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Macroeconomic Trends 1 
Industry Trends 3 
Valuation Trends 5 
M&A Trends 8 
M&A Transactions 9 
Public Company Pricing 16 
About Mercer Capital 22 
VALUE FOCUS 
Healthcare Facilities 
Overview 
The healthcare facilities sector has rebounded well 
following the most recent recession. An improving 
economy and rising consumer spending, coupled 
with favorable healthcare dynamics have greatly 
benefited the healthcare facilities sector. Health-care 
facilities do face some headwinds, however, 
with healthcare reform implementing new payment 
models, presenting facilities with the challenge of 
www.mercercapital.com 
adapting to a new reimbursement regime. Other 
structural factors leave the sector somewhat vul-nerable 
going forward, but overall trends remain 
positive for healthcare facilities. Current valuation 
trends and expectations are positive for the sector, 
with growth in both healthcare facility revenue and 
profitability expected through 2014 and into 2015. 
Mid-Year 2014 
Inside
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Macroeconomic Trends 
Disposable Income 
Per capita disposable income contracted 
in the most recent recession, but it has 
rebounded and is expected to grow 
through 2020 by approximately 2.5% to 
3.0% annually. As disposable income 
rises, individuals are better able to afford 
out-of-pocket expenses and healthcare 
demand can be expected to increase. 
Per Capita Disposable Income 
U.S. Resident Population 6 Demographic Trends 5 Years and Older 
Aging populations are a major driving 
force behind spending on healthcare, 
with the elderly (aged 65 and older) 
accounting for approximately one-third 
of healthcare expenditure in the U.S. 
Elderly residents are expected to account 
for 14.8% of the population in 2015 and 
grow to 20.3% by 2030, continuing to 
increase overall healthcare demand.1 
© 2014 Mercer Capital 1 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Macroeconomic Trends (cont.) 
Obesity Rates US Adult Obesity Rates 
In addition to the greying population, the 
prevalence of unmet medical needs and 
increasing incidence of lifestyle diseases 
are likely to drive continued growth in 
the demand for healthcare services. 
According to OECD estimates, currently 
70% of U.S. adults are overweight or 
obese, the second highest rate in the 
OECD. Some data does show obesity 
rate increases are slowing, however, and 
some forecasts are even predicting a 
downturn in the percentage of overweight 
individuals in the U.S. over the next 
several years. 2, 3 
US Healthcare S US Healthcare Spending pending, Total and % of GDP 
Due to income levels and demographic 
shifts, total expenditure is expected to 
grow from approximately $3 trillion in 
2014 to over $5 trillion by 2023. As a 
percentage of GDP, total healthcare 
expenditure is expected to grow from 
17.6% in 2014 to almost 19.5% by 2023.4 
© 2014 Mercer Capital 2 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Industry Trends 
Health Insurance Health Insurance Coverage Enrollment Totals 
The Affordable Care Act (ACA) was 
passed, in part, to address the number 
of Americans without health insurance. 
People covered by private health insur-ance 
are more likely to use healthcare 
services because private health insur-ance 
decreases out-of-pocket costs. 
With passage of the ACA, the percentage 
of Americans enrolled in a health insur-ance 
plan is expected to grow from 
84.4% in 2010 to 93.0% by 2016.5 
Payor Mix 
Funding for Medicare and Medicaid 
and the terms of access to these reim-bursement 
programs affect demand for 
hospitals and other healthcare services. 
Federal and state funding also affect the 
prices for those services. According to 
projections, Medicare funding outlays 
are set to be relatively stable through 
2020 and beyond. The Congressional 
Budget Office (CBO) estimates Medi-care 
will hover around 13.0% to 15.0% 
of federal spending and 3.0% of GDP 
through 2023.6 
Health Expenditure by Source 
© 2014 Mercer Capital 3 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Industry Trends (cont.) 
Physician Revenue Generation 
Since 2004, the average revenue by 
physicians generated for their respective 
hospitals has dropped by almost 22.0%. 
