THE BUSINESS OF HEALTHCARE
M&A insights to keep you one step ahead of the ever-evolving healthcare industry.
April 2021
Senior Living & Home Health Care
Telehealth Data Shows Increased Demand for Virtual Behavioral Care (April Update)
by Bryan Arkwright, Transact Capital M&A Advisor & Mike Gaetano, VP of Biz Dev for Transact Capital 
The COVID pandemic has accelerated telehealth usage rates across the United States in an effort to limit the spread of the virus and increase mental health service access. FairHealth, an independent nonprofit that collects and manages the country’s largest database of insurance claims, recently updated its Monthly Telehealth Regional Tracker with January 2021 data. The numbers continue to highlight the detrimental impact the pandemic has had on mental health in the United States.

Generating Revenue by Leveraging Telehealth Resources (Webinar) ft. Transact Capital Partners M&A Advisor Bryan Arkwright
Topics covered include defining your telehealth resources, breaking down telehealth ROI & VOI, key variables to consider for telehealth revenue, and creating a culture of telehealth ROI sustainability.

Consumer health behavior and the COVID-19 pandemic: What have we learned? by Karen Young et al. at PwC
The pandemic accelerated changes in consumer healthcare needs and behavior. Key changes pertain to mental health and telehealth to in-home care to other outpatient care sites.

Private Equity Investment in Hospice Hits All-Time High, Valuations Rising by Holly Vossel for Hospice News
The hospice market has been active throughout 2020 and early 2021 with several large-scale transactions that highlight industry trends that are having a favorable impact on valuations.

Home Health Profit Margins Projected to Remain Strong in 2021 by Robert Holly for Home Health Care News
The shift to the Patient-Driven Grouping Model (PDGM) and adverse effects of the pandemic have not had a significant impact on Medicare-certified home health agencies.

7.4 M Direct Care Jobs Will Need to Be Filled by 2029, with Most in Home Care by Andrew Donlan for Home Health Care News
The rapidly aging US population will require 7.4 million jobs to be filled by the end of the decade. The American Jobs Plan has set aside $400 billion for home-based services and aims to improve caregiver recruiting and retention.

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 fifth in a running newsletter series Top 10 M&A Mistakes detailing passages from Jonathan's book.
M&A Mistake #6: Avoidable Surprises
There are many reasons M&A deals fail to close. Macro factors, like changes in tax laws, an economic slowdown, or an unexpected rise in interest rates, can cause a transaction to fall apart. Likewise, a sharp decline in the buyer’s stock price, a change in strategic direction from their Board of Directors, a shortfall in their bank financing, or some other shift in the buyer’s world may lead to them walk away from a deal.

In my over twenty years of leading M&A transactions, however, I’ve seen fully three-quarters of failed M&A deals happen because of an unexpected seller-related development, revelation, or discovery. Something comes to light about the target company that the buyer wasn’t expecting.

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]