

Client Engagements
Client Friendly Engagement Terms
Accretive provides low-risk, high-reward engagement terms
Monthly Retainer Fee
Cost Effective Fixed Fees based on size, scope and complexity of engagement. Partially offsets Accretive’s time and data costs required to analyze medical group market positioning, revenue opportunity and contract prioritization.
Performance Risk
Accretive believes in our ability to drive revenue performance and we take risk on our performance. Success Fees are tied to the incremental revenue Accretive generate for medical groups.
Flexible Term
If our initial review of medical group market positioning, contracts and transaction data determines there is immaterial revenue upside, Accretive will provide an early termination to the agreement.
Enterprise Value Creation
Accretive’s fees are generally treated as an EBITDA expense add back while preventing recurring P&L expenses related to staffing, systems and data. Contractual rate increases are generally treated as a pro forma addition to revenue and EBITDA.
Historical Performance and ROI
Revenue Re-constracted
Avg. Revenue Increase
Return on Investment
Enterprise Value Creation
$93.2M
7.9% Y1 / 9.9% Y2 / 11.1% Y3
5.5x
$66.2M
Transparent Retainer

Fixed monthly retainer, sized to scope
Offers size data & analytics code
2024 & 2025 contracts, including M7A & Comm.
Weighted by revenue
Annual Revenue Increase divivded by Annual Fees
Assumes 80% of Revenue increase contributes to EBITDA; 8x EV/EBITDA
Shared Success Fees

Driven by incremental revenue created
92% of AHA fees tied directly to performance during 2024 &2025