The Crucial Role of Clinical Experts in Healthcare M&A


In Episode 8 of the M&A Healthcare Insights Podcast, Andre Ulloa Founder and Managing Director at M&A Healthcare Advisors, interviews Mark Romano, Vice President of M&A for Simitree Clinical Consultants. They discuss the vital role clinical experts play in preparing for and executing on a successful M&A plan.

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In the latest episode of the M&A Healthcare Insights Podcast, Andre Ulloa, Founder and Managing Director at M&A Healthcare Advisors, interviews Mark Romano, Vice President of M&A for Simitree Clinical Consultants. They discuss the vital role clinical experts play in preparing for and executing on a successful M&A plan.

Mark Romano explains how clinical experts, alongside legal and financial advisors, are essential in navigating the complexities of selling a healthcare business. With a focus on thorough clinical due diligence, clinical experts help identify and mitigate risks, ensuring both buyers and sellers are well-informed and prepared for a smooth transaction.

Key Takeaways for Sellers:

  1. Comprehensive Clinical Due Diligence: Clinical experts conduct in-depth reviews of clinical records, ensuring compliance with healthcare regulations and the identification of potential risks.
  2. Validation of Financial Statements: Clinical data is integrated with financial analysis to provide a holistic view of the business’s performance and compliance.
  3. Regulatory Compliance: Experts stay updated on healthcare laws and regulations, ensuring the business adheres to current standards and avoids costly penalties.
  4. Risk Mitigation: By identifying and addressing potential issues before they become problems, clinical experts help maintain the business’s value and appeal to buyers.
  5. Enhanced Buyer Confidence: Thorough preliminary clinical analysis provides buyers with confidence in the accuracy and reliability of the information presented, facilitating smoother negotiations and transactions.

Timeline of Main Points

  • [01:21] Introduction of Mark Romano, Vice President of Mergers and Acquisitions at Symmetry Healthcare Consultants.
  • [08:51] Mark shares his extensive background in the post-acute, home health, hospice, and personal care service industry.
  • [10:57] Discussion on the market shifts due to COVID-19 and its impact on healthcare deals.
  • [11:27] The merger of Simeon and Blacktree to form Symmetry and its implications.
  • [12:24] Expansion into data analytics and behavioral health, enhancing Symmetry’s service offerings.
  • [16:28] The increased scrutiny in financial and clinical due diligence by buyers.
  • [20:24] The importance of pre-sale due diligence and how it prepares businesses for the market.
  • [25:57] The transition of our firm from an M&A advisory firm to a full-fledged investment bank.
  • [32:03] The benefits of our new investment banking services for clients.
  • [34:50] Strategies to avoid deals falling through during the diligence process.
  • [40:12] How an operating business can serve as a hedge against inflation.
  • [44:40] The value of differentiating factors in a business beyond EBITDA.

Navigating Healthcare Mergers & Acquisitions:
Insights from Industry Experts

In this episode of the M&A Healthcare Insights Podcast, we dive into the intricate world of mergers and acquisitions within the healthcare sector. I have the pleasure of chatting with Mark Romano, Vice President of Mergers and Acquisitions at Symmetry Healthcare Consultants. We explore the complexities of M&A processes, the importance of financial and clinical due diligence, and the current trends in the market. Mark shares valuable insights from his extensive experience, shedding light on how to navigate the volatile landscape of healthcare transactions.

We started our discussion by delving into the significant market shifts brought on by the COVID-19 pandemic. Mark highlighted how the pandemic initially caused delays in deals but eventually led to a record year in 2021 and 2022. This was largely due to an increased demand for healthcare services and the subsequent consolidation within the industry.

A major highlight of our conversation was the merger of Simeon and Blacktree to form Symmetry Healthcare Consultants. This union has significantly bolstered their service offerings, allowing them to provide comprehensive consulting services, from financial due diligence to data analytics and behavioral health.

Mark emphasized the critical role of due diligence in the M&A process. Buyers are becoming more meticulous, diving deeper into both financial and clinical aspects to ensure they are making sound investments. This increased scrutiny makes it essential for sellers to be thoroughly prepared before going to market.

One of the most valuable takeaways from our discussion was the importance of pre-sale due diligence. Mark advised that understanding potential risks and addressing them beforehand can prevent deals from falling through and ensure smoother transactions. This proactive approach not only helps in aligning buyer and seller expectations but also adds significant value to the business.

In our continued efforts to elevate our services, we recently transitioned from an M&A advisory firm to an investment bank. This move allows us to offer a broader range of services, including minority interest sales, debt advisory, and comprehensive operational and financial consulting.

We wrapped up our discussion by addressing current market trends and the strategic approaches necessary to navigate the volatile landscape of healthcare M&A. Mark’s insights on the evolving nature of deals and the importance of differentiating factors beyond EBITDA were particularly enlightening.

If you’re contemplating the sale of your healthcare business or looking to understand the intricacies of the M&A process, this episode is a must-listen. Tune in to gain valuable insights and expert advice from industry leaders.

Episode 8 Resources