Ambulatory Alliances, LLC

Ambulatory Alliances, LLC is a full service healthcare investment banking and M&A brokerage firm that has significant experience in advising physicians and Ambulatory Centers.

We have advised on numerous transactions as well as have had various financial and strategic planning engagements. We work with buyers and sellers in three main areas:

* Selling Ambulatory Centers, Endoscopy center, ASC brokerage and selling Urgent Care Centers: Physician owners that have an interest in selling part of or all of their outpatient surgery center or endoscopy center or selling urgen

Operating as usual

TOP HEALTHCARE TRANSACTION LAWYERS OF 2017 - The Ambulatory M&A Advisor 01/11/2018

TOP HEALTHCARE TRANSACTION LAWYERS OF 2017 - The Ambulatory M&A Advisor

This list designates the healthcare transaction lawyers who have achieved a high degree of recognition and success within their field. These individuals were nominated by clients, colleagues and other service professionals within the healthcare transaction field. The attorneys listed below are receiving a Leading Lawyer award, a Rising Star award or an In-House General Counsel award for their hard work and dedication. [ 697 more words ]

http://www.ambulatoryadvisor.com/top-healthcare-transaction-lawyers-2017/

TOP HEALTHCARE TRANSACTION LAWYERS OF 2017 - The Ambulatory M&A Advisor This list designates the healthcare transaction lawyers who have achieved a high degree of recognition and success within their field. These individuals were nominated by clients, colleagues and other service professionals within the healthcare transaction field. The attorneys listed below are recei...

Private Equity Deal Terms and Current Targets 04/28/2017

Private Equity Deal Terms and Current Targets

This past week, The Ambulatory M&A Advisor was proud to host the panel discussion, “Healthcare Transaction Structuring with Private Equity.” the panel discussion hosted a knowledgeable panel on the topic with experts Aaron Handler, Co-Founder, Partner of Elm Creek Partners, Joshua Kaye, Partner of the law firm DLA Piper LLP, and Roger Strode, partner of the law firm Foley & Lardner LLP. [ 1,567 more word ]

http://www.ambulatoryadvisor.com/private-equity-deal-terms-current-targets/

Private Equity Deal Terms and Current Targets Read about private equity in the healthcare transaction. Find out what PEGs look for as far as acquisition targets for their portfolios.

The Ambulatory M&A Advisor Releases Healthcare Transaction Structuring with Private Equity Recording 04/27/2017

The Ambulatory M&A Advisor Releases Healthcare Transaction Structuring with Private Equity Recording

Recently, The Ambulatory M&A Advisor hosted a complimentary panel discussion on Thursday, April 27, 2017. The webinar was sponsored by Ambulatory Alliances, LLC, a middle-market boutique investment banking and strategic advisory firm. The company is involved with both buy-side and sell-side focusing exclusively on healthcare services and more specifically outpatient centers and physician practices. The panel discussion, “Healthcare Transaction Structuring with Private Equity,” hosted a knowledgeable panel on the topic with experts Aaron Handler, Co-Founder, Partner of Elm Creek Partners, Joshua Kaye, Partner of the law firm DLA Piper LLP, and Roger Strode, partner of the law firm Foley & Lardner LLP. [ 72 more words ]

http://www.ambulatoryadvisor.com/webinar-private-equity-recording/

The Ambulatory M&A Advisor Releases Healthcare Transaction Structuring with Private Equity Recording Check out the latest webinar from The Ambulatory M&A Advisor. Learn about structuring a healthcare transaction with a Private Equity Group.

Integration Strategies in the Modern Healthcare Market 04/26/2017

Integration Strategies in the Modern Healthcare Market

A healthcare M&A transaction is usually a scenario where two entities completely merge as one in order to broaden their footprints on the market and improve the quality of patient care for the surrounding demographic of the businesses. While the majority of these types of deals run like a well-oiled machine after the contracts are all signed, there are always some instances where the integration of the two businesses may clash and create some friction between the parties involved. [ 1,439 more word ]

http://www.ambulatoryadvisor.com/integration-strategies-2017/

Integration Strategies in the Modern Healthcare Market Find out about the importance of integration when two companies merge in the healthcare industry. Learn about the qualities that companies look for.

