PE-Backed Platforms

PE-Backed Practice Growth Financing

Post-acquisition integration is stalling and EBITDA is below the model. We bring operator-led discipline to stabilize the platform and unlock growth.

The Reality

Where PE platforms break.

PE-backed healthcare platforms face unique integration and performance pressures. We identify the exact operational failures eroding your investment thesis.

Post-Acquisition Integration

Acquiring a practice is easy; integrating it is hard. We map the operational and financial integration playbook, ensuring that the acquired entity's revenue cycle, credentialing, and systems are consolidated without losing cash flow.

Billing Consolidation

Running multiple billing systems across acquired entities creates leakage and inefficiency. We evaluate the billing consolidation strategy, identify the lowest-friction path to a unified revenue cycle, and manage the transition without a drop in cash collections.

EBITDA Below the Model

When the platform is not hitting the model, the board and lenders demand action. We conduct a forensic Quality of Earnings (QoE) to identify the true normalized EBITDA and build the operational plan to close the gap.

The Approach

How we protect the investment.

We act as the operator on the ground, working directly with the sponsor and the platform leadership to execute the value creation plan.

1. Diagnose the Platform

We map the platform's financial and operational value chain across all acquired entities. We identify where the integration has stalled and where the EBITDA leakage is concentrated.

2. Execute the Integration

We build the board-ready QoE model and the integration roadmap. We work alongside the platform CFO and leadership to execute the billing consolidation, enrollment cleanup, and cost optimization.

Next step

Ready to stabilize the platform?

We sit at the table with you in a half-day interactive workshop to model the platform together and co-solution the path forward.

Book Your Half-Day Workshop