CHARLOTTE, N.C., August 5th, 2026—TUSK Practice Sales (“TUSK”), a leading healthcare-focused M&A Advisory firm, advised a three-location dermatology group in the Northeast on its partnership with a national dermatology platform. The transaction was led by Joshua Fox, Director of M&A, with Alex Cherniavsky and Zac Zielinski spearheading the diligence and analytics efforts for TUSK.
The dermatologist built a thriving three-location dermatology group with a team of 10 providers, offering comprehensive medical, surgical, and aesthetic dermatology services for patients of all ages. The practice provides annual skin examinations, treatment for conditions such as acne, eczema, and skin cancer, as well as Mohs surgery. Its cosmetic services include Botox, dermal fillers, laser hair reduction, and a variety of other aesthetic treatments. Prior to engaging TUSK, the practice owner had limited knowledge of their practice value or the buyers who were active in the market. TUSK’s initial conversation and complimentary valuation allowed the practice owner to understand their options and ultimately make the decision to go forward with the process of selling.
Like many transactions, this deal involved several moving pieces that required thoughtful coordination, underscoring the value of having experienced representation. TUSK worked diligently to maintain alignment with the practice’s associate physicians throughout the process, helping secure their continued involvement following the transaction. TUSK also addressed valuation considerations related to the practice’s pathology lab and trailing EBITDA by negotiating terms that shifted the associated financial impact to the buyer rather than the seller. Finally, because the acquisition marked the buyer’s first expansion into a new state, the parties were required to navigate a series of state-specific regulatory requirements. TUSK guided the practice owner through each stage of the process, ultimately helping them achieve a successful closing.
“This transaction is a clear example of why experienced representation matters,” shared Joshua Fox. “From an evolving valuation picture to a new-state regulatory process for the buyer, our team worked through each stage protecting our client’s value, making sure we delivered a partnership that met their standards.”
“The overwhelming feeling of running the practice and being buried in the mounting administrative duties, while trying to maintain important clinical roles every single day prompted me to explore whether a sale was in the cards,” shared the dermatologist. “I also wasn’t aware of how time consuming and thorough the process would be, and TUSK did an impressive job down to every detail. I knew I would need an advisor to guide me when meeting with potential groups, understanding deal terms, and selecting the best fit for my practice’s future. TUSK educated me the entire way through and helped me find the best partner for the future of my practice.”
The transaction closed successfully and emphasizes the value of partnering with an advisory team experienced in navigating complex, multi-faceted transactions from initial valuation through close. TUSK was honored to have represented its client and looks forward to the many years of success among the partners.
About TUSK Practice Sales
TUSK Practice Sales (“TUSK”) provides M&A Advisory services in the healthcare industry. TUSK has completed over $1.5B of transactions across all specialties. With an in-depth understanding of the marketplace and access to hundreds of buyers nationwide, we help our clients confidently pursue M&A transactions that maximize their long-term value. With our significant collective experience of over 125+ years of practice transactions, we offer our clients solutions that help them achieve their strategic and financial objectives. For more information, visit www.TuskPracticeSales.com.