Arheam Equity brings practice owners and acquisition partners together properly — with clear information on both sides, real alignment on fit, and a process built to hold up long after close.
A transition works when the practice, the partner, and the terms genuinely line up — and when both sides go in with the same information. Too often the process is rushed, one-sided, or built on a number alone. We do it the other way around.
A practice is matched to whoever moved first, not to the partner who actually fits it.
One side is working with better information than the other.
The conversation is all about the multiple — nothing about life after close.
Structure and expectations surface late, when trust is hardest to rebuild.
We match on criteria first — geography, size, payer mix, culture, and the owner's goals.
Everyone knows who we represent on a given deal and how we're engaged. No ambiguity.
We work the full deal — structure, retained equity, stay-on terms, post-close autonomy.
Real diligence up front, so the deal that signs is the deal that holds.
Practices are routinely undervalued not because buyers are unfair, but because the numbers are never presented properly — add-backs missed, growth story untold, capacity overlooked. We make sure a practice is seen for what it actually is, which serves the owner and the partner acquiring it.
We normalize your financials the way a buyer's diligence team will — including the add-backs owners routinely leave on the table.
We only approach partners whose criteria actually fit the practice — which means fewer wasted conversations and better outcomes on both sides.
Structure, stay-on length, equity class, and what happens if targets slip — negotiated before you sign, not discovered after.
You tell us your goals, your timeline, and what a good outcome looks like. Nothing leaves this conversation without your approval.
We build the financial picture properly — collections, normalized earnings, payer mix, capacity — so your practice is presented at its true strength.
We approach only groups whose criteria genuinely fit, anonymously, and create real competition for your practice.
Price, structure, retained equity, stay-on terms, and post-close autonomy — all of it, with you seeing every option side by side.
We stay in the process until it's signed, and we're available well after — because a transition is judged on year three, not day one.
We focus on two fields where relationships, discretion, and clinical nuance decide outcomes — and where we know the buyers, the criteria, and the market well.
General and specialty owners exploring a sale, a partnership, retained equity, or simply what their practice is worth in today's market.
GeneralSpecialtyMulti-location groupsOptometry and ophthalmology owners weighing growth capital, a phased transition, or a full exit on terms that actually work for them.
OptometryOphthalmologySurgicalWe work alongside DSOs, dental partnership organizations, and private equity groups as an outside origination team — bringing you qualified, off-market opportunities that genuinely match your criteria, so your team spends its time closing rather than prospecting.
We reach owners directly, long before they list — so you're not competing in an auction against every other group in the market.
Geography, collections, operatory count, payer mix, doctor count, stay-on expectations — we qualify against your box before we ever bring you a name.
By the time we introduce an owner, they understand the model, their goals are clear, and they're prepared for a real conversation — not a cold name.
Tell us the markets, size, and profile you're actively looking for, and we'll go find it. We work exclusively inside your box and bring you opportunities approved by your team before any introduction.
Share a few details and a partner will follow up personally. No obligation, no cost to start the conversation, and nothing shared with anyone without your approval.
A few details to begin — we'll take it from there.
Add a partner or associate to the roster.