Case Studies

Engineered the Sale of a Joint Venture

We engineered the sale and debt restructuring of a Northeast joint venture free-standing ambulatory surgery center resulting in the physician owners eliminating further capital calls and materially reducing their debt exposure.


ARRANGED DEBT REFINANCING

We arranged $30,000,000 of debt financing for the construction of a two-story medical office building ($23,000,000), as well as equipment and working capital ($7,000,000) for a joint venture surgery center in the Mid-West.


COORDINATED AN RFP PROCESS

We coordinated a request for proposal (RFP) process to replace a contracted radiology group on behalf of a Northeast-based community hospital. The process included a multi-disciplinary committee involving both administrators and physicians. The result was a new radiology group, a cost savings of more than $600,000 per year, much improved services and an off-campus joint venture diagnostic imaging center.


ESTABLISHED A CARDIAC REHABILITATION PROGRAM

We developed a business plan for establishing a Cardiac Rehabilitation program for a Northeast-based health system with a robust and nationally recognized cardiology service line. The planning effort involved meeting with both administrator and physician stakeholders at multiple hospitals, developing the operating and capital assumptions, working with hospital-based strategic planning staff to complete the financial feasibility study, and recommending a business structure for the proposed business.


CONDUCTED A FEASIBILITY STUDY

We performed a feasibility study and created a subsequent business plan for a Cyber-knife project for a community hospital in the Northeast. The project was implemented as a joint venture involving the hospital, its radiation oncology group and a strategic/financial partner.


DEVELOPED A TURNAROUND PLAN

On behalf of a mezzanine finance firm, we evaluated a poorly performing high-tech, multi-site diagnostic imaging center company located in the Southeast and developed a turnaround plan, which was successfully implemented.


PERFORMED AN ASSESSMENT AND DEVELOPED A TURNAROUND PLAN

On behalf of a privately owned and poorly performing specialty diagnostic imaging center in the Mid-West, we performed an assessment, then developed a turnaround plan and worked with the owners to implement the plan, which included a refinance of the original debt and an increase of $400,000 in the working capital line of credit.