
Healthcare Private Equity
A thesis is only as good as the operating reality underneath it. This is the vertical overview: how I work alongside operating partners across the whole hold period, testing assumptions before close and building observable systems after. If you have a live deal, the buy-side and sell-side diligence engagements are productized on the Capital Groups page.
The value curve
Watch value compound across the hold period.
Value across the hold period
diligence → exit
Value is built across the hold, not printed at exit.
The textbook value-creation story is a trajectory: pressure-test before close, align in the first 100 days, build observable systems through the hold, and hand the next owner a system instead of a person.
- 1
Diligence
Ground the thesis in real demand, access, and data before close.
- 2
First 100 days
Owners, measures, and cadence set before the day-to-day absorbs the plan.
- 3
Hold period
Build the observable systems that support controlled scale.
- 4
Exit readiness
An operating story a buyer underwrites: value in systems, not heroics.
Across the hold period
From diligence to exit readiness.
- 1
Before close
Pressure-test the growth assumptions, operating constraints, data quality, and execution requirements behind the thesis, so the plan rests on what is real, not what is hoped.
- 2
First 100 days
Set priorities, owners, measures, and the delivery cadence for the highest-impact moves, before the day-to-day absorbs the plan.
- 3
Hold period
Build and optimize the growth, technology, and operating systems that support controlled scale and make performance observable.
- 4
Exit readiness
Make the operating story observable, repeatable, and clear, so the next owner buys a system, not a person.
What is broken
Where theses meet operating reality.
- Growth assumptions in the model are not backed by visible demand, access, or conversion data.
- A measured view of the demand-to-revenue system, so the thesis is grounded before close and tracked after.
- The value-creation plan is a deck; ownership and cadence dissolve into the day-to-day after close.
- A first-100-day operating plan with named owners, measures, and a delivery rhythm leadership actually runs.
- Each platform and add-on runs on its own systems; there is no portfolio-wide operating picture.
- Shared operating systems and reporting that scale across the platform and accelerate add-on integration.
- At exit, performance depends on a few key people and cannot be cleanly shown to a buyer.
- An observable, repeatable operating story a buyer can underwrite: value embedded in systems, not heroics.
How I help
An operating partner across the lifecycle.
Commercial and operating diligence
I pressure-test the growth and operating assumptions behind the thesis: demand, access, data quality, and the execution capacity to deliver the plan.
First-100-day alignment
Translate the thesis into priorities, owners, measures, and cadence so the value-creation plan starts moving before the operation absorbs it.
Hold-period execution
Build the growth, technology, and operating systems that support controlled scale and give the deal team a live view of performance.
Exit readiness
Make the operating story observable and repeatable so it transfers cleanly to the next owner and supports the value at exit.
Healthcare Private Equity stack diagnostic
4 failure points
- Diligence
The model's conversion assumptions trace to no system of record. They come from management's deck, not the data.
- Value creation
The 100-day plan is a slide with no owner or cadence attached, so by day 60 the team is back to running the business.
- Portfolio reporting
Each platform reports on its own stack and its own definitions, so a portfolio KPI means hand-assembling spreadsheets every month.
- Exit
Performance lives in a few people's heads and manual reports, with no system a buyer can inspect and trust.
I work with operating partners and portfolio leadership on the growth, technology, and operating systems behind the thesis, not clinical, legal, regulatory, or investment advice, meeting the compliance and security standards healthcare assets require.
Doing a deal right now?
This page is the operating-partner overview. The buy-side and sell-side diligence engagements are productized on Capital Groups.
Buy-side operational due diligence in diligence timeframes, or a sell-side readiness audit that defends the multiple before the data room opens. See exactly what the scored assessment covers, and how I think about value creation.
Components that fix this
The engine parts I build for this vertical.
Each failure above maps to a component of the growth engine. Here is what plugs in where.
- The operating system
Systems Architecture
The observable operating systems a portfolio scales on, and the story a buyer can underwrite at exit.
Explore the component → - Connective tissue
Revenue Operations & CRM
The demand-to-revenue reporting that grounds the thesis before close and tracks it after.
Explore the component →
A pre-acquisition operational audit found $2.3M in hidden leakage and cut $7M off the purchase price before close.
Read the case study →Underwrite the operating reality, then build it.
I will pressure-test the thesis, set the first-100-day plan, and design the observable operating systems that carry value through to exit.


