For owners
Selling the company you built.
Crownestone buys one healthcare services company at a time and keeps it running the way its founder built it. This is what a sale to us looks like, from the first call to the first year after closing.
A buyer who has worked the floor.
Dr. Jesus Recio is a practicing CRNA. He leads every acquisition himself and keeps practicing after we close, so the questions we ask are the ones your own team would ask.
- 01
The schedule
We read your coverage the way an anesthesia department reads it: who is in which room on which day, and what happens when someone calls out.
- 02
The claim
We read billing from the record up, its times, its units and its modifiers, so the earnings we agree on are the earnings you collect.
- 03
The room
In a surgery center we look at turnover, cancellations and how the day is built, because that is where a good center finds its next cases.
We buy a company to run it. Your people, your patients and the way your team does its work are what we are buying.
How a sale works.
From the first signature to the handover, in the order it runs.
The documents shown are samples. The companies and figures in them are invented.
A confidentiality agreement. Signed before we see a single number. Your staff, your patients and your referral sources hear nothing from us.
What each step asks of you.
From a signed letter of intent, most healthcare sales close in three to six months. Here is your part in each stage.
- 01
Before a letter of intent
A call, a visit and your summary financials. This usually takes one to two months.
- 02
The letter of intent
Your signature on the terms, and a pause in talks with other buyers while we finish our work, usually thirty to ninety days.
- 03
Diligence and the earnings review
Answers to our requests, which come in stages: monthly financials for three years, bank statements, payroll, contracts and licenses.
- 04
The purchase agreement
Time with your lawyer on the representations and the schedules, alongside diligence.
- 05
Closing
Consents from landlords and payers, and the licenses that must transfer. Payer credentialing can take two to four months, so we begin it early.
What to gather.
You need none of it for a first conversation; a summary profit and loss is enough to begin. When the time comes, this is what a careful buyer asks to see.
- FinancialsThree years of financial statements and tax returns, a monthly profit and loss, and the current year to date.
- RevenuePayer contracts and rates, your payer mix, receivables by payer and your history of denials.
- PeopleA roster with roles and pay, and the agreements your clinicians and staff have signed.
- LicensesEvery license, accreditation and Medicare enrollment, each with its renewal date.
- PropertyYour lease, and whether assigning it needs the landlord's consent.
- CompliancePayer audits, any settlements, and your HIPAA risk analysis.
Questions owners ask.
If yours is not here, ask it. Dr. Recio answers every message himself.
Will my staff find out?
Only when you decide. We keep the circle small: you and one or two people you trust at the start, your leaders as their part of the review opens, and your whole team once the sale is certain.
Do I have to stay after the sale?
That is your choice, and we agree on it in the letter of intent. Many owners stay a year or two, as a consultant or in a clinical role, while the team settles.
How do you value a company like mine?
On its earnings, adjusted for one-time items and for what it would cost to replace the work you do yourself, then tested by an independent quality of earnings review. Size, recurring revenue, and how much the company depends on you or on any one client all move the value.
How is the price paid?
At closing, in the form the purchase agreement sets out. Some sales also include a seller note or a payment tied to results. If ours does, the letter of intent says so before any detailed work begins.
What happens to my patients and my name?
We plan the change so your patients see the same clinicians on the same schedule. Whether your name stays, changes or carries ours beside it is something we decide with you.
Will you work with my broker?
Yes. If an advisor represents you, we work through them and inside the process they run.
What if I am not ready to sell?
Then a conversation now costs you nothing. Many owners talk with a buyer a year or more before a sale, to learn what the company is worth and what would raise it.
What if the review finds a problem?
We tell you what we found and what it means for the terms, in writing, and we talk it through with you before anything changes.
Start a confidential conversation.
Tell us a little about your company and the best way to reach you. Dr. Recio reads every message himself, and what you send stays between us.
jesus.recio@crownestonecapital.com