Pinnacle Derm Increases Michigan Presence

Pinnacle Dermatology, backed by private equity firm Chicago Pacific Founders, is on the move again.  With the latest acquisition, North Oakland Dermatology, Pinnacle increases its presence in Michigan.  The Pinnacle office list now numbers 24, with locations primarily in the Chicago area with outlying clinic overage in Central Illinois, Indianapolis and the Detroit area.

North Oakland Dermatology was founded by Dr. Eva Youshock and has been serving patients in the Rochester Hills area since 2008. Read more>>

 “As a dermatologist for more than 30 years, I am honored and excited to join the Pinnacle Dermatology team of respected providers,” says Dr. Youshock.

Happy Days Are Here Again...

Guidant Financial teamed up with LendingClub to get the pulse on small business trends with a survey of over 2,500 small business owner respondents.  Forty-four percent of respondent were baby boomers.

Good News:  The majority of those baby boomers of are Happy!  And...Profitable (67%)!

Check out more "State of Small Business" survey highlights here.

Anne Arundel Dermatology Adds Another...

Provides services in MD, VA, TN

After its recent second quarter acquisition, Anne Arundel Dermatology Management (ADM) continues on the acquisition and integration trail.  In early July, ADM CEO Scott Mahosky announced a partnership with Virginia Dermatology & Skin Cancer Center PLLC (VAD).  Founded by Dr. Brian Johnson, the acquisition of VAD adds 4 locations in the Norfolk/Newport News area to ADM, a portfolio company of New MainStream Capital.  With the addition of Dr. Johnson' s practice and skilled staff,  Anne Arundel Dermatology Management now provides support services to 44 clinic locations across three states (MD, VA, TN) with over 120 providers.”  >>Read more

Don't Leave Your Business to Chance...

Summer 2018:  Sports Fan Heaven

It’s been a Sports Fan Heaven over the last few months…with the NBA Finals, Stanley Cup Finals, French Open, Indy 500, World Cup, Baseball’s regular season and so on...  

Clearly, in the ultimate Land of Chance, casino operators would never leave their future to chance and neither should you, as a business owner.

Did all the play-by-play overshadow the Supreme Court’s reversal of the ban on sports gambling or is it no big deal to Nevada? According to Las Vegas sport book director, Jay Kornegay, “...We've been preparing for this decision for a very long time."

Since it's likely that selling your business is somewhere in your future, just a reminder –

Don’t Rely on Luck to Hit Your Payday.  Plan Ahead. 

1) Get a Valuation  – It's a starting point for setting and increasing company worth.

If you nix a Valuation at this point, consider an assessment tool that offers general insight to how your business is doing.  

Get Your Score

Head to our website for the Value Builder tool or Click here to Get Your Score. The assessment takes 15 minutes to complete and there's No Charge.

2) Don’t Go It Alone – Pick Your Team (business broker, accountant, lawyer) for unique insight and advice during the selling process. They’ll review your business, pinpoint issues, coach you on fixes. And, the enhanced value of the deal will outweigh their fees.

3) JUST DO IT  – Implement Advisor Suggestions.  It's a sure bet that an increase in your revenue and/or profit will attract qualified potential buyers at a premium price.

Don’t leave your business to chance.  You can count on us for honest advice and critical guidance when you're ready to sell.  Call Us at 610.527.8400.

Whole Lotta Derm Going On in Q2

U.S. Dermatology Partners (USDP) has been rolling along... picking up speed and many derm practices across the U.S.  Led by CEO, Geoff Wayne, USDP, is a Dallas-based physician-owned, dermatology-focused practice management organization.  Over the last few months, USDP has continued to strengthen its U.S. presence with acquisitions in Colorado, Arizona, Maryland and Texas:

• Apex Dermatology Group in Denver and Littleton, Colorado.
• Beatrice Keller Clinic Dermatology in Sun City West, Peoria and Goodyear, Arizona. This acquisition increases USDP's existing Arizona presence by almost 30 physicians in the greater Phoenix area.
• Annapolis Dermatology Center acquisition adds 10 physicians to serve the greater Baltimore-Washington D.C. area.
• Trinity Dermatology serving the Carrollton, Texas area for almost 30 years.  With this partnership, USDP now serves the Dallas-Fort Worth metroplex with 35 physicians and the state of Texas with over 100 physicians.

