Yes. It is the best time. The allocation, the rollover terms, the structure, and the timing of closing can all still change. Once exclusivity starts, the buyer has less reason to agree to anything, and once the purchase agreement is signed, most of the tax outcome is fixed.
" - q: "I already signed. Is it too late?" a: "Not entirely. The tax year of closing, a final-year retirement plan, the household cash flow plan, and how you hold the rollover in your overall picture are all still open. Charitable planning is usually closed at this point because the sale is practically certain. See I already sold, now what.
" - q: "Do you replace my attorney or CPA?" a: "No. You need a healthcare transaction attorney to negotiate the documents and a CPA to prepare the returns and sign off on positions like the material participation exclusion from net investment income tax. Our job is to make sure the household's after-tax outcome is being modeled by someone whose fee does not depend on the deal closing.
" - q: "Do you work with dentists?" a: "Yes. DSO transactions follow the same tax rules, and dentists often own their real estate and equipment personally, which adds a layer. See selling a dental practice to a DSO.
" - q: "Do you work outside California?" a: "Yes. Qubera is registered as an investment advisor and works with clients in many states. State tax rules differ, and the state pages cover the four we see most.
" - q: "When will you tell me I do not need you?" a: "When the price is small enough that the allocation does not matter, when your state has no income tax and your S election is old, or when the LOI is signed and exclusivity has started and there is no rollover or move to plan around. We will say so on the first call, and there is no charge for that call.
" llms_summary: "Describes who Qubera Wealth Management serves through physicianbuyoutplan.com: physicians and dentists with an unsigned private equity letter of intent, holders of rollover equity in an MSO, and physicians who have already sold. Explains what a fee-only planner adds (term-sheet and allocation review alongside the attorney and CPA, rollover and waterfall analysis, state residency and timing, charitable and retirement plan decisions, the household plan through the scrape), what it does not do (legal, tax preparation, valuation, negotiation), when a planner is unnecessary (small single-buyer add-ons, no-tax states with old S elections, signed LOIs with nothing left to plan), and how the firm is paid." ---This is where most of the value is. Before exclusivity, the allocation between goodwill and the non-compete can be negotiated, the rollover class and leaver terms can be requested, the structure can be confirmed, and the closing can be timed. The case study shows what that looked like for a dermatology partner whose buyer's draft would have cost roughly $120,000 more in tax for the same price. We review the term sheet with your attorney and CPA, model the after-tax outcome under the buyer's draft and under what you should ask for, and give you a short list of what to negotiate and what to let go.
Whether you closed last year or five years ago, a rollover position is a large, illiquid, subordinated bet on a second sale that may take eight to ten years. We build the household plan so it works if that position is worth zero, plan the tax on the second bite before it arrives, and look at whether gifting some of the units to a trust while their value is low makes sense for your estate.
The scrape is real, and income repair takes years if it comes at all. We rebuild the savings plan around the new pay, plan Roth conversions in the lower-income years, sort out what to do with the retirement plan the practice terminated, and make sure the proceeds are invested to do the job the lost income used to do.
Partners and owners between about 45 and 65 whose share of the price is above roughly $2 million, in the specialties private equity has rolled up most heavily: dermatology, ophthalmology, dental, gastroenterology, orthopedics, anesthesiology, urology, radiology, and cardiology. Many are in California or New York, where state tax is a large part of the picture, or are thinking about a move to Texas or Florida. Some are younger partners with a long employment runway who are being asked to give up the most future income for the smallest share of the price; their questions are different and just as important.
If you are in one of these groups and call anyway, we will tell you on the first conversation, and there is no charge for that conversation.
Qubera Wealth Management is a fee-only fiduciary registered investment advisor. We do not receive commissions, referral fees from buyers, bankers, or attorneys, or any payment tied to whether your deal closes. A term-sheet review is a flat-fee engagement scoped in advance. If you later choose ongoing investment management for the proceeds, that is charged as a percentage of assets, which means we earn more when you invest more with us; that is a conflict of interest, and the fee schedule and the conflict are described in our Form ADV Part 2A. We coordinate with your attorney and CPA rather than replacing them, and we do not provide legal or accounting services.
The firm is based in Los Angeles and works with clients in many states. Nirav Desai, the founder, describes his background on the about page. To start, use the contact page.