Healthcare mergers and acquisitions (“M&A”) increased 12 percent from Q2 to Q3 2019 and outpaced Q3 2018 activity by 41 percent, research by Hammond Hanlon Camp LLC (“H2C”) shows. In Q3 2019, 214 transactions were recorded, compared with 191 in Q2 2019 and 152 in Q3 2018. HCIT transactions and continued strong physician practice management and ambulatory surgery center volume helped to drive growth.
Hammond Hanlon Camp LLC (“H2C”) is pleased to share that Bill Hanlon’s article for The Governance Institute, featuring key considerations for healthcare leaders in determining whether direct investment in health tech startups is the right move, is the cover article for the Institute's "System Focus" newsletter.
CHICAGO — Hammond Hanlon Camp LLC (“H2C”) won HFMA’s Helen Yerger/L. Vann Seawell Best Article Award for outstanding editorial achievement for its article on new lease accounting standards in healthcare, published in hfm magazine in December 2018. The article is one of three articles to win this award in FY 2019.
A growing chorus of voices warns of recession. The United Kingdom may already be in one. So, what might happen to hospitals in the event of another recession like the “Great Recession” that began at the end of 2007 and whose effects lasted through 2011?
In part one of H2C’s Seller Strategies Series, H2C outlined notable changes to the tax law and potential implications for healthcare real estate owners and sellers. Part two of this series evaluated Section 1031 Exchanges under the new tax law and Delaware Statutory Trust investing, which are often correlated and can offer sellers attractive solutions for capital gains tax deferment. This third and final installment outlines Opportunity Zone Investing, a new and exciting tax deferral strategy introduced under the new tax law.
Tax law changes have created potential challenges as well as opportunities for sellers of healthcare real estate. In this three-part series from Hammond Hanlon Camp LLC (“H2C”), H2C presents key information as well as transactional strategies that may offer sellers the ability to mitigate potential tax consequences.
SAN DIEGO — Hammond Hanlon Camp LLC (“H2C”),a healthcare-focused strategic advisory and investment banking firm, served as the exclusive financial advisor to a privately owned healthcare real estate investment company on the sale of a three-building medical office portfolio located in Springfield, Mass. (the “Pioneer Portfolio”).
Following a blockbuster year of healthcare information technology (“HCIT”) fundraising, 2019 is on track to meet or exceed prior periods, with $4.2 billion in funding already secured, Hammond Hanlon Camp LLC (“H2C”) research shows. This compares with $3.4 billion for the first six months of 2018. While transaction value continues to climb, the number of transactions has decreased, with 360 HCIT transactions expected in 2019, down from 376 in 2018 and 363 in 2017.
Tax law changes have created potential challenges as well as opportunities for sellers of healthcare real estate. In this three-part series from Hammond Hanlon Camp LLC (“H2C”), H2C provides a summary of several notable changes to the tax law and present transactional strategies that may offer sellers the ability to mitigate potential tax consequences. The series will explore changes to capital gains and income tax rules that resulted from...
SAN DIEGO — Hammond Hanlon Camp LLC (“H2C”), a healthcare-focused strategic advisory and investment banking firm, through its wholly-owned subsidiary, H2C Securities Inc. ("H2C"),
served as the exclusive financial advisor to Hawai’i Pacific Health (“HPH” or the “System”) in the issuance of Series 2019 Bonds totaling nearly $48.1 million to refinance existing debt. The fixed-rate, tax-exempt bonds...
Healthcare mergers and acquisitions increased 10 percent from Q1 to Q2 2019 and outpaced Q2 2018 activity by 18 percent, research by Hammond Hanlon Camp LLC (“H2C”) shows. In Q2 2019, 192 transactions were recorded, compared with 174 in Q1 2019 and 163 in Q2 2018, with behavioral health continuing to be the sector driving growth.
As H2C predicted in its first-quarter medical office building (“MOB”) report, the second quarter saw strong transaction volume of $3.1 billion, with 300 MOBs trading hands. A large portion of the activity was attributed to Welltower Inc.’s (“Welltower’s”) closing of the 55-property CNL Healthcare Properties (“CNL”) portfolio, which CNL put under contract in early Q1, for $1.25 billion.