Keeping the Pace:  Preparing the Deal to Not Waste Time 04/24/2017

Keeping the Pace: Preparing the Deal to Not Waste Time

During a healthcare M&A transaction time is literally money. Wasting the time of either the buyer or the seller can be the straw that breaks the camel's back if the deal takes too long to consummate due to poor preparation on behalf of either party or issues found in diligence or the market that could slow down the deal to an unwelcome stop. [ 1,510 more word ]

http://www.ambulatoryadvisor.com/deal-not-waste-time/

Keeping the Pace: Preparing the Deal to Not Waste Time Read about the importance of speed in a healthcare M&A deal. Learn about the top deal killers and how to avoid them before time runs out.

Selective Sellers in a Healthcare Transaction 04/21/2017

Selective Sellers in a Healthcare Transaction

During a healthcare M&A transaction, selection of just the right buyer can be the difference between success and failure in a deal for many sellers. From understanding who the current buyers are on the market, to what they are looking for in ASCs and other outpatient care busiensses, The Ambulatory M&A Advisor provides the information that a new seller needs if they are scouting for potential buyers. [ 1,488 more word ]

http://www.ambulatoryadvisor.com/selective-seller-transaction/

Selective Sellers in a Healthcare Transaction Learn about how buyers are vetted out in a healthcare transaction. Find out what you can do as a seller to find the right buyer for your transaction.

Respecting the Process of Funding a Healthcare Business Project 04/19/2017

Respecting the Process of Funding a Healthcare Business Project

When planning to develop a de novo center or fund a new expansion project for a healthcare business, owners need to understand that the financing process of the deal is extremely important, and that there are several options on the field, and areas to consider before pulling the trigger on a decision. The Ambulatory M&A Advisor discusses some of the options to look at when deciding to fund a project privately, finance the project with debt, the advantages and disadvantages of these options, as well as common areas where physician owners tend to make mistakes. [ 1,467 more word ]

http://www.ambulatoryadvisor.com/funding-healthcare-business-process/

Respecting the Process of Funding a Healthcare Business Project Learn about the process of funding a HCB. Find out some of the common mistakes made in said process and how physician owners can avoid them.

The Feasibility Study and ASC Development 04/17/2017

The Feasibility Study and ASC Development

When developing an ASC project, planning ahead is crucial, from financing the project, to building the actual building, thinking far ahead is crucial to the success of a project. One starting point that is encouraged in the field is the feasibility study. A feasibility study encompasses a lot of aspects to review and validate a successful project like an ASC. A lot of people refer to it as your pre-development cultivation. [ 1,510 more word ]

http://www.ambulatoryadvisor.com/feasibility-study-asc/

The Feasibility Study and ASC Development Read about the pre-planning process of the feasibility study when preparing to develop an ASC. Find out some of the main areas the pros look out for.

Physician Practices:  The Art of The Merger 04/14/2017

Physician Practices: The Art of The Merger

Healthcare transactions are usually between a smaller to middle physician practice and a larger entity like a hospital health system or another similar form. In these larger scale transactions, there has been much coverage on the reasons behind the moves and how to navigate their structure. While these transactions are important, there are also physician practice to physician practice mergers going on in the market. [ 1,474 more word ]

http://www.ambulatoryadvisor.com/physician-practices-the-art-of-the-merger/

Physician Practices: The Art of The Merger Find out about the structure of a physician to physician merger in the current market.

Register Now for a Complimentary Webinar on Private Equity Structure in a Transaction 04/13/2017

Register Now for a Complimentary Webinar on Private Equity Structure in a Transaction

Dallas, TX – April 13, 2017 The Ambulatory M&A Advisor will host a complimentary webinar on Thursday, April 27, 2017 from 12:30 PM, to 1:30 PM CST. The webinar, “Healthcare Transaction Structuring with Private Equity,” is being sponsored by Ambulatory Alliances, LLC, a middle-market boutique investment banking and strategic advisory firm. The company is involved with both buy-side and sell-side focusing exclusively on healthcare services and more specifically outpatient centers and physician practices. [ 559 more words ]

http://www.ambulatoryadvisor.com/register-now-complimentary-webinar-private-equity-structure-transaction/

Register Now for a Complimentary Webinar on Private Equity Structure in a Transaction Dallas, TX – April 13, 2017 The Ambulatory M&A Advisor will host a complimentary webinar on Thursday, April 27, 2017 from 12:30 PM, to 1:30 PM CST.  The webinar, “Healthcare Transaction Structuring with Private Equity,” is being sponsored by Ambulatory Alliances, LLC, a middle-market boutique invest...

