--- title: NMG | Strategic Planning --- [![logo nmg](https://nicholsmanagementgroup.com/hubfs/nmg-logo.svg)](https://nicholsmanagementgroup.com/?hsLang=en) ![](https://nicholsmanagementgroup.com/hubfs/NMG/images/svg/mobile-toggler.svg) - [HOME](https://nicholsmanagementgroup.com/?hsLang=en) - SERVICES [Strategic Alternatives](https://nicholsmanagementgroup.com/strategic-planning) [Operations & Performance](https://nicholsmanagementgroup.com/operations-and-performance-improvement?hsLang=en) [Management Services](https://nicholsmanagementgroup.com/management-services?hsLang=en) [Revenue Cycle Management](https://nicholsmanagementgroup.com/revenue-cycle-management?hsLang=en) [Information Technology](https://nicholsmanagementgroup.com/information-technology?hsLang=en) [Technical Services](https://nicholsmanagementgroup.com/technical-services?hsLang=en) - [CLIENTS](https://nicholsmanagementgroup.com/clients?hsLang=en) - RESOURCES [White Pages](https://nicholsmanagementgroup.com/white-papers?hsLang=en) [Latest News and Events](https://nicholsmanagementgroup.com/latest-news-and-events?hsLang=en) - ABOUT [Our Company](https://nicholsmanagementgroup.com/about?hsLang=en) [Leadership](https://nicholsmanagementgroup.com/consultants-key-opinion-leaders?hsLang=en) - [CONTACT](https://nicholsmanagementgroup.com/contact?hsLang=en) - [(207) 363-8230](tel:2073638230) #### Strategic Alternatives #### Strategic Alternatives A strategic plan begins with a dedicated team, a wide range of healthcare consulting expertise and a deep understanding of how labs are evolving. Our healthcare consultants assess your objectives and map the ideal opportunities for sustainable growth. It’s a comprehensive strategy that sees every possible alternative. [LEARN MORE](https://nicholsmanagementgroup.com/contact?hsLang=en) ![STRUC_GOV_ICON](https://nicholsmanagementgroup.com/hubfs/STRUC_GOV_ICON.svg) STRUCTURE & GOVERNANCE ![BUS_OPT_ICON](https://nicholsmanagementgroup.com/hubfs/BUS_OPT_ICON.svg) BUSINESS OPTIMIZATION ![CONS_INTEGRATION_ICON](https://nicholsmanagementgroup.com/hubfs/CONS_INTEGRATION_ICON.svg) CONSOLIDATION & INTEGRATION ![OUTREACH_ICON](https://nicholsmanagementgroup.com/hubfs/OUTREACH_ICON.svg) OUTREACH ![MERGERS_ICON](https://nicholsmanagementgroup.com/hubfs/MERGERS_ICON.svg) MERGERS & ACQUISITIONS ![COST_SAVINGS_&__DIVESTITURES_ICON](https://nicholsmanagementgroup.com/hubfs/COST_SAVINGS_%26__DIVESTITURES_ICON.svg) DIVESTITURES ![Governance_new](https://nicholsmanagementgroup.com/hubfs/Governance_new.jpg) The structure and governance of a laboratory should provide representation to ensure alignment with both clinical and business objectives. Governance functions typically include strategic oversight, financial stewardship, compliance and performance monitoring. NMG has held board positions on more than 15 of the most successful laboratories. [LEARN MORE](https://nicholsmanagementgroup.com/contact?hsLang=en) ![Business_Opt_new](https://nicholsmanagementgroup.com/hubfs/Business_Opt_new.jpg) Business optimization involves analyzing data and operations to identify, quantify and implement the most meaningful opportunities to cut costs, expand revenue and improve laboratory performance. NMG deploys an array of financial and accounting experts on each project. [LEARN MORE](https://nicholsmanagementgroup.com/contact?hsLang=en) ![Lab_efficiency_new](https://nicholsmanagementgroup.com/hubfs/Lab_efficiency_new.jpg) Consolidation and integration strategies focus on streamlining operations across multiple sites to reduce expenses, improve efficiency, reduce duplication, and optimize resource utilization. [LEARN MORE](https://nicholsmanagementgroup.com/contact?hsLang=en) ![Outreach_new](https://nicholsmanagementgroup.com/hubfs/Outreach_new.jpg) Implementation of a new outreach laboratory program or enhancement of existing programs can boost margins and generate revenues. [LEARN MORE](https://nicholsmanagementgroup.com/contact?hsLang=en) ![mergers_new](https://nicholsmanagementgroup.com/hubfs/mergers_new.jpg) Lab mergers and acquisitions provide hospitals and health systems with strategic options to expand, realign or merge their lab operations. Acquiring or merging laboratories can create economies of scale, improve market positioning, and streamline services, while also requiring careful integration planning to maintain quality and minimize disruption. [LEARN MORE](https://nicholsmanagementgroup.com/contact?hsLang=en) ![divestiture_new](https://nicholsmanagementgroup.com/hubfs/divestiture_new.jpg) Divesting a laboratory can be a strategic decision to unlock the value of a highly marketable asset while reducing operational complexity