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Missouri Office of Rural Health Conference Columbia, Missouri June 5, 2013. M&A Perspective from Cox Medical Center Branson a subsidiary of CoxHealth (Formerly Skaggs Regional Medical Center). William Mahoney, FACHE Cox Medical Center Branson President/CEO. Independent or Relevant?. - PowerPoint PPT Presentation
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M&A Perspective from Cox Medical Center Bransona subsidiary of CoxHealth(Formerly Skaggs Regional Medical Center)
William Mahoney, FACHECox Medical Center Branson President/CEO
Missouri Office of Rural Health ConferenceColumbia, Missouri
June 5, 2013
Independent or Relevant?
“By the way, being independentIs not a strategy”
Pressures We Face
National Issues (Economy, PPACA, etc.)
Our Hospital (Aging Facilities, Poor Payor Mix,
Instability, Competition, no built-in economies of
scale, seasonal fluctuations, etc.)
Board and 107 Trustees Extremely Independent
What does Relevant look like?
• Improved ability to recruit providers• Access to needed Capital• Enhanced healthcare in our community• Economies of scale• Jobs in Community
The Search Process7-8 Months
Hired PYA (Pershing Yoakley & Associates, PC)Sent out self-directed RFPsInterviewed 5 organizationsShared visits and evaluationChose 2 finalists (visited their hospitals,
hosted them at our hospital)
5
End Result
• Chose CoxHealth from Springfieldo Economies of Scaleo Solid Cultureo Regional Focuso Good Financial offer, but not the best oneo Seats at the table – long-term thinking
Key Takeaways• Hire a good attorney, good M&A firm and good PR
firm• Due Diligence will uncover holes in your system –
review yourself• Protect senior team from the onset• Over communicate to all stakeholders• Keep whole board engaged• Be prepared – Operations will suffer• Deal Points: Begin with the end in mind.
Questions