LTACs vs. SNFs vs. IRFs: Mergers, Acquisitions and the Battle for the Post-Acute Patient

FOR IMMEDIATE RELEASE

Rachel Scinto
Event Coordinator
800-248-1668
203-846-6800
Fax: 203-846-8300
pressreleases@levinassociates.com

NORWALK, CT –September 6, 2016-Irving Levin Associates, Inc. will host an important webinar— LTACs vs. SNFs vs. IRFs: Mergers, Acquisitions and the Battle for the Post-Acute Patient —on Thursday, September 22, 2016, at 1:00 PM ET. A recording of the webinar will also be made available following its live presentation. The webinar is part of the Interactive Webinar Series.
 
Long-term acute care hospitals (LTACs) and inpatient rehab hospitals (IRFs) have pretty much had a monopoly on the highest acuity post-acute patients, especially those requiring ventilator care. But as skilled nursing facilities continued to see their private pay census decline, combined with a stingy Medicaid reimbursement system, they began to seek out higher and higher acuity patients, sometimes competing with LTACs and IRFs. Site neutrality for patient care and reimbursement became a big topic. This, in part, has been pushing the values of some SNFs into never-seen-before territory. But SNFs have to be able to deliver on quality, and some have, while others have not.
 
Steve Monroe, Editor of the SeniorCare Investor and moderator of the panel, will pose relevant topics such as: Whether the evolution of SNFs into higher acuity care will decrease the values of LTACs and IRFs; Who is selling in this seller’s market? How far SNFs can push into the high-acuity business and the extent to which LTAC and IRF owners and operators will be able to fight back; The influence that managed care companies will have on site neutrality; Whether the physician and the patient will have any say in the site of care; And what this will mean for the SNF operators that don’t get into the high-acuity business. Our panel of experts will include Rick Matros, CEO, Sabra Health Care Reit, Aaron Murski, Managing Director, VMG Health, and the rest to be determined.

“LTACs vs. SNFs vs. IRFs: Mergers, Acquisitions and the Battle for the Post-Acute Patient” is expected to generate an informative discussion. If you’re interested in this topic, then you won’t want to miss the live webinar on September 22, at 1:00 pm ET, or miss out on the recording that will be available following the webinar.

 

Irving Levin Associates, Inc. To Host Webinar, “Home Health & Hospice: Buying, Selling and Valuing”

FOR IMMEDIATE RELEASE

Rachel Scinto
Event Coordinator
800-248-1668
203-846-6800
Fax: 203-846-8300
pressreleases@levinassociates.com

NORWALK, CT –August 3, 2016-Irving Levin Associates, Inc. will host an important webinar— Home Health & Hospice: Buying, Selling and Valuing—on Thursday, August 18, 2016, at 1:00 PM ET. A recording of the webinar will also be made available following its live presentation. The webinar is part of the Interactive Webinar Series.

Merger and acquisition activity has picked up significantly in this sector, after a relatively quiet 2015. This fragmented industry continues to attract private equity and strategic buyers who are building larger networks among local companies and agencies. Some notable platforms have changed hands this year, and several more announcements are expected. Join our interactive webinar to find out what is in store for this market in the second half of 2016.

Leslie J. Levinson, Esq., Partner and Co-Chair, Transactional Health Care Group, Robinson & Cole LLP and moderator of the panel, will pose topical questions such as: Who’s buying what, and where? Who is selling in this seller’s market? Can valuations still go higher? How will the changes in labor laws and reimbursement rules impact prices and valuations, particularly minimum wage and overtime laws? Our panel of experts will include Benjamin Bogan, Partner, Stoneridge Partners, Justin Hand, Managing Director, Provident Health Partners, and the rest to be determined.

“Home Health & Hospice: Buying, Selling and Valuing” is expected to generate an informative discussion. If you’re interested in this topic, then you won’t want to miss the live webinar on August 18, at 1:00 pm ET, or miss out on the recording that will be available following the webinar.

Please visit https://products.levinassociates.com/downloads/home-health-hospice-buying-selling-and-valuing-august-18-2016/ or call 203-846-6800 for more information about this interactive webinar.

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NEWLY PUBLISHED: 2015 HEALTH CARE SERVICES M&A MARKET SEES GROWTH IN DEAL VOLUME AND VALUE OF TRANSACTIONS, ACCORDING TO IRVING LEVIN ASSOCIATES, INC.

FOR IMMEDIATE RELEASE

Lisa Phillips
Editor
800-248-1668
203-846-6800
Fax: 203-846-8300
pressreleases@levinassociates.com

NORWALK, CT – April 11, 2016 – Merger and acquisition activity in the health care industry’s services sectors increased in 2015, both in deal volume and the dollar value of transactions, according to the 2016 Health Care Services Acquisition Report, Twenty-Second Edition. Deal volume for the health care services sectors rose 22%, to 936 transactions versus 765 in 2014. The dollar value of those deals grew 183%, to $175 billion, compared with $62 billion in 2014.
 
