Healthcare Transactions Support

PYA’s multi-disciplinary team of subject matter experts helps hospitals and health systems, physician practice management entities, strategic consolidators, and private equity funds maximize the benefits and minimize the risks of business transactions.

With decades of transaction advisory experience, our multi-faceted team of healthcare financial, compliance, and operational experts provide solutions throughout the transaction lifecycle.

Our Healthcare Transaction Services

Due Diligence

Financial Due Diligence Assessments
Revenue Integrity
Coding and Billing Compliance Reviews
Medical Necessity and Care Management
Feasibility Studies
Independent “Black-Box” Reimbursement Differential Analysis
IT Infrastructure Reviews and Risk
Real Estate Assessments
Compliance Program Assessments (e.g., HIPAA/CLIA/OSHA)

Transaction Execution

Valuation Opinions
Sell-Side Transaction Facilitation (Divestitures and Joint Ventures)
Buy-Side Transaction Facilitation (Mergers, Acquisitions, and Joint Ventures)
Regulatory Approval Assistance
Provider Compensation Model Design
Integration Plan Development
Affiliation Design and Modeling

Transactions Support Services Brochure

Integration and Divestiture Advisory

Integration Plan Development
Integration Execution and Project Management
Purchase Price Allocation
Financial Statement Audits, Compilations, and Reviews
System and Organization Control
Tax Compliance
Risk Mitigation Planning
Transition Planning for Divestitures

Hospital M&A Integration Management Services Brochure

Physician Practice Integration Advisory Services Brochure

SCOUT™

A Comprehensive Healthcare Due Diligence Solution

PYA’s SCOUT solution provides deep subject matter expertise, superior project management, and objective advice specific to each transaction. SCOUT deliverables are clear, intuitive, and actional resources for buyers throughout the transaction lifecycle.

Senior Advisor Involvement

PYA SCOUT disciplines are led by executives with deep expertise and experience in their fields.

Coordinated Risk Analysis

Decades of transaction and due diligence experience combined with PYA’s breadth of expertise, positions SCOUT to view risk across the entire enterprise rather than just individual disciplines.

One Central Point of Contact

SCOUT leverages expertise across multiple PYA resources, and each relationship has a point of contact who coordinates exceptional service, responsiveness, and project management.

PYA Scout™ Brochure

Healthcare Transactions Support Frequently Asked Questions

What areas should healthcare due diligence cover beyond financial statements?

Healthcare due diligence may address revenue integrity; coding, documentation, and medical necessity; tax compliance; provider compensation; managed care contracting and reimbursement; information technology and cyber risk; real estate and facility condition; organizational compliance; and operational and financial analytics. The appropriate coverage should reflect the transaction and the risks that need to be assessed across the enterprise.

How does a quality of revenue review differ from a quality of earnings assessment?

Quality of revenue work may include cash proofs, cash-to-accrual revenue adjustments, non-recurring revenue, and revenue analyses. A quality of earnings assessment builds on that work with payroll reconciliation, non-recurring expense analysis, cash-to-accrual expense adjustments, and net working capital normalizations.

How can a sell-side quality of earnings (QoE) assessment help before a healthcare sale?

A sell-side quality of earnings assessment can help substantiate historical financial performance, identify issues before buyer due diligence, and gather supporting data that can streamline the process. Common focus areas include revenue recognition, documentation for operating expenses, forward-looking adjustments, and non-recurring items.

How should the scope of financial due diligence be determined?

Financial due diligence can range from a limited quality of revenue review to quality of earnings, quality of earnings with tax due diligence, and expanded due diligence covering tax, regulatory compliance, information technology, and real estate. The scope should reflect the specific needs of the transaction and the intended level of due diligence investment.

What should post-transaction integration planning address?

Integration planning can be organized into four phases: establishing the integration vision, governance, and objectives; documenting the current state and identifying gaps; designing functional plans, ownership, and priorities; and implementing the plan. The work may span clinical operations, business operations, the physician enterprise, and information technology, with project management and consistent stakeholder communication.

The PYA Difference

Over our 40-year history, PYA has consistently delivered high-value transaction consulting services to our national client base. Our team is deployed to develop custom plans using proven approaches and work plans.