U.S. Hospital REIT Deals Surge in 2019

U.S. Hospital REIT Deals Surge in 2019

It’s become an accepted, almost expected, transaction. Privately held hospitals sell their real estate assets to a real estate investment trust (REIT) to get some fresh cash and to focus on operations rather than physical plants. Between 2009 and 2012, REIT deals for U.S. hospitals were announced once or twice a year. The number rose to six per year in 2013, 2015 and 2016 (just three in 2014). After two years of two or three deals annually (2017 and 2018), the number has already reached seven in 2019, with several weeks of deal making left in the year. The most recent deal was announced on November 5, as LifePoint Health agreed to sell the real estate assets of 10 unidentified... Read More »
Home Health & Hospice Is Primed for Consolidation

Home Health & Hospice Is Primed for Consolidation

The Home Health & Hospice sector is far less fragmented than it was just five years ago. The sector has seen a lot of activity, thanks to the push by payors to move patients towards lower-cost post-acute care settings. That has attracted a lot of investor interest in recent years, and 2018 proved to be a watershed moment as the large-market private equity firms moved in to acquire or build national platforms. Deals by publicly traded companies have changed the sector in significant ways, too. Some merged, such as LHC Group (NASDAQ: LHCG) and Almost Family, Inc. have morphed to focus more on home health than other services, such as Encompass Health Corp. (NYSE: EHC), formerly known as... Read More »
Tenet Healthcare Rethinks Aspen Deal

Tenet Healthcare Rethinks Aspen Deal

Tenet Healthcare Corporation (NYSE: THC) is selling UK-based Aspen Healthcare Ltd. after only three years of ownership. NCM Healthcare UK Ltd., a subsidiary of NCM Health plc (LSE: NCM), is the buyer, paying $332 million. Tenet acquired the nine-facility company from Welsh, Carson, Anderson & Stowe (WCAS) in March 2015, for $215 million. The transaction was announced simultaneously with Tenet’s acquisition of  a 5o.1% stake in United Surgical Partners International, another WCAS portfolio company, for $425 million. WCAS, together with other investors, retained a 49.9% interest in USPI at the time of the announcement. On April 26, 2018, Tenet announced that it acquired... Read More »
Cardinal Health Sells Majority Stake in NaviHealth

Cardinal Health Sells Majority Stake in NaviHealth

Cardinal Health (NYSE: CAH) does a lot of business with private equity firms, but usually as an acquirer, not a seller. In August 2015, Cardinal acquired NaviHealth from Welsh, Carson, Anderson & Stowe for $290 million. In June 2018, it sold a 55% stake in NaviHealth to Clayton, Dublier & Rice for an undisclosed amount. Cardinal’s initial stake was just 71% in 2015, but it added another 17% share in 2017 for $103 million. It will retain an approximately 45% interest in the company, and will have a call right to reacquire the business. The company said it would realize proceeds of $650 million after tax. Back in 2015, NaviHealth offered software and analytics products to help... Read More »
Healthcare Services Roundup through April 2018

Healthcare Services Roundup through April 2018

It’s been quite a year for healthcare deals in general, with nearly 600 announced transactions in the first four months. That’s 7% more than there were announced in the first four months of 2017. Dollar volume has soared, too. In 2018, $141.8 billion has already been committed to fund the 588 transactions. Thanks to some mega-billion-dollar deals in 2018, the total is 30% greater than the nearly $109 billion spent in the same period of 2017. Collectively, the Services sectors are booming, which isn’t always the case. Services deals made up 63% of all deals in the first four months of 2018, and 57% of the disclosed dollars, now at $81.3 billion. The Technology sectors... Read More »