Advisory Services
We represent physician owners and healthcare founders through every phase of a strategic transaction.
Our PRACTICE
A singular mandate, executed with precision.
Every advisory relationship at this firm begins with the same commitment: to represent our clients with the full depth of our experience and market access.
Alexander Price & Co. was founded on a straightforward conviction: physician owners deserve the same caliber of strategic advisory that has historically been available only to institutional sellers. Our practice is organized entirely around that purpose. We represent founders, partners, and physician-led enterprises on the sell side of healthcare transactions — advising on full and partial sales, minority and majority recapitalizations, private capital placements, and pre-transaction strategic planning. We do not represent buyers. We do not represent investors. Our obligation, in every engagement, runs exclusively to our clients.
Every engagement begins long before a process is launched. We spend time understanding a practice’s financial profile, clinical positioning, growth trajectory, and the personal and professional objectives of its owners. That foundation informs everything that follows — how we position the business, which buyers we approach, how we structure the process, and ultimately, how we negotiate the terms of a transaction. Whether an owner is pursuing full liquidity, a recapitalization that preserves continued equity participation, or an external capital raise to support expansion, we apply the same preparation, market intelligence, and process discipline to each mandate.
Physician practice M&A is not a generalist discipline. Valuation multiples shift by specialty and buyer type. The regulatory frameworks governing these transactions — including Stark Law, Anti-Kickback Statute, and corporate practice of medicine doctrine — shape what structures are permissible and how transactions must be architected. Buyers range from PE-backed platforms executing add-on acquisitions to regional health systems pursuing vertical integration. We maintain active relationships across this buyer universe and carry direct transaction experience within it. That market intelligence is not background context. It is applied, directly, to every engagement.
Our clients are making one of the most consequential financial decisions of their professional lives. We take that seriously. Every mandate is senior-led. Every process is managed with discipline and confidentiality. Every recommendation is made with a single objective: to secure the best possible outcome — on valuation, on structure, and on the terms that govern what comes after closing.
01
Sell-Side Advisory
Comprehensive representation through every phase of a full or partial sale — from positioning and buyer outreach through negotiation, due diligence, and closing.
02
Recapitalizations & Structured Liquidity
Minority and majority recapitalizations designed to deliver meaningful liquidity while preserving equity participation and clinical leadership.
03
Capital Advisory
Private capital placement for de novo expansion, growth acquisitions, and balance sheet optimization — structured to protect physician ownership interests.
04
Strategic Advisory
Valuation analysis, transaction readiness, and succession planning for physician owners evaluating the full range of strategic alternatives.
How We Work
A disciplined process, from first conversation to closing.
Each engagement follows a structured methodology built around competitive tension, transparency, and the protection of physician interests at every stage.
01
Confidential Consultation
We begin every engagement with a confidential discussion — no obligation, no exposure. We assess the practice’s financial profile, ownership structure, and the owner’s objectives before recommending a path forward.
02
Valuation & Market Positioning
We develop a comprehensive valuation analysis and construct the positioning narrative that will be presented to the market — accounting for normalized EBITDA, add-backs, growth profile, and specialty-specific buyer dynamics.
03
Buyer Identification & Process Launch
We identify and approach a curated universe of qualified buyers — PE-backed platforms, strategic consolidators, and institutional health systems — through controlled, confidential outreach designed to create competitive tension.
04
Negotiation & Due Diligence
We manage LOI negotiations, oversee the due diligence process, and maintain leverage throughout — advising on structure, representations, post-closing employment terms, equity rollover, and earn-out design.
05
Closing & Post-Transaction
We coordinate with legal counsel, lenders, and counterparty advisors through final documentation and closing. Our involvement does not end at signature — we remain available to our clients through the post-closing transition.
Selected Transaction Experience
Institutional Execution for Once-in-a-Lifetime Outcomes.
Representative transactions closed by managing directors prior to the formation of Alexander Price & Co.
Begin the Conversation
Considering a Strategic Transaction?
Ownership transitions require careful planning, experienced representation, and disciplined execution. We welcome confidential discussions with physician practice owners evaluating their strategic alternatives — at any stage of the process.