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January 2008 issue:


Health Care M&A Results For 2007--
$226.5 Billion Committed In Second-Largest Year Ever

2007 turned out to be second only to 2006 in the size of its health care merger and acquisition market. Based on results, a total of 1,051 deals were announced with a combined value of $226.5 billion.
...
Medical Device Deals Surge--
December Saw 27 Transactions Worth $7.9 Billion

The Medical Device sector ended the year as it began it, with a spate of deal making. December produced 27 transactions worth a combined total of $7.9 billion.
...
Fourth Quarter 2007 Health Care M&A Results
The fourth quarter of 2007 generated a total of 292 mergers and acquisitions in the health care industry. Read the issue to see which sectors led and which ones lagged.
...

In the Departments

Services

-Health Care Services
-Deal Summaries
-Additional Transactions
-Transaction Updates

Technology

-Health Care Technology
-Deal Summaries
-Additional Transactions
-Transaction Updates

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Articles Archive

Companies Mentioned in this issue:

January 2008


A
Abviva, Inc. p15
Accomplished Diagnostic Medical Inpatient Team, P. p7
Adams Respiratory Therapeutics p16
Adolor p15
Advance Home Care p4
Aegera Therapeutics p10
Ambulatory Services of America p4
American Capital Strategies p6
American Laser Centers p6
Arab Pharmaceutical Manufacturing p16
Argentum Capital Partners p7
Avista Capital Partners p9
B
Baptist Health System p7
BBI Holdings p10
Bio-Kinetic Clinical Applications p7
Boston Scientific Corporation p10
Bristol-Myers Squibb p9
Bruker BioSciences Corp. p9
Bruker BioSpin Group p9
C
Carlyle Seniors Housing p6
Code Hennessy & Simmons, LLC p6
Community Health Systems p4
E
Eastdil Secured p7
Efoora, Inc. p15
Eisai Co. Ltd. p16
Emdeon Business Services p15
F
First Analysis Corp. p7
G
GE Healthcare Financial Services p4
General Atlantic p15
Genesis Bioventures p15
GlaxoSmithKline p16
Golden Gate p6
Gottlieb Health Resources p4
H
HealthTalk p15
Hearthstone Senior Services p7
Hikma Pharmaceuticals p16
Human Genome Sciences p10
I
Idera Pharmaceuticals p10
Illumigen Biosciences p15
Informed Medical Communications p16
Inland Industrial Medical Group p7
Innovative Dialysis Systems p4
Inverness Medical Innovations p6
IPC—The Hospitalist p7
IXT Solutions p15
J
J.P. Morgan Securities p10
JPMorgan p16
L
Lehman Brothers p16
LHC Group p4
Loyola University Health System p4
M
Merck KGaA p10
Merrill Lynch p16
MGI Pharma p16
Morgan Stanley & Co. p9
MorphoSys AG p10
Mountain States Health Alliance p4
N
Nationwide Health Properties p7
Northwest Newborn & Pediatric Services p7
Novartis AG p10
O
OncoMed Pharmaceuticals p16
Optimum Readings p7
P
Pediatrix Medical Group p6
PerkinElmer p6
Pfizer p15
Pin Point Radiology p7
Prion Developmental Laboratories p15
Progenitor Cell Therapy, LLC p15
Q
QPS p7
R
RAI Care Center p4
Reckitt Benckiser p16
Redwood Toxicology Laboratory p6
Renal Advantage p4
Respironics p1
Revolution Health Group p15
Rock Creek Capital Partners p4
Royal Philips Electronics p1
Russell County Medical Center p4
S
Silver Creek p7
St. Mary’s Medical Center p4
StemCells p15
T
The Edgewater Funds p6
Triad Hospitals p4
U
U.S. HealthWorks p7
V
Vanguard Health Systems p7
Vintage Senior Housing, LLC p6
Visicu p9
W
Welsh, Carson, Anderson & Stowe p4

Health Care M&A Results For 2007--
$226.5 Billion Committed In Second-Largest Year Ever

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Despite fears of impending collapse, 2007 proved to be a very, very good year for the health care merger and acquisition market. Based on transactions we have collected to date, 2007 saw the announcement of 1,051 deals, the highest volume in the period from 2003 through 2007 (see the table on page 16 of the January issue of The Health Care M&A Monthly). This figure represents a 4% increase over the 1,009 mergers and acquisitions announced in 2006. Deal volume steadily rose during 2007 with 238, 248, 273 and 292 transactions from the first through the fourth quarter. The increase in deal volume was largely propelled by the four health care technology sectors, which produced a combined total of 569 deals, a 19% increase over the 477 announced in the previous year. Health care services, on the other hand, fell 9% from 532 in 2006 to 482 in 2007. Three technology sectors, Biotechnology, Medical Devices and Pharmaceuticals, experienced the most robust year-over-year growth with increases of 23%, 27% and 28%, respectively.