U.S. Dermatology Partners provides comprehensive management services to dermatologists in 90 locations in Texas, Kansas, Missouri, Arizona, Colorado, Louisiana, Maryland, Oklahoma, and Virginia.

Also, in the second quarter... Anne Arundel Dermatology, a portfolio company of New MainStream Capital, acquired its 12th practice.  Tidewater Dermatology, with Northern Maryland offices (Havre de Grace and Bel Air) joined the partnership in April.  Anne Arundel Dermatology boasts 40 locations and 94 providers in Maryland and East Tennessee.

Everything's Big in Texas Derm Too!

Spindletop Capital Management recently established a derm platform under the name Sanova Dermatology and did it in a BIG WAY.  The private equity firm brought together leading Austin-area and southern dermatologists to provide high-quality patient care. Spindletop's 8 acquisitions now fly under the Sanova flag.  They include:

• Sanova Dermatology
• Austin Dermatology Associates
• Steiner Ranch Dermatology
• Pflugerville Dermatology and Aesthetic Center
• The Austin Institute for Clinical Research
• Practice of Bonnie Furner, MD
• DermaSurgery Center
• Old Metairie Dermatology

The practice boasts 20 providers in the key Texas areas of Austin, San Antonio as well as Louisiana cities: New Orleans, Baton Rouge, and Lafayette.

The business will be led by CEO Scott Burns and Dr. Ted Lain who shared the benefits of the new dermatology practice management platform:

"We now have the expert resources of a team of billing, marketing, and insurance experts to help prioritize customer service and handle the administrative headaches that bog down most private practice physicians today."

>>Read more 

Congrats Dr. Talbott!

Congratulations!!! are in order for our client, Dr. Gaines Talbott, longtime owner of First Med Urgent Care.  In early May, Dr. Talbott officially merged his successful Charlottesville practice with West Virginia-based MedExpress Urgent Care.  Best of Luck!

MedExpress, a national leader in affordable walk-in care, is part of Optum, a division of United Healthcare.  MT Consulting was instrumental in MedExpress' initial path to expansion over 10 years ago.  As our client, MT assisted the founders of MedExpress secure an investment from private equity firm, Excellere Partners.

How about less Red Tape?

Hey Small Business Owners... a few politicians recognize the value of YOUR time.

In April, several U.S. Senators introduced a bill that would cut IRS compliance burdens for small business owners.  The bill, The Small Business Taxpayer Bill of Rights Act, S. 2689, has now been referred to the Senate Finance Committee.  According to one of the co-sponsors,

 “This bill lowers the compliance burden, strengthens taxpayer protections and ensures small businesses are not targeted for additional scrutiny based on discrimination.”

>>Read more about Bill S. 2689 or check out the specifics. 

Alliance Physical Therapy On the Move

Alliance Network Footprint

With the backing of GPB Capital Holdings, Alliance Physical Therapy Partners completed the acquisition of Agility Health earlier this year.   Now Tampa-based Alliance is readying for a move to Grand Rapids, MI - to the former Agility headquarter location.   But, that's not all.  Alliance has plans for a move into a number of new markets across the U.S. ...adding to its current footprint.  Stay tuned.

Derm Practice Poised to Go National

Skin & Cancer Associates (SCA), a group dermatology practice, boasts 5 locations throughout Florida. Following a recent partnership with Philadelphia area Susquehanna Private Capital LLC, SCA is now focused on going national.  

The Ft. Lauderdale-based practice management organization with 80 professionals will continue with current leadership, Dr. Reuven Porges, CEO.  >>Read more

New Jersey Urgent Care Network Adds Location

AtlantiCare Urgent Care, part of Geisinger Health, will add another location to its network with the acquisition of Cape Urgent Care in Cape May, NJ.  The acquisition is expected to close June 1.  AtlantiCare clinics are located primarily in the central and southern part of the state.  

Are You a Successful Seller?

