Whether you’re losing money—or profitable and peaking—there’s a narrow window to exit at a premium. We help physicians and healthcare entrepreneurs get real offers, fast.
“Premiums are paid for momentum, not nostalgia.”
Reimbursements tighten. Larger systems consolidate. Competitors sell and return with capital, analytics, and contracting leverage. Multiples compress before you feel it. The best time to exit is at—or just before—your peak
Multiples Don’t Fall From The Sky—They’re Engineered
Clean, accrual-based financials
Normalized EBITDA with add-backs
Payer mix quality & assignable contracts
Transferable growth levers buyers can fund Day 1
Scalable ops: scheduling, coding, billing, analytics
Compliance posture (HIPAA, Stark/AKS)
Provider stability & pipeline
Forensic bookkeeping, compliance scrub, and reputation firewall. Restored buyer confidence and captured value in brand, database, and membership continuity.
Partner dispute clouded the value. We prioritized continuity of care, payer quality, and staff tenure while mitigating legal risk. Achieved LOI with fair employment terms and accelerated diligence.
A path out that preserves dignity, limits personal guarantees exposure, and protects staff where possible.
Clarity in days: clean numbers, realistic value, buyer lanes.
Having multiple bidders creates a stronger structure, increases competitiveness, and provides optionality for decision-making.
Lock today’s multiple before policy and market headwinds erode it.
Download the physician-friendly checklist to avoid the 12 most expensive exit mistakes.
2025. All rights reserved
This is not legal, tax, or investment advice. Results vary. All transactions are subject to diligence and market conditions.
Led by Dr. Faisal Sami, MD—radiologist, entrepreneur, and founder who scaled and exited an eight-figure teleradiology practice—SamiCapital® brings a physician’s lens to deals, diligence, and value.
Every week you delay, the bleed compounds: payroll, rent, vendors, and a credit line that was supposed to “bridge” the gap. You stare at the AR aging and wonder if payors will ever make you whole. They won’t—not fast enough. Delay turns fixable problems into uninsurable risk. Good staff leave first. Landlords stop negotiating. Your attention narrows to “just get through Friday.” That’s not leadership—that’s triage.
We stabilized cash flow, rebuilt accrual financials, and reframed the story around patient volume, location moat, and after-hours access. Multiple competitive offers; seller chose a structure with working-capital relief and a clean transition.
Whether you’re bleeding or booming, time is not neutral. Debt compounds. Multiples compress. Competitors reload. If you’re even thinking about selling, get a valuation range and a plan—now.