Since 1974...


We have built a reputation for serving our clients’ best interest as financial advisors.  We do not underwrite or sell products.  Our independent structure allows us the freedom to advise free of conflicts. Our team brings an average of 20 years of industry experience and they specifically focus on three critical business areas: Capital Advisory & DerivativesMergers & Acquisitions and Investment Management.
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Capital Advisory 


We provide advisory services to support capital market transactions for not-for-profit healthcare providers. We do not underwrite or sell securities so our advice is objective, conflict-free and in our clients’ best interest. 

Our services include: Plan of Finance Development, Transaction Implementation and Ongoing Monitoring 

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We provide independent advice to determine suitability and risk related to interest rate swaps or other derivative products. Our clients need a partner with experience in this complex area. 

Our services include: Assessment of Appropriateness, Transaction Execution and Market Monitoring

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Mergers & Acquisitions


We assist 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 needed. 

Our services include: Transaction Management, Strategic Options
and Valuations & Fairness Opinions

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Investment Management


Ponder Investment Co. (PIC) is a registered investment advisor under the Investment Advisor Act of 1940. The independent, employee-owned firm focuses on fixed income investments for healthcare systems, universities and other not-for-profit clients. 

Our services include: Enhanced Cash Short, Enhanced Cash Long, 1 to 3-Year and Core

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News & Events



  • 22Aug

    End of LIBOR Part 1

    What you need to know before LIBOR disappears – Impact on Swaps and Variable Rate Debt The History The LIBOR scandal that emerged in 2008 highlighted a crucial flaw in the setting of LIBOR rates....

    Challenges in Public and Private Variable Rate Debt

    Executive Summary Currently, there is a dislocation between SIFMA resets and its theoretical relationship with 1 month LIBOR Pre-2008 financial crisis, SIFMA reset between 60% and 70% of 1mL The current SIFMA / 1 month...
  • 1Apr

    Mergers & Acquisitions in the Hospital Industry

    Since the beginning of 2010, mergers and acquisitions activity in the acute care sector has increased significantly. The rate at which hospital transactions are being announced has increased by over 50% in less than a...

    Are You a Municipal Advisor?

    The Dodd-Frank Wall Street Reform and Consumer Protection Act (the “Dodd-Frank Act”) may have a direct impact on you, your 501(c)3 organization, or your bond issuing authority.  On January 6, 2011, the Securities and Exchange Commission...


  • 25Oct

    Trinity Health ponders acquisitions through debt offering

    By: Alex Kacik with contributions from Eb LeMaster (Modern Healthcare online) Trinity Health is considering a debt offering to fund acquisitions, the company said in a regulatory filing.  The Catholic-sponsored health system, which is one of...

    2016 M&A activity down from last year

    By: Alyssa Rege (Becker’s Hospital Review, January 20, 2017) While hospital merger and acquisition activity fell during 2016 compared to the year prior, announced transaction activity in Q4 increased from the previous quarter, according to...
  • 29Nov

    Health Care 2020 – Report 3 of 4 Consolidation

    By: HFMA and contributors, including Eb LeMaster (HFMA online) The healthcare industry will continue to see rapid consolidation as key sectors assert the need to seek the economies of scale and efficiencies they claim are required...

    2015 Q3 Announced Hospital M&A Activity Report

    Target Beds: Average 296: Median 120 Target Rev. ($’s MM): Average $268; Median $86 Q3 2015 pace of activity—28 announced transactions—was in line with that of the prior two quarters in 2015, and based on...