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In April of 2018, Mike Horsfield, CEO of Rock Valley Physical Therapy (RVPT), was scheduled to meet with shareholders to discuss the future ownership of the company. All RVPT shareholders and key executives were licensed physical therapists. Most of the shareholders and a large number of important, long-term employees expected to retire in the coming years, with retirements starting in 2020. RVPT's line of credit was tied up in their growth strategy, leaving them unable to cash out those seeking retirement. Horsfield had a lucrative offer from a Private Equity (PE) firm to buy into the business, which would provide the funding for those planning to retire, but he was concerned about how a profit-focused PE investor might change RVPT's culture and its patient-focused medical practice. The offer was tempting, but he was unsure how to present the offer to the shareholders and whether he should argue for or against accepting the PE firm's offer. As the only MBA among the shareholders, Horsfield's opinion carried weight and could sway the decision.