Should I stay independent or join a hospital or PE group?
The choice comes down to autonomy and upside versus stability and relief from administrative burden — and the administrative burden is often the real driver, not the economics. Before deciding, quantify how much of the pressure is fixable (billing, denials, staffing, contracts) versus structural, because a lot of "we can't survive independent" is recoverable revenue and fixable overhead.
What actually matters
- Independence keeps autonomy, culture, and the upside of your own equity
- Joining trades that for stability, capital, and someone else running the back office
- The pressure is frequently administrative — billing, denials, staffing — which is fixable without giving up independence
- Quantify your true financial health first (net collection rate, denial leakage, overhead) before concluding you can't stay independent
- If you do sell, those same numbers drive your valuation
Common questions
Why are so many practices joining PE or hospitals?
Mostly administrative and reimbursement pressure. But much of that pressure is fixable revenue-cycle leakage, which is worth addressing before making a permanent, hard-to-reverse decision.
Where Volari fits: A large share of "we can't make it independent" is uncollected revenue — denied and underpaid claims. Recovering it can change the math on the decision.
See the revenue you're owed but never collected.
A free assessment shows your real recoverable number from denied and underpaid claims. No risk, paid only on what we recover.