Brookdale Divests Home Health & Hospice Business

Brookdale Divests Home Health & Hospice Business

After months of rumors swirling about a deal, Brookdale Senior Living (NYSE: BKD) has announced the divestment of a majority stake in its home health and hospice business, Brookdale Health Care Services. The senior living giant is selling an 80% interest in its home health and hospice business (including its outpatient therapy business) to HCA Healthcare (NYSE: HCA), the Tennessee-based health system.  The sales price is $400 million, implying a $500 million valuation for 100% interest. This comes to about 1.36x revenues for the trailing four quarters ended December 30, 2020, and perhaps 18x to 20x 2021 normalized EBITDA. Last year, our colleagues at The SeniorCare Investor wrote that it... Read More »
Brookdale Sells Battery Park Property

Brookdale Sells Battery Park Property

Ventas, Inc. (NYSE: VTR) is now in the Long-Term Care record books. On August 20, the REIT announced it will pay $194 million, or $894,000 per unit, for Brookdale Senior Living’s (NYSE: BKD) Brookdale Battery Park property. We think that’s a record per-unit price. It was opened in 2000 at an approximate cost of $50 million. This 14-story, 240,000 square-foot independent living community overlooks the Hudson River in the Battery Park City neighborhood of Manhattan. Occupancy was in the low 90s. The acquisition was valued below replacement cost and represents an approximately 5% going-in yield on net operating income as reported by Ventas. Brookdale will stay on as operator under... Read More »

Deal of the Week: Almost Family/LHC Group

The Home Health & Hospice sector is gearing up for a busy 2018, compared with the sluggish performance turned so far in 2017. Two leading companies, LHC Group (NASDAQ: LHCG) and Almost Family (NASDAQ: AFAM) announced a “merger of equals” on November 16. That transaction followed third-quarter earnings calls from Amedysis (NASDAQ: AMED) and Brookdale Senior Living (NYSE: BKD) with each CEO discussing aggressive moves into the hospice sector. Bring it on! M&A activity in the Home Health & Hospice sector has been slow, to say the least, throughout 2017. Prior to the LHC/Almost Family announcement, just 41 deals were reported through mid-November, with a meager $20.9 million in... Read More »

Long-Term Care Sector Revs up in November

The Long-Term Care M&A market seemed to hit the doldrums, with 22 transactions in September and just 20 transactions in October. The sudden slowdown left us wondering if this could be the new norm after a red hot couple of years, where the sector averaged about 30 deals per month in 2015, and settled slowly down to 26 deals per month, through the end of October 2016. So the first week in November came as quite a shock. In the first two days of the month, two of the three largest transactions of the year were announced, along with a $337 million deal for 31 skilled nursing facilities. Sixteen transactions in this sector were announced in the first four days of November, 80% of October’s... Read More »

First Half of 2016 Shows Strength in M&A

Ever since the rally in health care mergers and acquisitions began in 2014, we’ve been waiting for the inevitable slam-on-the-brakes quarter. That rally was sparked by the advent of newly insured families and individuals entering the healthcare market, beginning on January 1, 2014. Thanks to the Affordable Care Act, passed in 2010, health care M&A topped 1,000 transactions that year and has never looked back. Isn’t it about time for the party to end? Not according to our data for the first six months of 2016, compared with the same period in 2014 and 2015. (But if you read our monthly M&A roundup on page 18, you may have second thoughts.) In the first half of 2016, deal volume... Read More »