Aspire Physician Solutions

Private Equity Incubation Initiative®

Expertise. Experience. Analysis. Implementation. Operational Excellence.

When physicians consider exploring the sale or merger of their practice, whether to a private equity group, a strategic buyer, or a health system, most are unaware of the myriad of steps required to prepare for a successful transaction. Of greatest importance, many physicians do not fully realize how stakeholder value can be both materially impacted and maximized through professional, thorough pre-transaction operational assessment and improvements.

Aspire works exclusively with physician practices of every size and in every specialty, bringing to bear a deeply experienced team of mergers and acquisitions, and practice management professionals who are laser focused on one overarching goal – to fully professionalize, prepare and position the practice to attract a premium investor and to garner the maximum value possible for the practice.

The principals of Aspire have decades of experience in private equity, investment banking and physician practice operations – in fact, our professionals have successfully consummated more than 800 practice sales and mergers, in virtually all medical specialties. We are proven practice operators and healthcare business owners, not just consultants. At Aspire, we bring together the right experts to vanquish complexity, facilitate change, and create a substantial, positive impact on practice value.

A key differentiator between Aspire and other advisory services firms, is that we simply do not have a “B-team.” At Aspire we deploy only senior level, deeply experienced, lean, high-performing teams, tailored specifically to each client’s unique circumstances. Our projects are not staffed with oversized teams of mid-level consultants that must learn your business at your expense.  As business owners, we approach each engagement with an owner’s mindset, seeking to create, capture and maximize value at every opportunity. 

Partnering with Aspire simplifies the business of medicine by allowing healthcare professionals to focus on optimizing patient outcomes in a reduced stress environment with a higher rate of compliance and risk mitigation. In all of the transactions we have managed, it has been unequivocally proven that professional, thorough pre-transaction preparation dramatically increases practice value and the correspondent financial rewards for physician owners.    

Aspire serves the needs of two categories of clients:

  • Physician practices that have already achieved adequate scale to consider a transaction immediately or in the near term
  • Physician practices that are currently too small to attract a premium investor, but whose owners would like to scale their operation by having Aspire develop and implement a transformational plan, allowing them to complete a successful transaction in the foreseeable future

Assessment, Solutions, Implementation, Training, Results

Aspire has developed an innovative approach to working with smaller practices that is totally unique in the private equity industry. Through the Private Equity Incubation Initiative® (PEII) Aspire will partner with select practices, of virtually any size, provided they are led by entrepreneurial physicians who have a sincere desire to avail themselves of the financial benefits that a private equity or merger and acquisition transaction creates.For practices that qualify, Aspire will engage its team of practice operations and investment professionals to do three things:- To polish and professionalize the current practice in terms of operating systems, methods, procedures, controls, marketing, management reporting and accounting. - Working with the practice’s owners, create and implement a business development plan that will enable the practice to meet, or exceed, the $2Million in annual adjusted EBITDA required to successfully complete a private equity or merger and acquisition transaction, or sale of the practice to a strategic buyer. While no two business development plans are alike, typical components are additional providers, de novo locations, new service line development, and bolt-on transactions with other practices. - When the desired scale has been achieved, Aspire will either partner with the practice as a private equity investor, or shepherd the practice through a successful financial transaction with a third party, allowing the physicians to realize very substantial financial rewards.Physicians whose practices qualify for the PEII can expect an initial private equity or merger and acquisition transaction within three to five years, with a substantial liquidity event at closing. Physicians are also provided the opportunity to carry over a substantial part of their equity into a secondary transaction that is even more financially rewarding than the initial transaction.

The Aspire Mission

Aspire has developed an innovative approach to working with smaller practices that is totally unique in the private equity industry. Through the Private Equity Incubation Initiative® (PEII) Aspire will partner with select practices, of virtually any size, provided they are led by entrepreneurial physicians who have a sincere desire to avail themselves of the financial benefits that a private equity or merger and acquisition transaction creates.For practices that qualify, Aspire will engage its team of practice operations and investment professionals to do three things:- To polish and professionalize the current practice in terms of operating systems, methods, procedures, controls, marketing, management reporting and accounting. - Working with the practice’s owners, create and implement a business development plan that will enable the practice to meet, or exceed, the $2Million in annual adjusted EBITDA required to successfully complete a private equity or merger and acquisition transaction, or sale of the practice to a strategic buyer. While no two business development plans are alike, typical components are additional providers, de novo locations, new service line development, and bolt-on transactions with other practices. - When the desired scale has been achieved, Aspire will either partner with the practice as a private equity investor, or shepherd the practice through a successful financial transaction with a third party, allowing the physicians to realize very substantial financial rewards.Physicians whose practices qualify for the PEII can expect an initial private equity or merger and acquisition transaction within three to five years, with a substantial liquidity event at closing. Physicians are also provided the opportunity to carry over a substantial part of their equity into a secondary transaction that is even more financially rewarding than the initial transaction.