AJ || CEO Advice Multi-Site Health Playbook

The shift from recalibration to selective acceleration rewards healthcare platforms with strong operations and sector conviction.

• Fundraising:...

Delaware Regulatory Changes

• 🔥 Price Caps and Charity Care Expansion: Gov. Meyer signed three bills phasing in hospital price caps at 250% of...

Family offices completed 241 healthcare deals worth $66.8B in June, jumping to the #2 sector overall.

• 50% of family offices now prioritize...

• Deal count fell 45% year-over-year amid fraud takedowns, hospice rules, and enhanced oversight
• Large sponsors still deployed capital on record...

Healthcare CEOs preparing for PE partnerships must master these diligence areas to avoid post-deal surprises.

• Financial diligence reviews normalized...

Working capital adjustments often surprise sellers who assume the LOI price is final.

• Define working capital early: Clarify included assets,...

San Antonio medical office demand is splitting sharply by location, creating clear opportunities for multi-site groups.

• Lease in outer corridors:...

Cardinal Health’s $360 million acquisition of AdaptHealth’s Diabetes Health and Strive Medical expands its at-Home Solutions platform with...

States like Ohio, Hawaii, and Minnesota are weighing replacement of Medicaid MCOs with fee-for-service models, creating direct revenue risk for...

Specialized telehealth platforms are attracting funding, insurer deals, and employer contracts as growth concentrates beyond basic video visits.

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• AI contract pipelines turn fragmented MSAs from multiple acquisitions into structured, reconciled data in under a week, slashing manual review from...

CHOP is pushing to make 25% of its workforce AI-fluent, providing a concrete model for multi-site healthcare CEOs evaluating scaled AI adoption strategies.

Freeman Health System's role as Community Hub Anchor illustrates how multi-site systems can lead collaborative networks in underserved markets by...

• ASC Solutions strategy delivers cost optimization, quality metrics, and value-based outcomes through integrated technologies and analytics.
• ASC...

Endeavor Health's spine strategy shows how multi-site groups can deliver seamless care across nine hospitals.

• One entry point: Align surgeons,...

Multi-site CEOs can mirror HCA's proven AI governance and clinician co-design to move from pilots to enterprise scale.

• HCA model: Robust oversight...

Delaware's new laws impose hospital price caps phased to 250% of Medicare by 2033, expand charity care eligibility to 300% of FPL with tiered...

Investors continue allocating to private equity but are applying deeper scrutiny on expertise and processes.

• More than half of firms report LPs...

Physician-owners and entrepreneurs now face a fragmented ETA landscape with distinct tradeoffs in control, capital, and governance.

• Traditional...

• 40 deals in the first half of 2026 nearly matched all of 2025's 46 transactions, with Q2 alone delivering 18 mergers and $7.7B in revenue.
• Health...