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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

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

Shared Success Fees

Driven by incremental revenue created 

92% of AHA fees tied directly to performance during 2024 &2025

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