Client Focused.
Process Oriented.
Results Driven.
A boutique investment bank exclusively serving lower-middle market Healthcare Services businesses.
What We Do.
Sell-side Mergers & Acquisitions
Selling a business is a complex and nuanced undertaking and market positioning is critical to driving a successful outcome. We understand what makes our clients unique and we tailor each process to leverage and emphasize those attributes, meticulously guiding our clients through an efficient, well-orchestrated process that unlocks value.
Buy-side Mergers & Acquisitions
We focus on what makes our client an ideal strategic partner to attract acquisition targets that will be subjectively and objectively accretive to their platform. We contribute skilled negotiations, financing and structural advice while leading deal execution as an extension of our client’s team so that they can focus on running their core business.
Private Capital Formation
We collaborate closely with our clients to understand their situation and goals and assist them in sourcing and structuring the right capital. Whether it’s funding a new facility build-out, refinancing a piece of the capital structure or securing acquisition financing, our priority is to connect our clients with aligned capital partners that can help them go further.
Strategic
Advisory
Business valuation services, strategic growth, integration planning and transaction preparedness are areas where we can leverage our expertise to expand our clients’ bench or provide an unbiased, third-party opinion. We are pragmatic advisors, focused on executable solutions that drive desired results.
Who We Serve.
Middle Fork’s clients have a diversity of size across engagement types, but our typical sell-side client generates between $500k and $2.000M in EBITDA, or $2.000M to $5.000M in revenue annually, and operates within the highly fragmented Healthcare Services sector. Critically, our clients believe that the importance of doing the RIGHT deal far-exceeds that of doing ANY deal – regardless of the type of engagement, we strive for the best strategic, cultural and structural fit for our clients, ensuring an outcome that all parties are thrilled with.
Healthcare Services
- Ambulatory Surgery Centers
- Behavioral Health
- Fertility
- Men’s Health
- Ophthalmology and Optometry
- Oral Health, including General Dentistry, Oral and Maxillofacial Surgery, Periodontics, Endodontics, Pedodontics and Orthodontics
- Orthopedics
- Otolaryngology / ENT
- Primary Care
- Urology
- Women’s Health
Who We Are.
Our engagements are limited to clients with whom we are aligned, within sectors we know. Ultimately, our success is owed to experience, discipline and an unwavering commitment to exceptional outcomes.
Middle Fork Capital Advisors is a Colorado-based boutique advisory firm that was established to help the founders, owner-operators and entrepreneurs behind lower-middle market Healthcare Services businesses navigate what may be one of the most important transactions of their careers.
Compared to business brokers and “practice transition” advisors, Middle Fork’s approach is unique. We engage with our clients as an extension of their team, unbiased, and fully aligned with each client’s objectives, focused on preparing-for and executing a process that is tailored to each client’s goals and circumstances. We do not take a “scorched earth” approach; we do not simply auction assets to the highest bidders.
Our processes are born out of experience and discipline, leveraging our backgrounds as institutional investors, investment bankers and entrepreneurs. Having led transactions from both sides of the table, we work tenaciously on behalf of our clients to drive outstanding results.
Middle Fork Capital Advisors 