How It Works

Four Options. One Puts You In Control.

You have four choices as an ophthalmologist. Three have been around for decades. The fourth is what we built. Here is how each one actually works.

Paths to ownership

Personal capital required

You

Own the clinical entity

Your Options

The Four Paths. Compared Hosnestly.

Path 01

Solo Practice

You own everything. You run everything. Revenue is yours. So is every operational burden, compliance obligation, HR headache, and 2 AM billing problem. Full autonomy, full weight. For retiring owners, the weight won. For new graduates, the barrier to entry is six figures and five years of learning by fire.

Path 02

Hospital Employment

Guaranteed salary. Benefits. Infrastructure. In exchange, you become an employee. Your schedule is set by administrators. Your support staff reports to someone else. Your clinical autonomy exists on paper but erodes in practice. You trade ownership for security and spend the next decade wondering if it was worth it.

Path 03

Private Equity

The pitch sounds great. Liquidity event. Back office support. Growth capital. Then the management fees climb. The staff gets cut. The non-compete locks you in. The debt they loaded onto the practice starts squeezing margins. Within three years the practice looks nothing like what was built. Within five, they flip it to the next fund.

Path 04

The Verdira Model

You own the clinical entity. You make every clinical decision. We handle billing, marketing, staffing, technology, compliance, and everything else. Fixed monthly fee. No revenue share. No one exits. No one flips. This is the fourth option.

Stepping In

What You Walk Into Con Day One.

You are not building from scratch. You are stepping into an established, cash-flowing practice with patients, staff, contracts, and revenue already in place.

A Practice That Already Works

Existing patients. Active insurance contracts. Trained staff. Functioning systems. A brand the community already trusts. The revenue is real. The practice has been operating for years.

A Practice That Already Works

Existing patients. Active insurance contracts. Trained staff. Functioning systems. A brand the community already trusts. The revenue is real. The practice has been operating for years.

Your Own Professional Corporation

A brand new entity you own. Properly organized under New York law. No legacy liabilities from the prior owner. No inherited billing exposure. No tax issues you did not create. Clean from day one.

Your Own Professional Corporation

A brand new entity you own. Properly organized under New York law. No legacy liabilities from the prior owner. No inherited billing exposure. No tax issues you did not create. Clean from day one.

Zero Personal Capital at Risk

You are not writing a check to buy in. Not taking a personal loan. Not liquidating savings. The working capital is between the MSO and your PC, not between the MSO and you personally.

Zero Personal Capital at Risk

You are not writing a check to buy in. Not taking a personal loan. Not liquidating savings. The working capital is between the MSO and your PC, not between the MSO and you personally.

Bridge Capital, Not Startup Funding

The MSO provides working capital to cover the credentialing transition. The practice already has patients and revenue. Your PC needs capital to bridge the gap until revenue flows through your entity.

Bridge Capital, Not Startup Funding

The MSO provides working capital to cover the credentialing transition. The practice already has patients and revenue. Your PC needs capital to bridge the gap until revenue flows through your entity.

72%

Of physicians report declining autonomy under corporate ownership structures

Physicians Foundation, 2024

72%

Of physicians report declining autonomy under corporate ownership structures

Physicians Foundation, 2024

19.6%

Drop in sight-saving surgeries at practices acquired by private equity

JAMA Ophthalmology, 2023

19.6%

Drop in sight-saving surgeries at practices acquired by private equity

JAMA Ophthalmology, 2023

The Economics

How Money Flows. You Get Paid First.

Revenue from your practice flows into an account you control. Disbursements follow a clear priority. The MSO gets paid last. That is not an accident.

You Stay in Control of Medicine. We Handle the Business.

Clinical authority stays with the physician. We run operations, billing, staffing, marketing, compliance, and everything else that has nothing to do with patient care. Your clinical standards don't change. Your referral relationships are maintained. Your patients see continuity, not disruption.

You Stay in Control of Medicine. We Handle the Business.

Every Practice Gets a Defined Operating Model

We stabilize first, then improve. No day one overhauls, no surprises. Every change is communicated before it happens and measured after. Revenue systems run with full clarity. Workflows are designed for reliability, not speed.

Every Practice Gets a Defined Operating Model

We Don't Buy Practices to Sell Them Again.

Every acquisition is a permanent hold. No fund timelines, no resale plans. Your name and standing in the community are preserved. We're building something that compounds over decades, not something to flip in three years.

We Don't Buy Practices to Sell Them Again.

Your practice deserves better than a PE playbook.

Let's talk.