Specialty Practice M&A Advisory

You built something valuable.
Let's make sure you get the most value for it.

Most practice owners only sell once. Our team has been on both sides of hundreds of transactions — and we use that experience to make sure you don't leave money on the table.

See how it works →
700+
Transactions across our team's careers
$0
Upfront cost to get started

The business of running a practice has changed.

The clinical work is the same. Everything around it has gotten harder. That tension is what brings most owners to the table.

Insurance complexity

Fee schedule erosion, prior authorizations, and claims management that pulls you away from patient care and quietly compresses margins year over year.

HR & staffing burden

Recruiting, training, managing turnover, and employment law compliance — none of which you went to school for, and all of which now consumes hours every week.

Consolidator pressure

Buyers are calling. The offers sound real. But without an independent advisor, you have no way to know if the number is fair — or what you're actually signing away.

Valuation uncertainty

Your practice may be worth significantly more than you think — or less. Without a real valuation, you're negotiating blind. Either outcome costs you.

Timing the right exit

Sell too early and leave equity behind. Wait too long and watch your multiple compress. Knowing when — and how — to go to market is the difference that matters most.

Legacy & transition

Patients you've served for decades. Staff who depend on you. A sale done wrong damages both. Structure matters as much as price.

If any of this resonates, you're not alone — and you don't have to figure it out yourself. These pressures are exactly why practice owners are exploring their options right now. The question isn't whether to have the conversation. It's who you have it with.

Why representation matters

Even buyers want you to have an advisor.

That might sound counterintuitive — buyers typically pay more for practices that are represented. But the most active acquirers actively encourage sellers to seek representation. The reason is simple: advised deals close. Unadvised deals fall apart.

The seller's reality

You've never done this before.

Most practice owners sell once in their career. Buyers close dozens of deals a year. That experience gap affects negotiation, due diligence, deal structure, tax positioning, and every clause in your purchase agreement.

The buyer's perspective

Represented sellers close deals.

Buyers know that an advised seller arrives prepared — financials organized, expectations calibrated, process understood. That reduces surprises, speeds diligence, and makes it far more likely the deal reaches the finish line.

The outcome difference

Better process, better price.

Representation creates competitive tension. When buyers know you have an advisor managing a process, they bring stronger offers earlier. Your advisor pays for themselves before negotiations even begin.

Represented sellers are three times more likely to close.

According to one of the largest specialty practice acquirers in the country, transactions where the seller has independent representation close at roughly three times the rate of unadvised deals. They shared this not to help sellers — but because it reflects their own acquisition data. That's as unbiased a source as you'll find.

Source: Senior leadership, top-3 specialty practice consolidator — shared directly with Prism Consulting Partners.

End to end advisory, from first conversation to a closed deal.

We don't hand you off. From the first call to the wire transfer, the same team that evaluated your practice is the one negotiating your deal.

01

Practice Valuation

A defensible number modeled the way buyers think — so you know your floor and ceiling before any offer arrives.

02

Exit Planning & Readiness

Identify and close the gaps that discount your value before you go to market.

03

Buyer Identification & Outreach

We know who's acquiring in your market, what they pay, and how to create competitive tension.

04

Deal Negotiation & Execution

From LOI to closing, we're in the room protecting your interests and moving the deal forward.

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We've sat at both ends of the table.

Built from the buyer's seat. Our team spent years in senior roles scaling multi-site specialty healthcare platforms — evaluating, acquiring, and integrating practices across 700+ transactions. We know exactly how buyers model your business.

We know what buyers discount. Payer mix, staff concentration, provider dependency, lease terms — we know what surfaces in due diligence and how to address it before you're under the microscope.

Certified Exit Planning Advisors (CEPA®). Our team includes a CEPA®-certified advisor — the gold standard designation from the Exit Planning Institute — ensuring your exit is structured with the same rigor as your transaction, not treated as an afterthought.

We don't get paid until you close. That alignment isn't just policy — it's how we stay honest with you at every step.

Meet the team →

Ready to understand what your practice is worth?

No cost. No obligation. A straightforward conversation with advisors who've seen hundreds of transactions — and can tell you exactly where you stand.

Everything you need to execute the right exit.

From your first valuation question to the wire transfer at closing — we manage the full process so you can keep running your practice.

01
Foundation

Practice Valuation

Before you can negotiate, you need to know what your practice is actually worth — not what a buyer tells you, and not a rough estimate from a broker who wants a listing. We model your practice the same way sophisticated buyers do: EBITDA analysis, revenue quality, payer mix, provider dependency, growth trajectory, and market comparables.

The result is a defensible valuation range with a clear narrative. You'll know your floor, your ceiling, and exactly what's driving the gap between them.

EBITDA normalization and add-back analysis
Comparable transaction benchmarking
Payer mix and revenue quality assessment
Written valuation summary you can use in negotiations
02
Preparation

Exit Planning & Readiness

Most practices can increase their value meaningfully before going to market. The question is knowing where to focus. We identify the specific operational, financial, and clinical factors that buyers scrutinize — and help you address them before they become negotiating leverage against you.

Owners who prepare before going to market consistently achieve better multiples and smoother due diligence. Our CEPA®-certified advisor ensures your exit plan is structured with the same rigor as your transaction — because a good deal without a good plan leaves value on the table.

Pre-sale operational assessment
Financial documentation and clean-up
Provider and staff dependency risk mitigation
Timeline and sequencing strategy
03
Go-to-Market

Buyer Identification & Outreach

We know the active buyers in your market — not just who they are, but what they're paying, how they structure deals, and what their integration track record looks like. That intelligence is the difference between a competitive process and accepting whatever offer shows up first.