Medicare reimbursement cuts and an 
evolving payment model (from fee-for-service 
to value-based) are driving the 
decline in revenues. This loss of revenue 
per physician has led to consolidation 
among hospitals and medical groups in 
the last decade.7 
Average Net Revenue Generated by Physicians for Hospitals 
Physician S Physician Shortages upply and Demand in the US 
According to the Association of American 
Medical Colleges (AAMC), the U.S. will 
have a shortage of approximately 90,000 
doctors by 2020. An aging population 
and an increase in insured individuals 
are driving demand upward for health 
professionals, but supply has been slow 
to follow. Medicare supported residency 
training has been flat since 1997 and 
one possible solution may be to increase 
funding towards these programs to draw 
in more eligible doctoral candidates. 
Increasing wages could also reverse the 
trend, but would negatively affect health-care 
facility margins.8 
© 2014 Mercer Capital 4 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Valuation Trends 
Broader healthcare indices have outpaced general market performance. Over the last year, the S&P Healthcare index and various healthcare 
sub-indexes have outperformed the S&P 500 index. 
Market Indices 
60.00% 
50.00% 
40.00% 
30.00% 
20.00% 
10.00% 
0.00% 
-10.00% 
Jul-01-2013 Aug-01-2013 Sep-01-2013 Oct-01-2013 Nov-01-2013 Dec-01-2013 Jan-01-2014 Feb-01-2014 Mar-01-2014 Apr-01-2014 May-01-2014 Jun-01-2014 
Russell 2000 Health Care Facilities Industry - Index Value S&P 500 Index (^SPX) - Index Value 
SPDR S&P Healthcare Services ETF (NAV) Index (^XHS) - Index Value S&P 500 Health Care Distributors (Sub Ind) Index (^SP500-35102010) - Index Value 
Russell 2000 Index (^RUT) - Index Value Merrill Lynch US Healthcare REIT (Total Return) Index - Index Value 
S&P 500 Sector Indices - Health Care Sector Index (^HCX) - Index Value S&P 500 Health Care Providers & Services (Industry) Index (^SP500-351020) - Index Value 
Source: Capital IQ 
Healthcare distributors (46.7%) and healthcare providers and services (26.9%) have had the best broad performance among the sub-sector indices 
in the past year. Merrill Lynch’s Healthcare REIT index was a relative outlier compared to other indices, but still recorded gains over the period. 
Market Indices 
% Change 
Market Indices 3 month YTD 1 year 
S&P 500 Index 5.5% 6.1% 21.4% 
Russell 2000 Index 3.6% 2.5% 20.5% 
Merrill Lynch US Healthcare REIT (Total Return) Index - Index Value 2.4% 5.9% 8.2% 
S&P 500 Sector Indices - Healthcare Sector Index 5.4% 9.7% 27.3% 
S&P 500 Healthcare Providers & Services (Industry) Index 3.2% 9.1% 26.9% 
SPDR S&P Healthcare Services ETF (NAV) Index 7.7% 11.1% 23.9% 
Russell 2000 Healthcare Facilities Industry - Index Value 0.5% 6.5% 23.3% 
S&P 500 Healthcare Distributors (Sub Ind) Index 4.6% 8.4% 46.7% 
Source: Capital IQ 
© 2014 Mercer Capital 5 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Valuation Trends (cont.) 
