Welcome to the iiBIG homepage. Celebrating 10 years of service!

March 13-14, 2019

PwC Auditorium

New York, NY

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Applications are now being reviewed from executives who wish to become members of our Executive Speaking Faculty. To apply to become a member of the speaking faculty, and to indicate agenda topics of interest, please complete our online JOIN OUR FACULTY application or contact:

Don Buford, Founder & CEO, iiBIG
Phone: 212-300-2521 | Email: donb@iibig.com



Exhibition Set-up (In Exhibit Hall)


Registration, Refreshments and Networking (In Exhibit Hall)

Welcome to the 2019 Multi-Physician Roll-ups Conference

STATE of the Multi-Physician Roll-up Markets in 2019 & Beyond
In the one-year period between May, 2017 and May, 2018, hospitals acquired over 5,000 multi-physician practices (MPPs) and other specialized stand-alone healthcare providers (e.g. ambulatory surgery centers [ASCs], dental, renal clinics, etc.). Moreover, a growing number of private investment firms have been actively building their portfolios in this space. In the midst of this activity, however, the vast number of these non-hospital providers remain as stand-alone entities. This session will provide an overview of these roll-up trends, identify the specific sectors where consolidation has been most active, and will examine the opportunities for investors in 2019 and beyond.

To Consolidate or Not to Consolidate? 
What are the factors that lead stand-alone providers to the decision to be acquired? Why do some decide to be acquired by hospitals, while others prefer to become private investor portfolio companies?


PM Networking Break

Sector-by-Sector Roundtable
Which types of provider organizations lead the deal-flow pack? The marketplace of practice-types is varied from highly specialized (e.g. Behavioral, Oncology, Dental, Dermatology, etc.) to general family and pediatric medicine. In which sectors are investors showing the most preference, and why? Do hospital acquirers have a different view?

Transaction Services Roundtable
As with all M&A transactions, issues of valuation, due-diligence, regulatory factors, reimbursement patters, ‘culture’ integration issues, and many other factors must be carefully considered. What are the key issues to be considered before, during and after the transaction?

4:45 – 6:00pm

Evening Networking Reception



Continental Breakfast and Networking

Dealflow & Real Estate Roundtable
In addition to physician practices, roll-ups of ambulatory surgical centers (ASCs), urgent care centers and others present unique issues for investors. How do deals in this particular space differ from acquisitions in the physician practice arena? When being rolled-up, what are the issues related to the underlying real estate? Investors and leaders in the ASC and Urgent care space discuss market trends, and acquisition strategies.

Combining Business ‘Cultures’
When physician practices are merged, there are a myriad of issues that must be addressed in order to make the roll-up successful. Of all of the issues, none are more important (and delicate) than merging the ‘cultures.’ What is the profile of the ideal practice ‘leader,’ and how will compensation structures, benefits, vacation policies and other ‘nitty-gritty’ issues be resolved? Will the new business entity move to a single location, or remain separate? How will duplicative and overlapping functions be handled? Physician practice experts who’ve been in the trenches of roll-ups will discuss these, and other, ‘culture-changing’ challenges.


Buffet Luncheon for Conference Participants

Technologies and Physician Practice Roll-ups
IT questions are challending enough for a single practice, let alone questions that arise in a merger. This roundtable discussion will examine how and which technologies can help to make the merger as seamless as possible. How will patient records and billing systems be handled? What are the software strategies for handling and complying with the unique regulatory issues; and what are the best solutions for gurading against cyber-threats?

Maximizing Revenues, Shortening the Collections Cycle & Solving the ‘Coding Conundrum
This session will feature payors and payees in an in-depth discussion of the ever-changing reimbursement climate. From Medicare to private insurance the value of a physician practice can be enhanced based on how well, and how efficient, the reimbursement process is handled. What are some of the most common items that practices forget to include in submitting reimbursement claims? How to avoid reimbursement challenges, and staying on the ‘right side’ of the confusing and ever-fluid regulatory schemes.


Conference Concludes
Thank You for Thinking ‘iiBIG’!