Delivering wins for healthcare change leaders

Arkeion is a firm that partners with stakeholders and investors to accelerate growth, catalyze strategic shifts, eliminate existential threats and turnaround distressed healthcare organizations. As former advisors, investors, entrepreneurs and operators, Arkeion was founded with the single goal of helping healthcare stakeholders maximize long-term value creation at the most critical moments in an organization’s lifecycle. Our deep expertise across transformational domains in healthcare and our years of creating impact together make us efficient and uniquely fit-for-purpose to leaders with a focused agenda.

Just as an arkeion served as an important repository for knowledge and the governance of Ancient Greek city-states, Arkeion Partners holds our collective knowledge and judgment gained from founding, operating and selling companies.

Our Approach

We are a different kind of business advisory firm: we are fixers. We are intellectually curious and fanatically results-oriented about helping companies transform and optimize through inflection points.

What is an inflection point? Capitalization events, focused growth or margin acceleration, existential threats or major shifts in strategic direction. We can serve as a partner in building, rebuilding or managing an organization; we can take on a discrete problem and solve it.

Arkeion can operate as an extension of the current management or as a seamless, turn-key, interim executive team to support a company’s inflection point. We can undertake the management of an entire business or execute on a discrete project to help clients successfully execute their goals and unlock value for its stakeholders.

Our Team

  • Antonio
    Antonio

    Antonio "Tony" Gamboa

    M.D., M.B.A.

    Managing Partner

    Tony is a physician executive with extensive experience in growth and startup phases for healthcare service organizations. He has led organizations from inception to exit with both PE and VC capital funding and managed multiple integrations through M&A activity. Most recently, he led a fee-for-service to value-based-care transition for a national provider group resulting in the second most successful first year MSSP outcome.

    • Led Elite Patient Care as CEO from inception, growing through two successful exits with more than $100 million in aggregate consideration resulting in significant shareholder value creation for PE partners and founders. Created an organization of over 700 providers in 35 states
    • Oversaw the deployment of multiple technological platforms pre and post strategic transactions, including EHR, RCM, and data and analytics
    • Successfully managed clinical and administrative integrations for six acquisitions resulting in improved efficiencies and cost savings
    • Significant experience in board related duties including reporting, presentations, and effective KPI management (bespoke operational dashboards)
    • Uniquely positioned to help clinical and physician executives through business and leadership challenges prompted by operational, clinical and educational experiences
    • Evaluated multiple additional buy-side opportunities as a strategic acquirer of healthcare practices

    Credentials

    University of Texas, Austin
    McCombs School of Business
    Master of Business Admin. 2015

    University of Texas Medical Branch
    Doctor of Medicine 2001

    University of Texas at El Paso
    Bachelor of Science (Microbiology) 1997

    Antonio "Tony" Gamboa

    M.D., M.B.A.

    Managing Partner

    Tony is a physician executive with extensive experience in growth and startup phases for healthcare service organizations. He has led organizations from inception to exit with both PE and VC capital funding and managed multiple integrations through M&A activity. Most recently, he led a fee-for-service to value-based-care transition for a national provider group resulting in the second most successful first year MSSP outcome.

  • Shonu Gandhi
    Shonu Gandhi

    Shonu Gandhi

    J.D.

    Managing Partner

    Shonu is a healthcare strategist and operator who has tackled payment and payer challenges from many seats–payer, provider, medical device, and regulatory. Trained as a lawyer, Shonu served in leadership roles at McKinsey & Company, in academic medicine, and in growth stage and publicly traded companies, including multiple exits, acquisitions and integrations.

    • Negotiated multiple transactions between a multi-specialty academic physician organization and a large IDN, cumulatively generating +$1 billion in enterprise value
    • Advised on the structure of multiple $60mm-$200 million earnouts for publicly traded/private acquisitions (services, facilities, medical device)
    • Advised national payers on the design of Medicare Advantage/Exchange/Medicaid and employer provider networks, benefit designs and care models
    • Designed and contracted with employers and payers on behalf of a large multi-specialty physician group for value-based specialty bundles
    • Developed and executed coding, coverage and payment strategies for multiple differentiated medical technologies
    • Grew commercial coverage for a novel, minimally invasive fibroid ablation technology from 25% to 99.5%
    • Designed and executed multiple national campaigns to drive payer and legislative policy change
      Managed local and statewide political campaigns
    • Built and led dozens of high-performing teams across strategy, business development, payer contracting, market access and clinical affairs

    Credentials

    Harvard Law School
    Doctor of Law (J.D.) 2009

    Yale University
    Bachelor of Arts (History and Ethnicity, Race and Migration) 2003

    Shonu Gandhi

    J.D.

    Managing Partner

    Shonu is a healthcare strategist and operator who has tackled payment and payer challenges from many seats–payer, provider, medical device, and regulatory. Trained as a lawyer, Shonu served in leadership roles at McKinsey & Company, in academic medicine, and in growth stage and publicly traded companies, including multiple exits, acquisitions and integrations.

  • Alfred Macdaniel
    Alfred Macdaniel

    Alfred Macdaniel

    J.D., C.P.A.

    Managing Partner

    Alfred is an experienced, strategically-minded, and operations focused financial, operational and legal executive. Alfred has previously served in a variety of executive positions at various organizations, including two medtech companies and two VC firms. In addition, he has served as an advisor to two healthcare service companies and as interim CFO to a diagnostic software company.

