Healthcare management & transaction advisory

We operate, advise and invest where care delivery meets capital.

Emenda partners with physician groups, ambulatory surgery centers, health systems and investors to build, run and transact healthcare businesses, bringing operating experience from national platforms down to the individual facility.

25+ yearsof healthcare operating and executive leadership
50+ facilitiesoperated, developed or advised across multi-site platforms
Ambulatory surgery centers Physician groups & MSOs Health systems Private equity & strategic investors Payers
What we do

Four ways we work with our partners

Engagements range from a focused advisory mandate to full operating responsibility. Many clients start with one and grow into another.

01

Healthcare Management Services

Targeted operating support for ambulatory surgery centers, physician practices and specialty groups: revenue cycle, payer contracting, staffing models, case mix, supply chain and compliance.

  • Performance diagnostics and turnaround plans
  • Payer strategy and contract renegotiation
  • Interim leadership and management support
02

Full-Scope Management

Turnkey management of ambulatory facilities under a management services agreement, from de novo development and licensing through ramp-up, stabilization and ongoing operations.

  • De novo development, real estate and facility build-out
  • Day-to-day operations, staffing and governance
  • Surgeon recruitment and volume development
03

Buy-Side & Sell-Side Advisory

Transaction advisory for acquirers and owners of healthcare services businesses, grounded in how these assets actually operate rather than in spreadsheets alone.

  • Target sourcing, valuation and pro forma EBITDA
  • Operational and commercial due diligence
  • Sale readiness, process management and integration
04

Capital Partner

We invest alongside the physicians and operators we work with, and connect partners to aligned sources of capital for growth, recapitalization and new development.

  • Co-investment and joint venture structuring
  • Physician syndication and ownership models
  • Introductions to strategic and institutional capital
Our experience

Operators first. We have run what we advise on.

Emenda’s leadership brings 25+ years in healthcare operations and executive strategy, spanning national multi-site platforms, individual facilities and health system partnerships.

At the platform level

Executive leadership across multi-site ambulatory surgery platforms: strategy, acquisitions and integration, real estate and facilities portfolios, project management offices and corporate board relationships.

At the facility level

Hands-on management of individual centers and practices: de novo development, surgeon and payer strategy, operating performance and the day-to-day decisions that determine whether a facility succeeds.

Across the transaction

Deal origination, diligence and structuring on both sides of the table, with the operating perspective to underwrite what a business can really become after close.

Health system partnerships

Helping health systems win in ambulatory care.

Outpatient growth is where health systems now compete hardest. We help systems design ambulatory strategy market by market, and build the physician alignment and joint venture structures that make it work.

Ambulatory strategyMarket assessment, site selection and service line planning
Physician alignmentModels beyond employment, including co-management and syndication
Joint venturesStructuring, governance and management of system-physician JVs
MSO developmentManagement platforms that let systems scale outpatient networks
How we work

From diagnosis to durable results

01AssessAn honest, data-driven view of where the business stands and where the value is.
02AlignPhysicians, operators, systems and capital agreeing on one plan and one set of incentives.
03ExecuteWe stay through implementation and share accountability for the outcome.
04SustainGovernance, reporting and management depth that hold after our work is done.
Our name

Emenda comes from the Latin emendare: to correct, to improve. It is what we set out to do in every engagement.

Contact

Let’s talk about what you’re building.

Every engagement starts with a confidential conversation.

dbrazell@emendahealth.com Southern California. Serving clients nationally.