Main Content
Advisory
Every Dollar of
EBITDA Is Worth
8–10x at Exit.
One partner from clinical growth strategy through EBITDA optimization to final close. We work with independent physicians, multi-site medical groups, and PE-backed platforms who want to maximize what they've built.
PHYSICIAN
MEDICAL GROUPS
HOSPITALS
INVESTORS
8–10x
M&A EXIT MULTIPLES5–12%
REVENUE CYCLE GAIN8–15%
PAYER RATE IMPROVEMENT1 Partner
GROWTH THROUGH EXITTHE ADVISORY DIFFERENCE
One Partner.
From Growth to Exit.
Physicians and medical groups routinely work with a different advisor at every stage — a consultant for operations, a banker for M&A. Each sees only their piece. None sees the whole picture or the compounding effect of getting every layer right simultaneously.
WHO WE WORK WITH
Independent physicians and private practices looking to grow, optimize, or exit. Multi-site medical groups preparing for a strategic transaction. PE-backed healthcare platforms needing operational advisory alongside real estate and development support. Health systems evaluating outpatient growth strategy.
WHAT MAKES US DIFFERENT
Our advisory team is led by 30+ year healthcare CFO and COO executives who ran PE-backed enterprises from the inside. We don't recommend — we execute alongside your team. And because we sit within The Clinical Group platform, our advisory work connects seamlessly to real estate, development, and investment.
THE MULTIPLIER EFFECT
Why EBITDA Is the
Only Number That Matters
At 9x, every dollar of EBITDA we create is worth nine dollars at exit. Most practices are leaving 20–30% of their potential value on the table right now.
$500K
New EBITDA created throughrevenue cycle & payer work
9X
Typical M&A multiple for awell-run specialty practice
$4.5M
Additional transaction valueat exit — from one engagement
MEDICAL OFFICEBUILDINGS
AMBULATORYSERVICE CENTERS
IMAGING CENTERS
SINGLE TENANTFACILITIES
MICROHOSPITALSTHREE SERVICE AREAS Grow. Optimize. Exit.
Each pillar stands alone — but the most powerful outcomes come from engaging all three as a connected strategy. The EBITDA you build in Pillar 2 is what gets multiplied in Pillar 3.
01 CLINICAL GROWTH STRATEGY
Each pillar stands alone — but the most powerful outcomes come from engaging all three as a connected strategy. The EBITDA you build in Pillar 2 is what gets multiplied in Pillar 3.
- Access expansion & new service lines
- Enhanced referral network development
- Patient retention & volume growth
- Provider scheduling optimization
- Telehealth & digital access integration
02 EBITDA OPTIMIZATION
The highest-leverage work in advisory. Every dollar of EBITDA added here multiplies 8–10x at exit. Most practices have 15–20% of their potential value sitting untouched.
- Revenue cycle audit & process redesign
- Payer contract renegotiation (8–15% gains)
- Staffing model & supply chain efficiency
- KPI dashboard design and execution
- Cost structure benchmarking vs. peers
03 M&A ADVISORY & EXIT
From practice valuation through final close — with the same team that built your EBITDA managing the deal that monetizes it. One partner, zero handoffs.
- Confidential practice valuation
- M&A readiness & buyer identification
- Deal structure & negotiation strategy
- Due diligence preparation & management
- LOI through final close execution
Start with a
Free Practice Assessment
We map your financials, payer mix, and market position — and tell you exactly where the highest-value opportunities are. No obligation. Most physicians are surprised by the number.