Financial Restructuring

Medical Practice Financing and Restructuring

For practices facing severe capital constraints, we rebuild the financial foundation. We conduct the forensic Quality of Earnings (QoE) and build the model required to raise equity or debt.

The Reality

When the capital structure breaks.

Restructuring is not bankruptcy. It is a strategic intervention to stabilize the practice before it reaches a point of no return.

Capital Constraints

The practice is unable to fund operations or growth due to limited access to equity or debt. We build the forensic QoE model required to demonstrate the true financial health of the practice to lenders and investors.

Debt Covenant Violations

The practice is at risk of violating debt covenants with its lenders. We provide the operational assessment and restructuring plan required to renegotiate the terms and stabilize the relationship.

Post-Acquisition Distress

An acquisition has strained the balance sheet. We assess the financial impact of the transaction, identify cost synergies, and build the integration plan to restore profitability.

The Approach

How we rebuild the foundation.

We don't just hand you a restructuring plan. We work with you and your lenders to execute it.

1. Diagnostic & QoE

We conduct a forensic Quality of Earnings (QoE) analysis to determine the true normalized EBITDA. This is the foundation for any negotiation with lenders or investors.

2. Lender & Board Negotiation

We build the board-ready restructuring plan and sit at the table with you to negotiate with your lenders and board. We protect your equity and stabilize the relationship.

Next step

Ready to rebuild the foundation?

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

Book Your Half-Day Workshop