Hospital M&A Keeps Pace with Medicaid Expansion

Hospitals in states that expanded Medicaid coverage under the Affordable Care Act typically are healthier, financially, than those in states that have not expanded that coverage. What about hospital mergers and acquisitions in the expanded states, compared with those that haven’t expanded Medicaid? With only two years of data, it’s too soon to spot a trend, on the surface. Effective in April 2010, the ACA provided states the option to receive federal Medicaid matching funds to cover adults with incomes up to 133% of the Federal Poverty Level to get an early start on the 2014 Medicaid expansion. When the first open enrollment period ended in March 2014, 25 states had expanded... Read More »

Hospital M&A Revs Up in February

Two days into February 2016 and we’ve recorded four hospital transactions. Considering there were only two in all of January, this action is impressive. One was a straight real estate deal from Carter Validus Mission Critical REIT II, Inc., which paid $33.9 million for Sherman, Texas-based Heritage Park Surgical Hospital and Visionary Medical Imaging. Both facilities were built in 2005. The hospital has 57,576 square feet, and was renovated in 2010 to become a full-service surgical hospital. VMI is an 8,055 square foot facility. The deal actually closed in November 2015, but wasn’t announced until now. Larkin Community Hospital, a for-profit, 146-bed hospital in South Miami,... Read More »

2015 Health Care M&A Beats All Records

It’s déjà vu all over again. 2014 was a record-breaker for health care M&A, with 1,317 transactions and spending at an astronomical $387 billion. Then 2015 came and went and, once again, we’re writing about a record-breaking number of transactions, 1,460 currently, and astronomical spending of $563 billion. Read More »
Hospital M&A Dropped in Q4:15

Hospital M&A Dropped in Q4:15

The hospital acquisition market declined in the fourth quarter of 2015, falling 31% from the third quarter’s total of 32 deals. The 22 publicly announced hospital acquisitions in Q4:15 were also 29% lower than the 31 deals announced in the same quarter in 2014. The largest acquisition in the fourth quarter to come with a disclosed price was the acquisition of Al Noor Hospitals Group plc, based in Abu Dhabi, United Arab Emirates, by the South African hospital operator Mediclinic International Ltd. for $2.3 billion. Al Noor Hospitals Group provides primary, secondary and tertiary care services through its hospitals and medical centers in the UAE. Mediclinic International operates... Read More »
Select Medical Acquires Physiotherapy

Select Medical Acquires Physiotherapy

Select Medical Holdings Corporation (NYSE: SEM) announced today it has entered into a merger agreement to acquire Physiotherapy Associates Holdings, Inc. for $400 million in cash. Physiotherapy is a national provider of outpatient physical rehabilitation care offering a wide range of services, such as general orthopedics, spinal care and neurological rehabilitation, and orthotics and prosthetics services. As of September 30, 2015, Select operated 110 long term acute care hospitals and 17 acute medical rehabilitation hospitals in 28 states, and 1,033 outpatient rehabilitation clinics in 31 states and the District of Columbia. This acquisition continues their growth. In 2015, Select formed a... Read More »