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For Both Sides of the Table

How we work, step by step.

We prepare a Hospital or Clinic so outside capital can assess it properly. We structure the transaction and bring the right investor or buyer. We stay involved in operations after the money goes in. This page sets out what that means in practice, what we check before anything moves, and who is accountable for what.

The Navig Partners team working with a client
Where we stand

What we are, and what we are not.

What we are
We prepare Hospitals and Clinics so outside capital can assess them
We structure and arrange transactions between the two sides
We stay involved in operations after a transaction closes
What we are not
We are not a pooled fund. Every transaction stands alone
We never hold your money. Funds move directly to the business
We do not tell investors what to invest in. That decision is yours
The two journeys

Two tracks, running in parallel.

A provider's path and an investor's path start separately and meet at one point. Most of the work happens before they meet, which is exactly why the meeting is worth anything. An M&A mandate follows the same shape, with a buyer instead of an investor.

Provider track
Investor track
Step 01

First conversation

What you are trying to do, what the business looks like today, and whether we are the right people to help at all.

Step 01

Understanding what you want

Ticket size, risk appetite, how long you can commit capital, and which structures are relevant to you.

Step 02

Readiness assessment

An honest view of where the business stands, an indicative valuation, and a written list of what is blocking capital.

Step 03

Preparation work

Entity structuring, books and filings, MIS and reporting, licences brought current, and reducing dependence on any one individual. The long part.

Step 04

Diligence and packaging

We run our own diligence on the business, agree a defensible valuation, and assemble the information set an investor will ask for.

The two tracks meet

A prepared business is introduced to investors for whom it is a genuine fit. Everything above happens before this point.

Step 05

You meet the investor

You present your own business. We are in the room, but it is your Hospital or Clinic and your story to tell.

Step 05

Your own diligence

You receive the full pack, including what we consider weak. You visit, you question, and you form your own view.

Step 06

Terms negotiated

Amount, instrument, security, covenants and reporting. We advise you, but you decide what you are willing to accept.

Step 06

Terms negotiated

Terms are agreed directly between you and the business. We structure and facilitate. We do not decide for either side.

Step 07

Documentation

Definitive agreements, board resolutions, security creation and statutory filings, drafted by qualified legal counsel.

Step 07

Documentation

Your own counsel reviews everything. Security, where applicable, is registered before funds move.

Step 08

Funds received

Money moves from the investor directly into the business. Often staged against agreed milestones rather than all at once.

Step 08

Funds transferred

Directly to the business, never through us. You hold your own documentation and security.

Step 09

Ongoing support

Reporting discipline, and operational help where the business needs it. Collections, procurement, patient volume.

Step 09

Ongoing reporting

Regular numbers in a consistent format, with problems raised early rather than at the point they become serious.

Our diligence

What actually gets checked.

Healthcare is not a generic small business. A Hospital can be profitable and still be uninvestable because of a lapsed registration or an unregistered machine. This is where knowing the sector matters more than knowing finance.

Financial diligence

Financial

  • Revenue traced to bank. Reported collections reconciled against what is actually banked, not taken on assertion.
  • Receivables aged. How much is outstanding, for how long, and from whom. Insurance and scheme claims examined separately.
  • Claim quality. For hospitals, settlement ratios, rejection rates and how concentrated the book is on one payer.
  • Existing obligations. Loans, leases, personal guarantees, charges already created, and any undisclosed borrowing.
  • Margin testing. Reported EBITDA rebuilt from first principles, with owner drawings and personal expenses separated out.
  • Concentration. How much revenue comes from one doctor, one procedure, one referral source or one payer.
Regulatory and licensing diligence

Regulatory and licensing

  • Clinical establishment registration. Under the Clinical Establishments Act, or the applicable state law where a state runs its own regime.
  • Empanelment status. TPA, insurer, PMJAY and state scheme panels, plus any show cause notices or de-empanelment history. A hospital that loses its panels loses its footfall.
  • Biomedical waste authorisation. From the State Pollution Control Board, with a valid tie-up to a treatment facility.
  • PCPNDT registration. Where any ultrasound or prenatal diagnostic equipment is in use. Operating without it is a criminal offence, not an administrative lapse.
  • AERB licensing. For X-ray, CT, mammography or other radiation equipment, with a designated radiation safety officer.
  • Fire NOC, drug licence, trade licence, GST. The registrations that are routinely allowed to lapse.
  • NABH or NABL. Where held, and what it would take to obtain it if not.
Operational diligence

Operational

  • Utilisation. Beds, chairs, rooms or machines. Capacity that sits idle is the most common hidden problem.
  • Case mix and repeat rate. Where patients come from, what they are treated for, and how many return.
  • Equipment condition. Age, service history, maintenance contracts in place, and what is nearing replacement.
  • Premises. Ownership or lease, remaining tenure, renewal terms, and whether the location is genuinely secure.
  • Systems. Whether billing, records and inventory run on something, or in someone's head.
  • Staffing. Attrition, dependence on individuals, and whether the roster is adequate for the licence held.
Clinical and people diligence

Clinical and people

  • Practitioner registrations. Every practising doctor verified against the relevant State Medical Council register.
  • Key-person dependency. What happens to the business if the founding clinician stops working. Usually the single biggest risk.
  • Indemnity cover. Professional indemnity in place, adequate to the procedures actually performed.
  • Incident and complaint history. Anything pending, and how past matters were handled.
  • Clinical protocols. Whether care is standardised and documented, or dependent entirely on one person's judgement.

