THE BUSINESS OF HEALTHCARE
M&A insights to keep you one step ahead of the ever-evolving healthcare industry.
May 2021
Senior Living & Home Health Care
The Train is Leaving the Station... by Steve Zacharias, Managing Partner at Transact Capital 
As an investment bank and M&A firm, we are seeing an unusual amount of owners approaching us to sell their company “before the end of 2021”. Some want to exit completely; others want to continue running it but take money out now at a low capital gains rate while it exists.
 
You can do either if you move quickly, but we believe the window is rapidly closing. Based on our research and experience, here is what Transact Capital sees ahead of us:  
New Opportunities for the Expansion of Telemedicine during the COVID-19 Pandemic by Bryan Arkwright, Transact Capital M&A Advisor for the Wake Forest Journal of Science and Medicine
Transact Capital M&A Advisor, Bryan Arkwright, compares industrial evolution elements and outlines the popular COVID-19 telehealth use cases in the market today as well as emerging future trends and opportunities.
Healthcare M&A activity bounces back in Q1’21 from early-2020 doldrums by Michael Gibney et al. for S&P Global Market Intelligence
Healthcare industry M&A transactions in 2020 focused on small to midsized businesses rather than transformational megadeals. Deals have increased through Q1 2020 as healthcare M&A increased 5 times the amount seen in the same period a year prior.
Home Health Patient Volume Hits 116% of Pre-Pandemic Baselines by Robert Holly for Home Health Care News
Total 2021 post-acute care volume aligns with 2019 with the exception that it now skews more towards home health instead of skilled nursing facilities. Many predict the volume shift in home health is part of a long-lasting trend and is the new normal.
Providers Face Challenges and Opportunities as Need for Pediatric Hospice Grows by Jim Parker for Hospice News
As more healthcare moves into the home setting the need for pediatric services has grown. Research from American Academy of Pediatrics shows youth-specific hospice patients are among the most underserved demographic and face many end-of-life care needs that differ from adults.
Top 10 M&A Mistakes Series:
Transact Capital Managing Director, Jonathan Brabrand, authored and released $100 Million Exit: Your Roadmap to the Ultimate Payday in April 2020. The book analyzes large M&A successes and failures to draw practical, actionable advice that company owners can implement to increase the value of their business and be better prepared for an exit. The following is the sixth in a running newsletter series Top 10 M&A Mistakes detailing passages from Jonathan's book.
M&A Mistake #5: Pre-Judging Buyers
It is critically important for business owners to fully understand the various options available to them, both in terms of buyer categories and specific companies within each. Depending on the seller’s desired outcome, their options may include domestic and international strategic (corporate) buyers, private equity, and other types of financial buyers, or both. It also may include groups that will take a minority stake in your business, in addition to those groups who look to acquire controlling majority positions in companies.
Who is Transact Capital?
Transact Capital Partners is a full-service mergers and acquisitions advisory and investment banking firm headquartered in Richmond VA with offices in Roanoke VA, Chicago IL, Orlando FL, and Lexington KY. The firm's strong network of relationships with private investors, senior lenders, private equity firms and professional advisors offers a significant advantage in representing business owners for the sale of their business. Transact Capital's experienced and motivated team of 17 professionals are dedicated to helping business owners identify and achieve their vision for the potential future of the company.

Securities and investment banking transactions are offered through its 100% owned affiliate Transact Capital Securities, LLC, Member FINRA and SIPC.
To learn more about the Healthcare Advisory Group, please contact Mike Gaetano at (804) 612-7101 or [email protected]