Market Sector 
Number of 
Companies 
Median % Change LTM Multiples Forward Multiples 
Sector 3 month 1 year 
EV / 
Revenue 
EV / 
EBITDA 
EV / 
Revenue 
EV / 
EBITDA 
Acute Care Hospitals 5 15.2% 27.7% 1.56x 9.6x 1.12x 7.8x 
Assisted Living 5 2.9% -4.6% 0.98x 15.7x 0.95x 13.1x 
Diagnostic Services 3 -19.9% 70.9% 1.83x 6.3x 1.25x 7.4x 
Dialysis Services 2 0.9% 4.7% 1.96x 10.0x 1.87x 9.9x 
Distribution / Supply 6 0.8% 32.1% 0.26x 13.7x 0.27x 9.9x 
Emergency Services 3 -3.0% 52.5% 2.93x 11.8x 1.23x 4.9x 
Healthcare REIT 5 6.0% -5.6% 10.36x 18.1x 9.35x 15.9x 
Home Care / Hospice 6 3.1% 22.9% 0.77x 12.9x 0.68x 8.9x 
Long Term Care 4 2.2% 36.5% 0.79x 8.6x 0.87x 7.0x 
Pharmacy Management 5 3.2% 12.0% 0.64x 11.9x 0.67x 11.7x 
Psychiatric Hospitals 3 6.6% 22.0% 0.49x 10.1x 0.39x 8.0x 
Surgical Centers / Rehabilitation 4 0.1% 24.2% 2.29x 9.3x 2.15x 9.1x 
All / Median 51 2.5% 23.5% 1.27x 11.0x 1.04x 9.0x 
Source: Capital IQ 
Median Stock Price % Change, 1 Year 
Diagnostic Services 
Emergency Services 
Dialysis Services 
Pharmacy Management 
S&P 500 
Psychiatric Hospitals 
Home Care / Hospice 
Surgical Centers / Rehabilitation 
Acute Care Hospitals 
Distribution / Supply 
Long Term Care 
Healthcare REIT 
Assisted Living 
-10.00% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 
Source: Capital IQ 
Median Stock Price 
Companies in various healthcare facility 
subsectors have generally outperformed 
the broader market. The S&P 500 index 
has grown 21.4% year over year, trailing 
gains made by numerous healthcare 
facility sub-sectors. Excluding healthcare 
REITs, the best performing sub-sec-tors 
over the last year were diagnostic 
services (70.9%), emergency services 
(52.5%), and long-term care (36.5%). 
The worst performing sub-sectors were 
assisted living (-4.6%) and dialysis 
services (4.7%). 
© 2014 Mercer Capital 6 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Valuation Trends (cont.) 
EV / Revenue Multiples 
Excluding healthcare REITs, sub-sec-tors 
with the highest current revenue 
multiples are emergency services 
(2.93x) and surgical centers/rehabilita-tion 
(2.29x). Forward revenues in most 
sub-sectors are pegged to increase over 
the next year. 
EV / EBITDA Multiples 
The sub-sectors with the highest current 
EBITDA multiples are assisted living 
(15.7x) and distribution/supply (13.7x). 
Similar to forward revenue expectations, 
forward EBITDA estimates are expected 
to increase across the majority of health-care 
facility sub-sectors. 
3.50x 
3.00x 
2.50x 
2.00x 
1.50x 
1.00x 
0.50x 
0.00x 
Acute Care 
Hospitals 
Assisted 
Living 
Diagnostic 
Services 
Dialysis 
Services 
Distribution / 
Supply 
Emergency 
Services 
Home Care / 
Hospice 
Long Term 
Care 
Pharmacy 
Management 
Psychiatric 
Hospitals 
Surgical 
Centers / 
Rehabilitation 
All / Median 
LTM Multiples Forward Multiples 
Source: Capital IQ 
18.0x 
16.0x 
14.0x 
12.0x 
10.0x 
8.0x 
6.0x 
4.0x 
2.0x 
0.0x 
Acute Care 
Hospitals 
Assisted 
Living 
Diagnostic 
Services 
Dialysis 
Services 
Distribution / 
Supply 
Emergency 
Services 
Home Care / 
Hospice 
Long Term 
Care 
Pharmacy 
Management 
Psychiatric 
Hospitals 
Surgical 
Centers / 
Rehabilitation 
All / Median 
LTM Multiples Forward Multiples 
Source: Capital IQ 
© 2014 Mercer Capital 7 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
M&A Trends 
Over 200 transactions have been announced in the first half of 2014 in the healthcare facility sector. Hospitals and healthcare facilities are 
adapting to changes sweeping through the industry, as new policies and market forces are driving consolidation. Transaction activity remains 
high as providers combine and consolidate to remain competitive and achieve greater economies of scale, along with addressing shifting 
payment models. Major factors currently driving transactions include: 9, 10 
• Reduced reimbursement rates. Reimbursement issues 
are causing heavy financial stress on healthcare facilities, 
as payment models move from fee-for-service towards value 
based and bundle payments. Stagnant reimbursement from 
Medicare, Medicaid, and other commercial payors are also 
hurting industry revenue, driving an uptick in consolidating 
M&A activity. 