    • Led TVA Medical to strategic exit (NYSE: BDX) and commercial launch as CFO and General Counsel, including oversight of financial, legal and compliance activities and leading the Clinical/Regulatory and EU commercial organizations. Led transaction process and post-closing integration ($225 million)
    • Financial and operational advisor to multiple national provider groups to improve EBIDTA and manage strategic transactions (PE acquisitions, recapitalizations)
    • Led Acessa Health to strategic exit (NASDAQ: HOLX) and grew operational infrastructure for scale as Chief of Strategy and General Counsel. Managed sale process and closing (~$100 million), and developed alternative strategic options, scaling financial, legal and compliance capabilities
    • Deployed ~$100 million into 25 portfolio companies as CFO and General Counsel at Sante Ventures (~$1 billion under management)
    • Raised $22 million as General Partner of GateCap Ventures, of which $18 million has been deployed (December 2023)
    • Advised on ~$225 million in venture capital financings as private practice attorney

    Credentials

    University of Texas School of Law
    Doctor of Law (J.D.) 2002

    University of Texas, Austin
    Bachelor of Arts (Plan II Honors) 1996
    Bachelor of Business Administration (Business Honors and Accounting) 1996

    Alfred Macdaniel

    J.D., C.P.A.

    Managing Partner

    Alfred is an experienced, strategically-minded, and operations focused financial, operational and legal executive. Alfred has previously served in a variety of executive positions at various organizations, including two medtech companies and two VC firms. In addition, he has served as an advisor to two healthcare service companies and as interim CFO to a diagnostic software company.

  • Steven Seach
    Steven Seach

    Steven Seach

    Senior Advisor

    Steven is a seasoned entrepreneur, C-level executive and Board member who provides transformative leadership and mentoring to drive critical strategic initiatives, operational optimization and financial performance. His more than 30-year career spans multiple industries, including banking, healthcare, technology, telecommunications and digital media and entertainment. Steven's background includes engagements impacting operational results and exit opportunities for early-stage, high-growth and distressed companies. He has actively led complex equity and debt financings and liquidity events exceeding $3 billion for institutional.

    • Served as COO and Operating Partner at Sante Ventures supporting a diverse portfolio of med tech, bio tech and healthcare services
    • Served as a Member of the Board of Trustees of St. David’s North Austin Medical Center, advising the CEO on strategic and financial matters
    • Served as an independent Member of the Board of Directors of Simply Beautiful Smiles, helping guide the management team through operational improvements and a strategic transaction
    • Served as a member of the Board of Directors of Vision Media / VMMF Super Holdings, helping guide the management team through operational improvements and a strategic transaction
    • Served as a member of the Board of Directors of CareHive Health, Inc., where he actively advised the management team and investor syndicate
    • Served as an independent member of the Board of Directors of HNI Healthcare, Inc., where he actively advised the management team in operational, financial and strategic matters
    • Served as a member of the Board of Directors of Millipede, Inc.
    • Served as Chief Restructuring Officer / Director, Rise Health
    • Served as Chief Restructuring Officer, Bluewater Outdoor
    • Served as CEO / CRO / Director of TrinTel Communications, guiding the company through a turnaround and a strategic sale of the business
    • President / CFO / Director, Classic Communications, taking the public company thought an initial public offering
    • Served as an Entrepreneur in Residence Austin Ventures

    Credentials

    University of Houston – B.S. Finance

    Steven Seach

    Senior Advisor

    Steven is a seasoned entrepreneur, C-level executive and Board member who provides transformative leadership and mentoring to drive critical strategic initiatives, operational optimization and financial performance. His more than 30-year career spans multiple industries, including banking, healthcare, technology, telecommunications and digital media and entertainment. Steven's background includes engagements impacting operational results and exit opportunities for early-stage, high-growth and distressed companies. He has actively led complex equity and debt financings and liquidity events exceeding $3 billion for institutional.

Our Experience

Clients

Investors

VC and PE funds, family offices, banks

Provider organizations

Physician groups, hospitals, home health

Healthcare Tech

Healthcare technology companies

Life science companies

Growth stage and publicly traded medtech and pharma

Engagements

Capitalization Events

  • Primary capital raises
  • Recapitalizations
  • Buy and Sell-side Mergers and Acquisition
  • Transaction Preparation
  • Strategic partnerships

Growth & Margin Acceleration

  • Commercial targeting
  • Compensation design
  • New business lines
  • Payer and provider contracting
  • Structuring provider compensation models
  • Market expansion
  • Cost structure optimization
  • Supply chain management and evolution

Existential Threats

  • Federal and state legislation
  • Regulatory shifts
  • Coding, coverage and payment
  • Litigation strategy and management

Major Shifts in Strategic Direction

  • Leadership changes
  • Target market pivot
  • Product rebranding

Engaging Arkeion
Engages Our Network

Our network spans hundreds of experts in all aspects of healthcare and makes us a one-stop shop for results.

With a combined 45 years of healthcare experience, we leverage strong relationships with former colleagues, collaborators, contractors and specialized vendors across all parts of the healthcare value chain and all relevant functions, including those we leverage for expert advice, ongoing or project-based work, and talent acquisition.

We put that network to use, as needed, in each of our engagements.

Contact us today to learn more

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