How do I know if now is the right time to sell?

Timing comes down to three things: market conditions, how ready your business is, and your personal goals. Strong financials, clean operations, and durable growth matter more than trying to time the market perfectly. We help founders assess all three honestly — and if our read is that you should wait, we'll tell you.

Will my sale remain confidential?

Yes. Confidentiality is built into how we work. We run a controlled, private process — not a public auction. Buyers receive information in stages and only after signing an NDA, so your team, your patients, and your competitors don't learn about a potential transaction before you're ready.

Who typically buys behavioral health companies?

Strategic operators, private equity firms, family offices, and independent sponsors building platforms in the space. The right buyer depends on your subsector, size, and goals — and part of our job is running a process that surfaces the buyers who will pay a premium and protect what you've built.

What size companies do you work with?

We focus on lower-middle-market behavioral and mental health companies. If you're not sure whether your business is the right size or stage, reach out — a short, confidential conversation will tell us both.

Do I need to be ready to sell to speak with you?

No. Many of the founders we talk with aren't ready to sell, and some decide not to. A first conversation is simply a confidential, no-obligation read on where you stand and what your options are. No pressure, no cost.

The Right Partner for Healthcare Owners and Strategic Investors

We're a one-stop shop for your operational, strategic, and financial needs.

Schedule a Free Consultation

Running a Behavioral Health Business Is Hard. The Right Outside Perspective Makes It Easier.

Behavioral health combines clinical complexity, regulatory weight, payor dynamics, and operational reality in ways most outside advisors don't understand. Even strong operators benefit from senior outside perspective on growth, transitions, and major decisions.

Preparing for a future transaction.

The right time to address operational issues, financial reporting
gaps, and growth bottlenecks is before going to market — not during diligence.

Scaling and launching.

New programs, new sites, new service lines, new states — there are pitfalls
our team has navigated dozens of times.

Navigating turnarounds and stabilization.

When something isn't working — financials, culture, growth, compliance — the cost of fixing it alone is higher than bringing in someone who's done it before.

Evaluating major decisions.

Acquisitions, partnerships, capital decisions, leadership transitions — outside perspective from people who've sat in the operator seat.

Our Services

01 Fractional Executive Services

Do you need C-suite support without the overhead? Our Fractional Executive Services give you access to seasoned leaders (CEO, COO, CGO, CHRO, CRO, Billing/Revenue Ops, Call Center/Admissions, Clinical
Operations) who step in when and where you need them most.

03 Turnaround Services

Is your business struggling and you don't know why? Or maybe you just don't have the time to fix what's broken? Sometimes, all it takes is a fresh set of expert eyes. We specialize in crisis stabilization, leadership evaluation, culture repair, and operational realignment.

05 Readiness Consulting

Multi-month engagements helping founders address value drivers — financial reporting, growth strategy, organizational structure, and market positioning — before a transaction.

02 Startup Strategy

Looking to launch new programs, select new sites, or start a completely new company or service line? We've been in your shoes. Our team has led major acquisitions, new builds, and multi-site expansions, so we know where the pitfalls are and how to avoid them.

04 Operational Due Diligence

Evaluating a potential acquisition but unsure about the target's operations? We help you go beyond the surface. Our team streamlines operational due diligence, identifies red flags, and pinpoints areas for
improvement — before and after the deal closes.

06 Strategic Options Reviews

Discrete engagements to evaluate strategic alternatives: sale, recapitalization, growth capital, partnership, or organic growth.

07 M&A Bootcamp

Wonder what your business is worth? The M&A Bootcamp is a structured intake that gives you what buyers actually see when they look at your business — a real valuation from a buyer's perspective, with the methodology and comparables behind it. Plus a roadmap of the specific changes that would drive your value higher, on the timeline that makes sense for you.

It covers:

Buyer-perspective valuation analysis (not a generic financial projection)
Comparable transactions and what they reveal about your subsector
Specific value drivers in your business — what's working, what's costing you
Concrete recommendations for the 12-24 months before going to market
An honest conversation about whether now is the right time, or whether to wait

It's not a sales pitch. It's a structured, paid intake — and it's the answer to the question every founder asks before they're ready to sell.

Wonder What Your Business Is Worth?

How We Work With Consulting Clients

Start with a Free Consultation

A no-cost, no-pressure call to learn about your needs, brainstorm potential solutions, and assess whether we're the right fit. No hard sell, just a real conversation with people who genuinely want to help.

Custom Proposal

If you decide to move forward, we develop a proposal aligned with your goals,
scope, and budget. Every engagement is built around your specific needs.

Objective Guidance

We believe in doing what's best for you. If we don't think we're the right fit
for your situation, we'll say so and help you find someone who is.