Targeted buyer outreach across strategic and financial acquirers
Confidential marketing materials and CIM preparation
Buyer qualification and NDA management
Competitive process management to maximize offers
04
Execution

Deal Negotiation & Execution

From LOI review to due diligence management to purchase agreement negotiation — we're in the room. We've reviewed hundreds of deals from both sides of the table, which means we know what's market, what's a red flag, and where there's room to push.

LOI review and negotiation strategy
Due diligence coordination and management
Purchase agreement review (alongside your attorney)
Closing coordination and timeline management
05
Post-Close

Transition & Legacy Planning

The deal closing is not the end. Post-close employment terms, patient and staff communication, cultural fit with the buyer, earnout structure — how the transition is handled determines whether your legacy survives the transaction. We help you structure and execute a transition that protects what you've built.

Post-close employment and compensation structuring
Patient and staff communication planning
Buyer cultural fit assessment
Earnout and equity rollover strategy

Specialties we serve

Our primary focus is optometry and ophthalmology — where our team has the deepest buyer relationships and the most relevant transaction comparables. We also advise dermatology practice owners through the same rigorous process.

Optometry
Ophthalmology
Dermatology

Ready to understand what your practice is worth?

Start with a free, confidential conversation. No commitment required.

Built by operators.
Focused on your outcome.

Our founding partners have spent their careers inside the largest specialty healthcare platforms in the country — acquiring, integrating, and scaling practices at volume. That operator experience is what makes our advisory work different.

Mike Guelcher
Mike Guelcher
Co-Founder & Managing Partner
Mike spent over a decade leading acquisition efforts at one of the fastest-growing optometry platforms in the country — growing from 100 to over 800 locations across two successful recapitalizations. Prior to that, he held senior leadership roles at Allergan, developing deep relationships across the eyecare industry. He founded Prism in 2023 to bring that buyer-side expertise to sellers who deserve better representation. A Certified Exit Planning Advisor (CEPA®) through the Exit Planning Institute, Mike ensures every engagement is built on a structured, rigorous exit plan — not just a transaction.
David Molle
David Molle
Co-Founder & Managing Partner
Dave spent more than a decade at Allergan's eyecare division before transitioning to practice acquisitions, where he served as Director of Practice Development for a rapidly expanding platform — contributing to the growth of over 750 practices nationwide. His expertise spans acquisition strategy, market development, and transaction execution. He co-founded Prism in 2023 to guide practice owners through valuation, positioning, and exit with the clarity and confidence they deserve.
Ryan Williams
Ryan Williams
Senior Advisor
Ryan founded and scaled a private-equity-backed, multi-location eyecare platform, leading acquisition strategy, operational integration, and margin expansion across more than 85 locations. With over 20 years in the eyecare industry, he brings a founder and operator's perspective to practice advisory — helping owners understand exactly how buyers evaluate their businesses and how to close the gaps before going to market.
Dirk Fuqua
Dirk Fuqua
Senior Advisor
Dirk brings 35 years of eyecare industry experience, having held senior leadership roles at Bausch & Lomb, Ciba Vision, and Alcon — spanning sales, national account management, and organizational development. His deep relationships across the independent optometry market and intimate understanding of practice-level dynamics make him a trusted advisor to owners navigating the sale process for the first time.
Stuart Tasman
Stuart Tasman, O.D.
Physician Liaison
Dr. Tasman has been in private optometry practice since 1980, giving him a perspective on practice ownership that no M&A advisor without clinical experience can replicate. Board Certified by the American Board of Optometry, he has served as president of both the Greater Atlanta and Georgia Optometric Associations, and as Georgia Trustee for SECO. His four-decade career in independent practice — and his ongoing role in the profession's leadership — make him an invaluable bridge between Prism's advisory team and the ODs we serve.
Tom Sullivan
Tom Sullivan
Principal Advisor
Tom is a nationally recognized advocate for sight and eye health, with decades of relationships across the optometry community and the broader healthcare industry. As a longtime figure in eyecare awareness and patient advocacy, he brings both a patient-centered perspective and a broad professional network to Prism's advisory work. His involvement reflects Prism's commitment to serving the optometry community — not just as a transaction intermediary, but as a long-term partner to the profession.

Work with a team that's been in your shoes.

Start with a confidential conversation about what your practice is worth.

Let's talk about your practice.

No cost. No obligation. Just an honest conversation with advisors who've seen hundreds of transactions.

Most practice owners we speak with have the same questions: What is my practice actually worth? Is now the right time to sell? How do I know if a buyer's offer is fair? We answer all of those — with no pressure.

Completely confidential — your information is never shared
No sales pitch — just a straightforward advisory conversation
Response within one business day
Works for practices at any stage of consideration
We don't get paid until you close — our interests are aligned

Prefer to reach us directly?

info@prismconsultingpartners.com

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Straight talk on practice ownership and exits.

No fluff. Practical guidance for practice owners thinking about what's next.

Featured Podcast

Seasoned Advice HR — Mike Guelcher

Mike Guelcher, Co-Founder and Managing Partner of Prism Consulting Partners, discusses specialty practice M&A, what buyers are looking for, and how practice owners can maximize value before going to market.

Watch on YouTube →

Practice Acquisitions

Specialty Healthcare Practice Sales: A Strong Market Through 2026

February 6, 2026

The market for specialty healthcare practice transactions remains resilient as we move through 2026. Buyer demand for high-quality outpatient practices — particularly in optometry and dermatology — continues to be strong, supported by durable patient demand, attractive margins, and scalable operating models.

Practice Acquisitions

Benefits of Hiring an Advisor to Help Transition Your Practice

February 14, 2023

Selling a medical practice doesn't have to be overwhelming. Working with the right advisor simplifies the process, protects your value, and ensures you don't navigate one of the most important financial decisions of your career alone.

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