“Health care mergers and acquisitions posted record-breaking totals in 2015,” said Lisa E. Phillips, editor of the 2016 Health Care Services Acquisition Report. “The services side contributed 62% of 2015’s combined total of 1,503 deals, which is even higher than 2014, when services deals accounted for 58% of the deal total.”
 
Merger and acquisition activity in the following services sectors—Behavioral Health Care, Hospitals, Laboratories, MRI & Dialysis, Managed Care, Physician Medical Groups, Rehabilitation and Other Services—posted gains over their 2014 totals. The exception was the Home Health & Hospice sector, which declined 33% in year-over-year deal volume. “The Affordable Care Act generally benefited health care services M&A activity in 2015,” Phillips added. “The shift to value-based outcomes and reimbursement made the post-acute sectors especially appealing for investors.” 

Hospital merger and acquisition activity remained strong in 2015, up 3% to 102 transactions, compared with 99 transactions in 2014. An average of 2.6 hospitals were involved in each transaction, compared with an average of 1.8 in 2014 and 3.3 in 2013. “Several deals resulted from the mega-mergers of 2013,” Phillips observed. “We’re seeing more sales resulting from bankruptcies, especially in states that have not expanded Medicaid coverage.”
 
The 2016 Health Care Services Acquisition Report, Twenty-Second Edition, contains more than 350 pages of hard-to-find information on all publicly announced hospital, managed care, laboratory services, physician medical group, behavioral health, home health and hospice, and rehabilitation mergers and acquisitions in 2015. The Long-Term Care sector is treated separately in The Senior Care Acquisition Report, Twenty-First Edition. Irving Levin Associates is a Norwalk, Connecticut-based research and publishing firm specializing in health care investments. The Health Care Services Acquisition Report may be purchased for $595 by calling 800-248-1668.

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Panelists Announced for “MACRA: Disruption in the Health Care M&A Market” Webinar

FOR IMMEDIATE RELEASE

Rachel Scinto
Event Coordinator
800-248-1668
203-846-6800
Fax: 203-846-8300
pressreleases@levinassociates.com

NORWALK, CT –July 18, 2016-Irving Levin Associates, Inc. has announced the panelists who will discuss an important and impactful topic for investors—the Medicare Access and CHIP Replacement Act of 2015 (MACRA). The webinar, titled MACRA: Disruption in the Health Care M&A Market, will take place on Thursday, July 21, 2016, at 1:00 PM ET. The webinar is part of the Interactive Webinar Series.
 
Joining us to discuss the changes that are scheduled to take place, and how they will change the healthcare M&A landscape in 2017 and beyond are:
 
David Friend, MD, MBA, Managing Director and Chief Transformation Officer at BDO Consulting’s Center for Healthcare Excellence & Innovation. Dr. Friend has more than 35 years of global healthcare experience serving as a C-suite operating executive, Board Director and advisor to academic medical centers, employers, payors, hospitals, physician groups, REITs, law firms and post-acute care organizations.
 
Scott Gottlieb, MD, is a Resident Fellow at the American Enterprise Institute and an appointee to the Federal Health Information Technology Policy Committee. A leading expert in health policy, Dr. Gottlieb provides insights into the economic and technological forces that are driving the transformation of health care. He is a regulator contributor to The Wall Street Journal, The New York Times and USA Today.
 
Hedy S. Rubinger, partner and chair of the Healthcare Practice of Arnall Golden Gregory LLP. She also serves on the firm’s Executive Committee. Ms. Rubinger focuses her practice on the representation of healthcare providers, including nursing homes, ambulatory surgery centers, assisted living facilities, physician groups, hospitals, home health agencies, hospices and ancillary service providers. She also represents investors and lenders and has extensive experience in managing the regulatory aspects of healthcare transactions.
 
Lisa Phillips, Editorial Director of The Health Care M&A Information Source, will moderate this interactive webinar, and take questions from listeners for discussion.

To join us for “MACRA: Disruption in the Health Care M&A Market,” please visit  https://products.levinassociates.com/downloads/macra-disruption-health-care-ma-market-july-21-2016/ or call 203-846-6800 for more information.
 
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Hospital M&A Activity Slipped In Q2:2016, While Spending Rose, According To HealthcareMandA.com

FOR IMMEDIATE RELEASE

Lisa Phillips
Editor
800-248-1668
203-846-6800
Fax: 203-846-8300
pressreleases@levinassociates.com

NORWALK, CT – July 14, 2016 – The hospital acquisition market posted a slight decrease in the second quarter of 2016, slipping 19% compared with the previous quarter. The 22 publicly announced hospital acquisitions were down 8% compared with the transaction volume in the year-ago second quarter. Dollar volume based on disclosed prices totaled $1.9 billion, an increase of 36% compared with the first quarter.

However, in the first half of 2016, 49 hospital deals have been announced, virtually even with the 48 deals announced in the first half of 2015. Spending on hospital transactions H1:16 rose 14%, to $3.3 billion, compared with $2.9 billion in the same period in 2015.
 
