U.S. Hospital Deals Surged in the Third Quarter

U.S. Hospital Deals Surged in the Third Quarter

Mergers and acquisitions among U.S. hospitals and health systems rose 28% in the third quarter of 2019, posting 23 transactions versus 18 deals in the previous quarter. Deal volume compared with the same quarter in 2018 (15 deals) was up 53%. Q3:19 had the strongest M&A activity in the previous four quarters, according to our most recent data. What factors boosted the most recent quarter’s results? A major contributor was Medical Properties Trust (NYSE: MPW), which announced three transactions in July, totalling $1.7 billion. The largest of the three deals, at $1.55 billion, was to acquire the real estate assets of 16 hospitals (2,383 beds) in California, Connecticut and... Read More »
TowerBrook & Ascension Acquire Hospice Compassus in $1 Billion Deal

TowerBrook & Ascension Acquire Hospice Compassus in $1 Billion Deal

TowerBrook Capital Partners and Ascension have joined forces in a hospice deal worth $1 billion, or 11.8x revenue. The joint venture is buying Hospice Compassus, which provides hospice, palliative and home health care and services to patients in more than 25 states, from Formation Capital and Audax Private Equity. Towerbrook and Ascension will own equal stakes in Hospice Compassus after buying the hospice firm an auction that started in early 2019. Formation and Audax backed Hospice Compassus for roughly five years, recapitalizing the company in 2014 for roughly $300 million, according to the same report. Although it’s no surprise that PE firms are big players in the Home Health and... Read More »
St. Christopher’s Hospital Goes to Auction in Philly

St. Christopher’s Hospital Goes to Auction in Philly

Yet another hospital bankruptcy has led to an auction and a sale. This time it was St. Christopher’s Hospital for Children in Philadelphia, Pennsylvania. The 188-bed hospital is a healthcare outpost in north Philly and one of only two children’s hospitals in the city. In 2018 it and Hahnemann University Hospital were sold by Tenet Healthcare (NYSE: THC) to California investment banker Joel Freedman, represented as American Academic Health Systems LLC (AAHS), for $170 million. Hahnemann’s financial troubles prompted American Academic to file for Chapter 11 bankruptcy protection  on June 30 and led to that hospital’s closure in July 2019. St. Christopher’s... Read More »
TPG Capital Re-enters the Southeast Asia Hospital Market

TPG Capital Re-enters the Southeast Asia Hospital Market

TPG Capital and its sponsored companies have been on a tear in 2019. Through its recently launched U.S. autism platform, Kadiant, the global private equity firm announced six deals since February. Its U.S.-based digital health company WellSky announced two deals in the past 12 months and back in February, Kindred Healthcare, now co-owned by TPG and Welsh, Carson, Anderson & Stowe, acquired a hospital in Los Angeles out of the Promise Healthcare bankruptcy. In early September, TPG announced its acquisition of another digital health company, Convey Health Solutions, from New Mountain Capital for an undisclosed price. Two weeks later, the firm was back in the news with a $1.2 billion deal... Read More »
KentuckyOne Unloads Jewish Hospital and its Assets

KentuckyOne Unloads Jewish Hospital and its Assets

After two years of negotiations, KentuckyOne, a subsidiary of CommonSpirit Health, is selling the finiancially ailing Jewish Hospital (462 beds) and its Louisville-area assets, which include three hospitals and four outpatient centers. The negotiations dragged on so long, Jewish Hospital was in danger of closing. The acquirers are the University of Louisville (UofL) and its University Medical Center (333 beds). UofL is recieving financial assistance in the deal with a state-funded $50 million, 20-year low-interest loan, half of which is forgivable if UofL meets certain employment criteria or extends services to currently underserved areas of the commonwealth. The terms of the deal are... Read More »
New Record in Healthcare Services M&A

New Record in Healthcare Services M&A

The record keeps growing. We reported in March that the health care services reported 1,227 deals in 2018. When we updated the data for our new Hospital M&A Acquisition Report, 8th Edition, deal volume moved upward. Source: HealthCareMandA.com, August 2019 A record 1,232 services deals were announced, which is 19% higher than the previous year and 235% higher than in 2009. Services transactions accounted for 65% of 2018’s total deal volume, slightly higher than the typical range between 58% and 63%. The trend was even stronger in the first half of 2019. Through June 30, a total of 835 deals are on the books, and the services sectors make up 67%. Spending in healthcare services has been... Read More »