Healthcare M&A From the Buyer's Seat

Articles

Physician Owners

Oct 13, 2026

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5 min read

Costs are up again. Is our reimbursement keeping up?

Three checks any practice can run this month.

Shawn Rothlis

Deal Sourcing

Sep 23, 2026

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6 min read

The AI Refused to Build Their Target List

Two people, a few weeks apart, hit the same wall with the same tool I use every week. Same tool, different driver, different outcome.

Shawn Rothlis

Deal Sourcing

Sep 3, 2026

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5 min read

Your Last 100 Target Names Cost You Something. 11 of 12 Healthcare Investment Banks Cannot Say What.

Twelve firms walked me through how they find deals. Only one could price it.

Shawn Rothlis

Deal Sourcing

The Most Useful Voice at the AI-in-M&A Summit Had Nothing to Sell

Jun 25, 2026

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4 min read

The Most Useful Voice at the AI-in-M&A Summit Had Nothing to Sell

What 16 AI deal tools and one finance VP taught me about what is actually worth paying for.

Shawn Rothlis

Deal Sourcing

Their Best Target Was a Name They'd Already Passed On

Jun 18, 2026

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3 min read

Their Best Target Was a Name They'd Already Passed On

In the last issue I said AI is the tool and judgment is the product. This is what that looked like on one engagement: their target list against the one we built, and the call behind every change.

Shawn Rothlis

AI for Dealmaking

Jun 16, 2026

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6 min read

The $25K Question That Decided the Deal

A buyer asked me how he'd justify the proposal internally if I was going to use AI to build it. The answer reshaped the deal, and it is the reframe every healthcare buyer should be making right now.

Shawn Rothlis

Deal Sourcing

PE Is Hot in 2026. Most Practices Still Won't Get the Call.

Jun 9, 2026

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2 min read

PE Is Hot in 2026. Most Practices Still Won't Get the Call.

Healthcare deal value jumped in Q1 while the number of deals fell. The money is paying premiums only for the practices that are ready.

Shawn Rothlis

Deal Sourcing

You're not short on targets. You're short on intelligence.

Jun 4, 2026

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5 min read

You're not short on targets. You're short on intelligence.

Why 13-touch sequences underperform in healthcare - and what the firms closing consistently build before the first call.

Shawn Rothlis

Physician Owners

Jun 2, 2026

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5 min read

What Buyers See When They Look at Your Practice

You built the practice. You know the medicine. But the people writing the check are looking at a completely different set of numbers.

Shawn Rothlis

Deal Sourcing

May 14, 2026

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3 min read

Same Market. Different Buyer. Wrong Doctor.

The same physician can be a Tier 1 target for one buyer and a hard pass for another. Why thesis comes before universe.

Shawn Rothlis

About the Author

Shawn Rothlis

Healthcare M&AI is a fractional CFO and transaction advisory practice for physician-owned practices. I spent my career on the buy side and in valuation: 130+ healthcare centers acquired, 100+ healthcare businesses valued, and $1B+ in cumulative transaction value across my career. At healthcare platforms I worked the full deal cycle, from market landscaping and origination through diligence, document negotiation, and closing. Before that I spent three years building valuations for hospitals, ASCs, diagnostic centers, and multi-specialty groups.

This newsletter covers how healthcare deals actually get sourced, priced, and closed, for the teams doing them and the physician owners across the table. Work with us at healthcaremai.com.