Flexible Engagement Options

Some clients retain us for the year at a flat monthly rate, giving
them flexible access to our team as needed. Engagements typically run 3-12 months.

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Partner With Advisors Who Know Behavioral Health

Four reasons operators choose HCA for consulting

Deep Operator Experience

Our consultants have run behavioral health businesses as CEOs, COOs, and clinical, billing, and startup leaders. You get advice from people who have sat in your chair and made the decisions you're facing — not theorists.

Behavioral Health Specialization

This is our domain. We know where the industry is headed, its regulations, market trends, payer dynamics, and day-to-day operational reality.

Senior-Led Engagements

You work with senior executives, not junior staff. Every consultant brings 15+ years of behavioral health leadership experience.

Diverse Expertise, One Team

Our consultants work as a group — clinicians, operators, billing and startup specialists, and M&A experts — so your plan reflects every angle, not one person's view.

Meet Your Consulting Team

Healthcare Capital Advisors is built around a hands-on, relationship-driven approach. Our team works closely with founders, operators, investors, and healthcare organizations .

Lisa Richardson

Managing Director, Consulting

Lisa brings 15 years of executive experience in behavioral healthcare in roles as CEO, COO, and Executive Director. She founded and scaled a PE-backed adolescent mental health agency, has turned-around and scaled programs in every level of care, and is a national speaker on leadership development and healthy but productive workplace cultures.
Focus: Fractional Executive Services (CEO, CGO, COO, CHRO), Startup Strategy, Turnaround Services, Operational Due Diligence
Most Recent Role: CEO/Founder, Beyond Healthcare

Teresa McClure

Consultant

Teresa brings 20 years of executive experience in behavioral healthcare. She specializes in driving growth through strategic startup development and has successfully opened dozens of new facilities across the country. She is an expert in Joint Commission Standards, compliance matters, and all regulatory guidelines needed to open new behavioral healthcare locations from design to licensing.
Focus: Fractional Executive Services (COO, Compliance, CGO, CIO), Startup Strategy, Turnaround Services, Site Selection, Project Management, Mock Surveys / Survey Prep
Most Recent Role: VP of Startup Operations, Northpoint Recovery

Erin Kennedy

Consultant

Erin was responsible for building and scaling all revenue operations of a rapidly growing, multi-site organization. She created all systems, automations, and efficiencies to oversee billing departments, accounts payable/receivable, patient accounts, and all other areas of revenue operations. She is sought after for her deep knowledge of behavioral healthcare billing within a variety of levels of care for both Medicaid and commercial insurance.
Focus: Fractional Executive Services (CRO, Billing), Startup Strategy, Turnaround Services, Operational Due Diligence
Most Recent Role: Chief Revenue Officer, Banyan Treatment Center

Jessica Molina

Managing Director, Consulting

Jessica is an educator by trade, but an expert in creating systems that truly serve the people within them. Much of her work involved launching and growing schools, where she focused on coaching leaders through
startup, compliance, operations, and culture-building. Her approach helps to implement culturally sustaining practices that are trauma-informed.
Focus: Startup Strategy, Turnaround Services, Operational Due Diligence

Leah Hendricks

Consultant

Leah brings 15 years of experience in behavioral healthcare. She has launched multi-site outreach and admissions departments, and served thousands of families through her own therapy practice. She is an expert in trauma-informed care and employee wellness.
Focus: Startup Strategy (Admissions, Business Dev., Outreach), Employee Wellness, Trauma-Informed Care Training, Clinical Operations
Most Recent Role: Corporate Director, Beyond Healthcare

Dr. Michelle Maloney

Consultant

Dr. Maloney has two decades of experience within behavioral healthcare as an executive at some of the largest providers in the US. She has led innovative programs, quality initiatives, and reform across multi-site and multi-state organizations. She is a true industry expert, speaking at national conferences on topics that move the industry forward with innovation and excellence.
Focus: Fractional Executive Services (CEO, COO, CCO), Startup Strategy, Turnaround Services, Operational Due Diligence
Most Recent Role: Executive Director, Rogers Behavioral Health

Michele Santagata

Consultant

Michele brings more than 15 years of expertise in optimizing contact center operations for multisite healthcare organizations. She specializes in helping behavioral health companies improve conversion rates while reducing operational costs through strategic process improvements and technology integration.
Focus: Fractional Executive Services (Call Center, Admissions), Startup Strategy, Turnaround Services, Operational Due Diligence
Most Recent Role: CEO, Santagata Consulting

Trusted Partner Network

When your needs go beyond what our consulting team specializes in, we connect you with our Trusted Partner Network — a curated group of providers we consider best-in-class in their respective fields. Engaging
through HCA, you get their services at preferred rates.