Should a Healthcare Sales Company Go Public?
Use Stock Options to Scale Nationally

Why Public Listing + Stock Options Can Help You Scale a National Healthcare Sales Organization


If you sell healthcare services—such as staffing, revenue cycle management, wellness programs, telehealth, or home care solutions—you know that growth depends on one thing:

A motivated, high-performing sales force.

But commissions and bonuses only go so far. Top reps often jump ship for better payouts, and it's hard to build a cohesive, loyal team without offering something more lasting.


That’s where a public listing and structured stock option plan comes in. By becoming a public company and offering stock options, you can recruit elite producers, retain top performers, and create a culture of ownership.


Why Go Public as a Healthcare Sales Firm?

You don’t need to be a hospital or biotech company to go public.

In fact, many of the most scalable healthcare businesses are sales-driven service companies—firms that:

  • Sell to physicians, hospitals, or employers
  • Deploy reps to build client relationships
  • Operate on recurring or high-ticket contract revenue

By going public, you can:

  • Attract high-performing reps from larger competitors
  • Offer equity instead of just higher commissions
  • Retain your team longer with multi-year vesting
  • Tell a public growth story that builds credibility with healthcare buyers and partners

If you’re in a B2B or B2G healthcare niche where relationships drive revenue, this model can be transformative.

How It Works

  1. Go public via direct listing—not an IPO—at a cost far lower than most people expect.
  2. Establish a stock option plan compliant with 409A regulations, allowing you to grant performance-based equity to sales reps, managers, and advisors.
  3. Use equity to recruit talent from competitors who are used to cash-only comp plans.
  4. Align your team around long-term growth by making them owners, not just earners.
  5. Scale nationally, expanding into hospital systems, provider groups, or payer networks with a credible, equity-driven story.

Why This Works in Healthcare Services Sales

Let’s say you run a firm selling:

  • Revenue cycle management services to physician groups
  • Telehealth platforms to school systems or government agencies
  • Wellness and chronic care solutions to employers
  • Staffing or home care services to hospitals and families

These are all relationship-based sales, often with high contract values and long sales cycles.

You rely on reps who can:

  • Navigate complex deals
  • Build trust with clinical and financial stakeholders
  • Maintain multi-year accounts


And yet, most of those reps have zero long-term incentive to stay. That’s a huge, missed opportunity.

Stock options can change that.

When you go public, you give your team:

  • A real stake in the business
  • A reason to stay through ups and downs
  • A shared incentive to help the company grow—not just hit monthly quotas

What It Costs

Most entrepreneurs we work with spend about $20,000 to start the process. That covers:

  • Legal setup and entity structure
  • Initial regulatory and compliance prep
  • Planning your path to direct listing


You don’t need to raise much outside capital. The goal is to get public so you can recruit and retain using equity, not dilution.

Real-World Example: Scaling a B2B Healthcare Sales Force

Imagine this:

  • You sell chronic care management services to employer groups
  • You have 12 producers generating $4M in recurring revenue
  • You want to grow—but don’t want to raise VC capital or chase debt

You go public. Launch a stock option plan. Offer equity to new hires.

Within 18 months:

  • You’ve recruited 40 producers nationwide
  • Retention has improved dramatically
  • Revenue grows from $4M to $15M
  • Investors begin to notice—and you have the option to raise if needed

Now you’re a publicly traded company with a national sales force—and your stock is a key part of your recruiting and brand story.

Who This Is For

This strategy works well for healthcare companies that:

  • Sell services rather than hardware
  • Operate in staffing, RCM, wellness, care coordination, or population health
  • Depend on human relationships and performance to grow

If you're profitable and your growth depends on recruiting and keeping top sales talent, this model gives you a compelling advantage.

What Success Looks Like

  • You’re a public company with 75+ sales producers
  • You’ve retained top performers by offering multi-year vesting
  • Your revenue has scaled, and your valuation multiple has expanded
  • You’re seen as an innovator—not just in your offering, but in how you recruit and retain talent

This is how you build a $100M+ business—not by raising capital, but by turning sales into ownership.

Want to Explore This Further?

Our founder has taken four of his own companies public and helped dozens more follow that path. He’s worked across healthcare, technology, and financial services.

If your company sells into healthcare and you want to scale nationally, this strategy might be your unfair advantage. Let’s talk.