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



  • 9Feb

    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...

    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...
  • 1Feb

    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...

    Why Banks Keep Buying Tax-Exempt Debt

    Introduction:  Over the past two calendar years, commercial banks have been a significant source of tax-exempt financing for healthcare organizations. Driven by an expanded definition of “bank-qualified debt” provided in the American Recovery and Reinvestment...


  • 20Jan

    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...

    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...
  • 12Oct

    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...

    Timing Tax Exempt Bond Refundings

    By: Jeffrey B. Sahrbeck (HFMA September 2015) Selecting the optimal time to refund tax-exempt bonds can significantly enhance a healthcare organization’s economics, but is dependent on both market factors and timing. Unlike in the taxable world,...