Effective Diligence in Health Care Transactions — Core Challenges and Key Steps

The deal volume in the health care provider and services sectors remains high. Financial sponsors continue to make investments related to hospitals, surgery centers and dialysis facilities. Correspondingly, the deal volume in health care products, health care devices and health care real estate also continues to be steady. However, while the aggregate deal flow is stable, the average dollar value of deals has decreased. Further, there appears to be an increased proportion of deals being executed by strategic rather than financial buyers. The increase in transactions by strategic buyers can translate into less risks in the due diligence process.

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Effective diligence begins either with companies or advisors — or preferably both — who are familiar with the industry or actual business being invested in. A thorough understanding of the revenue sources, legal and business risks and key stakeholders is tremendously important to the short and long term success of the deal.

Great diligence focuses on providing client decision makers with highly usable information and not catalogs of unnecessary data. Generally, for each deal there are ten to fifteen issues that are extremely critical. An effective reviewer of diligence will deliver a practical and useful analysis of these key issues together with a broader summary of peripheral issues. Providing quality due diligence depends on possessing knowledge of the specific business and the industry, and an ability to effectively focus resources on the pertinent issues.

For a discussion of the seven key rules of diligence, download Effective Diligence in Health Care Transactions — Core Challenges and Key Steps (PDF).

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