• Volume challenges. Patients have been gravitating towards 
lower cost outpatient facilities, lowering the number of patients 
in inpatient facilities. Higher deductibles and growing copays 
have resulted in larger out-of-pocket expenses for consumers, 
leading patients to delay certain medical treatments. This has 
led to greater uncertainty in patient volume in a number of 
healthcare facility sub-sectors. 
• Integrated healthcare services. In order to maintain margins 
and profitability, healthcare facilities are looking to expand 
their footprint into a number of sub-sectors. Larger healthcare 
facilities are absorbing smaller groups in divergent sectors in 
order to provide a continuum of care to patients, diversify their 
services, and control costs. 
• Scale advantages. Larger and more integrated healthcare 
facilities have greater leverage and bargaining power when 
dealing with third-party payors, leading smaller facilities to 
consolidate with larger healthcare groups. Large capital 
expenditures will be needed to upgrade older facilities due 
to increasing healthcare demand as well, and large medical 
facility groups are better equipped to take on improvement 
projects due to their advantageous capital positions. 
Major Transactions 
• Brookdale Senior Living (BKD) announced in the first quarter of 2014 plans to merge with the Seattle-based Emeritus Corporation, 
effectively creating the first national senior-living company. The transaction value totaled $2.8 billion, including $1.4 billion in debt, and 
the deal subsequently closed in the third quarter of 2014.11 
• AMSURG Corp. (AMSG) and Sheridan Healthcare announced in the second quarter 2014 that their respective boards of directors 
unanimously approved a definitive agreement under which AMSURG acquired Sheridan Healthcare in a cash and stock transaction 
valued at approximately $2.4 billion. The transaction combined an ambulatory surgical center with a physician management company 
and closed in the third quarter of 2014.12 
• Kindred Healthcare, Inc. (KND) announced in the second quarter of 2014 a proposal to acquire all of the outstanding shares of 
common stock of Gentiva Health Services, Inc. (GTIV). The proposed price for Gentiva implied a total equity value of approximately 
$533 million. With the assumption of Gentiva’s debt, the transaction was valued at approximately $1.6 billion. The deal closed early in 
the fourth quarter of 2014.13 
• The Cahill Group acquired Rosewood nursing homes and skilled-care centers for $250 million. The deal included skilled nursing 
facilities, senior living, home health and related companies in St. Louis and Illinois. The new company is named Cahill Rosewood, and 
the deal closed in the first quarter of 2014.14 
© 2014 Mercer Capital 8 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Healthcare Facility M&A Transactions 
Announced 
Date Buyers / Investors Target/Issuer Primary Industry 
01/02/2014 180 Medical, Inc. PRN Medical Services, LLC Healthcare Distributors 
01/02/2014 Hope Medical Supply Inc. Medina County Medical Equipment Company, Inc. Healthcare Distributors 
01/02/2014 Alecto Healthcare Services LLC Olympia Health Care, LLC Healthcare Facilities 
