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How do you get me a better offer than I'd get on my own?

Competition. A single buyer negotiating with an unrepresented owner sets the price; several buyers who know they are competing set it against each other. The mechanism is running a real process rather than responding to whoever wrote to you first.

The buyer who approaches you directly is not doing you a favor. Their job is to acquire the practice at the best price for them, and an owner with no other offer on the table has no way to test whether the number in front of them is a good one.

So we run a real process instead. Letters of intent that exist alongside other letters of intent behave differently, and that difference is most of the value we add.

Price is only part of what gets negotiated. Deal structure, the length and terms of your post-closing employment, what decision authority you keep, retention arrangements for your doctors, and how any earnout is measured all matter — and several of them matter more to how you feel three years from now than the headline number does.

What creating competition looks like

How competition is created: 87 buying groups contacted, 12 entered the data room, four letters of intent, three taken to a final round, one closed. Figures from an actual TriStar engagement.
  1. 87buying groups contactedEvery client goes out to all of them
  2. 12entered the data roomOnly after signing a current NDA
  3. 4letters of intentPlus three verbal offers on enterprise value
  4. 3taken to a final roundNegotiated against each other
  5. 1closedOn the terms that fit the owner's goals

Figures from one actual engagement, described by Sean. Every practice is different, and this is an illustration rather than a promise.

Curious what it's worth?

An indicative range on your practice in about two minutes. Nothing reaches your team, and whether we ever speak is a box you tick.

See what your practice is worthFree · About two minutes · Nothing goes to your team
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