Practice Integration

Evolving market dynamics are driving practices to consolidation.  We can help you build a more valuable platform and expand your options for the future.

SCALE provides fully-outsourced solutions with thoughtful strategy & execution roadmap planning while driving & project-managing consolidation execution.

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Groups striving for scale face various pathways to their objective.

Standalone Growth

Practice Mergers Simultaneous with Private Equity Deal

Practice Mergers Prior to Pursuing Private Equity Deal

Early Stage Private Equity Deal Prior to Scaling

  • Maximum retention of control and upside
  • Lengthy execution timeline
  • Investment borne by single entity
  • Private equity deal offers potential catalyst for consolidation
  • Reduced universe of viable buyers
  • Increased deal complexity, cost and timeline / risk to close
  • Competing and confused priorities across two heavy lifts; consolidation and M&A deal
  • Heightened potential for: foregone valuation upside, less favorable deal terms, and post-execution risk
  • Faster pathway to achieving scale relative to standalone growth
  • Optimize EBITDA and strategic position / value proposition prior to potential liquidity event
  • Offer future add-on practices the competitive differentiation of being an independent alternative
  • Inherent merger integration complexity & risk – though mitigated by avoiding simultaneous private equity deal execution distraction
  • Faster pathway to liquidity
  • Delay merger integration complexity until post-close add-on deals
  • Up-front deal valuations are likely to reflect the practice’s limited scale and heavy post-close lift
  • A large portion of the platform scaling upside is captured by the investor

Empower your consolidation effort through our advisory & services designed for provider platforms.


Bobby Trenczer
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David Kovel

IT / Data

David Kovel
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Payer Strategy

Mike Mirt
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Sandy Seay scale physician group


Sandy Seay
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Cedric Tuck-Sherman
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Doug Driver
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