Senior representation, by design.

Mike founded 1st Med Capital Partners to bring institutional-grade M&A representation to middle-market healthcare practice owners — the segment underserved by both regional brokers (who often lack institutional buyer relationships) and large investment banks (which generally don't take engagements below $20M EBITDA).

Before Capital Partners, Mike served as Director of Practice Lending at 1st Med Financial, where he developed direct relationships with PE-backed platforms, family offices, and strategic acquirers active in healthcare practice consolidation. That capital-side perspective is the foundation of how he approaches sell-side engagements today: with the buyer's underwriting model in hand before the seller's representation begins.

Mike is also CEO of parent firm 1st Med Transitions, which since 2010 has closed over $532 million in healthcare practice transactions and built relationships with 100+ DSO platforms, PE sponsors, and strategic buyers nationally.

David leads Capital Partners' deal execution from confidential market launch through close — including financial modeling, buyer outreach, deal structuring, negotiation, and the closing process itself. Sellers work with David daily during the active phase of every engagement.

Before Capital Partners, David spent more than ten years in healthcare practice M&A. He began his career as a Financial Advisor at Wells Fargo, where the institutional-finance discipline he developed — process rigor, financial modeling depth, and a comfort working alongside sophisticated institutional buyers — directly shapes his approach to physician-seller engagements today.

His combination of buy-side fluency and seller-side advocacy means counterparties at PE platforms, family offices, and strategic acquirers find themselves in negotiations with someone who models their deals the same way they do.