Home Health M&A Deal Volume Continues to Decline

Publicly announced home health and hospice M&A activity has hit its lowest level in years, dropping by 40% to a mere nine transactions in the second quarter of 2017, as compared to first-quarter performance of 15 acquisitions.

These second quarter numbers illustrate a continued decline in M&A activity for the industry sector, as M&A activity was also down in the first quarter of 2017.

Further, in a year-over-year analysis, the dip in mergers and acquisitions in the sector for the second quarter of 2017 is 31% below the number of acquisitions made in the second quarter 2016, according to research conducted by Irving Levin Associates.

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Of the nine publicly announced mergers and acquisitions, the largest based on revenue was the acquisition of New Mexico-based Option Home Care—a local provider generating $20 million in annual revenue—by Texas-based Addus HomeCare (Nasdaq: ADUS) in May 2017. Others in the mix include the acquisition of Knoxville-based East Tennessee Personal Care Services by Baton Rouge, Louisiana-based Amedysis Inc. (Nasdaq: AMED); the acquisition price was not disclosed.

The less-than-stellar numbers from the first and second quarter of the year counter the sector’s overall M&A performance in 2016, which saw a growing interest from private equity investment firms in home care and hospice, according to research by The Braff Group.

Investors may be hesitant to pursue M&A opportunities in the home health and hospice sector, as a cloud of uncertainty continues to linger over Medicare and Medicaid reimbursement, explains Lisa Phillips of Irving Levin Associates.

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Written by Carlo Calma

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