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Busy Week for Home Health Care M&A

Nine deals in one week is more than we see in one month, typically. Although most did not disclose prices, here is the breakdown on the week’s Home Health & Hospice transactions. AcquirerTargetPrice St. Joseph Health26 Nurse Next Door franchisesN/A Addus HomeCare CorporationSouth Shore Home Health Services, Inc. N/A PSA HealthcareCare Unlimited Inc. N/A MultiCare Health SystemHospice of Kisap CountyN/A Kindred Healthcare, Inc. Samaritan Care Hospice of Osceola, Inc. N/A Kindred Healthcare, Inc. HopeBridge Hospice, LLCN/A Kindred Healthcare, Inc. 9 home health offices in South Carolina$18 million One Equity PartnersAll Metro Helth Care Services, Inc. N/A Amedysis, Inc. Associated... Read More »

Stryker Strikes Two Deals in Two Weeks

Medical device maker Stryker Corporation (NYSE: SYK) announced its second deal in two weeks, buying the neurosurgery tools portfolio of Synergetics USA Inc. for an undisclosed sum. The portfolio consists of Synergetics’  Malis generator, Spetzler Malis disposable forceps, and Stryker’s existing Sonopet tips and RF generator. The products will complement Stryker’s neuro, spine and ear-nose-throat business, as well as expand its neurosurgical offerings. The first deal, announced on February 1, was Stryker’s nearly $2.8 billion acquisition of Sage Products, LLC, a portfolio company of Madison Dearborn Partners, LLC. Sage develops, manufactures and distributes... Read More »

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 »

Acquisition Outlook for Doc Groups: Wait and See

2015 was a very good year for acquisitions in the Physician Medical Group (PMG) sector. With 88 transactions in total, deal volume was up 47% compared with 2014. The sector’s largest deal, Team Health’s (NYSE: TMH) $1.6 billion acquisition of IPC Healthcare, combined two of the sector’s top acquirers (see chart below). That deal closed in November 2015. Since then, things have gone very quiet in the PMG sector. The fourth quarter of 2015 closed with 22 deals for doc groups, beating the third quarter’s 19 deals and Q4:14’s 17 deals. So far this year, only five transactions have been made public, compared with 12 in the same period a year ago. At least a portion... Read More »

Biggest Health Care Deals in January 2016

The pace of health care mergers and acquisitions slowed considerably in January 2016. In part, that’s due to the rush to get business off the books by the end of the calendar year, which is why fourth quarters are usually so busy. This year we’ve counted about 95 transactions announced in January, which is 32% lower than December 2015’s total, and 29% below January 2014. Thanks to Shire plc’s (NASDAQ: SHPG) $32 billion deal for Baxalta Inc. (NYSE: BXLT), spending in the month handily beat those previous months. But who would’ve thought a behavioral health care deal would rank as the month’s second largest deal? Check out the chart below. We’ll have... 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 »

Point-of-Care Diagnostics Company Commands $5.8 Billion

Abbott Laboratories (NYSE: ABT) may be known for its branded generic pharmaceuticals, but it just boosted its diagnostics division with the $5.8 billion acquisition of Alere Inc. (NYSE: ALR). Alere provides point-of care diagnostics and services for the infectious disease, cardiometabolic disease, and toxicology in the United States and worldwide. Abbott will pay $56 per common share, representing a 51% premium to Alere’s closing price on Friday, January 28, 2016. Abbott will also assume or refinance Alere’s $2.6 billion debt. Back in July 2015, Alere paid $60 million for US Diagnostics. It made a larger, $270 million deal for eScreen, Inc. in March 2012. The combination of... Read More »
Home Health & Hospice M&A Remains Steady in Q4:15

Home Health & Hospice M&A Remains Steady in Q4:15

After a decline in home health and hospice acquisitions earlier in the year, M&A activity steadied itself in the third and fourth quarters of 2015. There were 12 publicly announced transactions in the fourth quarter, matching the level in the third quarter but well below the fourth quarter of 2014, when there were 20 announced acquisitions. However, when it comes to the dollars spent on these transactions, there was a sharp drop from $273.85 million in the third quarter to $108.7 million. Most transactions are small and many do not have disclosed prices, which makes comparing the periods difficult. In the fourth quarter of 2014, the total disclosed dollar value of the transactions was... Read More »