Cold Start Group — A buyer for independent physician practices

A buyer for the practice you spent a career building.

Cold Start Group buys independent physician practices and holds them. No private-equity timeline. No flips. We structure each deal around the exit you actually want — whether that’s stepping out in ninety days or staying on for years.

Private conversation · Reply within 48 hours

Permanent capital Strictly confidential Texas and Florida

If you own or partner in one of these, we’d like to hear from you.

Cold Start Group acquires founder- and partner-owned practices across the United States in the specialties below.

Pediatrician with stethoscope examining infant on mother's lap

Primary Care

Family Medicine
Internal Medicine
Pediatrics

Physician taking blood pressure of senior patient during follow-up visit

Medical Specialties

Hematology / Oncology
Cardiology
Gastroenterology
Neurology
Dermatology

Modern operating room with surgical equipment

Surgical & Procedural

Orthopedic Surgery
General Surgery
Ophthalmology
Gynecology
Obstetrics
Urology

Diagnostic & Behavioral Health

Radiology
Mental Health Therapy

Different from private equity. On purpose.

Most acquirers in this space are PE funds — five- to seven-year holds, then a flip to the next buyer. We work differently in three ways that matter.

We hold the practices we buy.

No fund clock. No forced exit. Your patients and your staff don’t go through a second acquisition five years after yours. The buyer they meet on the day you sell is the same one running the practice ten years later.

Your exit, not ours.

Some owners want a clean exit in ninety days. Some stay on as medical director. Some keep a reduced schedule for years while a successor is brought in. We’ve structured each, and we’re honest on the first call about which one fits.

Your practice stays a practice.

Your staff stays. Your patients stay. If you want the name on the door to stay, it stays. We’re not rolling your practice into a regional brand or stripping it for parts. We’re acquiring it so it keeps running — with you out of the back office.

Your team’s life gets easier the day we close.

We bring an operating platform built specifically for independent physician practices — through our portfolio company, 3Y Health. Your team inherits it on day one.

Less time on the phone.

Patient scheduling, reminders, intake, and front-desk workflows handled by the platform. Fewer no-shows. Less time tied up at the front desk. More predictable days.

Faster cash. Fewer denials.

End-to-end billing and revenue cycle — claim submission, payer follow-up, denial handling, collections. Money arrives faster. Write-offs drop. You see exactly where revenue sits at every step.

More time with patients.

With the back office automated, your clinicians spend their hours doing what they trained for — not chasing paper. That’s the difference your patients feel after we close.

Applied Behavior Analysis

California

Speech-Language Pathologist

Texas

First call to close. About ten weeks.

What to expect, and what we won’t do until you say so.

First call

A private conversation. No paperwork. You describe the practice and what you want next. We listen.

Confidentiality

A mutual NDA before anything sensitive moves between us. We do not approach your staff.

Valuation

A clear number, with the math written out. You see exactly how we got there.

Deal structure

A structure built around the exit you want. If we’re not the right fit, we say so on this call — not three months in.

Transition

For owners staying on, side-by-side for ninety days. For clean exits, a careful handover of contracts, records, and staff.