Financial Due Diligence

Strengthen valuation confidence, support fair market value (FMV), and reduce deal risk through healthcare-focused financial due diligence, including Quality of Earnings (QoE) and Quality of Revenue (QoR).
Explore the information below for a deeper look at our full capabilities and approach

Coker’s Financial Due Diligence Areas of Expertise

Healthcare transactions demand more than a standard financial review. Coker’s Financial Due Diligence capability is purpose-built for healthcare organizations, investors, and advisors who need a clear, defensible understanding of earnings sustainability, revenue durability, and financial risk before a transaction moves forward.
We work alongside buyers, sellers, and deal teams to analyze financial performance through a healthcare operating and regulatory lens—helping you validate assumptions, anticipate risk, and maintain control of the transaction narrative.

Earnings Sustainability & Quality

We assess normalized earnings and underlying drivers to determine whether historical performance is repeatable in the future.

Revenue Durability & Mix Analysis

We evaluate payer mix, reimbursement trends, volume stability, and operational dependencies that impact long-term revenue reliability.

Cash Flow & Working Capital Insight

We analyze cash flow predictability and working capital needs to reduce surprises at close and post-transaction.

Healthcare-Specific Risk Identification

We identify financial risks tied to regulatory exposure, provider compensation structures, revenue cycle performance, and operational practices.

Transaction Readiness & Deal Support

We deliver clear, data-supported findings that help deal teams address issues early, minimize retrades, and support efficient negotiations.

Integrated Advisory Perspective

Our diligence is informed by Coker’s broader expertise across valuation, operations, compliance, and performance improvement—providing context beyond the numbers.

Challenges We Solve/What We Assess

What We Assess During Financial Due Diligence

Earnings Quality & Normalization

We evaluate recurring versus non-recurring revenue and expenses to establish a reliable financial baseline.

Revenue Cycle & Reimbursement Risk

We assess billing practices, denial trends, payer concentration, and reimbursement sustainability.

Cost Structure & Margin Drivers

We analyze expense trends, labor dependencies, and operational cost drivers that impact profitability.

Working Capital & Cash Flow

We identify working capital requirements and cash flow risks that affect transaction economics.

Regulatory & Compliance Considerations

We flag financial exposure related to provider compensation, documentation practices, and compliance-sensitive arrangements.

Transaction Assumptions

We test key deal assumptions to support valuation credibility and post-close planning.

Services

Explore the services that support healthcare transactions and investment decisions.
Financial & Operational Due Diligence

Each healthcare transaction is unique—and due diligence should do more than confirm the numbers. We help buyers and sellers assess sustainable earnings, cash flow, and operational readiness to support confident valuation and post-close execution.

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Quality of Earnings Review

Financial clarity and risk insight to support confident healthcare transactions.

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Revenue Cycle Optimization

Uncover inefficiencies and implement sustainable improvements across your entire revenue cycle.

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Ready to Strengthen Your Transaction Strategy?

Connect with Coker’s financial diligence experts to gain the insight needed to move forward with confidence.

FAQs

Do you support both buy-side and sell-side diligence?

Yes. We work with buyers, sellers, and advisors to support informed decision-making across all stages of a transaction.

How is Coker’s financial diligence different from a traditional QoE?

Our approach goes beyond historical earnings to assess sustainability, revenue durability, and healthcare-specific risk that can impact valuation and deal outcomes.

Do you work exclusively in healthcare?

Yes. Our diligence is built specifically for healthcare organizations, investors, and advisors navigating complex regulatory and operating environments.

Do you stick to your proposed fee range?

Yes. Our fee proposals are based on the anticipated scope and complexity of each engagement, and we work diligently to remain within the proposed range. If unforeseen factors outside the original scope arise—such as additional entities, billing systems, or data complexity—we communicate early and transparently to discuss any potential impact before additional work is performed.

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Meet the Experts