning protocols, scheduling, and provider behavior across legacy practices without burning the culture you just paid for.
Systems Consolidation
PM/EHR/phone-tree migrations run in parallel — carefully — so the front desk never feels it.
People & Culture
Communication plans, retention packages, and the hard conversations. We handle the ones the CEO should not have to.
Business Development
Pre-close deal work, sitting on your side of the table from sourcing through signing.
Target Sourcing & Pipeline
Proactive outreach to owner-operators in your geography or specialty. Real pipelines, not lists.
Commercial Diligence
Quality-of-revenue analysis, payer mix risk, provider productivity normalization, and real-world EBITDA bridges.
Valuation & Structure
LOI frameworks, earnout design, rollover equity modeling. We build the deck the sell-side banker cannot argue with.
Negotiation Support
Quiet advisory through negotiation, diligence, and closing. We do not replace your attorney — we make theirs work less.
Operational Consulting
The work between the deals — running the business better.
Revenue Cycle Optimization
Denial analysis, payer contract review, net collection rate benchmarking, and collections team redesign.
Staffing Economics
Provider productivity models, support-staff ratios, and compensation design that pays for itself.
Clinical Throughput
Schedule density, chair utilization, case acceptance, and the operational upstream that drives topline.
Strategic Planning
Three-year plans that survive contact with reality. Built with the CEO, owned by the leadership team.
Not sure which practice you need?
That is usually the first conversation.