One thing a purely financial buyer would miss

Several healthcare licences are tied to specific equipment and specific named people. A PCPNDT registration attaches to a particular machine and a qualified operator. An AERB licence attaches to a particular installation. A change in ownership, a change of machine, or the departure of a named practitioner can require fresh approval before the business may lawfully continue that activity. We check this before a transaction is structured, not after, because it can change what a business is able to do the day after it changes hands.

Want the full checklist?

We are happy to share what we look at, whether or not you end up working with us. Ask and we will send it across.

What we turn down

We say no more often than yes.

A firm that takes on every business that walks through the door is not being helpful. It is being indiscriminate. These are the things that end a conversation, and owners should know them upfront.

Numbers that cannot be reconciled

If reported revenue cannot be traced to a bank account and there is no willingness to move towards that, there is nothing to work with.

Serious regulatory gaps

An unregistered scanner, a lapsed establishment registration or missing waste authorisation must be resolved before anything else is discussed.

An empanelment problem being hidden

Pending show cause notices or a history of de-empanelment change the risk completely. We would rather hear it from you than find it ourselves.

Unwillingness to formalise

If an owner does not want a proper company structure, audited accounts or reporting, they do not want outside capital. They want a loan on a handshake.

Anything undisclosed that we find

Litigation, a prior charge, a tax dispute or a regulatory notice that surfaces in diligence rather than in conversation. The omission is the problem, not the issue itself.

A raise the business cannot service

Where the amount sought bears no relation to what the business can realistically repay or absorb, funding it does the owner no favours.

Growth built on more procedures per patient

If the plan to raise revenue rests on treating each patient more rather than treating more patients better, we will not take it forward. This one is not negotiable.

Valuation expectations no buyer will meet

We would rather say so at the first meeting than spend six months and a fee arriving at the same conclusion.

Safeguards

How the process is kept clean.

These are structural, not promises. They are the arrangements that make it difficult for things to go wrong quietly.

We never hold your money

Funds move directly from the investor to the business. We do not operate a client account, and at no point does your capital pass through us.

Independent valuation

Valuation for any share issuance is certified by a registered valuer or merchant banker, not decided by us and not by the parties.

Real documentation

Definitive agreements are drafted by qualified legal counsel for the specific transaction. We do not run deals on downloaded templates.

Security registered first

Where a transaction is secured, the charge is created and filed with the Registrar of Companies before funds are released, not afterwards.

Staged disbursement

Where the money is for an expansion, it is often released against milestones rather than in a single tranche, so capital is not sitting idle or misdirected.

Both sides advised separately

We recommend each party takes its own legal and tax advice. Where a party has no adviser, we will say so rather than let it pass.

Deal by deal, always

No pooling, no blind commitments, no common vehicle. Every transaction is assessed and decided on its own merits.

Written record of what was said

Representations made by a business during diligence are captured in the documentation, so they are enforceable rather than remembered.

Disclosure of our economics

You are told what we earn on a transaction and who pays it, before you commit to anything.

Who does what

Most of this sits with our team.

Our partners cover healthcare operations, investment structuring and chartered accountancy, so the bulk of the work is handled in house. We bring in specialists where a transaction calls for them. A few things must stay independent, and we will always tell you which.

Work
Who does it
Handled by our team
Preparation and structuringNavig Partners
Entity conversion, books cleanup, MIS and reporting, licence review, valuation workings and the full information set. Our chartered accountant partner leads the financial side.
DiligenceNavig Partners
Financial verification, operational review and site visit, regulatory and licence checks, empanelment status, and the write-up that goes to an investor.
Transaction structuringNavig Partners
Choosing the instrument, sizing the raise, designing security and covenants, and running the process through to close.
After the money goes inNavig Partners
Reporting discipline, covenant monitoring, and operational support on billing, collections, procurement and patient volume.
Brought in and managed by us
Legal documentationCounsel we work with
Definitive agreements, security creation and registration, and statutory filings. Drafted by qualified counsel. We manage the scope, the timeline and the coordination between both sides.
Healthcare regulatorySpecialist advisers
Clinical establishment law, licence transfers, empanelment and accreditation, where a transaction affects any of them. We know when to bring them in, which is most of the value.
Larger M&ABanking partner
Above roughly ₹50 crore, we bring in a banking partner and stay on the deal with them rather than take it on alone.
Stays independent, and should
Statutory auditIndependent auditor
Audited accounts have to be signed by an auditor who is independent of us and of the transaction. We prepare the business for it. We do not sign it.
Valuation certificateRegistered valuer
Where a share issuance or transfer requires certification, it is done by a registered valuer or merchant banker. Our valuation workings inform the conversation. They are not the certificate.
Your own adviceYour adviser
Each party should take its own legal and tax advice on the terms it is signing. Where a party has no adviser, we will say so rather than let it pass.
The investment decisionThe investor
Your own assessment of the opportunity and the decision to proceed or not. We prepare and present. We do not advise you on whether to invest.
How we are paid

Our economics, in the open.