Expanding into New Regions with Your Healthcare Business 04/12/2017

Expanding into New Regions with Your Healthcare Business

Expanding a healthcare business in one's usual area is always a great step forward for expanding the business' footprint. However, an even greater accomplishment is expanding outside of the usual demographic area. Be it city to city, or state to state, expanding outside of a local area is a move that comes with its positives, negatives, and other areas to look out for like location and lease agreements. [ 1,476 more word ]

http://www.ambulatoryadvisor.com/new-region-for-business/

Expanding into New Regions with Your Healthcare Business Read about the dos and don'ts of expanding your healthcare business outside of its usual comfort zone.

Ophthalmology, a Visionary Future for the Healthcare Industry 04/10/2017

Ophthalmology, a Visionary Future for the Healthcare Industry

The M&A sector of healthcare is one that is always looking for the next great area to invest in. Be it for Ambulatory Surgery Center purposes or just another lucrative investment in a private equity group's portfolio, the next great venture is always on the horizon for potential buyers and investors. One of the latest fields that investors are interested in is Ophthalmology and the services that it can provide to both patients and managers in the business. [ 1,435 more word ]

http://www.ambulatoryadvisor.com/ophthalmology-2017/

Ophthalmology, a Visionary Future for the Healthcare Industry Read about the many advantages that investors have when looking into the Ophthalmology field. Find out what is so alluring.

Fitting the Pieces of Health System Consolidation 04/07/2017

Fitting the Pieces of Health System Consolidation

The current healthcare environment that owners and potential owners face today is one of constant change, growth, and confusion regarding said changes and growth. One of the biggest topics of change in healthcare is the push towards consolidation, where larger businesses are merging with equals or smaller businesses in order to expand their footprint, and improve patient care. One of the largest players on the playground of consolidation is that of hospital health systems. [ 1,433 more word ]

http://www.ambulatoryadvisor.com/health-system-consolidation/

Fitting the Pieces of Health System Consolidation Read about the consolidation movement and how it is impacting deals between hospital health systems and other entities.

Issues with Providers Working Out of Network 04/05/2017

Issues with Providers Working Out of Network

When it comes to using the out of network model, most ASCs are able to realize a certain sense of autonomy that in-network facilities don’t, according to Jason Ruchaber, founder and managing partner of Root Valuation, a business valuation and financial advisory practice in Denver, CO. Although the benefits of working out of network are apparent, there are also some major risks involved that providers need to keep a sharp eye on. [ 1,568 more word ]

http://www.ambulatoryadvisor.com/issues-providers-working-network/

Issues with Providers Working Out of Network Learn about current legal issues with out of network providers and how they can properly work with the system and not be pegged for fraud.

Give Your Business A Report Card Using Key Quality Metrics 04/03/2017

Give Your Business A Report Card Using Key Quality Metrics

Routinely examining the key quality metrics of a healthcare business is key for keeping a business up-to-date on the overall quality of the services that the business provides to its patients. The Ambulatory M&A Advisor takes a look at some of the biggest improvement areas, the importance of efficiency, and more when it comes to observing the key quality metrics of a business. [ 1,450 more word ]

http://www.ambulatoryadvisor.com/key-quality-metrics/

Give Your Business A Report Card Using Key Quality Metrics Read about what areas of key quality metrics are important in the current healthcare field.

Differentiation in a Healthcare Market Before a Valuation 03/31/2017

Differentiation in a Healthcare Market Before a Valuation

Differentiating one’s business in the healthcare industry can be a challenge, especially when faced with an oversaturated market like outpatient ambulatory care. Differentiating a business can help prepare for the best valuation possible and will ultimately help a potential seller earn their maximum price in a sale. The Ambulatory M&A Advisor digs into what it takes for a business to differentiate itself before, and during a valuation. [ 1,450 more word ]

http://www.ambulatoryadvisor.com/differentiaion-healthcare-value/

Differentiation in a Healthcare Market Before a Valuation Differentiating one’s business in the healthcare industry can be a challenge, especially when faced with an oversaturated market like outpatient ambulatory care.  Differentiating a business can help prepare for the best valuation possible and will ultimately help a potential seller earn their maximu...

