Warbird works with healthcare organizations to design tailored approaches that identify available strategic options and then executes upon the option that best furthers the organization’s mission, whether that be progressive operational improvement, partnerships, or a combination of both.

An affiliation is a strategy, but it’s not necessarily the strategy.

Service Offerings

Strategy, Transactional, and Post-Closing Advisory Services

Warbird’s professionals provide healthcare organizations with comprehensive and practical advisory services designed to further the long-term mission and vision of clients.

  • Board Education & Retreat Planning
  • Strategic Planning
  • Strategic Options and Operational Analysis
  • Rapid Operational Review and Implementation Plan
  • Buy-side Representation
  • Sell-side Representation
  • Divestiture and Portfolio Optimization Services
  • Affiliation/Transaction Process Management and Deal Negotiations
  • Joint Venture Development/Syndication
  • Due Diligence Coordination and Management
  • Quality of Earnings Analyses
  • Hospital Valuation and State Regulatory Review Processes
  • Integration Value Analysis
  • Integration Planning
  • Stakeholder Communication Planning and Public Relations
  • Post-Closing Integration Management
  • Post-Closing Operational Wind-down
  • Post-Closing Agreement Monitoring
  • Foundation Strategic Planning

The Warbird Advisory Difference

Warbird’s advisory team provides healthcare organizations with a dedicated team of veteran professionals who take a hands-on approach to developing and executing on strategic options that further the long-term objectives of our clients.

Practitioners, Not Generalists

Warbird’s M&A practice is composed of practitioners who specialize in providing strategic and affiliation advisory services to healthcare organizations.

Best Practice Solutions from Proven Operators

Warbird’s M&A practice works in partnership with experienced operators across Warbird’s broader Healthcare Industry Group to ensure that our clients receive objective strategic options that identify and vet opportunities for operational improvement. This differential approach ensures all options are preserved and leverage in partnership discussions is maximized.

Strong, National Record of Delivering Results

Warbird’s M&A advisors have worked with healthcare organizations ranging from national, investor-owned systems; regional not-for-profit health systems; and rural community hospitals to provide clients with results that recognize their strategic value.

Featured Clients

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Mayo Clinic & HCA Healthcare

Transaction resulted in $80M foundation and generous capital investments for local affiliate
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Navicent Health & Atrium Health

Navicent secured its position as the Atrium divisional leader for system development across the southern half of Georgia and realized capital commitments of $750M during the first 10 years following transaction closing
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Quorum Health

The Warbird M&A team successfully marketed and sold hospital assets – resulting in approximately $50M of net proceeds
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Frisbie Memorial Hospital & HCA Healthcare

Frisbie Memorial Hospital successfully closed its transaction with HCA Healthcare, resulting in a new $20M community health foundation. Warbird’s professionals served as transaction advisors, provided interim financial leadership, and performed post-closing services
Read Case Study

Warbird M&A Impact

The professionals of Warbird’s M&A practice group have over 110 years of combined experience delivering strategic and transaction advisory services to healthcare organizations. During this tenure, Warbird’s M&A professionals have partnered with local communities, regional health systems, and national non-profit and investor-owned health systems to identify and successfully close deals or divestitures in 25 states.

National Presence, Local Impact

WB M&A Heat Map as of Dec 2023

Warbird’s Affiliations, Mergers & Acquisitions Engagements

All Other Warbird Engagements


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Managing Partner, M&A Services

Rob Kirsch has spent nearly two decades working directly with boards, senior leadership and diverse groups of stakeholders in the areas of finance, operations and affiliation advisory. He is an accomplished leader in navigating clients through complex and challenging issues experienced through periods of change or distress.

Having advised on over 50 hospital transactions nationally, Rob is recognized as an industry leader in both the structuring and fairness of partnerships and affiliations throughout the country. He has provided testimony on process, valuation and fairness in dozens of transactions before regulatory bodies or states’ attorney general.

Prior to joining Warbird, Rob helped establish and introduce services and capabilities in the Mergers, Affiliations, and Partnerships practice, Performance Improvement practice and Valuation practice at Stroudwater Associates. He served in leadership roles in those practices from their founding. Rob also lead his prior firm through an Employee Stock Ownership Plan (ESOP) conversion while serving as its Chief Executive Officer and board member for the last several years.



Managing Director, M&A Services

Doug is an accomplished healthcare professional with over 25 years of transaction advisory, business development and financial accounting experience. He is an experienced strategic advisor with demonstrated ability to direct non-routine, sensitive and complex transactions.

Doug’s focus is the design of optimal transaction structures that align with client developed strategic objectives and organizational goals. His work has primarily been in the general acute care hospital, post-acute care (rehabilitation hospitals and nursing homes) and ambulatory surgery center space.

In the role of Acquisitions & Development, for Capella Healthcare, Doug was responsible for all activities pertaining to the development, structure and completion of general acute care hospital transactions (acquisitions and dispositions of acute care assets) including strategic market identification, proposal, presentation and negotiation of terms and conditions.

He has also held executive positions at Quorum Health Resources, Centerre Healthcare, Community Health Systems and Partners Healthcare. Doug spent the first 12 years of his professional career in the Audit, Assurance and Transaction Advisory Service at Arthur Andersen (Boston) and EY (Atlanta).


C. Ryan Sprinkle

Managing Director, M&A Services

Ryan Sprinkle is a seasoned advisor and accomplished practitioner in Warbird’s advisory practice. He has navigated hospital and health system clients in multiple states through asset divestitures, mergers and acquisitions, and strategic planning initiatives. Additionally, Ryan regularly works with healthcare organizations, alongside legal counsel, creditor bodies, and hospital leadership teams to develop and implement turnaround plans. Prior to joining Warbird, Ryan co-led the Performance Improvement practice group and served as senior member of the mergers and acquisitions practice group for a boutique healthcare consulting firm. Areas of Expertise: Affiliation Advisory, Performance Improvement / Turnaround Services, Distressed Hospitals, and Strategic Planning.

As a professional, Ryan is expert at assisting clients in identifying strategic options and executing plans that deliver long-term financial stability. A frequent writer and speaker on topics of healthcare policy and operations, Ryan has a passion for working with other healthcare leaders to apply customized solutions that are informed by prior clients’ experiences.