Acquire Your Next Healthcare Asset, Intelligently.
Backed by institutional investors behind global industry leaders.
We have raised substantial private capital to ensure our advisory platform, proprietary buyer intelligence and client execution team have permanent, long-term balance sheet stability.
Pre-empts how corporate acquirers and private equity analysts will test your working capital, gross margins and customer concentration.
Calculates defensible add-backs, from director compensation adjustments to non-recurring professional fees and personal motor costs, backed by source documentation.
Drafts anonymous teasers and full information memorandums to tier-one corporate finance standards.
A valuation that holds firm
You enter negotiations with an unvarnished, defensible valuation bridge. Buyers cannot exploit messy accounting to chip your price.
More time on buyers, less on spreadsheets
Duncan and our sector specialists do not spend 40 hours building models in spreadsheets. They spend that time qualifying buyer intent, rehearsing your management presentation and running competitive tension between bidders.
Checks statutory books, director filings and sector accreditations, including BAFE, NSI, WRAS and ISO, to ensure zero lapses.
Flags contractor IR35 exposures, intellectual property assignment gaps and key-person bottlenecks before a buyer uncovers them.
Monitors counterparty document engagement, flagging to the partners exactly which chapters and files a buyer\u2019s legal team is scrutinising.
No surprises once a buyer is in diligence
Diligence skeletons are resolved in private before go-to-market. When exclusivity begins, the buyer finds a clean, audit-ready data room, leaving zero room for renegotiation.
Partners focused on terms and cash at completion
Joe and our legal advisers are not chasing administrative paperwork. They focus exclusively on commercial deal structure, share purchase agreement warranties and securing maximum cash at completion.
A senior M&A bench, plus a sector specialist recruited for your industry on every deal.
Director of M&A, ICAEW Chartered Accountant
Senior advisers who work with us on specific mandates.
Industry Partner, Hiring and Leadership
Nick leads FM Talent Partners, the facilities management and real estate leadership search firm, and is a leading specialist in building services and FM management talent. He partners with DealFlowAgent on two-way referrals: helping business owners and acquirers fill the key roles that decide whether a business is sellable, and introducing owners who are thinking about their next chapter to a team that knows their industry and their market. Key-person dependency is one of the two most common reasons a sale collapses, and Nick fixes it at source.
For every engagement we add a sector specialist from your industry to the core team: a 15-25 year operator or advisor with direct relationships in your niche. Recruited per deal so you get the right fit, not a generalist.
Each mandate has a named DealFlowAgent adviser as the point of contact, supported by a sector specialist.
Richard and Sally are internal software tools. They prepare materials, check numbers and review documents for the adviser who leads your sale.
Richard and Sally never contact clients, never message buyers, and never release documents.
I remember the initial meetings that we had when we were looking for specialists to partner up with, and I've said to Joe from the start, we definitely made the right choice.
Hear directly from owners and acquirers who have worked with us.
“I couldn't have asked for better support during my exit. They found the perfect acquirer and negotiated terms that exceeded my expectations.”
Share Your Acquisition Criteria, It's Free
In your own words, what are you looking for?
Fire and life safety sits within building services and FM. Tick both if that is your focus.
Tick any of these and their niche list opens underneath.
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The optional questions can wait. We only need these to save your details.
That's the essentials saved. Four more questions takes about forty seconds and means we only send you businesses that genuinely fit.
Where is the funding coming from?
When are you looking to acquire?
Are you the person who signs off acquisitions?
Only if you're comfortable sharing. It helps us avoid sending you things that are priced outside your range.
Free, confidential, and no obligation. Your criteria help us surface the right opportunities.
Free Access to Curated Deal Flow
Acquire Your Next Healthcare Asset,
Connect with our network of 250+ vetted, off-market dental practices, care homes, medical clinics, and med spas. Sterling, our intelligence-led deal sourcing engine, matches you with opportunities that fit your exact acquisition criteria.
Traditional healthcare M&A is inefficient. We use AI to connect you directly with sellers who are ready and a perfect strategic fit.
Care Homes & Senior Living
Review the anonymized opportunity profile. If you approve, we facilitate a direct, double opt-in introduction to the seller or their advisor.
From Search to Introduction in
You're a DSO seeking dental practices in the South East with 60%+ private revenue and 4+ chairs. Sterling won't waste your time with NHS-heavy practices in Scotland, even if they're "for sale."
Acquired a 4-chair private dental practice in London for a regional DSO.
Facilitated the sale of a 25-bed elderly care home in the Southeast to a PE-backed group.
