Specialty Practice M&A Advisory
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.
Why owners explore a sale
The clinical work is the same. Everything around it has gotten harder. That tension is what brings most owners to the table.
Fee schedule erosion, prior authorizations, and claims management that pulls you away from patient care and quietly compresses margins year over year.
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.
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.
Your practice may be worth significantly more than you think — or less. Without a real valuation, you're negotiating blind. Either outcome costs you.
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.
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
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.
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.
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.
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.
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.
What we do
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.
A defensible number modeled the way buyers think — so you know your floor and ceiling before any offer arrives.
Identify and close the gaps that discount your value before you go to market.
We know who's acquiring in your market, what they pay, and how to create competitive tension.
From LOI to closing, we're in the room protecting your interests and moving the deal forward.
Our advantage
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.
What clients say
No cost. No obligation. A straightforward conversation with advisors who've seen hundreds of transactions — and can tell you exactly where you stand.
Our Services
From your first valuation question to the wire transfer at closing — we manage the full process so you can keep running your practice.
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.
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.
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.
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.
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.
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.
Start with a free, confidential conversation. No commitment required.
Our Team
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.
Advisory Board
Start with a confidential conversation about what your practice is worth.
Get Started
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.
Prefer to reach us directly?
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Articles & Insights
No fluff. Practical guidance for practice owners thinking about what's next.
Featured Podcast
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 →Legal
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