01/03/2014 
Alan D. Shoopak, D.M.D. Orthodontic Group, P.A.; 
Sebring Management FL, LLC 
Implant, General & Cosmetic Dentistry of Tampa Bay, 
P.A. Healthcare Services 
01/03/2014 Crozer-Keystone Health System Inc. Pioneer Urgent Care Healthcare Facilities 
01/06/2014 Acadia Healthcare Company, Inc. (NasdaqGS:ACHC) Riverside Center for Behavioral Medicine Healthcare Facilities 
01/06/2014 Global Healthcare REIT, Inc. (OTCPK:GBCS) ATL/WARR, LLC Healthcare Facilities 
01/06/2014 Numotion Specialty Wheelchairs L.L.C Healthcare Distributors 
01/06/2014 UCSF Benioff Children's Hospital UCSF Benioff Children's Hospital Oakland Healthcare Facilities 
01/07/2014 RestorixHealth, Inc. Candescent Healing, LLC Healthcare Facilities 
01/07/2014 South Jersey Radiology Associates, P.A. Booth Radiology Inc. Healthcare Services 
01/07/2014 California Physicians' Service, Inc. GEMCare Health Plan, Inc. Managed Healthcare 
01/07/2014 Surgical Care Affiliates, Inc. (NasdaqGS:SCAI) East Brunswick Surgery Center, LLC Healthcare Facilities 
01/07/2014 BluePearl Veterinary Partners LLC Animal Critical Care and Emergency Services, PLLC Healthcare Facilities 
01/07/2014 Northwestern Management Services LLC Dean, Israel & Associates, D.D.S., P.A. Healthcare Services 
01/08/2014 Patient Home Monitoring Corp. (TSXV:PHM) Resource Medical Group, LLC Healthcare Distributors 
01/08/2014 Patient Home Monitoring Corp. (TSXV:PHM) Palmetto Medical Holdings, LLC Healthcare Facilities 
01/08/2014 Patient Home Monitoring Corp. (TSXV:PHM) RMGC, LLC Healthcare Services 
01/08/2014 
Alan D. Shoopak, D.M.D. Orthodontic Group, P.A.; 
Sebring Management FL, LLC Simon Orthodontic Centers, P.A. Healthcare Facilities 
01/08/2014 Sebring Dental of Arizona, LLC North Scottsdale Family & Cosmetic Dentistry, PLLC Healthcare Services 
01/09/2014 American Financial Group Inc. (NYSE:AFG) Summit Holding Southeast Inc. Managed Healthcare 
01/09/2014 Catholic Health Initiatives Memorial Health System of East Texas Healthcare Facilities 
01/09/2014 Physical Rehabilitation Network, Inc. RehabAuthority Healthcare Services 
01/09/2014 Wesley Willows Corporation Peterson Meadows, Inc. Healthcare Facilities 
01/10/2014 Pharos Capital Group, LLC Seaside Healthcare LLC Healthcare Facilities 
01/13/2014 The Cahill Group Rosewood Care Center Holding Company Inc. Healthcare Facilities 
01/14/2014 HCA Holdings, Inc. (NYSE:HCA) SP Acquisition Corp. Healthcare Facilities 
01/14/2014 HRC Investors Corp. Jordan Oaks Retirement Community Healthcare Facilities 
01/14/2014 HealthPRO Management Services, LLC Rehab Solutions, Inc. Healthcare Services 
01/15/2014 Cornerstone Health Care, P.A. Ashe Medical Associates P.A. Healthcare Facilities 
01/15/2014 University Hospitals Of Cleveland, Inc. Robinson Memorial Hospital Healthcare Facilities 
01/15/2014 ThedaCare, Inc. Community Health Network, Inc. Healthcare Facilities 
01/17/2014 Stratose, Inc. PPOplus, LLC Managed Healthcare 
01/17/2014 Norco, Inc. The Walla Walla Home Medical, Inc. Healthcare Distributors 
Source: Capital IQ 
© 2014 Mercer Capital 9 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Healthcare Facility M&A Transactions 
Announced 