Matched a private buyer with a high-end aesthetics clinic in Manchester.
Sourced an orthodontic-focused dental practice for a national consolidator.
Acquired a portfolio of 3 domiciliary care businesses for a strategic buyer.
Confidential sale of a private GP clinic to a larger healthcare provider.
A selection of recent healthcare transactions facilitated by DealFlowAgent and partner advisory firms.
What are the key valuation drivers for a dental practice?
The primary valuation drivers for dental practices include: private vs. NHS revenue mix (private-heavy practices command higher multiples), number of surgeries/chairs, EBITDA margins, patient list size and loyalty, associate vs. principal revenue split, and the presence of specialist services like orthodontics or implants. NHS practices typically trade at 0.8-1.2x revenue, while high-quality private practices can achieve 4.5-6.5x EBITDA.
How do CQC ratings impact care home valuations?
CQC ratings significantly impact care home valuations. Homes rated 'Outstanding' or 'Good' command premium multiples (typically 7-9x EBITDA), while 'Requires Improvement' ratings can discount valuations by 20-40%. Beyond the headline rating, buyers scrutinize specific domains like Safety and Leadership. Recent rating trends and any enforcement actions are equally important in due diligence.
What due diligence is critical for medical clinic acquisitions?
Critical due diligence areas include: clinician contracts and retention risk, patient list demographics and referral sources, regulatory compliance history, equipment condition and capex requirements, lease terms and premises suitability, insurance claims history, and IT systems/patient records portability. For NHS-contracted services, understanding the commissioning landscape and contract security is essential.
Do you have buyers for both NHS and private dental practices?
Yes, our buyer network includes both DSOs focused on NHS contract efficiency and private-focused groups seeking high-margin practices. NHS-oriented buyers typically seek practices with strong UDA delivery records and potential for efficiency gains. Private-focused buyers prioritize practices with established fee-paying patient bases, cosmetic/specialist services, and strong local brand recognition.
How does bed occupancy affect care home deal pricing?
Bed occupancy is a critical valuation factor. Homes operating above 90% occupancy typically achieve premium multiples, as they demonstrate strong local demand and operational efficiency. Homes with 80-85% occupancy may see 10-15% valuation discounts. Below 75% occupancy raises concerns about local market dynamics, reputation issues, or management problems, requiring significant price adjustments or turnaround strategies.
Are DSO roll-up strategies still active in the UK?
Yes, DSO (Dental Support Organization) roll-up activity remains robust in the UK market. Several PE-backed platforms are actively acquiring practices, particularly in the £500K-£3M revenue range. The focus has shifted toward practices with higher private revenue percentages (60%+) and multiple surgeries. Valuations for platform-quality practices remain strong at 5-7x EBITDA, while bolt-on acquisitions typically trade at 4-5x.
What size care homes are most in-demand?
Mid-sized care homes (40-80 beds) are currently most in demand, offering operational efficiency without excessive capital requirements. Larger homes (80+ beds) attract institutional buyers but require significant management infrastructure. Smaller homes (<30 beds) face margin pressure from rising staffing costs but remain attractive for regional operators seeking geographic density. Specialist homes (dementia, nursing) command premiums regardless of size.
How do you source healthcare deals that aren't on the open market?
Our sourcing combines multiple channels: direct relationships with practice owners cultivated over years, partnerships with specialist accountants and solicitors who advise healthcare businesses, our direct outreach to practices matching buyer criteria, referral networks with retiring practitioners, and relationships with boutique healthcare M&A advisors. Approximately 70% of our healthcare opportunities are exclusive or pre-market.
Can you find med spa businesses with strong aesthetic treatment focus?
Yes, we actively source med spas and aesthetics clinics, particularly those with: high injectables revenue (Botox, fillers), strong recurring client bases, medically-qualified practitioners, premium branding and locations, and diversified treatment offerings. We focus on clinics with demonstrated client loyalty and treatments that drive repeat visits. Typical valuations range from 3-5x EBITDA depending on revenue quality and growth trajectory.
What is the typical deal structure for a healthcare acquisition?
Healthcare deal structures typically include: 60-80% cash at completion, 10-20% deferred consideration (12-24 months), 5-15% earnout tied to revenue or EBITDA retention, and seller warranties covering regulatory compliance, patient claims, and staff matters. For practices dependent on principal clinicians, deals often include tie-in periods of 12-36 months. Increasingly, buyers offer equity rollover options to align seller interests post-completion.
Create your free buyer account to get access to our network of vetted, off-market opportunities. The first introductions can be in your inbox this week.
Book a confidential call with Joe Lewin
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