Sectors

Anesthesia staffing and management.

CRNA-led and care-team anesthesia groups, and the companies that staff and manage anesthesia for hospitals, surgery centers and offices. This is the work Dr. Recio does every week.

An anesthesia provider holding the mask over a patient's face as the case begins, the breathing circuit in his hand

An anesthesia group bills for each case by its complexity and its time. Where those collections fall short of the coverage a hospital or a center needs, the facility pays a stipend to close the gap. The contracts, the schedule and the clinicians who fill it are the company.

What we look at.

The questions a careful buyer works through in this kind of company, before a price is final.

  1. 01

    Contract terms

    How long each facility contract runs, and how much notice either side can give to end it.

  2. 02

    Concentration

    How much of the revenue rests on one hospital or one center.

  3. 03

    Stipends

    What each facility pays, how the amount is set, and when it comes up for renewal.

  4. 04

    Clinician pay

    Whether pay is at market, so the earnings hold when the team stays.

  5. 05

    Billing integrity

    Whether medical direction and anesthesia time are documented the way they are billed.

Where a clinician helps.

Dr. Recio is a practicing CRNA. In this business, that shows up in a few concrete places.

  1. 01

    The coverage grid

    Dr. Recio reads a staffing model against a real day: call, breaks, add-on cases and the room that runs late.

  2. 02

    The record

    He audits billing from the anesthesia record itself, its times, its attestations and its overlapping cases.

  3. 03

    One more provider

    Where he holds privileges, he can take a case himself on the day the schedule needs one.

Questions owners ask.

More on how a sale works is on the page for owners.

Will you cut clinician pay?

We buy a group for the clinicians in it, so we plan to keep pay where the market sets it. We review compensation with you during diligence, before anything is signed.

Do you need the hospital's consent?

Often, yes. Many facility contracts require consent to a change of ownership. We plan that conversation with you, so the relationship carries over intact.

How much of the price is paid at closing?

The letter of intent sets out how the price is paid, at closing and after, before any detailed work begins.

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