CASE STUDY: Preparing for the Exit — One Primary Care Practice’s Strategic Turnaround Before the 2026 Event

The Practice at a Glance

• Specialty: Independent Primary Care

• Annual Revenue: $3.5M

• Initial EBITDA: 10%

• Team: 2 Physicians, 2 Mid-Level Providers, Office Manager, Support Staff

• Daily Volume: ~30 patients per provider

• Ownership: 50/50 between a retiring physician and a younger, growth-oriented partner

​

The Reality: Stressed, Profitable, and Not Exit-Ready

Heading into 2024, this clinic looked strong on paper. But behind the scenes, it was strained:

• The senior partner was ready to retire but couldn’t find a clear path to do so.

• The younger partner was still passionate but exhausted by back-end business demands.

• Though they were profitable, they had no systems in place to prepare for a premium exit.

They knew they were missing revenue, losing appeals, and chasing volume instead of value. Their patient care was solid—but their business was not scalable, transferrable, or attractive to serious buyers.

​

The Turning Point: Entering the Cornerstone MSO Alliance

In early 2025, they enrolled in the Cornerstone MSO Alliance with a focus on one outcome:

Maximize their valuation and operational readiness before the anticipated Q2 2026 Exit Event.

Rather than a total overhaul, they opted into a targeted strategy, activating:

​

What They Implemented

🔧 Growth & Exit Accelerator + Operating System

• This gave the partners a step-by-step framework and direct access to our advisors, helping them:

  • See clearly how to run the business like an investor

  • Understand what drives valuation and how to improve it

  • Gain confidence in each decision as they moved toward exit readiness

​

📊 Financial Continuity & Oversight

• Our team took over:

  • Bookkeeping & cash flow tracking

  • Monthly financial statements and KPI dashboards

  • Tax & audit prep readiness for the exit

​

This immediately reduced stress and helped the partners make decisions from a place of data, not guesswork.

​

💼 Alliance Partner Benefits

• Recovered Lost A/R: Denials and appeals were reactivated, unlocking $120K+ in lost revenue

• Peptide On-Demand Program: Introduced in-practice peptide therapy, which:

  • Added $12K/month in new cash revenue

  • Created stronger patient outcomes and retention

  • Required zero upfront inventory

​

Results (In Progress)

As of mid-2025, the transformation is real:

• EBITDA has nearly doubled, currently tracking at 18.5%

• The practice has financial clarity, operational structure, and a clear runway to the exit

• The senior partner has already reduced clinical hours by 50%

• The junior partner has a plan to scale with national MSO backing post-exit

​

They’ve also been identified as a Top Tier Candidate for the upcoming roll-up and will be eligible for full Exit Participation with anticipated proceeds based on a 6–10X revenue multiple.

​

What’s Next

By Q2 2026, this practice expects:

• A full liquidity event for the retiring partner

• Lump sum payout for the junior physician & support system in place

• Distribution of proceeds via Transaction Units aligned with MSO-wide exit performance

• A meaningful transition, not a rushed sale

​

The Bottom Line

This practice didn’t need a buyer.

It needed a blueprint.

​

Through our Growth & Exit Accelerator, operating system, and Alliance Partner benefits, they’ve created real enterprise value—and are on track for a life-changing exit.

​

Are you ready to unlock the value your practice is sitting on?

We’ll help you see it—and seize it—before the window closes.

​

📩 Schedule a Confidential Discovery Call

🛠️ Get Your Exit Plan in Motion Today