Advisory Services

Ponder & Co. actively assists in implementing strategic change for not-for-profit healthcare providers. Whether our clients are buying or selling a hospital or seeking to decide among strategic options, we have the experience and knowledge to provide guidance through the changing healthcare environment. The cornerstone of our business is providing experienced, knowledge-based advice to clients — free of conflicts.

Transaction Management

Ponder & Co. has extensive experience in structuring and implementing a transaction process to maximize successful outcomes for our clients. We advise on sell-side and buy-side transactions, asset sales for cash, non-cash mergers and joint ventures.

Our experience and independence led to engagements for two of the largest and most complex sales of not-for-profit healthcare systems to for-profit buyers — the sale of Hillcrest Healthcare to Ardent Health in 2004 and the sale of Health Midwest to HCA in 2003. While these transactions are noteworthy, more typical transactions involve only a single hospital.

Once our clients decide on a strategic initiative, Ponder & Co. can:

  • —  Structure the most effective process to assure a successful transaction
  • —  Apply our extensive market knowledge
  • —  Negotiate terms and conditions

Our professionals begin by listening, asking critical questions and exploring strategic alternatives before making recommendations.

The ability to understand our clients and to represent them effectively and confidentially is essential to successful outcomes. As a specialist, employee-owned firm, Ponder & Co. provides independent advice, free from external conflicts.

In our experience, we see that not-for-profit healthcare providers increasingly need to be concerned about liability, criticism by the media and intervention by state attorneys general who are seeking more open processes. As a result, transactions by not-for-profit facilities are now being conducted in a more competitive environment and controlled auction processes are becoming the industry norm. The increased acceptance and importance of these processes reinforces the need for skilled and experienced M&A professionals.

Strategic Options

Today, boards of directors and management teams face an increasingly complex and dynamic environment for healthcare services. Pressures on operating performance, such as access to capital, reimbursement and competitive and demographic changes in the marketplace combine to make a provider's strategic options challenging.

Ponder & Co. has the experience and knowledge to assist in systematically and objectively evaluating unique situations. Ponder's strategic options assessment was created to provide our clients with a framework to help them get their arms around an ever-evolving healthcare marketplace. This service provides a comprehensive review of the hospitals performance as well as its position and outlook in its market.

Examples of our work:

Valuations and Fairness Opinions

Ponder & Co. provides valuation services for hospitals, hospital systems, medical office buildings, ambulatory surgery centers and other healthcare entities. Our knowledge of the healthcare industry as a whole coupled with our experience in providing transaction advisory services, enables us to provide our clients with a critical determination of value, which is key for prudent decision-making.

We also provide fairness opinions when our clients need assurance that a purchase price is fair and reasonable.

M&A Case Studies:

See our M&A Experience >

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Representative M&A Clients >

M&A Case Studies >