Add-On Strategy & Integration

Acquisition Strategy Build

An independent physician network platform

Strategy, an acquisition evaluation framework, and a business case for a specific target, built in sequence. The board authorized diligence on a target that would double the provider network.

Commercial Infrastructure

Market Entry Strategy Build

Multi-site physician services platform

A regional thesis converted into an executable market blueprint. One market to four: 20 practices, 200+ providers, $50M in incremental revenue over three years.

Post-Close Operating System Build

Multi-site physician services platform · ~16 practices, ~100 providers, ~$50M revenue at acquisition

Founder-led reactive management to institutional operating discipline in 12 months. 10% SG&A reduction, 20% employee engagement increase. The base every build of a four-year hold then ran on.

Board Governance and Communication Build

An independent physician network platform

A board deck request to a full governance and communication model in seven months. The board authorized the next phase of capital deployment.

Commercial Infrastructure

Growth Engine Build

Multi-site physician services platform

A commercial operating system built on top of four affiliation pathways. The platform grew from 16 to 36 practices, 100 to 400+ providers, $50M to $100M+ revenue.

Commercial Infrastructure

Affiliation Pathway Build

Multi-site physician services platform

The addressable market expanded from one physician segment to the full independent practice landscape, through two new pathways both generating consistent deal flow after launch.

Commercial Infrastructure

Business Development System Build

An independent physician network platform

Commercial infrastructure built from zero and validated through a three-market pilot. The platform grew 97 to 170 providers during the engagement.

Payer Economics · Commercial Infrastructure

Clinically Integrated Network Build

Multi-site physician services platform

A partnership was rejected and the partner became a competitor. Built the growth engine they would not: an anchor payer contract, 400+ providers, and ~28,000 attributed commercial lives through a pathway that did not exist before.

Payer Economics

Medicaid Capability Build

Multi-site physician services platform

Medicaid capability built across nine practices in seven months. $1.4M run-rate revenue, $800K EBITDA, and an entire pediatrics practice category newly accessible as M&A targets.

Add-On Strategy & Integration

M&A Infrastructure Build

Multi-site physician services platform

One opportunistic deal to M&A infrastructure that carried 20 transactions and $100M+ in capital deployment, across deal evaluation, transaction execution, and post-close integration.