Envision Healthcare Pays Big for Large Doc Group

Five hundred clinical providers constitutes a big physician practice, and Envision Healthcare Holdings, Inc. (NYSE: EVHC) just paid approximately $120 million for one. The target is Emergency Physicians Medical Group of Ann Arbor, Michigan, whose providers staff 37 facilities in Michigan, Illinois, Indiana, Ohio, Iowa and Delaware. The group is expected to bring in approximately $140 million in annual revenue, which works out to a modest 0.9x revenue and a moderately pricey $240,000 per provider. EPMG clinicians manage nearly 1 million patient encounters annually in emergency and hospital medicine departments as well as urgent care centers across the Midwest. It also operates community... Read More »

Physician Medical Groups Were Hot Targets in Q4:15

Transactions in the physician medical group (PMG) acquisition market increased in the fourth quarter of 2015, jumping by more than 15% from the third quarter’s activity. The 22 publicly announced physician medical group acquisitions were also 29% higher than the transaction volume in the year-ago fourth quarter. Only one acquisition in the fourth quarter of 2015 came with a disclosed price, and that was the acquisition of Questcare Medical Services by Envision Healthcare Holdings, Inc. for $135.0 million. Based in Dallas, Texas, Questcare Medical has more than 800 clinical providers at 50 facilities in Texas, Oklahoma and Colorado with annual revenues of approximately $160 million. With 88... Read More »

Doctors Groups on an M&A Hot Streak

Interest in physician medical groups is reaching a boiling point in 2015, with 36 transactions announced as of May 22. Nine announcements were made in May alone, including last week’s deal for the 276-physician Chidren’s and Women’s Physicians of Westchester, by Boston Children’s Hospital. Contrast that with 2014’s total of 60 acquisitions, and 2015 is shaping up to be an interesting year. The big players—IPC Healthcare (NASDAQ: IPCM), MEDNAX (NYSE: MD) and TeamHealth Holdings (NYSE: TMH)—are still leading the field in the number of acquisitions, but there several other companies making inroads. Check out the chart below.  Read More »