by Michael Roub | Jul 6, 2026 | Market Trends
If you’re thinking about a transaction, whether you’re buying, selling, or simply trying to understand what your practice is worth, the number that matters most isn’t just your EBITDA. It’s the multiple applied to it. And that multiple...
by Michael Roub | Jun 22, 2026 | M&A Strategy
Acquiring a healthcare business is one of the highest-stakes decisions a leader or investor can make. The sector carries unique regulatory, operational, and financial complexity that can turn a promising deal into a costly mistake if the process lacks discipline....
by Michael Roub | Jun 15, 2026 | Exit Planning
Most practice owners overestimate their business’s value and underestimate how much work it takes to prove that value to a buyer. The gap between your internal number and what a buyer will actually pay is rarely about the quality of your clinical work. It is...
by Michael Roub | Jun 4, 2026 | Market Trends
At some point, a decision lands on your desk that you cannot afford to get wrong. Maybe you are evaluating whether to expand into a new geography, acquire a competing practice, add a service line, or exit the business entirely. The instinct is often to move on...
by Michael Roub | May 22, 2026 | M&A Strategy
Most healthcare acquisitions don’t fail at closing. They fail in the months afterward, when gaps missed during due diligence become operational and financial problems you now own. A rigorous due diligence process is how you close with confidence, not regret. The...
