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December 17, 2016 12:00 AM

The 2016 Year in Review: Provider M&A

Dave Barkholz
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    Shareholder activism and payer consolidation forced hospitals and physicians to muscle up through acquisitions in 2016.

    The $10 billion merger in November between physician-staffing giants AmSurg and Envision Healthcare will give the combined company a “first-mover advantage” as it seeks to become a one-stop vendor capable of staffing every department of a hospital, Envision CEO Chris Holden said.

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    Catholic Health Initiatives and Dignity Health said in October they are exploring a merger. If that happens it would create the nation's largest, not-for-profit hospital company, with annual revenue of $27.8 billion and 142 hospitals spread over 25 states. A sticking point could be that their combined debt totals $14.3 billion and requires annual debt service of $868 million.

    It all looks so different now...

    Politics and policy

    Public health

    Medicaid

    Drugs and devices

    Insurance

    Winners and losers

    Payment reform

    Technology

    Unwieldy debt fueled by questionable deals prompted big activist investors to stick their noses into the governance and operations of some of the industry's largest players, including TeamHealth and Community Health Systems.

    Investor Jana Partners helped oust TeamHealth CEO Michael Snow, paving the way for private equity firm Blackstone Group to agree in October to buy TeamHealth for $6.1 billion.

    With a debt of $15 billion, CHS is selling off hospitals and assets to reduce debt and try to keep bargain hunters from acquiring a controlling interest in its depressed shares.

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      • Safety & Quality
      • Transformation
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      • Regional News
        • Midwest
        • Northeast
        • South
        • West
      • Digital Edition (Web Version)
    • Unwell in America
    • Opinion
      • Bold Moves
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      • Commentaries
      • Letters
      • Vital Signs Blog
      • From the Editor
    • Events & Awards
      • Awards
        • Nominate/Eligibility
        • 100 Most Influential People
        • 50 Most Influential Clinical Executives
        • Best Places to Work in Healthcare
        • Excellence in Governance
        • Health Care Hall of Fame
        • Healthcare Marketing Impact Awards
        • Top 25 Emerging Leaders
        • Top 25 Innovators
        • Diversity in Healthcare
          • - Luminaries
          • - Top 25 Diversity Leaders
          • - Leaders to Watch
        • Women in Healthcare
          • - Luminaries
          • - Top 25 Women Leaders
          • - Women to Watch
      • Conferences
        • Digital Health Transformation Summit
        • ESG: The Implementation Imperative Summit
        • Leadership Symposium
        • Social Determinants of Health Symposium
        • Women Leaders in Healthcare Conference
      • Galas
        • Best Places to Work Awards Gala
        • Health Care Hall of Fame Gala
        • Top 25 Diversity Leaders Gala
        • Top 25 Women Leaders Gala
      • Virtual Briefings
        • - Hospital of the Future
        • - Value Based Care
        • - Supply Chain
        • - Hospital at Home
        • - Workplace of the Future
        • - Digital Health
        • - Future of Staffing
        • - Hospital of the Future (Fall)
      • Webinars
    • Multimedia
      • Podcast - Beyond the Byline
      • Sponsored Podcast - Healthcare Insider
      • Video Series - The Check Up
      • Sponsored Video Series - One on One
    • Data Center
      • Data Center Home
      • Hospital Financials
      • Staffing & Compensation
      • Quality & Safety
      • Mergers & Acquisitions
      • Data Archive
      • Resource Guide: By the Numbers
      • Surveys
      • Data Points
    • MORE+
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