EBITDA Recent Market Trends 03/29/2017

EBITDA Recent Market Trends

With several areas of healthcare in dispute for 2017 it is time for The Ambulatory M&A Advisor to present to its readers a Healthcare Sector Update and tips for examining EBITDA during transactions in the current year. When examining EBITDA, it is best to ultimately understand what the method of measurement of value is and how the industry works with it. [ 1,400 more word ]

http://www.ambulatoryadvisor.com/ebitda-recent-market-trends/

EBITDA Recent Market Trends Read about tips to understanding EBITDA in the current healthcare market and what some of the most recent EBITDA trends are.

Recent Trends in Physician Compensation and Contracts 03/27/2017

Recent Trends in Physician Compensation and Contracts

Last week, The Ambulatory M&A Advisor discussed the importance of physician credentialing in the process of hiring a new physician to an ASC or Urgent Care business. Although credentialing is at the top of the list for most providers, taking a look at compensation plans and updated contracting is also an area that cannot be ignored. Leslie Rojas, an associate attorney with The Health Law Partners, P.C., practicing healthcare regulatory and transaction law, says that while the initial contract is important, compensation is always the first thing on a potential employees mind. [ 1,509 more word ]

http://www.ambulatoryadvisor.com/physician-compensation-contracts/

Recent Trends in Physician Compensation and Contracts

Speeding Up Physician Credentialing 03/24/2017

Speeding Up Physician Credentialing

The physician credentialing process can be time consuming, especially when it is not being managed smoothly or efficiently. Understanding how to properly complete this process is crucial for outpatient healthcare owners to properly take control and manage their business operation. The Ambulatory M&A Advisor discusses some of the ways that the credentialing process can be improved in the average healthcare business. [ 1,706 more word ]

http://www.ambulatoryadvisor.com/speeding-physician-credentialing/

Speeding Up Physician Credentialing

Antitrust Issues in the Current Healthcare Industry 03/22/2017

Antitrust Issues in the Current Healthcare Industry

Healthcare is an industry that is full of ever-changing regulations and legal areas that can potentially sneak up on providers during a healthcare M&A transaction. One of the main legal concerns in a transaction is the issue of antitrust. Lisa D. Taylor, Partner, Inglesino, Webster, Wyciskala & Taylor, LLC explains that in general. antitrust is a set of Federal and State laws that govern the conduct and organization of various businesses to promote what is considered to be fair competition. [ 1,465 more word ]

http://www.ambulatoryadvisor.com/antitrust-2017/

Antitrust Issues in the Current Healthcare Industry

Including a New Specialty in an ASC 03/20/2017

Including a New Specialty in an ASC

An Ambulatory Surgery Center (ASC) is a model that can prove to be financially successful for owners and managers in the healthcare business. However, not all ASCs begin equipped to perform services or a new specialty outside of their originally prescribed plans with providers involved in the business. The Ambulatory M&A Advisor takes a look at the process of adding a new specialty to an ASC, how to prepare staff for the new specialty, and mistakes that can be avoided when a new service is added on to an ASC. [ 1,570 more word ]

http://www.ambulatoryadvisor.com/including-new-specialty-asc/

Including a New Specialty in an ASC

FEC Historical Impact and Expansion on the Market: Part 2 03/17/2017

FEC Historical Impact and Expansion on the Market: Part 2

Freestanding Emergency Centers (FECs) are a much debated area in the healthcare industry. In the beginning they were seen as competitors with hospital Emergency Departments (EDs). However, since 2009, FECs have become a growing area of the industry that has also grown to form a sense of partnership with hospitals in some situations. In this two piece series, The Ambulatory M&A Advisor takes a look at the history, impact on the market, and routes for expansion in the FEC industry. [ 1,809 more word ]

http://www.ambulatoryadvisor.com/fec-historical-impact-expansion-market-part-2/

FEC Historical Impact and Expansion on the Market: Part 2 Read about expansions of the FEC industry and some of the challenges that an FEC may face when trying to branch out.

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Dallas, TX
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