Digital Quality of Earnings (QoE) & Pre-Close Audits.
Financial QoE tells you what happened yesterday. Digital QoE tells you if the growth engine will survive tomorrow. We uncover hidden marketing liabilities before you sign the LOI.
The Asset You Think You’re Buying.
Standard financial due diligence confirms past revenue, but it blindly assumes the target's patient acquisition engine will survive the transaction. You must prove whether that growth is a durable asset you are buying, or a rented liability that will vanish on Day 1.

Two Audits. Only One Prices the Risk.
Financial QoE validates historical revenue. Digital QoE validates whether that revenue will survive the transaction. Only one captures the liabilities that erode post-close value creation.
- ✗ Confirms past revenue but cannot validate whether patient acquisition channels will survive vendor transition
- ✗ Treats marketing as a flat OpEx line item—no visibility into owned vs. rented digital assets
- ✗ Zero HIPAA pixel forensics—cannot detect unauthorized PHI exfiltration to Meta, Google, or TikTok
- ✗ Leaves 100-Day integration CapEx as an unknown—deal model assumes zero digital infrastructure cost
- ✓ Validates whether patient acquisition infrastructure is owned equity or rented from a vendor that can revoke access
- ✓ Deep-packet HIPAA forensics detect every unauthorized pixel firing PHI to third-party ad platforms
- ✓ Delivers precise 100-Day CapEx roadmap so the deal team can model true integration costs before signing
- ✓ SEO equity audit quantifies organic traffic durability and domain authority transferability post-close
The Execution
We act as your technical Operating Partner during the diligence phase. We audit the target’s digital ecosystem to identify structural risks, compliance liabilities, and true acquisition costs before capital is deployed.
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72-Hour Pre-Close Red Flag AuditOwned vs. Rented Asset Audit
We map every digital asset to determine if patient volume is owned equity or rented from a third-party vendor. If the target’s agency owns the Google Ads or Analytics accounts, you are buying a hostage situation.
“Their 72-hour red flag audit caught $2.4M in hidden technical debt that would have blown our integration timeline. It paid for itself before we even closed.”
— VP Corporate Development, Healthcare PE Fund -
HIPAA & Pixel Liability Pricing
We run deep-packet technical inspections on the target’s web properties to detect unauthorized Meta, Google, or TikTok tracking pixels scraping PHI. This allows your deal team to accurately price class-action legal risk into the deal model.
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Payer Mix & Channel Quality Audit
Are they generating high-value commercial patients, or is their lead volume inflated by low-reimbursement Medicaid traffic? We audit specific acquisition channels to validate the true quality and margin of the incoming patient base.
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The 100-Day Integration CapEx Roadmap
We deliver a precise CapEx roadmap detailing exactly what it will cost to extract the target from legacy systems, consolidate their brand into your master platform, and deploy scalable infrastructure in the critical first 100 days.
34% OWNED
2 CRITICAL
The Risk Matrix Your LOI Is Missing.
Before you close, this is the digital infrastructure audit that surfaces the liabilities standard financial QoE will never find.
Download the Digital QoE Audit Checklist.
Stop buying hidden liabilities. Get the exact 45-point technical framework our integration directors use to uncover rented agency assets, unredacted HIPAA pixels, and 100-Day CapEx requirements before you sign the LOI.
Our Due Diligence Stack
Enterprise-grade forensics tooling purpose-built to uncover what the target company’s data room hides.