The largest acquisition in the second quarter to come with a disclosed price was the $688 million acquisition of Healthe Care Australia Pty Ltd, a portfolio company of Archer Capital and one of Australia’s largest private hospital operators. Its network of 17 hospitals with more than 1,800 beds provides inpatient, outpatient and community-based healthcare services. The buyer was Luye Medical Group, a division of China-based Luye Group, which also has a significant stake in Hong Kong-listed Luye Pharma Group Ltd.
 
“Now that the Centers for Medicare and Medicaid Services have published proposed regulations to support the Medicare Access and CHIP Replacement Act, some buyers may be waiting to see what the final regulations and time line will be,” said Lisa Phillips, Editor of HealthCareMandA.com, which publishes the data. “The fact remains that the players in this market still need scale to deal with the changes taking place.”       

All quarterly results are published in The Health Care M&A Report for all 13 sectors of health care, which is part of HealthCareMandA.com.  For more information, or to order the report, call 800-248-1668.  Irving Levin Associates, Inc. was established in 1948 and has headquarters in Norwalk, Connecticut. The company publishes research reports and newsletters, and maintains databases on the health care and senior housing M&A markets.

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Health Care M&A Deal Volume and Value Grew in Q2:2016; First Half of 2016 Tops H1:15, According to HealthCareMandA.com

FOR IMMEDIATE RELEASE

Lisa Phillips
Editor
800-248-1668
203-846-6800
Fax: 203-846-8300
pressreleases@levinassociates.com

NORWALK, CT – July 13, 2016 – Health care merger and acquisition activity gained strength in the second quarter of 2016. Compared with the first quarter of 2016, deal volume rose 11%, to 396 transactions. Deal volume was also higher, up 15%, compared with the same quarter the year before. Combined spending in the second quarter reached $88.2 billion, an increase of 9% compared with the approximately $80.7 billion spent in the previous quarter, according to HealthCareMandA.com.
 
In the first half of 2016, deal volume reached 754 transactions, up 5% compared with the first half of 2015 (721 deals). Spending in the first half of 2016 reached $168.9 billion, a 4% increase compared with the same period in 2015 ($162.4 billion).
 
Health care services represented 60% of the second quarter’s transaction total, slightly lower than the 62% share reported in the previous quarter, but equal to the 60% share recorded in the second quarter of 2015. Investor interest in the services sectors was generally strong. Deal volume in the Behavioral Health Care sector, with 17 transactions, was higher than the previous (113%) and year-ago quarters (183%). Similarly, the Long-Term Care sector posted 87 transactions in the second quarter, higher than the previous (5%) and year-ago quarters (13%).
 
On the technology side, transaction growth across three sectors, Biotechnology, eHealth and Pharmaceuticals, outpaced the first quarter. The eHealth sector was booming, with 57 transactions, up 58% versus the first quarter and 68% over the second quarter in 2015. The growing emphasis on benchmarking and population health management, not to mention revenue cycle management and electronic health records, will keep this sector growing for several more quarters.
 
“A few factors influenced deal volume in the second quarter of 2016,” said Lisa E. Phillips, editor of HealthCareMandA.com. “The passage of the Medicare Access and CHIP Replacement Act of 2015 (MACRA) ensured that the changes in the healthcare marketplace begun by the Affordable Care Act are going to continue. It’s very clear that those who practice value-based care will get the carrots, while providers who stick with fee-for-service will get the sticks.”
 
For more information on HealthCareMandA.com or The Health Care M&A Information Source, or for a membership to any of Irving Levin Associates’ services, please call 800-248-1668. Irving Levin Associates, Inc., established in 1948, is headquartered in Norwalk, Connecticut and is online at www.levinassociates.com.  This privately held corporation publishes annual and quarterly research reports, monthly and weekly newsletters, and maintains merger and acquisition databases on the health care and senior housing markets. If you would like to receive future releases, please email pressreleases@levinassociates.com.
 

 

Q2:16

Q1:16

Q2:15

Sector

Deals

Deals

Change

Deals

Change

Services

 

 

 

 

 

Behavioral Health Care

17

8

113%

6

183%

Home Health & Hospice

12

18

-33%

6

100%

Hospitals

22

27

-19%

24

-8%

Laboratories, MRI & Dialysis

11

8

38%

15

-27%

Long-Term Care

87

83

5%

77

13%

Managed Care

5

8

-38%

9

-44%

Physician Medical Groups

27

19

42%

23

17%

Rehabilitation

7

10

-30%

6

17%

Other

51

40

28%

41

24%

   Services subtotal

239

221

8%

207

15%

 

 

 

 

 

 

Technology

 

 

 

 

 

Biotechnology

32

31

3%

34

-6%

eHealth

57

36

58%

34

68%

Medical Devices

25

31

-19%

30

-17%

Pharmaceuticals

43

39

10%

39

10%

   Technology subtotal

157

137

15%

137

15%

 

 

 

 

 

 

Grand Total

396

358

11%

344

15%

 

 
 
 

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