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Clinical Due Diligence

Healthcare DD for
PE/VC investors.

The risks that destroy healthcare deal returns — physician dependency, NABH lapse, CGHS billing inflation — never show up in the financial model. We find them before you close.

Ex-BCG ConsultantIIM CalcuttaAIIMS ResidencyMD PathologyReport in 2 weeks₹1–1.5L per engagement
What we assess

Six risk areas that
deals are lost on.

Our clinical DD covers the blind spots that financial models and generalist consultants consistently miss in Indian healthcare deals.

👨‍⚕️
Physician Dependency Risk
Which doctors drive what percentage of IP revenue? Binding contracts, non-competes, and succession risk — all assessed and quantified.
📋
NABH / NABL Compliance
Accreditation currency, insurance panel risk, expiry timelines, and last assessment findings. A lapsed NABH can cost 15–20% of cashless revenue overnight.
💰
Revenue Quality & Payor Mix
CGHS/PMJAY billing inflation, reimbursement disputes, collection efficiency. The gap between reported and realised revenue can be 15–25%.
⚖️
Clinical Governance
Adverse event history, mortality review process, infection control, consent documentation — regulatory and reputational risk assessment.
🏗️
Infrastructure & Capacity
Bed occupancy, OT utilisation, equipment maintenance, planned capex requirements versus what the financial model assumes.
🗺️
Post-Acquisition Roadmap
Management team assessment, talent gaps, 100-day operational roadmap, and stress-testing of value creation plan assumptions.
Our process

From mandate
to report.

1
Mandate & NDA
Scope agreed, NDA signed. Risk areas aligned to your deal thesis.
2
Document Review
Financial records, clinical data, accreditation certificates, employment contracts, insurance panels.
3
On-site Assessment
Site visit, management interviews, department heads, operational walkthrough.
4
Risk-Rated Report
Written report with red/amber/green ratings, quantified impact, and recommended actions.
Why Northstar Consulting

Clinical credibility
finance teams don't have.

🩺
Physician-led assessment
Dr. Chandan Kumar (MD, AIIMS residency) leads every clinical DD — not a junior analyst reading a checklist. We know what good clinical governance looks like because we've run it.
🏢
BCG consulting rigour
Ex-BCG methodology applied to clinical findings — structured, evidence-based, investor-grade output that your investment committee can rely on.
2-week turnaround
Deal timelines don't wait. Our standard clinical DD report is delivered within 2 weeks of mandate — faster on expedited timelines.
🇮🇳
India-specific expertise
CGHS billing, NABH/NABL dynamics, Indian insurance panel rules, CDSCO — we know the India-specific risk factors that international DD teams miss.
Frequently asked questions

Common questions
answered.

How long does a clinical DD take?+
Standard clinical DD is completed within 2 weeks of mandate and document access. Expedited timelines are available for urgent deal situations.
What does it cost?+
Clinical DD engagements are priced at ₹1–1.5L per engagement. For larger multi-site acquisitions, scope and pricing are agreed upfront. All pricing is fixed.
Do you cover diagnostic chains and health-tech investments?+
Yes — we cover hospitals, nursing homes, diagnostic chains, labs, and health-tech platforms. For health-tech, our DD covers clinical validation, CDSCO regulatory risk, and hospital adoption risk.
Can you work alongside our financial DD team?+
Yes — we work in parallel with EY, Deloitte, Grant Thornton, or your in-house team. We coordinate findings so the investment committee gets a unified view of all risk areas.

Book a free consultation

45 minutes — no commitment, no pitch. We tell you honestly whether we can help and what it takes.

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