and financial risk for the health system. Knowing when to monetize the laboratory—whether due to competitive pressures, capital needs, or a shift in organizational focus—ensures the system captures maximum value while ensuring service in the community. [LEARN MORE](https://nicholsmanagementgroup.com/contact?hsLang=en) ## The Results Are In NMG assisted Spectra Laboratories in the purchase of Shiel Laboratories, a clinical and anatomic pathology lab located in New York for approximately $225 million dollars. Clinical Diagnostic Services (CDS) was a clinical and anatomic pathology laboratory servicing the NY metro area. NMG assisted in CDS sale to Quest Diagnostics for approximately $125 million dollars. NMG worked with the Cottage Health and Sansum Medical Clinic to establish an independent laboratory joint venture. PDL now one of the largest laboratories in California has over 100 million in revenue. NMG created a business development plan for Diagnostic Lab Services, Inc. (DLS) in Hawaii that grew their business from $8 million to over $68 million dollars. NMG assisted UCSF and Benioff Children’s Hospital Oakland with development of a strategic plan of 35+ identified opportunities that allowed for the organizations to collaborate as part of a newly formed partnership. ![spectra_laboratories-1](https://nicholsmanagementgroup.com/hubfs/spectra_laboratories-1.png) ![Quest_Diagnostics](https://nicholsmanagementgroup.com/hubfs/Quest_Diagnostics.png) ![PDL_Logo-2](https://nicholsmanagementgroup.com/hubfs/PDL_Logo-2.png) ![DiagnosticLaboratoryServices](https://nicholsmanagementgroup.com/hubfs/DiagnosticLaboratoryServices.png) ![UCSF_Health_new](https://nicholsmanagementgroup.com/hubfs/UCSF_Health_new.png) NMG assisted Spectra Laboratories in the purchase of Shiel Laboratories, a clinical and anatomic pathology lab located in New York for approximately $225 million dollars. Clinical Diagnostic Services (CDS) was a clinical and anatomic pathology laboratory servicing the NY metro area. NMG assisted in CDS sale to Quest Diagnostics for approximately $125 million dollars. NMG worked with the Cottage Health and Sansum Medical Clinic to establish an independent laboratory joint venture. PDL now one of the largest laboratories in California has over 100 million in revenue. NMG created a business development plan for Diagnostic Lab Services, Inc. (DLS) in Hawaii that grew their business from $8 million to over $68 million dollars. NMG assisted UCSF and Benioff Children’s Hospital Oakland with development of a strategic plan of 35+ identified opportunities that allowed for the organizations to collaborate as part of a newly formed partnership. ![spectra_laboratories-1](https://nicholsmanagementgroup.com/hs-fs/hubfs/spectra_laboratories-1.png?height=68&name=spectra_laboratories-1.png) ![Quest_Diagnostics](https://nicholsmanagementgroup.com/hs-fs/hubfs/Quest_Diagnostics.png?height=68&name=Quest_Diagnostics.png) ![PDL_Logo-2](https://nicholsmanagementgroup.com/hs-fs/hubfs/PDL_Logo-2.png?height=68&name=PDL_Logo-2.png) ![DiagnosticLaboratoryServices](https://nicholsmanagementgroup.com/hs-fs/hubfs/DiagnosticLaboratoryServices.png?height=68&name=DiagnosticLaboratoryServices.png) ![UCSF_Health_new](https://nicholsmanagementgroup.com/hs-fs/hubfs/UCSF_Health_new.png?height=68&name=UCSF_Health_new.png) ## Who We Serve ![](https://nicholsmanagementgroup.com/hubfs/White_Arrow_ICON.svg)Hospitals & Health Systems ![](https://nicholsmanagementgroup.com/hubfs/White_Arrow_ICON.svg)Independent Laboratories ![](https://nicholsmanagementgroup.com/hubfs/White_Arrow_ICON.svg)Academic Medical Centers ![](https://nicholsmanagementgroup.com/hubfs/White_Arrow_ICON.svg)Anatomic Pathology Laboratories ![](https://nicholsmanagementgroup.com/hubfs/White_Arrow_ICON.svg)Venture Capital/Investment ![](https://nicholsmanagementgroup.com/hubfs/White_Arrow_ICON.svg)Health Insurance Companies ![](https://nicholsmanagementgroup.com/hubfs/White_Arrow_ICON.svg)Biotechnology Companies ![](https://nicholsmanagementgroup.com/hubfs/White_Arrow_ICON.svg)Government [![](https://nicholsmanagementgroup.com/hubfs/footer-logo.svg)](https://nicholsmanagementgroup.com?hsLang=en) © 2026 Nichols Management Group. All Rights Reserved. P.O. Box 1288, York Harbor, Maine 03911 [![](https://nicholsmanagementgroup.com/hubfs/phone_new.svg) CALL](tel:2073638230) [![](https://nicholsmanagementgroup.com/hubfs/email_new.svg) EMAIL](mailto:info@nicholsmanagementgroup.com) [Privacy Policy](https://nicholsmanagementgroup.com/privacy-policy?hsLang=en)[|](https://nicholsmanagementgroup.com/privacy-policy?hsLang=en)[Terms Of Use](https://nicholsmanagementgroup.com/terms-of-use?hsLang=en)