A founder-focused guide to why private equity sponsors consolidate physician practices, how MSO infrastructure and add-on strategy shape valuation, and what physician owners should expect in diligence, rollover negotiations, governance, employment terms, cash at close, and post-close integration.
By George Barsom, JD, CM&AA®, CAIA® • Last updated: June 8, 2026 Updated for physician owners, specialty practice groups, healthcare operators, and referring professionals evaluating specialty physician practice M&A, buyer underwriting, specialty-specific valuation drivers, platform versus add-on positioning, rollover equity, earnouts, working-capital mechanics, and seller proceeds. This article is informational and is not legal, tax, accounting, investment,…