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    Misc

    Hospital M&A news

    October 21st, 2005

    Essent Healthcare bought another community hospital, with the proceeds going to a charitable foundation that will fund local health programs. If I'm in that community, I'm celebrating - the hospital's under new management AND there's a new multi-million dollar foundation that'll fund health programs for me. Two-for-none benefits.

    Essent Healthcare is relatively new - this is only their 5th hospital acquisition. I previously mentioned another hospital acquiring newbie Stonebridge (their CEO is anything but a newbie).

    Speaking of M&A, hospital M&A activity was $1.3B for 3Q05 (compared to just under $1B for 2Q05). As you look at this report more closely, the one thing that jumps out is the M&A for Managed Care - $17.3B. Of course, that's mostly WellPoint's buying WellChoice ($6.5B)

    And finally in the international front, apparently French hospitals go for about the same amount as American ones. German hospital giant Fresenius bought hospital chain Helios Kliniken for $1.8B. 24 hospitals, 9,300 beds - so they paid ~$200,000 per bed, similar to deals in America that I've posted on previously. And even after dropping $1.8B, looks like Fresenius is really just getting started.

    What does all of this M&A mean? To me, it basically means three things: (1) a lot of people think they can add a lot of value to existing hospitals; (2) a lot of people think healthcare's future growth prospects and profitability is more viable than many other industries; (3) a lot people see "niche" opportunities: finding and buying hospitals with similar characteristics.

    (UPDATE: don't get too carried away, though: Evanston Northwestern was just ordered by the FTC to sell Highland Park Hospital. The reason? the acquisition "substantially lessened competition" and drove up health care costs)

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    Hospital facilities built today do not include asbestos, but many older buildings still have asbestos components in them. Steam pipes, boilers and furnace ducts were often insulated with an asbestos blanket or asbestos paper tape because of their fireproof and insulating properties. Resilient floor tiles were made from vinyl asbestos. Asbestos cement was employed in roofing, shingles and siding materials. The hazard of this carcinogen increases when the fibers become airborne, and untrained contractors can inadvertently increase risks by cutting, tearing, sawing, scraping, or sanding asbestos materials. Elevated asbestos levels can occur in hospitals where old materials are damaged or disturbed. It is best to leave undamaged asbestos material alone if it is not likely to be disturbed. Inhaling asbestos fibers is known to cause mesothelioma and other diseases. Be sure to use an experienced asbestos removal contractor when you need to get rid of old materials that might contain asbestos.