Date Buyers / Investors Target/Issuer Primary Industry 
01/20/2014 
Pamplona Capital Management LLP, Private Equity; 
Broad Street Principal Investments, L.L.C. MagnaCare Inc. Managed Healthcare 
01/22/2014 Vancrest Health Care Centers Inc. Dayview Care Center Inc. Healthcare Facilities 
01/23/2014 
Univita Health, Inc.; Sisters of Charity of Leavenworth 
Health System, Inc. Allcare Home Health LLC Healthcare Services 
01/24/2014 Miami International Medical Center, LLC Metropolitan Hospital of Miami Healthcare Facilities 
01/26/2014 Life Care Services LLC Encore Senior Living LLC Healthcare Facilities 
01/27/2014 Focus Ventures LLC Otsego Manor Healthcare Facilities 
01/28/2014 PDHC, Ltd. Park Dental St. Croix Valley Healthcare Services 
01/29/2014 SentosaCare LLC North Sea Associates, LLC Healthcare Facilities 
01/29/2014 National Dentex Corporation Tri-County Dental Lab Inc. Healthcare Services 
01/29/2014 Centra Health, Inc. Bedford Memorial Hospital Healthcare Facilities 
01/29/2014 Dynamic Dental Partners Inc. Personal Dental Care, Inc. Healthcare Services 
01/29/2014 Atlantic Health System, Inc. Hackettstown Regional Medical Center Healthcare Facilities 
01/29/2014 VestraCare Chautauqua County Home Healthcare Facilities 
01/29/2014 Visiting Nurse Association of Cape Cod Inc. Vineyard Nursing Association Inc Healthcare Services 
01/30/2014 Methodist McKinney Hospital Methodist McKinney Surgery Center Healthcare Facilities 
01/30/2014 Global Healthcare REIT, Inc. (OTCPK:GBCS) Wood Moss, LLC Healthcare Facilities 
01/31/2014 CHRISTUS Hospital-St. Elizabeth Beaumont Bone & Joint Institute, PA Healthcare Facilities 
02/02/2014 Kinderhook Industries GlobalHealth, Inc. Managed Healthcare 
02/04/2014 Stratose, Inc. Arkansas Managed Care Organization, Inc. Managed Healthcare 
02/04/2014 AxelaCare Health Solutions, LLC ARC Infusion Corp. Inc. Healthcare Services 
02/05/2014 Extended Care Physicians, PA Network Geriatric Services, PA Healthcare Services 
02/05/2014 Dialysis Clinic, Inc. The Hortense And Louis Rubin Dialysis Center, Inc. Healthcare Facilities 
02/06/2014 Prime Healthcare Services, Inc. Garden City Hospital Inc. Healthcare Facilities 
02/06/2014 Belleville Surgical Center Ltd Physicians' Surgical Center, Ltd. Healthcare Facilities 
02/06/2014 Comprehensive Healthcare Management Services LLC The Villages of Orleans Health & Rehabilitation Center Healthcare Facilities 
02/06/2014 Montefiore Health System, Inc. White Plains Hospital Healthcare Facilities 
02/07/2014 Merry X-Ray Corporation SouthWest Imaging Inc. Healthcare Distributors 
02/09/2014 Princeton Radiology Associates P.A., Inc. Quakerbridge Radiology Associates, P.A. Healthcare Services 
02/10/2014 Neurorestorative Associates, Inc. Ann Arbor Rehabilitation Centers, Inc. Healthcare Facilities 
02/11/2014 Health Care REIT, Inc. (NYSE:HCN); Revera Inc. Sunrise Senior Living, LLC Healthcare Facilities 
02/11/2014 21st Century Oncology, Inc. South Florida Radiation Oncology, LLC Healthcare Facilities 
02/12/2014 ALK-Abelló, Inc. Bio-Medical Services, Inc. Healthcare Facilities 
02/12/2014 Elements Behavioral Health, Inc. Clarity Way Drug and Alcohol Rehabilitation Center Healthcare Facilities 
