Buy-Side & Sell-Side

M&A Transaction Advisory for healthcare reimbursement

Reimbursement is the diligence workstream most deals underweight — and the one that quietly moves valuation. Fulcrum delivers buy-side and sell-side reimbursement diligence, Quality of Reimbursement, and value-creation strategy across the deal lifecycle.

$2.7B+
Reimbursement opportunity identified
0
Client engagements
0
Payer contracts reviewed
Buy & Sell
Diligence on both sides of the table
The Missing Diligence Workstream

Accounting owns earnings. Legal owns risk. Fulcrum owns reimbursement.

Most transactions evaluate financial statements without fully understanding the contractual and operational drivers behind future reimbursement performance. Fulcrum sits alongside every other diligence advisor — quantifying reimbursement durability, exposing hidden risk, and uncovering the EBITDA and enterprise value the model is missing, for buyers and sellers alike.

Commercial due diligenceQuality of ReimbursementContract qualityEBITDA opportunityRevenue durabilityValue-creation roadmapSell-side readinessPost-close execution
Reimbursement Diligence on Both Sides

Whether you're buying or selling, reimbursement decides the deal

The same rigor de-risks a buyer's thesis and defends a seller's valuation. Fulcrum represents financial sponsors, strategic buyers, investment banks, and management teams — with the reimbursement depth traditional diligence lacks.

Buy-Side

Validate the thesis. Quantify the upside.

Confirm that reimbursement is durable, scalable, and competitively positioned — and translate contract-level detail into a defensible value-creation plan before you commit capital.

Commercial reimbursement diligence
Contract quality assessments
Reimbursement & expected-pay modeling
EBITDA opportunity
Revenue sustainability
Network adequacy
Contract benchmarking
Payer-mix & covered-lives review
Integration planning
Value-creation roadmap
The Transaction Lifecycle

Reimbursement value, from thesis to exit

Fulcrum engages across the full arc of a deal — with a clear role on each side at every stage.

Thesis

Screen & sharpen
BuyReimbursement upside in the thesis SellPre-market opportunity scan

Diligence

Evaluate & quantify
BuyQuality of Reimbursement & risk SellBuyer-ready diligence package

Close

Confirm & commit
BuyFindings into SPA & model SellDefend the valuation narrative

Value Creation

Execute the plan
BuyContract & rate execution SellRealize documented upside

Exit

Package & transact
BuyAdd-on & platform strategy SellExit-ready reimbursement story
The Fulcrum Diligence Workflow

A disciplined, deal-tested process

An institutional-grade workflow built for the timeline a live transaction demands. Select a phase to expand it.

What Reimbursement Diligence Covers

Where durability — or risk — is concealed in the contracts

We evaluate whether a target's reimbursement is durable, scalable, and competitively positioned — and where future opportunity or hidden exposure is hiding.

Managed care contracts
Commercial reimbursement
Medicare & government exposure
Payer mix & covered lives
Revenue quality & durability
Contract language & terms
Payment methodologies
Fee schedules
Market benchmarking
EBITDA opportunity analysis
Revenue-leakage assessment
Negotiation roadmap
Rate escalators & renewals
Network adequacy & participation
Denials & underpayment trends
Fulcrum Diligence Tracker

Every workstream, finding, and dollar — in one view

How Fulcrum instruments a live diligence engagement, so deal teams always know status, risk, and value. Explore a sample view.

Workstream Status · % CompleteLive Sample
Progress
Ranked Detail

Illustrative sample dashboards. The Fulcrum Diligence Tracker is configured to each transaction's workstreams, findings, and value bridge.

Interactive QofR Scorecard

Rate a target's reimbursement platform

Move the sliders to reflect a target across ten reimbursement dimensions. The scorecard computes an overall Quality of Reimbursement score with executive commentary and priority areas.

Assessment inputs

Rate each dimension from 0 (poor) to 10 (excellent).

0QofR Score

Deal Value-Creation Calculator

Quantify the enterprise value hidden inside reimbursement

Reimbursement improvement can simultaneously grow revenue, expand EBITDA, and materially increase enterprise value — the difference between a good deal and a great one. Model the impact for a target or portfolio company.

Deal inputs

Adjust the assumptions — results update live.

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EBITDA Bridge
Enterprise Value Bridge
Enterprise Value Created — Sensitivity

Illustrative only. Actual outcomes depend on contract terms, payer mix, utilization, implementation, market dynamics, and operational performance.

The Add-Back Advantage

Our fees rarely cost you a turn of EBITDA

Because Fulcrum's engagements are project-based and non-recurring, they are frequently treated as EBITDA add-backs in quality-of-earnings analysis at exit — normalized out of run-rate earnings by the buyer's diligence.

Across engaged portfolio companies that have transacted, our fees were treated as add-backs in the substantial majority of deals — so the investment doesn't dilute the multiple, while the reimbursement value we create flows directly into valuation.

Higher normalized EBITDA → a higher exit multiple applied → better ROI for the fund and its shareholders.

88%
of transacted deals — Fulcrum fees treated as EBITDA add-backs
Reported + fee add-back Reported EBITDA Normalized EBITDA
Healthcare Sectors We Support

Transaction experience across the healthcare landscape

Deep reimbursement expertise wherever the deal is — platforms, add-ons, carve-outs, and recapitalizations.

HospitalsHealth SystemsAcademic Medical CentersPhysician GroupsMSOsAmbulatory Surgery CentersBehavioral HealthOncologyInfusionRadiologyImagingOrthopedicsDermatologyENTCardiologyWomen's HealthUrologyLaboratoriesSpecialty PharmacyHome HealthHospiceDialysisUrgent CarePrimary CareFQHCsCritical Access HospitalsTransplant Programs
Why Fulcrum

The reimbursement lens traditional diligence lacks

Accounting and legal diligence are essential — but neither answers whether reimbursement is durable, competitive, and improvable. Fulcrum does, and then executes on it.

Traditional Diligence (QofE · Legal · Generic CDD)
Fulcrum Health Partners
Confirms historical earnings
Tests whether reimbursement is durable & scalable
Assesses contract enforceability
Assesses contract economics & rate competitiveness
Generic market study
Payer-specific benchmarking & expected-pay modeling
Delivers a findings memo
Executes the value-creation plan post-close
Serves one side of the deal
Advises buyers and sellers with the same rigor
Today's Challenges. Tomorrow's Solutions.

Know What the Model Is Missing.

Whether you're underwriting a platform, running a sell-side process, or preparing for exit, Fulcrum delivers the reimbursement diligence, analytics, and execution that protect the thesis and move the valuation.