CASE STUDY:

Fully Managed Diligence

Our Client is a highly acquisitive MSO with operations across seven states and seeking to continue its rapid add-on M&A activity across transactions of varying sizes from small solo practice tuck-ins to larger multi-site add-on acquisitions.

Our Client was aiming to improve its add-on diligence program to meet key objectives:

Highly flexible diligence scope positioned to scale up and down to address varying add-on acquisition sizes
User-friendly diligence experience for Client and Target teams
Efficient third-party diligence pricing
Value-add diligence findings that go beyond traditional “check-the-box” risk analysis

Clinical Specialties

Clinical Services

Client Profile

Services Deployed

Quality of Earnings

Coding & Clinical Compliance

Cybersecurity

Payer Black Box Analysis

Revenue Cycle Management

Centralized Project Management

SCALE was engaged to provide an integrated diligence services across three simultaneous add-on transactions.

SCALE deployed six diligence teams across three add-on transactions to provide a one-stop, integrated diligence solution.
All diligence workstreams were centrally coordinated through SCALE’s project management team to streamline communications with Client and Target throughout the process.
In addition to traditional diligence risk analysis, SCALE’s diligence teams incorporated post-close execution & integration preparedness analysis into the diligence reports.
Coordinated with Client department leadership to sufficiently understand Client’s base operational program and post-close integration needs to support development of post-close integration plans customized to Client’s operational program.

SCALE achieved meaningfully discounted third-party diligence cost relative to the traditional approach of working with disparate third-party vendors across individual diligence workstreams by providing bundled, repeat diligence services in addition to:

Highly reliable, flexible and integrated one-stop diligence solution that could be scaled up and down to address a broad range of diligence needs across multiple simultaneous add-on transactions of varying sizes
Rapid diligence execution with reliable, on-time delivery of diligence reports
SCALE’s diligence team was able to develop a uniquely holistic view of Target for a third-party vendor by leading a broad range of diligence workstreams
Delivered thoughtful diligence reports across six functional areas (i.e., coding, compliance, cybersecurity, revenue cycle management, payer black box analytics, and quality of earnings) that:

Centralized
Process coordination across diligence workstreams
Information requests to avoid duplicate requests across diligence workstreams
Reduced burden on Client to manage the diligence workstreams by leveraging SCALE’s project management leadership
Transparent and user-friendly status updates throughout diligence process

Let's SCALE together

SCALE Healthcare is based on the foundation of a singular focus – elevating management performance across healthcare services. We are focused on the entire suite of operational advisory and diligence services exclusively to healthcare service organizations, with local team presence across 10 states.

Unlike the many consulting firms that offer more narrow and often more impractical solutions borne of limited or very general expertise, we rely on our team of 75+ carefully selected senior operational healthcare experts to ensure we provide the most relevant and value added experience across the full range of management disciplines and clinical specialties that fall within healthcare services.

Fully Managed Diligence