A different kind of partner for independent healthcare.

Cold Start acquires independent healthcare practices across select specialties that fit our investment criteria. We can structure each partnership around the ideal outcome for the physician — whether that's stepping back in a few weeks, months or years.

Advisors and a clinician reviewing plans together across a table.

A true alignment of interests

You cannot build an enduring system where providers, patients, and payors are pulling in different directions.

We structure partnerships so that everyone is incentivized toward the same thing — better access, better outcomes, and more preventative, proactive care.

ProvidersMore autonomy, support,and long-term opportunity.PatientsBetter access to high-quality,coordinated care.PayorsBetter outcomes and lowertotal cost of care.

What we look for.

We are deliberately selective. The practices we partner with tend to share the same handful of characteristics.

Best-in-class clinics

Leading practices across our targeted specialties — the name providers and patients in the market already know.

Highly attractive geographies

Markets with durable demand, favorable demographics, and room for a specialty platform to grow.

Single-practice providers

Independent practices — with or without additional healthcare providers on staff.

Strong reputations

Trusted by patients and by the referring physicians who send them.

Loyal, established patient bases

A history of durable demand and relationships that don't turn over.

Founder-led legacy

Practices built by clinicians with a legacy worth carrying forward — and clinicians seeking flexibility, whether a clean exit, a gradual transition, or continued clinical leadership.

The specialties we partner across.

We are actively acquiring in the specialties below and continually expanding into new ones.

ABA

Behavioral Health

Psychiatry

Family Medicine

Internal Medicine

Pediatrics

Geriatrics

OB/GYN

Dental

Medical Nutritional Therapy

Neurology

Cardiology

Physical Therapy

Occupational Therapy

Speech-Language Pathology

Think we might be describing your practice?

If the criteria above sound like you, we'd welcome a confidential conversation.

Connect with our team