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The Health Care M&A Monthly

In the January 2005 issue:

Health Care M&A Results for The Fourth Quarter of 2004
The fourth quarter of 2004 posted 213 mergers and acquisitions in the health care industry. Based on revealed prices, a total of $50.7 billion was committed to finance this activity.
...
The Year in Health Care M&A
During 2004 a total of 871 M&A deals were announced in health care. To pay for this activity, a total of $191.3 billion was committed, the largest amount dedicated to health care M&A in the past five years. See page 12
...
The Month in Deals
Though deal volume in January resembles that in prior periods, with 67 deals posted, the dollar amount committed to fund M&A activity plunged from 2004’s lofty levels. Just over $1 billion was spent to fund transactions during the past four weeks, as compared with an average $16 billion per month in 2004. See page 2
...
In The Departments
Deal Summaries p5
Additional Transactions p9
Transaction Updates p9

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Health Care M&A Results for The Fourth Quarter of 2004

During the fourth quarter of 2004, a total of 213 deals were announced in the 13 sectors of the health care industry. The contribution of each sector to the total appears below.

As throughout the entire year, the Long-Term Care sector lead the health care services segment in deal volume while the Pharmaceuticals sector led the corresponding technology segment.

While maintaining its lead pace in deal volume, the Long-Term Care sector underwent a fundamental shift: Just as distressed properties were disappearing from the market during the second half of 2004, quality properties and portfolios emerged to take their place. With capital flowing back into the senior care market and cap rates declining, some of the prices paid were the richest we have seen in five years.

The top three sectors in deal volume for Q4:04, Pharmaceuticals (39), Medical Devices (32) and Long-Term Care (27), together accounted for 98 deals, or 46% of the quarter’s total M&A activity.

The fourth quarter’s 213 deals represent just a 2% decline from the 218 transactions announced in the previous quarter and a 9% decline from the 233 deals posted in the year-ago quarter, Q4:03.

What They Paid

The real story, as always, lies in the prices paid to make these deals. Based on information revealed to date, a total of $50.7 billion was committed to finance the fourth quarter’s 213 transactions. This figure represents a 138% increase from the $21.3 billion that was committed to fund health care M&A in Q3:04, and a 13% increase over the $44.7 billion spent in Q4:03.

The dollar amounts committed in each sector are listed in the table above, while their percentage contribution to the total is plotted in the chart opposite.

Medical Devices tops the list in terms of price paid. In a year that was packed with billion-dollar deals, the fourth quarter posted eight, three of them in the Medical Device sector alone. A combined total of $29.5 billion, or 58% of the $50.7 billion spent on all of health care in Q4:04, was committed to fund the 32 deals in Medical Devices.

Taken together, the Medical Device and Pharmaceutical sectors accounted for 76% of the quarter’s total. Adding in Biotechnology and e-Health, the health care technology segment attracted just short of 80% of all dollars committed to finance the quarter’s M&A activity.

The Fourth Quarter’s Place in 2004

The amount paid in Q4:04 represents 27% of the $191.3 billion committed during all of 2004 to finance the year’s 871 transactions. The quarter’s deal volume accounts for 24% of the year’s total. Thus, Q4:04 accounted for roughly one-quarter of the year’s M&A activity.

  Companies mentioned in this issue:
Able Home Health p3
Advica Health Resources p15
Aeterna Zentaris p14
Affiliated Computer Services p14
Allion Healthcare p11
Alltracel Pharmaceuticals p15
Andrx p16
Animas Corp. p15
Antisoma plc p13
Aptamera, Inc. p13
Ardent Health Services p4
Associated Healthcare Systems p4
Aventis p12
Banc of America Securities p16
Bayer Corp. p16
Biolase Technology p15
Bionomics p11
BlueCross and BlueShield of Minnesota p14
Bluefield Regional Medical Center p4
Bristol-Myers Squibb p16
Buckeye Community Health Plan p11
Cape County Dialysis p4
CareSouth HomeCare Professionals p3
Centene Corp. p11
Christus Health p3
Christus HomeCare p3
CLW Health Care Services Group p10
CNL Retirement Properties p10
Comprehensive Addiction Programs p11
Comprehensive Renal Care of Northlake p4
Corixa Corp. p13
Coventry Health Care p14
CRC Health Care p10
Cygnus p15
DaVita p4
Dialysis Clinic p10
Diodem LLC p15
Down River Centers p4
East Georgia Regional Dialysis p4
Echelon Biosciences p14
Edocs p14
Eli Lilly p16
FountainGlen Properties, LLC p10
Gambro AB p10
Genentech p13
GlaxoSmithKline p16
Harriman Jones Medical Group p11
Harvard Pilgrim Health Care p14
HCA p4
Health Plan Administrators p11
HealthCare Partners Medical Group p11
Healthcare Transactions Group p11
Healthology p14
Horizon Bay Senior Communities p10
Humana p14
Independence Blue Cross p14
Independence Holding Company p11
Insurers Administrative Corporation p11
Invitrogen p16
iVillage p14
 
Johnson & Johnson p15
Kindred Health Care p4
King Pharmaceuticals p16
LAM Pharmaceutical Corp. p16
Lincare p3
Managed Care Transaction Manager System p14
Medical Resources of Kansas City, Inc. p3
Merriam-Graves p4
Merrill Lynch & Co. p11
Methodist Hospital System p3
MetroNational Corp. p10
My Choice Medical Holdings p11
Mylan Laboratories p16
Neoforma p11
Neurofit p11
New World Kellerton p16
Norak Biosciences, Inc. p13
North American Home Health Supply p11
Oakwood Care Center p10
Oakwood Care Center, LLC p10
Optive Research p13
Orleans Metropolitan Dialysis Clinic p4
OrthoRehab p11
Otto Bock Industry p11
Pfizer p12
Pharmacia p12
Physician Informatics p14
Plaza Respiratory & Oxygen Services, Inc. p3
PracticeOne p14
PracticeXpert p14
Princeton Community Hospital p4
Procter & Gamble p16
ProRhythm p15
Prudential Real Estate Ventures p10
Quovadx p14
Renal Care Group p4
Roche Holding p16
Royal Health Care of Long Island, LLC p14
Samaritan Hospital p4
sanofi-aventis p12
Sanofi-Synthelabo p12
Siebel Systems p14
Sprint p14
St. Jude Medical p15
Stonehedge Convalescent Center p10
Summa Health System p11
SummaCare p11
Superior Consultant p14
Tenet Healthcare Corp. p3
The Gardens at Kentland p10
Tripos, Inc. p13
Tufts Health Plan p14
University HealthSystem Consortium p11
Vanguard Health Systems p4
Ventas p4
Verizon p14
Vertrue p11
VHA, Inc. p11
Visiting Nurse Association of Houston p3
Westone Products p15
Xsira Pharmaceuticals p13
Zymed Laboratories p16
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