Buyer-Led M&A Strategy in Nonprofit Healthcare

John Palusci, Former Vice President of Transformation and Strategic Finance, BAYADA

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In this episode of M&A Science, John Palusci, former Vice President of Transformation and Strategic Finance at BAYADA, joins Kison Patel to discuss how to build a repeatable, Buyer-Led M&A™ engine within a nonprofit structure. John walks through his journey from IT to finance to corporate development, detailing how he helped scale BAYADA’s deal strategy with a focus on long-term value, integration-led diligence, and mission alignment. He shares real lessons from joint ventures, cashless acquisitions, and how to avoid surprises in highly regulated industries like healthcare.

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Things you will learn:

How to structure healthcare M&A for long-term mission alignment
What a “conceptual pro forma” is and why it accelerates early deal screening
How to manage integration risk in people-first, regulation-heavy industries

John Palusci

John Palusci is the Strategic Finance and M&A Leader at BAYADA Home Health Care. With extensive experience in mergers and acquisitions, he excels in executing strategic deals and driving growth. His expertise includes financial control, investment appraisal, and leveraging technology to optimize M&A processes. John is adept at providing complex financial insights to executive teams and boards, ensuring informed decision-making. His leadership fosters high performance and strategic alignment, making him a key figure in managing and executing successful M&A initiatives.