Hospital M&A Series Part 3: How Does Your Independent Hospital Stack Up? Conducting a Self-Analysis

by J. David Robeson III, Principal

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As hospital revenue shrivels amid the coronavirus pandemic, it’s time for independent hospitals to look in the mirror to determine how they stack up. Conducting a self-assessment isn’t just a useful approach for evaluating your organization’s capacity to survive the financial turmoil wrought by the pandemic. It’s also critical for recognizing what your organization brings […]

Hospital M&A Series Part 2: Can Your Hospital Maintain Independence? 5 Financial Questions to Explore

by David Robeson, Principal
Daniel M. Grauman, Managing Director & CEO

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When it comes to developing a financial recovery plan for COVID-19, independent hospitals face more of an uphill climb than other hospitals. With 40 percent of hospitals reporting their revenue had been cut in half during the first month of the COVID-19 pandemic alone—and 55 percent reporting they had less than six months of days […]

Hospital M&A Series Part 1: Should Your Hospital Remain Independent? 5 Key Considerations

by Daniel M. Grauman, Managing Director & CEO
and Scott Stuecher, Manager

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COVID-19 delivered a gut punch to the outlook for not-for-profit hospitals in 2020, moving from a “stable but delicately balanced” outlook this past January to a negative outlook in late March due to the rapidly evolving pandemic. While independent hospital leaders have always needed to keep a careful eye on their organization’s ability to remain […]

Hospital M&A Series Intro: Contemplating Your Healthcare Organization’s Future in a COVID-19 Environment

by Daniel M. Grauman, Managing Director & CEO

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Intro to M&A Blog Series: As healthcare organizations brace for financial losses stemming from the coronavirus pandemic, some will have a harder time weathering the storm than others. It’s a predicament that could propel some not-for-profit hospitals and health systems into partnerships in 2020 and beyond. Just months ago, experts thought hospital and health system […]

Merging for Value: 4 Key Benefits from the Beth Israel Lahey Health Merger

by Scott Stuecher, MHA, Veralon

Healthcare megamergers are picking up steam, with the merger of Aurora Health Care and Advocate Health Care completed in 2018 and the merger of Catholic Health Initiatives and Dignity Health (now CommonSpirit Health) finalized earlier this year. Optum also completed their acquisition of DaVita Medical Group in June of this year. It’s a trend that […]

Evaluating a Partner Pre-LOI: 4 Things to Consider

by Dan Grauman, Managing Director & CEO and Scott Stuecher, Manager

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Seventy-one percent of healthcare leaders expect merger and acquisition (M&A), and other partnership activity to increase over the next three years, according to a HealthLeaders survey. But as hospitals explore consolidation as a strategy for navigating reimbursement, regulatory and market challenges, there is concern that some organizations are rushing the letter-of-intent (LOI) process. An LOI is […]

To Merge or Not to Merge: Informing the Conversation

by Scott Stuecher and Daniel Grauman

“Everyone in the industry is merging. We should be too.” “We’ve always been independent, and we should stay that way.” Independent hospitals continue to merge or affiliate with other hospitals or with health systems. However, independent hospitals still have company. In 2016, the latest year for which information is available, there were about 1,600 independent […]

Checklist: Discussing Onboarding Issues Before Closing a Physician Practice Acquisition

by Rudd Kierstead, Principal

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Many of the reasons why physician practice acquisitions come apart after the deals are finalized fall under the category of “operational incompatibility.” Too often, the team that negotiates the deal is not the same team that is charged with operationalizing the deal. As a result, potential administrative and management problems — from physician appointment schedules […]

A Successful Practice Acquisition Begins with Due Diligence

by Jessica E. Stack, Senior Manager

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It’s tempting to short-change the due diligence process when acquiring a physician practice. In the heat of a deal, hospital leaders are understandably most interested in determining fair market value (FMV) so they can make the buy decision and set the purchase price. The due diligence process can turn up insights about a physician practice […]