Partnerships, Mergers & Acquisitions

Our sell-side approach pairs in-depth experience with an appreciation that each client’s journey is truly unique. We recognize that each organization defines success differently. That’s why we begin each engagement by gaining a deep understanding of your goals and objectives.

We’ll coordinate the RFP process, develop letters of intent or term sheets, coordinate due diligence, and lead negotiation of definitive agreements on your behalf. Our deep expertise in M&A and strategic partnership positions us to efficiently address any issue that arises and rigorously defend the interests of our clients.  

Explore Our Sell-Side Work

We serve as an advisor jointly engaged with our clients to design and support a partnership process that focuses on development of business rationale, confirmation of mutual strategic benefit, structuring of the transaction and construction of the partnership agreements. In facilitated discussions, our team acts as the lead and often sole advisor to the parties as they evaluate and execute the contemplated partnership. At each step, we provide alignment of strategic interests, compatibility of cultures, and a consistent vision for how the partnership will function.

Explore Our Facilitated Partnership Work

We provide high-value transaction advisory solutions to healthcare providers seeking to partner with or acquire another organization. Through a multidimensional approach, we’ll help you simultaneously assess the strategic and financial impact of a potential opportunity and determine the right form and structure for a transaction.

This approach empowers you to assess whether a potential partner is a right fit for your organization. It also enables you to present a competitive offer. Our customized, client-based approach ensures we aggressively represent your best interests at all times.

Explore Our Buy-Side Work

Creative affiliations and joint ventures are assuming a larger role in meeting the strategic needs and financial demands of healthcare organizations in an evolving market environment. Our approach is to provide truly objective advice, the best possible information, and a strategic advantage in decision making. We combine M&A; financial and capital planning; and corporate finance advisory to bring a breadth of capabilities and a depth of healthcare industry knowledge—a unique skill set among healthcare consultants and investment bankers.

Explore Our Affiliation & Joint Venture Work

An optimized partnership strategy can enable physician practices to generate new revenue, recruit/retain providers, increase scale, and manage costs to compete more effectively and deliver the best care to patients. Changes in the traditional model of healthcare delivery for physicians present new opportunities for multispecialty and specialty physician groups to use partnerships in achieving their strategic and financial goals.

Our experience with physician groups spans from primary-focused to single-specialty practices, as well as multispecialty and accountable care organizations and groups.

As payment models migrate from volume to value, and with an increased focus on managing costs, a shift to alternative settings, including into the home, has become more prevalent. Continued technological advances in how providers and patients connect have only enhanced the ability to deliver better outcomes.

We understand the unique dynamics of the post-acute sectors and have the expertise to help develop optimal partnerships, including fully integrated solutions like buying or selling, as well as affiliations with strategic or financial partners.

Finding the right setting for elective surgeries is essential to delivering optimal clinical outcomes in a cost-effective manner. Over a $50 billion Outpatient Surgery market is 2/3 independent or physician-owned, but that's changing as hospitals and health systems continue to partner or employ specialists, and strategic aggregators – many of whom are private equity-backed — continue to consolidate the sector.

We have deep experience advising independent, physician-owned and system-affiliated organizations on a broad range of strategic options and transaction structures.

Hospital inpatient/ outpatient, and inreach/ outreach lab businesses are increasingly challenged by lower volumes (steered toward lower priced labs), declining payment rates, and disruptive innovation. At the same time, large national and regional labs look to differentiate into esoteric testing spaces, grow, and compete fiercely in this space that has garnered much attention amidst the COVID-19 pandemic. These trends will lead to continued consolidation and partnerships for laboratory and diagnostic services providers as organizations explore sales, partnerships, and other affiliations as vehicles to gain greater scale and improve their competitive positions.

We’re working with hospital-based and independent labs across the country to help assess their market positions and determine the optimal transaction strategy.

With the ongoing shift to value-based care, both payors and providers are continuing to improve their ability to manage population health under new and innovative risk-based payment arrangements.

Whether you are a payor contemplating how a provider partnership could enhance your member offerings and growth, or a provider seeking to move closer to the premium, we can support to assess your position and marketplace, and determine the optimal partnering strategy.

Health Systems - We are the top strategic advisor to health systems seeking partnerships, mergers, acquisitions and divestitures. We lead large and often-complicated mergers and combinations, developing acquisition growth strategies and advising on divestitures of existing business units or service lines.

Hospitals - We are the most active advisor to community hospitals seeking partnerships and mergers to strengthen their market position. We help you execute growth strategies, organize systems of care, structure collaborations with focused service lines and business units, facilitate discussions with financial and strategic partners, and execute transactions with larger organizations, where appropriate.