AHLA Podcast: Physician Practice Employment and Acquisition: What Is Driving the Changing Landscape?

by Danielle Bangs, Director

When it comes to physician practices, the rate of employment, acquisition, and alignment activity among health care corporate entities like payers, payer-backed groups, private equity, and major vertically integrated retailers has outpaced similar activity among hospitals and health systems. Danielle Bangs, Director, Veralon, speaks with Mike Flammini, Chief Development Officer, Privia Health, and Eric Tower, […]

Why is Kaiser/Geisinger Such a Big Deal?

by John Harris, Managing Director
and Danielle Bangs, Principal

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A colleague asked, “Why is the Kaiser/Geisinger announcement such a big deal? There have been a lot of mega mergers.” An excellent question. This was more than just a $95B insurer/health system acquiring a $7B one. Here’s why: Kaiser Permanente has long been recognized as an iconic leader in value-based care, but they have largely […]

Making the Business Case for Healthcare M&A: Top 5 Reasons

by Daniel M. Grauman, Managing Director & CEO
and Danielle Bangs, Principal

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Seventy percent of healthcare executives expect more mergers and acquisitions across healthcare sectors in 2022, a KPMG survey found, while 30 percent of healthcare investors plan to increase deal activity by 10 percent or more. For hospital and health system leaders, it’s a good time to consider: What’s your business case for M&A? We’ve seen […]

Podcast: Physician Practice Mergers and Acquisitions – Trends in the Health Care Industry

by Daniel M. Grauman, Managing Director & CEO
Podcast

Host Ericka Adler, Roetzel shareholder and Health Law Practice Group Leader, is joined by fellow Roetzel shareholder David Hochman, and special guest Dan Grauman, Veralon Managing Director and CEO, to discuss evaluating and planning for healthcare practice mergers and acquisitions. Dan Grauman talks about the ongoing trends of consolidation he sees in healthcare, the important […]

What’s Your Post-Merger Financial Outlook? Why a Pre-Merger Gut Check Is Critical

by Danielle Bangs, Principal

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One of the most important considerations in finalizing a healthcare merger is how well the consolidated entity will perform, financially, after the deal is complete. Many times, leaders get so caught up in the blocking-and-tackling of due diligence—a time-consuming exercise that protects their organization from material risk—that their ability to see past the point of […]

Beyond ‘Shark Tank’: Applying Healthcare Valuation Multiples Is Harder than It Seems

by Daniel M. Grauman, Managing Director & CEO
and Jessica E. Stack, Principal

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It’s a familiar scene from a blockbuster show: A billionaire investor sizes up a company by dividing the value of the company by its annual profit to find the multiple. It’s a metric used to assess the market value of an asset, and in the world of “Shark Tank,” it comes to investors quickly and […]

Anatomy of a Deal Series No. 5:
After the Deal Is Over: What Hospital Integration Looks Like

by Daniel M. Grauman, Managing Director & CEO

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The devil is in the details. A year after the merger of Independent Hospital (IHX) and Regional Health System (RHS), the work of integrating these facilities is still underway. Some aspects of integration, such as reviewing group purchasing contracts, food services agreements, opportunities to consolidate back-office functions and more, have been relatively easy to complete. […]

Anatomy of a Deal Series No. 4:
Navigating the Due Diligence Process

by Daniel M. Grauman, Managing Director & CEO

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Once the matchmaking aspect of a healthcare M&A is complete and the parties involved agree on what partnership might look like, the next step is due diligence. Performing due diligence can seem like a “check the boxes” exercise—but it’s much more than that. It’s an opportunity to explore the strategic implications of a proposed merger […]

Anatomy of a Deal Series No. 3:
The Art of Negotiating a Deal in Healthcare M&A

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

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So you’ve made it through the request for proposals (RFP) process, an ordeal that can amount to a great deal of (usually digital) paperwork and a series of check-the-box demands, with little, if any, one-to-one discussion with the issuer. Now comes the interesting part: discussions between the healthcare organization that is seeking a partner, and […]

Hospital M&A: 3 Key Considerations to Reach a Fair Deal

by Daniel M. Grauman, Managing Director & CEO
and Kevin Cope, Manager

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Board members of not-for-profit community hospitals face enormous pressure to protect their community’s access to care. Even when the economic reasons for hospital mergers and acquisitions (M&A) are compelling, the decision to cede control to another system cannot be made based on purchase price alone. It’s just one reason why not-for-profit board members must understand […]