IN A NUTSHELL
The Odds are Stacked Against You
Private practice physicians face mounting challenges—declining reimbursements, rising labor costs, and increasing corporatization of healthcare. Unfortunately, yesterday’s solutions won’t solve today’s problems. The good news? There’s a better path forward.
1. Declining Reimbursements - For many procedures, Medicare rates decline by roughly 3% annually, with private insurance following. Over time, this erosion adds up—and if your strategy relies solely on seeing more patients or just doing more of the same procedures, you're likely on a fast track to burnout.
2. Rising Labor Costs - Top-tier healthcare staff are in high demand, and keeping them requires regular raises. With cost of living increasing by 3% or more each year, stagnant revenue puts pressure on margins—potentially eroding the financial benefits of practice ownership.
3. Growing Corporate Competition - As healthcare corporatizes, your competition grows stronger. Large systems have entire departments for billing, marketing, HR, and contract negotiation—and with AI adoption accelerating, their operational advantages are only expanding.
4. Low Exit Multiples - Many physicians are shocked at the low valuations when it’s time to sell. Private practices often trade for modest multiples, largely because buyers are typically other providers purchasing a job—not a scalable business.
5. Predatory Consolidators - Private equity sees opportunity in buying undervalued clinics, bundling them together, and selling at higher multiples. While some platforms are legitimate, many prioritize investor returns over physician legacy—and often overpromise while underdelivering--and can waste a TON of time and energy.
6. Loss of Autonomy - We call it "McMedicine": care dictated by spreadsheets, not clinicians. Many independent-minded providers fear the loss of decision-making power, and rightly so—corporate models can often compromise the way medicine is practiced.
No Magic Fairy Dust
We don’t offer quick fixes—but we do offer real solutions to the challenges listed above. While the path isn’t easy, our team approaches the business side of your practice with the same level of focus, expertise, and commitment that you bring to patient care. Our model is built to relieve operational burdens, restore your autonomy, and reignite your passion for practicing medicine.
Answer: Our proprietary Profitability 5™ framework pinpoints key areas where your clinic may be underperforming—such as billing, staffing, and marketing. We implement targeted solutions, including optional Bolt-On Clinics™, to boost revenue, improve margins, and strengthen overall clinic performance. Our goal is simple: handle the business side so you can focus on what you do best—practicing medicine.
Answer: Bolt-On Clinics™ are turnkey service lines—such as wellness optimization, regenerative care, wound care, and post-stroke recovery—that seamlessly integrate into your existing practice. They leverage your current space, staff, and patient base to generate new revenue with minimal disruption. We offer several proven options and will work with you to determine the best fit for accelerating your clinic’s growth.
Answer: Unlike traditional private equity groups, we don’t buy out physicians or compromise clinical autonomy. Our model protects your medical decision-making while strengthening the business side—so you stay in control and benefit from long-term equity growth. Whether you're years from retirement or exploring options now, our flexible model adapts to your goals and offers a superior, more physician-friendly exit strategy than typical consolidators.
Answer: No. We offer both MSO-only partnerships and equity + MSO options, allowing you to choose the path that best aligns with your goals—whether that means offloading business operations now or planning for a stronger, future exit. Our approach is flexible by design, but one thing remains constant: you stay in control and at choice—a level of flexibility rarely offered in traditional models.
Answer: We target a 20–35% IRR through our Clinic SPV rollup strategy, driven by real EBITDA growth and targeted exit multiples ranging from 10x to 16x. Investments are structured as convertible debt with built-in equity kickers, offering strong long-term upside. The result is a return profile competitive with traditional private equity—but backed by a model that promotes stronger physician alignment and collaboration, both now and into the future.
Email: [email protected]
Phone: 303-949-7886
Address: PO Box 12102, Kansas City, MO 64153
Copyright 2025. AreMed™ Management Services, LLC. All rights reserved.