Senior Housing and Care Market Still Strong in Q3:18

Senior Housing and Care Market Still Strong in Q3:18

Merger and acquisition activity in the Long-Term Care sector, which includes senior housing and care companies, took off in the second and third quarters of 2018. The 110 deals announced in the second quarter set a record for a quarter, and the third quarter followed with a near repeat performance. The third quarter’s deal volume was down 6% compared with the previous quarter but 34% higher than the same quarter in 2017. The 103 deals made up 28% of the 368 deals announced within the past 12 months. Fifty-five of the 103 deals revealed prices, although none were greater than $194 million. The $1.7 billion total in Q3:18 is 73% lower than the previous quarter’s nearly $6.5 billion, and 35%... Read More »
Behavioral Health Care Deal Trends in 2017

Behavioral Health Care Deal Trends in 2017

The Behavioral Health Care sector has enjoyed growing interest from private equity and other investors in recent years. Federal legislation regarding coverage of mental health conditions certainly boosted that interest, as has the growing public acceptance of the magnitude of need for services. Also, the fragmented nature of this sector has kept platform-building acquisitions rather low. From a focus standpoint, behavioral health care covers mental health issues, as well as substance abuse, eating disorders, autism spectrum services and care for individuals with developmental disabilities. Co-morbidities often exist, particularly between mental health and substance abuse conditions. Then... Read More »

REIT-backed Hospital Deals Accelerate

Now that hospitals and health systems have realized most of the benefits they expected from the Affordable Care Act, the mergers and acquisitions in the hospital sector have been supplanted by partnerships, clinical collaborations, joint ventures, strategic alliances and affiliations. But there is one group of acquirers still on the prowl: real estate investment trusts (REITs). Their interest and investment in this sector has grown since 2014, when only three REIT-sponsored deals were announced.  Those deals targeted one hospital each, with a total of 94 beds. Combined spending was $1.27 billion. The action picked up in 2015, with six REIT-backed deals announced. The largest was made by... Read More »

Q2:15 Hospital M&A Stayed Active

Hospital mergers and acquisitions didn’t flag in the second quarter of 2015, with at least 23 “definitive agreements” signed. That’s equal to the 23 recorded in the first quarter of the year. (We wait until hospital transactions get that far in the process, because so many fall apart after they sign a letter of intent.) Ventas Inc.’s (NYSE: VTR) $1.75 billion acquisition of Ardent Health Services was the biggest deal of the quarter, followed by Ventas’ expected spin-off of Ardent’s hospital operations to Equity Group Investments, LLC for $475 million. Watch for The Health Care M&A Report, Second Quarter 2015 to be published next week. Read More »

Ventas Spins Off Ardent Health’s Hospital Operations

As expected, Ventas, Inc. (NYSE: VTR) transferred the majority of Ardent Health Service’s hospital operations to Equity Group Investments last week, in exchange for $475 million. Ventas retains the owned real estate of the 10 Ardent Health hospitals, which it acquired in April 2015 for $1.75 billion. Ventas retains a 9.9% interest, while EGI and current Ardent Health Services management share the remaining ownership stake.   Read More »