Arheam Equity
Healthcare practice transactions & advisory

Institutional dealmaking for healthcare practice owners.

We advise dental, eye-care and medical practice owners through valuation, transition and partnership decisions, and bring acquisition partners off-market opportunities that genuinely fit their criteria.

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Practice owners

Understand what your practice is worth, and what your options are.

Valuation, structure and transition advice, with full transparency on who we represent.

Request a confidential valuation →
DSO & private equity partners

Off-market deal flow, screened to your buy box.

We source and qualify owners before they list, and only introduce practices that match your criteria.

Share your acquisition criteria →
10+ yrs
Sales, negotiation & dealmaking experience
100+
Practice owners engaged on transition options
$2.88M+
Healthcare transaction value sourced & advised
Legal + Eng.
Multidisciplinary deal execution
About the firm

Built by dealmakers who understand the practice, not just the spreadsheet.

Arheam Equity was founded on a simple conviction: practice owners make better decisions with better information, and acquisition partners close better deals when the fit is real from the start.

We pair a legally trained approach to transaction structure with engineering-led operational analysis. Practices we represent are presented accurately and completely. Opportunities we bring to partners are screened against their criteria before any introduction.

We work across dental, optometry and broader medical practice transactions, advising owners on valuation, structure and transition, and acting as an outside origination team for DSOs and private equity groups.

Transaction rigor

Engagement terms, LOIs and post-close obligations reviewed with care before anything is signed.

Operational analysis

Diligence on capacity, workflow and systems, so value is grounded in how the practice actually runs.

Off-market origination

Direct relationships with owners well before they consider listing.

Fit before price

We match on geography, size, payer mix, culture and the owner's goals first.

How it works

A clear process, from first call to close.

1

Confidential intro

A short conversation about your goals, timeline and what a good outcome looks like.

2

Valuation & positioning

We normalize the financials the way a buyer will, including the add-backs owners often miss.

3

The right partners

We approach only groups whose criteria fit, anonymously, and only with your approval.

4

Structure to close

Price, retained equity, stay-on terms and autonomy, negotiated before signature.

Leadership

You'll know exactly who's on your deal.

Every engagement is led directly by a partner, from the first conversation through to close.

Fayez Arheam, Managing Partner

Fayez Arheam

Managing Partner

Leads transaction strategy and execution, from origination and valuation through structuring and close.

  • 10+ years across sales, negotiation and dealmaking
  • Legally trained (LLB), bringing contract and transaction rigor to deal structure
  • Engaged with 100+ practice owners on valuation, growth and transition options
  • Sourced and advised on $2.88M+ in healthcare transaction value
Mayar Al-Masalmeh, Engineer and Associate Partner

Mayar Al-Masalmeh

Engineer / Associate Partner

Leads technical and operational diligence, translating systems engineering into practical value creation.

  • Engineering background with deep technical and analytical expertise
  • Operational diligence: capacity, workflow, systems and scalability
  • Post-close optimization where operations drive enterprise value
Insights

Commentary for owners weighing their options.

Practical analysis on valuation, deal structure and the economics of practice transitions.

Valuation

Navigating Practice Valuations in 2026

What drives multiples this cycle: collections quality, provider depth, payer mix and capacity, and where owners leave value unrecognized.

Request the brief →
Deal structure

Legal Considerations in Medical Group Mergers

Retained equity, stay-on obligations, restrictive covenants and earn-outs: the terms that decide whether a transition works three years out.

Request the brief →
Operations

Operational Scaling for Independent Practices

Where capacity, scheduling and systems quietly cap enterprise value, and the levers that move a valuation before a sale.

Request the brief →
Common questions

Before you reach out.

Who do you represent in a transaction?

It depends on the engagement. Sometimes we advise a practice owner; sometimes we originate opportunities for an acquisition partner. On every deal we disclose in writing who we represent and how we are engaged before any work begins.

How are you paid?

Our fees depend on the engagement and are set out in a written agreement. You will always know the structure before you commit to anything, and there is no cost for an initial conversation.

Is my information kept confidential?

Yes. We do not share your practice's name or financials with any third party without your explicit approval. Partners see anonymized profiles until you choose to proceed.

What kinds of practices do you work with?

Dental (general and specialty), optometry, ophthalmology and other medical practices, from single locations to multi-site groups.

Do I have to sell if I reach out?

No. Many owners simply want to understand what their practice is worth and what their options look like. There is no obligation at any stage.

Get in touch

Start a confidential conversation.

Tell us a little about your practice or your acquisition mandate. A partner will follow up personally.

What happens next

  • A partner reviews your submission personally
  • We reply within one business day
  • Nothing is shared without your approval
  • No obligation to proceed
Prefer email? contact@arheamequity.com

Submit your practice for valuation

A few details to begin. No obligation.

Your details go directly to a partner. We never sell or share your information. Please do not include any patient information.

Thank you.

Your submission is in. A partner will follow up personally, typically within one business day.