Practices we’re built to understand.
What we look for is a practice with a name that means something locally, a clinical team beyond its founder, and enough operating weight that real infrastructure would change the week.
We’re often a fit when a few of these already sound like your week. None of them is a requirement on its own.
A clinician started it, and it still thinks like one.
The standards came out of the room a clinician sat in, not off a template.
The name means something in one town.
People refer by name — a school, a pediatrician, a neighbor who was helped.
There is a team now, not just a founder.
An organization with clinicians in it, rather than one person’s caseload.
The founder is carrying real operating weight.
Payroll, staffing, billing — work a clinician didn’t train for and shouldn’t have to.
It can be strengthened without being erased.
The identity is the asset. Our intention is to build underneath it, not over it.
What makes a practice worth preserving.
None of this is scored, and we don’t publish thresholds. It is what we are actually looking at while you describe the practice.
Clinical identity
A way of practising that the founder can describe in a sentence.
Local trust
A name a community already knows how to say.
Team quality
Clinicians the practice would be diminished without.
Referral reputation
Where new clients come from, and who sends them.
Demand
More work than the current structure can comfortably carry.
Enough business to build on
An organization substantial enough that real infrastructure makes a difference.
We may not be the right buyer if…
None of this is a judgment about the practice. It is a statement about us.
If preserving a local identity isn’t important to you, most of what our model is built to do is unnecessary.
If you want a purely financial transaction and no involvement in what happens operationally afterward, another buyer is likely a better match.
If the practice is still essentially one clinician rather than an organization, we are probably early for the conversation.
If the only criterion is the highest headline number, our model may not be what you are evaluating for.
If you’re not sure where you land, a first conversation is still a reasonable way to find out.
Then the questions you’d ask before taking a call.
What we can state as policy, and what genuinely varies by practice — written out rather than saved for a meeting.
Founder questions
18 questions, five sections, answered on one working pad.