Our Story

Built for Founders. Defined by Advocacy.

Accretive was founded on a simple truth: the M&A process was never designed for Founders.

Buyers come prepared—with teams, data, and strategy. Founders often enter the process with experience, passion, and legacy—but without the same advantage.

We set out to change that.

Founded by John D. Segrave, Accretive exists to empower founders and owners with the clarity, structure, and advocacy they deserve.

Our purpose is to eliminate the imbalance between buy-side sophistication and sell-side uncertainty—transforming complex transactions into confident, value-driven outcomes.

Redefining the Standard

From our first engagement, we’ve held fast to one guiding principle: Preparation creates power.

We built an approach centered on readiness, decision intelligence, and founder advocacy—ensuring that our clients define the terms of their success, protect what they’ve built, and achieve the value they’ve earned.

Today

Accretive is more than a deal advisory firm.

We’re a partner in the moments that matter most—standing beside visionary Founders, guiding them through every stage of transformation with discipline, empathy, and purpose.

Define. Prepare. Protect.

That’s our story—and the promise we make to every client we serve.

Ready to Begin?

Accretive’s Healthcare & Life Sciences team helps Physician/Owners prepare for their next chapter — with confidence, clarity, and measurable results.

Schedule a confidential consultation to learn how we can help maximize your valuation and streamline your transition.

How can we Help?

Ask us anything

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