Operations Management & Transaction Advisory
XpoNential adds the management capacity, execution discipline and transaction expertise independent healthcare owners need to build stronger businesses and create more options.
You decide what you want the business to make possible. We help fine-tune the vehicle that gets you there.
What we do
Add management infrastructure, operating cadence and functional oversight without requiring the owner to build every capability internally.
See the Practice Review →Improve the financial, operational and organizational systems that determine how the business performs, and what options that performance creates.
See operations management →Evaluate, structure and execute acquisitions, partnerships, buy-ins, buy-outs and exits with an operating understanding of the business behind the deal.
See transaction services →The ownership arc
Every owner is somewhere along the same lifecycle. XpoNential can enter at any stage.
Evaluate the opportunity, structure the acquisition and prepare the business for Day One.
Establish the financial, organizational and operating foundation.
Add management capacity and improve execution.
Strengthen the business and increase future optionality.
Position, negotiate and execute the transition.
Who we serve
Our clients have strong practices and a decision in front of them. We meet you at whichever one it is.
Results
Client identities withheld for confidentiality.
Results reflect individual engagements and are not guarantees of future performance.
The practice had no consistent financial policy, so money it had already earned was never collected. We installed the policy and the follow-through. Indexed, collections went 100 to 130 in sixty days and variable spend on supply and lab went 100 to 79.
The seller had open access to receivables well past closing. We bought the AR at a discount, closed that door, moved every form of patient contact to the buyer, and had the new owner credentialed to bill the plans already sitting in the charts.
We cut overspend and refined the systems that generate revenue, without asking the doctor to work more hours. Indexed, EBITDA went 100 to 180 in twelve months, and because the gain was repeatable rather than heroic, enterprise value came close to doubling.
Practice value tool
Get an indicative enterprise value range using about a dozen financial and operating inputs. It takes roughly four minutes.
You do not have to be selling. Knowing where you stand is the beginning of knowing what options you have.
Collections, net profit, owner compensation, and a few things about the practice and the market you operate in. Your range arrives by email.
Estimate My Practice Value →Leadership
Eric Nuss
Managing Partner
XpoNential was founded by Eric Nuss after a career spanning healthcare operations, management, company building, education and ownership transactions.
The model grew from a simple belief. The business should create more options for the owner, not become another set of constraints.
Tell us where you are, what you want the business to make possible, and what is getting in the way. We will tell you whether XpoNential is the right fit to help.