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PE-backed Pivot Physical Therapy Grows (Again)

PE-backed Pivot Physical Therapy Grows (Again)

Acquisitions of rehabilitation companies and clinics has been on the rise in recent years. That trend is continuing in 2017, with nine deals announced in the first quarter. Five of those were announced in March alone. The second quarter is off to a good start, too. Pivot Physical Therapy, a portfolio company of CI Capital Partners, just inked its fourth deal of 2017. On April 5, 2017, Pivot acquired Tidewater Physical Therapy, an outpatient physical therapy practice with more than 30 locations across Virginia, including five aquatic therapy centers and three performance centers. This purchase comes on the heels of a two-year buying spree. Back in 2014, CI Capital Partners, alongside... Read More »

Bracket Changes Hands Again

It may not be news to digital health sector watchers that Bracket, a privately held clinical trial technology provider, was sold again. On March 28, 2017, San Francisco private equity firm Genstar Capital purchased the company for an undisclosed price. Bracket, a Pennsylvania-based clinical trial technology, has changed hands several times over the years. Bracket serves biotechnology and pharmaceutical companies, as well as clinial research organizations. It leverages Bracket eCOA™, a platform for electronic clinical outcomes assessments that collects information from patients (ePRO), clinicians (eClinRO) and other observers (eObsRO). The company started off as a division of United... Read More »

Kohlberg and Co. Expands its Alita Care Platform

Private equity companies are driving most behavioral health activity in 2017, as they continue to trade practices and build up regional platforms. Through March 28, 2017, 12 behavioral health care deals are on the books. Nearly 60% of these deals were announced by financial buyers, six of which were PE- backed behavioral health companies. One was a private equity firm and one a blank-check investment firm. In April 2016, American Capital Ltd. (NASDAQ: ACAS) announced the sale of its portfolio company, The Meadows of Wickenburg, Inc., to Kohlberg & Company LLC, a New York-based private equity firm, for $180 million. Located in Arizona, The Meadows provides addiction and... Read More »
PE-backed Pivot Physical Therapy Grows (Again)

Rehabilitation Deals Gained Strength in 2016

Mergers and acquisitions in the Rehabilitation sector continued the climb that began in 2014, with a 21% increase in deal volume since 2015. Mergers and acquisitions in the Rehabilitation sector continued the climb that began in 2014. A total of 40 deals were announced in 2016, up 21% compared with the year before, and 90% higher than in 2014. This fragmented sector has benefited from the growing emphasis on post-acute care and cost efficiencies, similar to the Home Health sector. Like physician medical groups, targets in this sector tend to be small, privately held operations and their acquisitions aren’t always publicly announced. For that reason, the data may underrepresent the... Read More »

2016 Home Health and Hospice Deals Picked Up

After a rough 2015, when the M&A bubble burst in this sector, deal volume in 2016 showed signs of recovery. Fifty-seven deals were announced in 2016, a 12% increase compared with the previous year. A few companies accounted for several deals. Jordan Health Services, a portfolio company of Palladium Equity Partners, led with five transactions. Epic Health Services, a portfolio company of Webster Capital, announced four deals, as did Kindred Healthcare (NYSE: KND). The latter company surprised many observers with its announcement that it was leaving the skilled nursing space to concentrate more on long-term acute care hospitals and home health and hospice agencies. We expect at least a... Read More »

The MACRA Effect Keeps Building

Last year, the Centers for Medicare and Medicaid Services asked for comments and then rolled out the final rules on the implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Many industry observers predicted the rules would drive the majority of independent physician practices “right into the arms” of a local hospital, health system or other entity. Those predictions appear to be true. As of mid-March 2017, 46 acquisitions of physician practices have been announced, a 105% increase from the same period a year ago. Only one of the deals disclosed a price,  Optum’s (NYSE: UNH) $3.3 billion acquisition of Surgical Care Affiliates Inc. (NASDAQ:... Read More »