Transitions as unique as your practice
Be fairly rewarded for what you’ve built, while protecting the future for your associates, staff, and clients.
For independent practice owners considering a sale or partnership with a larger group.
A practice transition involves more than a valuation.
The buyer you choose will shape the future for your partners, associates, staff, clients, and the way you practice medicine.
Most offers include some form of equity. Koa helps you understand what you own, what drives its value, and what kind of partner you are choosing.
If you have partners, we help you get aligned before we go to market so one person is not carrying the deal alone.
Questions other owners say are worth asking.
How do I know whether the buyer can actually deliver on their promises?
Some buyers have the people, processes, and track record to keep the practice operating the way you expect. Others may struggle. We look at buyers with the same rigor they use when evaluating a practice like yours, so you know who is likely to follow through and who is not.
How do I compare the parts of each offer that aren’t cash?
Most offers today include cash and equity, sometimes earnouts, sometimes joint ventures. The tricky part is not all equity is created equal. We help you compare risk and return across buyers. We run the scenarios so you can understand the real tradeoffs and what could matter most to your outcome.
My partners have different priorities and constraints. How do we stay aligned?
I’m the only owner—what should I focus on?
Different timelines, personal goals, and economic needs are normal. We take the time to understand each partner’s situation and recommend a strategy that works for the partnership as a whole. We help everyone get on the same page before going to market, so decisions are clear, fair, and actionable. We also ensure that no single partner carries the deal alone.
We help you get clear on your priorities and non-negotiables. We then develop a plan to protect everything you’ve built, your people, and the legacy you want to leave. You don’t need partners to align with, but a clear plan matters just as much.
From a practice owner:
“There was just so much going on with selling a practice besides the valuation: earnouts, equity in the buyer, legal language as dense as anything from veterinary school. Buyers have years of training in deals, the way we have years of training in medicine. They can see things in a contract that are easy for us to miss.
Before we finalized anything, we asked Amit to examine the deal. The outcome improved almost immediately once he got involved because he showed us what actually drives valuation.
He's basically a doctor for these deals. He saw risks and opportunities we weren't aware of. He broke it down into decisions we could actually make: what to push back on, what to accept, what to let go.
I sleep better knowing our deal went as fairly as it could.”
-Dr. Jason Nordaune, Rice Pet Clinic
Meet Koa’s Founder
Hi, I’m Amit Chou Arora. I founded Koa to bring everything I learned on Wall Street and in Silicon Valley back to Main Street, where I grew up.
Multiples have risen, but so has complexity. People in private equity have a saying: "You can pick the price if I pick the terms." There's real value in the details most owners never see. Koa exists to make sure you do.
Experience at a Glance:
$275 million in veterinary transactions: I have orchestrated deals from every side of the table, including investing, representing owners selling their practices, acquisitions, and joint ventures.
National Veterinary Associates (NVA): Head of Acquisitions and creator of NVA’s joint-venture program. Also served as a Board Observer guiding strategic growth.
Summit Partners: Private equity investor. Deployed capital on behalf of an $11 billion fund.
Stanford Graduate School of Business: MBA
Clarity without commitment.
We'll start to map what matters to you: economics, people, and what you want to protect.
Confidential. We take the time we need.