Advisory Intelligence

Scottsdale OD
Advisory Professional Guide

An optometry practice transaction requires a team โ€” capital advisor, healthcare CPA, medical practice attorney, and commercial real estate counsel. The practitioner who assembles the right advisory team before the transaction begins closes faster, pays less in taxes, and avoids the contractual landmines that derail otherwise sound deals.

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Team Architecture

Building Your Transaction Advisory Team

No Arizona optometrist should navigate a practice sale, acquisition, or major capital deployment without a full advisory team in place. Lumina Medical Capital serves as the capital advisor โ€” but the transaction requires specialized professionals in tax, law, and real estate who understand the specific mechanics of medical practice transactions in Arizona.

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Capital Advisor

Structures acquisition capital, sources lenders, navigates SBA and conventional loan programs, pre-qualifies buyers, and ensures the capital stack supports the transaction timeline. The capital advisor must understand both the clinical business being acquired and the financial instruments that fund it โ€” not just one or the other.

Lumina Medical Capital's core role in every transaction.
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Healthcare CPA

A generalist CPA does not understand EBITDA normalization for healthcare businesses, physician compensation add-backs, asset allocation under IRS Form 8594, or Arizona's flat 2.5% corporate rate optimization strategies. A healthcare-specialized CPA โ€” ideally one with optometry practice experience โ€” is non-negotiable for transactions above $500K. The tax savings on a single well-structured transaction dwarf the advisory fee by an order of magnitude.

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Medical Practice Attorney

The Asset Purchase Agreement for an optometry practice is not a generic business purchase contract โ€” it addresses patient record transfer, non-compete enforceability under Arizona law, HIPAA business associate obligations, ARS Title 32 licensing provisions, and employment law transitions. A generalist business attorney drafting an optometry APA is a liability. A healthcare transaction attorney is an investment.

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Commercial Real Estate Counsel

Lease negotiation, TIA structuring, medical office zoning verification, and SBA 504 real estate acquisition all require commercial real estate expertise specific to medical office โ€” not residential or general commercial. Arizona medical tenants who engage a tenant-side broker and attorney in lease negotiations recover their advisory cost many times over in TIA proceeds alone.

Qualification Intelligence

What Optometry Practice Owners Should Ask Their Advisors

The right advisor has specific experience โ€” not general competence. These are the qualification questions that separate healthcare practice specialists from generalists.

For the Healthcare CPA

โ†’How many optometry or medical practice transactions have you advised on in the last 3 years?
โ†’How do you approach IRS Form 8594 asset class allocation for an optometry practice asset sale?
โ†’What add-backs do you typically identify in an optometry EBITDA normalization analysis?
โ†’Are you familiar with Arizona's flat corporate income tax rate and its transaction structuring implications?

For the Medical Practice Attorney

โ†’Have you drafted or reviewed an APA for an Arizona optometry practice in the last 24 months?
โ†’How does Arizona's HB 2026 affect the ownership structure we should use for a DSO or non-OD buyer?
โ†’What non-compete geography and duration have you seen enforced by Arizona courts in professional practice sales?
โ†’How do you address HIPAA patient record transfer obligations in the APA and closing documents?

For the Real Estate Advisor

โ†’What TIA range is achievable for a 2,500 SF medical office in this specific submarket right now?
โ†’What medical office zoning district is this parcel in, and is optometry a permitted use by right?
โ†’Have you completed an SBA 504 medical office transaction in Maricopa County? Who was the CDC?
โ†’How do you structure a co-tenancy clause for a medical office lease in a retail-adjacent location?
Timing Intelligence

When to Engage Each Advisory Professional

24mo

Before Exit: Healthcare CPA + Capital Advisor

The 24-month pre-exit window is when tax structuring decisions have the most impact. Engaging a healthcare CPA 2 years before a sale allows time to implement compensation restructuring, entity optimization, retirement plan contributions, and equipment investment strategies that reduce ordinary income in the exit year. Lumina begins exit optimization conversations with clients 18โ€“24 months before any planned transaction.

6mo

Before Exit: Medical Practice Attorney

Six months before initiating the sale process, engage a healthcare transaction attorney to review entity structure, confirm non-compete enforceability, verify that ownership documents are in order, and draft the initial APA template. Entering negotiations with a completed APA draft โ€” rather than waiting for the buyer to propose terms โ€” is one of the most powerful negotiating positions available to a seller.

LOI

At LOI Execution: Full Team Activated

Once a Letter of Intent is signed, the full advisory team must be engaged immediately. The due diligence clock starts at LOI execution, and every day of advisory team assembly time is a day of negotiating leverage lost. Lumina coordinates the advisory team's due diligence activities to ensure the capital, legal, and tax workstreams run in parallel โ€” not sequentially.

Tax Architecture Intelligence

AZ Practice Sale Tax Architecture

The CPA conversation begins with tax architecture. Explore Arizona's asset vs. stock sale tax implications, Form 8594 allocation strategies, and the flat 2.5% corporate rate that makes Arizona one of the nation's most favorable exit tax environments.

Explore Tax Architecture โ†’
Capital Deployment

Your Advisory Team Is a Capital Decision

The right healthcare CPA saves more on a single exit than their lifetime fees. The right attorney protects more in contract structure than the transaction broker's commission. Lumina helps Arizona practitioners build the advisory teams that transactions require โ€” starting with a complimentary capital assessment.

Initialize Practice Equity Assessment