Based on prices revealed so far, a total of $226.5 billion was committed in 2007 to fund the year’s M&A activity. This represents a 16% decrease from the record-setting $268.4 billion spent in 2006, but viewed in perspective, it is still the second-largest dollar volume we have ever recorded and stands 38% ahead of the next-largest amount recorded, the $164.3 billion spent in 2004 (see chart on page 3 of the January issue). Of the $226.5 billion committed in 2007, $172.9 billion, or 76% of the year’s total, was in the health care technology segment. The actual dollar amount committed to health care technology was virtually the same for both 2006 and 2007; however, in 2006 technology was just 64% of the total health care M&A dollars. The decline thus came from the health care services segment, which saw dollar volume fall off by 44% from 2006 to 2007. The percentage contribution of each sector to 2007’s total amount appears in the chart on page 2 of the January issue; the figures have been aggregated for the Behavioral Health Care, Rehabilitation and Physician Medical Group sectors because their individual results are so meager.

Big Players And Big Plays

The year 2007 saw the announcement of 50 billion-dollar deals, at a pace of roughly one per week, worth a total of $153.6 billion. The chart on page 16 shows that this is the highest volume for billion-dollar deals during the period from 2003 through 2007, even though the dollar value comes in second to 2006. It’s true that a billion dollars doesn’t quite buy what it once did, but high deal volume at this level suggests that the health care M&A market now has a broader base of buyers with greater access to capital for deal making. Financial buyers, such as private equity groups and real estate investment trusts, announced 51 deals in 2007 worth a combined total of $37.4 billion, or 17% of the year’s total. Despite the bad rap private equity has gotten in the media over the last half-year or so, we believe that it will continue to be one of several drivers in the health care M&A market. True, their investments may be more modest in size, and they may now make partial investments in target companies rather than outright acquisitions of them, but private equity will adjust to the changing business environment and find ways to spend the impressive backlog of capital in their war chests. But in spite of all the press the PEGs have garnered, our figures confirm that the M&A market for health care continues to be dominated by strategic buyers. And for them, the various rationales for deal making—greater market share, diversification, competitive advantage, access to new technologies and new products—continue to persist even though the economic environment is coming to resemble more and more what the ancient Chinese curse called “living in interesting times.”

What’s In Store For 2008

2008 begins with a number of uncertainties, including the lingering headache in the credit markets from the subprime mortgage meltdown. And the politics of an election year will surely impact the health care industry since a number of candidates are nailing the issue(s) of health care into their platforms. We half suspect that some managed care companies, who actually deal with the complexities of the health care system, may direct dollars to campaign coffers rather than to deal making. Credit from other sources may contract somewhat as debt incurred from the Iraq War, as well as rising energy prices, are felt more deeply in the economy. Consequently, the deals that are made will not be as leveraged as before. The falling value of the dollar against other major currencies portends two related trends for the health care M&A market. First, more American companies will be in reach of foreign buyers, so expect more deals to originate from Europe, Japan and India. Second, with the dollar not buying as much abroad as before, American buyers will concentrate on acquiring domestic targets rather than looking overseas. Deals in the Biotechnology, Medical Device and Pharmaceutical sectors will continue to thrive. We also expect to see growth in the “Other Services” sector. These alternative-site and peripheral services, because they are not on the front line of patient care, are not as liable to as many layers of regulation as core services are, and they are more amenable to retail models. In general, we expect to see strong M&A activity for 2008, not because of any Pollyanna complex, but because of what we have been told by bankers, brokers, executives and managers throughout the year. Whenever asked what the prospects are for a company confronting a challenge in the changing business or regulatory environment, the men and women on the front line have responded that smart management finds ways to anticipate and overcome these challenges and make money in new conditions. Faith (and hard work) finds a way in M&A.

 

 

 

 

 

 

 

 

 

 

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Since 1948, Irving Levin Associates, Inc. has been the leading source of information and investment research on mergers and acquisitions in the Behavioral Health Care, Biotech, e-Health, Home Health Care, Hospitals, Laboratories, MRI and Dialysis, Long Term Care, Managed Care, Medical Devices, Pharmaceuticals, Physician Medical Groups, Rehabilitation and other health care markets.

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