Is there a Perfect Time to Sell?

As sell-side business brokers, we're often asked about Timing.

While we could provide a long winded answer, suffice it to say -

There's no perfect time to sell...

There's YOUR time to sell.

That time is when You and the Business are ready.

To that point...

Have you identified life's next step and eagerly await the transition?

Do you have a baseline or current business valuation?

You've heard it repeatedly...Preparation is the cornerstone of a successful sale.  Ideally, it starts with a business valuation by a knowledgeable advisor.  The assessment offers more than a snapshot of what your business is currently worth. The 360 degree review will likely identify business trends or information gaps as well as pinpoint areas for improvement.  Don't overlook or fail to react to these actionable insights. They become the basis for initiatives that over time will increase business value and enhance buyer interest.

Is this the Perfect Time for You to Sell?  

Valuations are a core MT Consulting service. Let us assess your business & determine how ready you are.  Call us at 610-527-8400.

Action Continues in Derm

2017 was a strong acquisition year for US dermatology firms.  It's estimated that the acquisition total was up at least 45% over the previous year.  The action continues in 2018... In general, it appears that the larger firms continue to bring smaller practices into their fold.  Here's a rundown of some of the first quarter derm acquisitions: 

US Dermatology Partners, a portfolio company of ABRY Partners, acquired:

• Practice of Dr. Robert Silverman in Fairfax, VA
• Rabin-Greenberg Dermatology with 3 locations in the Houston area.
• Stillwater Dermatology Clinic's 2 Oklahoma locations 
• Metcalf Dermatology with 1 Stillwater, Oklahoma location

Pinnacle Dermatology, supported by Chicago Pacific Founders, acquired:

• Van Dam Dermatology & Laser Center practice location in suburban Chicago

Epiphany Dermatology, based in Austin, acquired: 

• Dermatology Associates, Inc. establishing a presence in Missouri 
• Frisco Dermatology Laser & Surgery Center located in the Dallas/Ft. Worth metroplex

Affiliated Dermatology, based in Arizona, acquired: 

• Derma Aura Dermatology increasing Affiliated's Phoenix presence to 6 locations

Is Disney Leading the Healthcare Bandwagon?

Is Disney the real disruptor?... leading the way in a new approach to controlling healthcare costs.  Last week's Amazon, Berkshire Hathaway, JP Morgan Chase healthcare announcement - vague as it was - took a few businesses by surprise, notably healthcare insurers.  This week we learn that Disney's plan entails bypassing insurers and contracting directly with Orlando area hospitals for its regional workforce.  There's a few players clearly affected... independent physician groups, for one, as well as Disney employees unhappy with a narrowing network of providers.  Time will tell if this proves to be the general model that the Big 3 use going forward.  >>Read more

Warning: Disruption Ahead

News travels fast...so by now, you know that 3 of the top 7 largest U.S. companies are partnering to create another healthcare company presumably to drive down costs for their respective 950,000 employees.  There's NO question that when Amazon, Berkshire Hathaway and JP Morgan Chase speak... the stock market listens.  Although it was a vague announcement - not the actual plan - the potential disruption was significant enough to rock the stock market Tuesday morning, especially healthcare insurers.  Stay Tuned... >>Read more.

Small Biz Optimism off the Chart!

The National Federation of Independent Businesses (NFIB) released its latest findings regarding optimism among small business owners and 2017 was a record setting year!  

In fact, small-business confidence was the highest in the history of the NFIB survey -drawn from the organization's membership. Prior to last year, the previous record was set in 2004.  Driving 2017 optimism was the expectation of better economic policies from Washington according to NFIB research.  >>Read more

It's a New Year for CTC...

Congratulations & Cheers... to MT Consulting client, Suzan Syron, on the recent sale of her company to Theraplay.  As owner of the multi-site The Children's Therapy Center, Sue has been providing exceptional pediatric therapy services to northern Virginia children for over 35 years.  Lisa Mackell, Theraplay's founder, is excited to continue Sue's high level of care as Theraplay expands into Virginia.  >>Read more 

We wish Sue, the CTC and Theraplay staffs continued success in 2018!