About ABISA
Healthcare experience grounded in strategy, operations, and the realities of physician practice
ABISA is a healthcare consulting firm focused on helping physicians, physician practices, healthcare organizations, and investors make better business and strategic decisions. Founded in 2007 by Nick Hernandez, ABISA brings together experience in physician practice management, healthcare operations, finance, strategic planning, physician relationships, transactions, MSOs, and healthcare investment. The firm’s approach is straightforward:
Understand the business. Understand the people. Understand the economics. Then develop a strategy that can actually be executed.
Discuss Your Healthcare Strategy With ABISA
Experience That Goes Beyond Consulting
Healthcare consulting can look very different depending on the advisor’s background. ABISA’s perspective has been shaped by experience working within healthcare organizations as well as advising them. That includes experience with:
- Physician practices
- Healthcare operations
- Financial management
- Physician relationships
- Practice strategy
- MSO structures
- Healthcare transactions
- Practice valuation
- Joint ventures
- Succession planning
- Healthcare investment and due diligence
This combination of operating and consulting experience allows ABISA to approach strategic questions from both sides of the table.
What ABISA Does
ABISA provides strategic and operational consulting across several areas of healthcare.
Medical Practice Consulting
Helping physician practices address strategic, financial, operational, and organizational challenges.
Physician Partnerships
Supporting buy-ins, buy-outs, ownership transitions, and physician alignment.
Transactions & M&A
Helping physician owners and healthcare organizations evaluate and prepare for acquisitions, sales, and other transactions.
Healthcare Investment & Due Diligence
Providing operational and strategic perspectives for healthcare investors evaluating physician practices and healthcare opportunities.
MSO Consulting
Advising on management services organizations, administrative infrastructure, physician alignment, and operating models.
Medical Practice Valuation
Helping clients understand the financial and strategic considerations surrounding practice and ownership valuation.
Healthcare & Physician Joint Ventures
Supporting physician, hospital, health system, and other healthcare partnership strategies.
Who We Serve
ABISA works with organizations and individuals at different stages of the healthcare practice lifecycle.
Physician Owners
Physicians seeking to strengthen, grow, restructure, partner, or transition their practices.
Healthcare Executives
Leaders navigating physician relationships, operations, strategic initiatives, and organizational change.
Hospitals & Health Systems
Organizations evaluating physician partnerships, joint ventures, service lines, and practice strategies.
Healthcare Investors
Investors seeking a deeper understanding of physician practice operations and healthcare opportunities.
Practice Buyers & Sellers
Organizations preparing for or evaluating healthcare transactions.
The ABISA Approach
Every engagement is different, but the process generally begins with understanding the situation before recommending a solution.
- Understand
Understand the organization’s objectives, current circumstances, challenges, and constraints.
- Analyze
Evaluate the financial, operational, organizational, and strategic factors affecting the situation.
- Prioritize
Identify the issues that matter most and distinguish them from issues that may be secondary.
- Develop
Create practical recommendations and a strategy aligned with the client’s objectives.
- Execute
Help translate the strategy into specific actions, responsibilities, priorities, and measures.
The goal is not simply to produce a report. The goal is to help clients make decisions and move forward.
A Physician-Centered Perspective
Healthcare organizations ultimately depend on physicians. Physician relationships can affect:
- Patient care
- Recruitment
- Productivity
- Growth
- Financial performance
- Governance
- Ownership
- Strategic direction
Understanding those relationships is therefore central to healthcare strategy. ABISA approaches physician-related issues with an appreciation for both the business and professional considerations involved.
An Operator’s Perspective
Strategic recommendations have to work in the real world. A strategy may look attractive on paper but fail because:
- The organization cannot execute it
- Physicians are not aligned
- The financial model is unrealistic
- Management infrastructure is inadequate
- The market does not support the assumptions
- The required investment is too high
ABISA evaluates strategy with these practical considerations in mind.
Independent Perspective
ABISA provides independent consulting and advisory services. The role is to help clients understand their options, evaluate the implications, and make informed decisions. Depending on the engagement, ABISA may work alongside:
- Attorneys
- Accountants
- Investment bankers
- Private equity firms
- Lenders
- Valuation professionals
- Healthcare executives
- Physicians
- Other specialized advisors
ABISA’s role is to bring healthcare operating and strategic expertise to the broader advisory team.
From Strategy to Execution
The most useful strategic advice is advice that can be implemented. ABISA therefore focuses on questions such as:
- What should happen?
- Why should it happen?
- Who needs to be involved?
- What will it cost?
- What are the risks?
- What happens next?
- How will success be measured?
This practical orientation is particularly important in physician practices, where owners and leaders are often balancing strategic initiatives with the demands of daily patient care.
Healthcare Experience Across the Practice Lifecycle
ABISA’s work can span the entire lifecycle of a physician practice:
Build
Establish a strong operational and financial foundation.
↓
Optimize
Improve performance, processes, staffing, and economics.
↓
Grow
Add physicians, locations, services, or strategic capabilities.
↓
Partner
Evaluate physician partnerships, MSOs, joint ventures, and other relationships.
↓
Transition
Prepare for ownership changes, succession, or a transaction.
↓
Exit
Help owners evaluate and prepare for a future practice sale or other transition.
The appropriate strategy depends on where the organization is today and where its owners want it to go.
Why Clients Engage ABISA
Clients may engage ABISA when they need:
- An experienced outside perspective
- Healthcare-specific strategic advice
- Physician practice expertise
- Financial and operational analysis
- Transaction support
- Practice valuation perspective
- Help evaluating growth opportunities
- Assistance with physician alignment
- Strategic planning
- Support navigating a significant transition
The common thread is a need to make an important healthcare business decision with greater clarity.
ABISA Today
ABISA continues to work with physicians, healthcare organizations, and investors on complex strategic and operational questions. The firm remains focused on a simple objective:
Help healthcare organizations make better decisions and build stronger businesses.
That requires understanding not only the numbers, but also the physicians, employees, patients, market, and operating environment behind those numbers.
Let’s Talk About Your Healthcare Strategy
If you are facing an important decision involving your physician practice, healthcare organization, investment, partnership, transaction, growth strategy, or succession plan, ABISA can provide an experienced healthcare perspective.