You cannot assess advice without knowing how the person giving it is paid. So here it is, including the part that is uncomfortable for us.

  • Providers pay a fixed fee for readiness work, charged in stages as the work progresses rather than upfront.
  • A success fee applies when a transaction closes, paid by the provider, as a percentage of what is raised.
  • M&A mandates carry a retainer and a success fee, agreed before the process starts.
  • In a growth partnership we take equity in the business and put our own capital and operational work in alongside it.
  • We disclose our fee on every transaction to both sides, before either commits.
  • We do not charge investors for access to opportunities, and we do not take a fee for making an introduction to a specific investor.

The conflict you should know about

We are paid more when a transaction closes than when it does not. That gives us a commercial interest in deals happening, and you should weigh what we tell you with that in mind.

Our answer to it is structural rather than a reassurance. We tell you what we earn, we present what we consider weak alongside what is strong, we encourage every party to take independent advice, and we would rather lose a fee than place a business with an investor it is wrong for. A single bad transaction costs us far more, in a market this small, than any fee is worth.

Timelines

How long things actually take.

Realistic ranges, not best cases. Businesses that start further back take longer, and there is no way around it.

First conversation to readiness assessmentTwo to three weeks
Entity restructuringFour to eight weeks
Books cleanup and filings brought currentTwo to four months
Clean trading before investors are comfortableSix to twelve months
Diligence and preparation of the information setThree to five weeks
Investor process to agreed termsFour to eight weeks
Documentation, security and closeThree to six weeks
Already prepared, straight to fundingTwo to four months

A business starting from an informal proprietorship should plan on nine to eighteen months before capital actually arrives. Anyone promising a faster route from that starting point is either skipping the work or not telling you the truth about it.

Straight answers.

Who does the diligence, you or the investor?+

Both, and they are different exercises. We diligence the business as part of preparing it, and we share what we find, including the weaknesses. The investor then runs their own assessment on top of that, with their own advisers. Ours does not replace theirs, and no investor should treat it as if it does.

What if you find something bad during diligence?+

It depends what it is. Many issues are fixable. A lapsed licence, disorganised receivables, a missing agreement. Fixing them is part of the work. Some are not, or reveal that the owner was not straight with us, and then we stop. We do not carry a known problem quietly into a transaction.

Does your diligence guarantee the investment is safe?+

No, and we want to be blunt about that. Diligence reduces the chance of an unpleasant surprise. It cannot make a business succeed, predict a clinician leaving, or prevent a market from turning. Every investment we are involved in carries the risk of loss, including total loss.

Can I speak to the owner directly?+

Yes, and you should. You are investing in a business run by a person, and you should meet them, visit the premises and form your own judgement. We facilitate that rather than sit between you.

What happens if a transaction falls through halfway?+

It happens, and neither side owes the other a completed deal. For providers, the readiness work already done is not wasted. The structure, books and reporting remain permanent improvements to the business. For investors, nothing is committed until documentation is signed and you have decided to proceed.

Why do you need so much information about my business?+

Because an investor will ask for all of it, and it is far better to have answers ready than to be caught out mid-process. Everything we collect is used to prepare and present your business, and is shared only with parties you agree to.

Are you regulated?+

We operate as an advisory and arranging business on a deal-by-deal basis. We do not manage pooled funds, hold client money or provide investment advice to investors, activities that carry their own licensing requirements in India. We take professional advice on where those boundaries sit and structure our work to stay clearly within them.

What does your healthcare background actually add?+

It is the difference between reading a P&L and understanding it. Knowing that a PCPNDT registration attaches to a specific machine, that bed occupancy is the number that predicts next year's revenue, that a de-empanelment notice can end a hospital's footfall overnight, or that a receivables problem is usually a claims process problem rather than a patient problem. A purely financial reviewer sees none of that.

Take the first step

Ask us anything about the process.

If something here is unclear, or you want the diligence checklist before deciding whether to engage, just ask. We would rather answer questions early than have them surface late.

What happens next

  • We read every message ourselves. No call centre.
  • You get a reply within two working days.
  • The first conversation is a conversation, not a pitch.
  • If we are not the right fit, we will say so and point you elsewhere.

What you share stays between us. We do not pass business or financial information to anyone without your agreement, and we do not add you to a mailing list unless you ask.