Behavioral Health M&A and Operational Advisory
The clinician, the operator, and the dealmaker are the same person.
Behavioral health deals rarely fail on the numbers. They fail on clinical integration, provider retention, and operations after close.
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The Thesis
Clinical Integration Risk is the risk financial diligence does not price.
Aluria's diligence and integration work is built by someone who has been the clinician, the operator, and the integration lead on live transactions. That vantage point is what surfaces the clinical integration risk, provider retention exposure, and operational readiness gaps that decide whether the growth case in the model was ever achievable.
Most advisors bring one. We bring all three.
Practice Areas
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Pre-Close Diligence
Clinical, operational, and reimbursement diligence on behavioral health targets. The operational overlay that financial quality of earnings misses, plus operational review of term sheet, earn-out, and rollover assumptions.
View Practice Area02
Post-Close Integration and Value Creation
100-day plans, clinical workflow alignment, provider retention, margin improvement, and turnaround and stabilization through exit.
View Practice Area03
Platform Growth
Interventional psychiatry buildouts in TMS and Spravato/esketamine, de novo and multi-state expansion modeling, and behavioral health entry into post-acute and hospital-affiliated settings.
View Practice Area04
Healthcare Technology
EHR, RCM, and workflow evaluation inside behavioral health deals, and diligence on technology companies as acquisition targets.
View Practice AreaEdisa serves as an executive at a healthcare technology company. Engagements involving competing or adjacent vendors are disclosed in advance and declined where a conflict exists.
Selected Engagements
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Turnaround
Turnaround of a $16M-revenue behavioral health provider for a family office: negative EBITDA to a $1.5M annualized run rate in six months through payer mix, revenue cycle, and operational restructuring.
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Platform Launch
Platform launch support for a private equity sponsor's new behavioral health investment: built clinical and operational infrastructure and led expansion from two to five sites.
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Interim Leadership
Interim operations leadership for a behavioral health accreditation organization through a full corporate rebrand.
The Founder
Edisa Shirley, PhD, LMHC
Founder and Managing Partner
Edisa has spent more than fifteen years inside behavioral health, in sequence: as a licensed mental health counselor, as a multi-site operator carrying full P&L responsibility across outpatient psychiatry, therapy, substance use, and ABA, and as the integration lead who took acquired practices from close to steady state through a private equity recapitalization and a strategic exit.
She built the standardized integration playbook a national outpatient platform went on to use for every subsequent acquisition, cutting integration timelines from six months to ninety days, and she held provider retention through consecutive changes of ownership — the failure point most behavioral health roll-ups miss. She also holds an executive role at a healthcare technology platform, which keeps her in the billing, workflow, and adoption data behind behavioral health operations, and she serves as a board director and operating advisor to private equity and venture investors.
Aluria was built on that side of the deal. We work with a small number of clients at any given time. The work is too consequential to scale through volume.
- PhD, Industrial-Organizational Psychology
- M.S., Clinical Mental Health Counseling
- LMHC, Florida
Featured Writing
Contact
Start a confidential conversation.
Tell us what you are looking at and where you are in the process. We typically respond within one business day.
- Emailinfo@aluriaadvisory.com
- LinkedInlinkedin.com/in/edisashirley
- LocationJacksonville, Florida. Engagements nationwide.
Inquiries are held in strict confidence. No engagement details are disclosed without written consent.