Experience with growth and sale prep

October 16, 2025

by a searcher from Touro University in Bluffton, South Carolina, United States

Hi all! I’m a physician and have grown a 7 figure med billing company. Strong margins 25%. I continue to double each year so plan to not sell yet but want to hear top things that make it desirable for when we are ready. We have admin team that runs day to day. I do bus dev/sales and some high level strategy but really not in the day to day ops. My biggest concern is I’m the face of the brand. It’s my face on website and podcast. Trying to figure out as we grow if I should hire someone to take over what I do 100% which will degrade profits temporarily. Or heck at that point just let it sit and print money. lol. jK! Also anyone gone through incorporating to get QSBS status and help decrease taxes? Looking to sell next 3-5 years. So just trying to set this up right. Ps I will work full time so this has been my side gig.

Reply by a searcher
from Brigham Young University in Salt Lake City, UT, USA

Love what you’ve built, Heather. Two priorities I see for maximizing the exit in 3–5 years: (1) since you're growing fast, get EBITDA to $2M+ and (2) de-risk ‘key-person’ reliance. Keep your voice as the brand but start a visible bench now (e.g., VP of Growth + Head of Client Success; occasional podcast co-host who stays post-sale). Buyers in RCM pay up for sticky books with security credentials, so lock in 2–3 year, assignable contracts (CPI escalators; clean change-of-control), publish a monthly KPI dashboard (NCR ≥95%, first-pass acceptance, denial rate, Days in AR, retention), and pursue SOC 2 Type II/HITRUST to smooth diligence. Diversify any single client <15–20% and broaden specialty/payer mix. If you're interested in selling sooner, let me know!

Reply by a searcher
from Touro University in Bluffton, South Carolina, United States

Thanks! Great advice. Have the dashboard locked in. Developed standard dashboard regardless of the practice software. In Google sheets but moving first to power BI as a test run before EOY. Def need to update contracts. Right now just 1 year. But when we were new it was nice for people to feel like they weren’t stuck. Churn is super low. Need to grow more to hit your 2m in profit but def reachable in 3 years. Will work on the additional face of the brand. Saw your message and will respond there too. Thanks again!

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