We Have A Buyer That Is Using VSD As The Centerpiece Of A Rollup

Why Medical Offices Are Adding VSD As A “Means To An End” – That End Being The Sale Of Their Practice

We Have A Buyer That Is Using VSD As The Centerpiece Of Their Roll-up. VSD Is The Key To Your Sale Either Quickly at 1.5x Collections Or Directly Through The Roll-up At A Much Higher Multiple.

We are working with a buyer that is creating a roll-up strategy using VSD testing as the centerpiece. Their plan is to either buy or prepare for acquisition through the roll-up a total of 20 medical practices in Family Medicine, Internal Medicine, Cardiology, and Pain Management. They will either buy these practices directly at 1.5x collections prior to the roll-up or will allow the practices to sell at the roll-up for the higher roll-up multiple. The higher the roll-up price, the more money they make.

What is VSD?

VSD is a painless and non-invasive test that helps doctors find heart and nervous system problems early. Many of these problems go unnoticed until they become emergencies. Using VSD helps you catch these conditions sooner, treat patients earlier, and keep them healthier for longer. VSD is painless, non-invasive, well reimbursed, and saves payors money.

Two Options for Doctors with VSD

Option 1: Quick Exit – 1.5x Collections

Option 2: Stay and Multiply – Up to 6x Collections

Establish VSD Testing: Testing must be established in your office. A Stark-compliant turnkey VSD team can be installed in your practice to run the testing program. This team can manage all aspects of the testing process except referring patients for testing and interpreting the reports generated. A large number of tests do not need to be conducted, but at least 7 tests per month should be performed.

Letter of Intent (LOI): You will get an LOI 60 days after you begin testing.

Purchase Price: The group will buy your practice for 1.5 times your average collections from the last three years. This amount does not depend on your current profit levels.

Financial Documents: You will need to provide financial records to prove your revenue.

Replacement Doctor: The group will place a replacement doctor (that you approve) in your office.

Full Payment at Closing: You will receive all your money when the sale closes. This ensures a quick, safe exit without financial risk.

After Sale: They will work with the new doctor to prepare the practice for resale through the roll-up strategy.

This option is great for doctors who want to retire soon or leave their practice quickly while still getting paid well for their hard work.

Option 2: Stay and Multiply – Up to 6x Collections

Keep Working: You continue to own and work in your practice while adding VSD testing to grow your revenue.

LOI: Should be received around January 1st, 2026.

Testing Volume: You are under no obligation to test extensively, although the roll-up multiple will be applied to collections. It makes financial sense to test those patients for whom medical necessity can be established so your revenue is increased. If a test reimburses at $700 and the roll-up multiple is 4x collections, that test is effectively worth $2,800.

Provide Financials: Share your financial documents so your practice can be included in the roll-up.

Higher Sale Value: You can sell your practice later through the roll-up at a much higher multiple – possibly 3x, 4x, 5x, or even 6x your collections.

This option allows you to keep working, grow your income, and eventually sell for a much larger payout.

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