Ambulatory investment, including investment in ambulatory surgery centers (“ASCs”), continues to be viewed as a critical strategic move among healthcare organizations, especially large health systems, H2C research shows. Last year, Tenet Healthcare Corp. increased its investment in an ASC chain even as it divested other assets. Meanwhile, a recent poll shows 48 percent of hospitals and health systems plan to make additional ASC investments.
According to an August 2018 Reuters/Ipsos poll, 70 percent of those surveyed support Medicare for All (“M4A”), including more than half of Republicans surveyed. This followed a June 2017 survey by the Kaiser Family Foundation that found a majority of Americans favored a single-payer health system. In this survey, as well as countless articles and opinion pieces addressing the subject of healthcare reform, cost is far and away the central issue driving Americans’ interest in change.
A final rule that expands access to telehealth as a basic benefit for Medicare Advantage members, beginning in 2020, opens the door for seniors to receive telehealth services from their home as well as senior living facilities, community health centers, and more. But will it be enough to spur increased adoption of telehealth from healthcare providers?
Capital partnerships were a hot topic at the BOMA International Medical Office Buildings + Healthcare Real Estate Conference, where leaders for Hammond Hanlon Camp LLC (“H2C”) led two panel discussions and spoke with experts from across the industry.
Hammond Hanlon Camp LLC (“H2C”), a healthcare-focused strategic advisory and investment banking firm, served as the exclusive financial advisor to WakeMed Health & Hospitals, a Raleigh, N.C.-based health system (“WakeMed” or the “System”), in the issuance of $207.7 million in Series 2019A tax-exempt, fixed-rate bonds, $79.0 million in Series 2019B variable-rate demand bonds (“VRDBs”), and $79.0 million in Series 2019C VRDBs (collectively, the “Bonds”). The proceeds of the Bonds will be used to fund projects on two of the health system...
NEW YORK —Following a strong year for the medical office building (“MOB”) sector, 223 properties transacted in the first quarter of 2019, for a total dollar volume of $1.7 billion—the lowest quarterly dollar volume since the first quarter of 2014 across the lowest number of properties since the first quarter of 2016.
Small hospital and health system transactions dominated healthcare merger and acquisition (M&A) activity in the first quarter of 2019, as more than half of the transactions involved targets with less than $100 million in revenue, research by Hammond Hanlon Camp LLC (“H2C”) shows. verall, Q1 2019 M&A activity was 20 percent lower than in Q1 2018, but still strong, with 178 transactions, compared with 223 transactions in Q1 2018.
The first quarter of 2019 was actually quite active for hospital and health system M&A, albeit for smaller-sized and, oftentimes, more rural transactions. Research by Hammond Hanlon Camp (“H2C”) shows more than half of the transactions announced in the first quarter of 2019 involved targets with less than $100 million in revenue.
More than one out of five rural hospitals are at high risk of closing unless their financial situations improve, a recent study found. It’s a situation that impacts 430 hospitals nationwide—and the challenges these hospitals face are daunting.
NEW YORK — Hammond Hanlon Camp LLC (“H2C”), a healthcare-focused strategic advisory and investment banking firm, through its wholly-owned subsidiary H2C Securities Inc. (“H2C”), served as the exclusive financial advisor to Mercy Iowa City (“Mercy”) on a year-long, multiphase process to restructure and strengthen the system’s balance sheet. The series of transactions reduced overall debt while adding unrestricted liquidity...
Private equity investment continues to fuel merger and acquisition (“M&A”) activity in behavioral health, with a 10 percent increase in behavioral health transactions from 2017 to 2018, H2C data shows. But while the demand for behavioral health services makes these investments attractive, the difficulties of care delivery often are greater than anticipated.
NEW YORK — Hammond Hanlon Camp LLC (“H2C”), a healthcare-focused investment banking firm, through its wholly-owned subsidiary H2C Securities Inc., served as the exclusive financial advisor to John Muir Health (“JMH”), based in Walnut Creek, California, in connection with the issuance of $87.025 million in Series 2018A tax-exempt, fixed-rate bonds.
The post-acute care market has witnessed significant M&A activity in recent years. H2C expects this trend to continue into 2019 as favorable macro-level tailwinds, the removal of benefit restrictions around Medicare reimbursement, and a fragmented competitive landscape continue to drive consolidation. Both private equity firms and strategic players will be active participants, either by making platform investments or adding scale through tuck-ins.