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Molina Buys Behavioral Health Companies

The Providence Service Corporation (NASDAQ: PRSC) last week sold two of its subsidiaries, Providence Human Services, LLC and Providence Community Services, LLC, to Molina Healthcare, Inc. (NYSE: MOH) for a combined $200 million. PHS is one of the largest national providers of outcome-based behavioral and mental health services and operates in 23 states and the District of Columbia. Annual revenue was approximately $346 million for 2014. Providence intends to use 50% of the net cash proceeds from the transaction to prepay certain loans under its existing credit facility. The remaining net proceeds may be used for acquisitions, investments in the long-term development of the company’s... Read More »

Two Deals for Renal Care Providers

Consolidation is still possible in the kidney-care sector, even though Fresenius Medical Care (NYSE: FMS) and DaVita HealthCare Partners (NYSE: DVA) appear to have about 90% of the U.S. market. Last week, DaVita announced its $415 million acquisition of Renal Ventures Management, LLC, a network of 36 dialysis clinics in six states, with headquarters in Lakewood, Colorado. RVM’s two physician divisions, Multispecialty Physician Partners and Physician Venture Partners were part of the deal. The second acquisition came from a much smaller player, privately held U.S. Renal Care, Inc. of Plano, Texas. The target was DSI Renal, owned by Frazier Healthcare and New Enterprise Associates, which... Read More »

Medical Device Maker Scooped Up for $1.7 Billion

Greatbatch, Inc. (NYSE: GB) is touting its “transformative deal” to acquire privately held Lake Region Medical for $1.73 billion. Transformative in that the combined company will be one of the world’s largest medical device manufacturers, serving the cardiac, neuromodulation, vascular, orthopedics and advanced surgical markets and posting revenue of approximately $1.5 billion. The transaction is expected to be double-digit accretive to cash EPS in 2016, the first full fiscal year post-closing, and meaningfully more accretive thereafter. It expects to achieve net annual synergies at the operating profit level of $25 million in 2016, which is expected to increase to at least $60 million in... Read More »

Labs, MRI and Dialysis M&A

The Laboratories, MRI & Dialysis sector has been plagued by low reimbursement rates and competition from local hospitals for some time now, but you can’t really tell that to see the number of deals we’ve recorded in the last five years. Although the sector peaked with 47 deals announced in 2012, there have been 24 transactions made public this year (six of those in August), for a total of $2.3 billion. With CMS’s push to value-based and bundled payments, we expect to see more activity in this sector. Even though rates are low, there’s little uncertainty about them. YearSector dealsSector spending 201433$11.0 billion 201337$1.9 billion 201247$2.2 billion 201131$6.0 billion 201042$2.3... Read More »

Cardinal Health Buys NaviHealth

Rumors surfaced last week that Nashville-based NaviHealth, a portfolio company of Welsh, Carson, Anderson & Stowe, was about to be acquired by Cardinal Health (NYSE: CAH). Our friend in Nashville, Milt Capps, published the story on his Venture Nashville Connections blog on August 24. Sure enough, the story was verified on August 25 when Cardinal issued a FAQ statement about the $290 million deal. What does a medical products distributor like Cardinal see in a post-acute care coordinator like NaviHealth? Quite a lot, since its sweet spot is managing bundled payments in the post-acute continuum of care. The acquisition of even 71% of NaviHealth gives Cardinal Health scale and the... Read More »

Chinese Health Care Company Still Growing Strong

Chinese stock markets may be tumbling, but the country’s largest preventive healthcare services company, iKang Healthcare Group (NASDAQ: KANG), is growing strong. Last week it announced its sixth acquisition of the year, this time for three medical centers in three major cities in Shandong province. The targets were three franchises of a rival private preventive services provider, Ciming Checkup Group. iKang was happy to boast this is its third acquisition this year of former Ciming franchises. Financial terms were not disclosed for any of the transactions. Read More »

InSite Vision Sees a Better Offer

Back in June, InSite Vision Inc. (OTCBB: INSV), which focuses on specialty ophthalmic products for diseases of the eye, agreed to be acquired by QLT Inc. (NASDAQ: QLTI) in an all-stock transaction. QLT shareholders would own about 89% of the combined company, which would retain the QLT  name and be incorporated in Canada, thanks to QLT’s base in Vancouver, British Columbia. Last week, however, InSite informed QLT that a “multi-national pharmaceutical company” had made an unsolicited bid of $0.25 per share of INSV, which the target decided was a better offer than QLT made. QLT now has to match the proposed price, or terminate the agreement. Our bets are on Valeant Pharmaceuticals (NYSE:... Read More »

Universal Health Ups its UK Holdings

The United Kingdom is still luring behavioral health buyers from the United States. Last week Universal Health Services (NYSE: UHS) picked up Alpha Hospitals Holdings Ltd., a privately held company, for an undisclosed price. Alpha operates four behavioral health hospitals with a combined total of 305 beds. It will be added to Universal’s London-based Cygnet Health Care group, which was acquired in September 2014 for $335 million. Cygnet came with 17 facilities, including 15 inpatient behavioral health hospitals (743 beds, total) and two nursing homes. Astute readers will recall that U.S. rival Acadia Healthcare Company (NASDAQ: ACHC) picked up The Manor Clinic, a 15-bed residential rehab... Read More »