In Nicaragua, Banyan Global identified growing demand for consolidation among small private health clinics that contracted with the Nicaraguan Social Security Institute (INSS). Individually, many of these health care providers found it difficult to meet quality standards and remain viable with low numbers of patients. They were interested in learning about mergers and acquisitions, but struggled to value their businesses and negotiate fair terms. Employing financial professionals to develop rationale and case studies on mergers and acquisitions, Banyan Global brought Wall Street experience to Managua. Regulators, banks, and health clinics now see mergers as a business opportunity to expand their coverage, improve the quality of their services, and enhance their financial sustainabilityall of which lead to better patient care.