02/13/2014 West Paces Ferry Healthcare REIT, Inc. Southern Tulsa, LLC Healthcare Facilities 
Source: Capital IQ 
© 2014 Mercer Capital 10 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Healthcare Facility M&A Transactions 
Announced 
Date Buyers / Investors Target/Issuer Primary Industry 
02/13/2014 PhotoMedex, Inc. (NasdaqGS:PHMD) LCA-Vision Inc. Healthcare Facilities 
02/13/2014 Holy Cross Hospital, Inc. Maryland Care, Inc. Managed Healthcare 
02/13/2014 St. Alexius Medical Center, Inc. Catholic Health Initiatives Healthcare Facilities 
02/14/2014 Alta Healthcare System LLC Newport Specialty Hospital Healthcare Facilities 
02/15/2014 CareRite Centers, LLC Squirrel Hill Operating, LLC Healthcare Facilities 
02/17/2014 TPG Capital, L.P.; Fosun Industrial Co., Ltd. Chindex International Inc. Healthcare Facilities 
02/17/2014 
Partners Group Holding AG (SWX:PGHN); Starr 
Investment Holdings, LLC, Investment Arm MultiPlan, Inc. Managed Healthcare 
02/17/2014 Siskin Hospital For Physical Rehabilitation, Inc. St. Barnabas Healthcare Center Healthcare Facilities 
02/18/2014 Highmark Inc. 
Hospital Service Association Of Northeastern 
Pennsylvania Managed Healthcare 
02/18/2014 Erickson & Gill, P.A. Gentility Touch Dentistry Healthcare Services 
02/18/2014 Westchester County Health Care Corporation 
MidHudson Regional Hospital of Westchester Medical 
Center Healthcare Facilities 
02/19/2014 Furlong Fund, LLC Dynacq Healthcare Inc. (OTCPK:DYII) Healthcare Facilities 
02/19/2014 Dynamic Healthcare Services, Inc. Reliable Medical Inc. Healthcare Distributors 
02/19/2014 South Nassau Communities Hospital Inc Long Beach Medical Center Healthcare Facilities 
02/20/2014 Brookdale Senior Living Inc. (NYSE:BKD) Emeritus Corp. Healthcare Facilities 
02/20/2014 Yakima Valley Farm Workers Clinic Inc Community Dental Care Healthcare Services 
02/20/2014 Saint Alphonsus Regional Medical Center, Inc. Oasis Medical Center Healthcare Facilities 
02/20/2014 HEALTHSOUTH Corp. (NYSE:HLS) 
New England Rehabilitation Services Of Central 
Massachusetts, Inc. Healthcare Facilities 
02/21/2014 Humility of Mary Health Partners, Inc. River Valley Health Partners Healthcare Facilities 
02/25/2014 Aeroflow Inc. Air-Care Home Health, Inc. Healthcare Distributors 
02/25/2014 
Healthcare Finance Group, LLC; AcuityHealthcare, 
LP; HealthCap Partners, LLC; American Realty Capital 
LLC; Tutera & Co. Restora Healthcare Company, LLC Healthcare Facilities 
02/26/2014 
InPatient Hospitalist Healthcare Services of New York, 
P.C. CAP Medical Group, PLLC Healthcare Facilities 
02/27/2014 Greater Rochester Health System, Inc. United Memorial Medical Center Healthcare Facilities 
02/28/2014 Via Christi Health Inc. Mercy Regional Health Center, Inc. Healthcare Facilities 
02/28/2014 Universal Health Services Inc. (NYSE:UHS) Palo Verde Behavioral Health Healthcare Facilities 
03/04/2014 MEDNAX, Inc. (NYSE:MD) Piedmont Neonatology, PC Managed Healthcare 
03/04/2014 Discovery Minerals Ltd. (OTCPK:DSCR) VPR Group, Inc. Healthcare Distributors 
03/04/2014 Senior Care Centers of America, Inc. Senior Care of Brick Healthcare Facilities 
03/05/2014 West Coast Commonwealth Partners, LLC Blue Ridge Health Care Center Healthcare Facilities 
03/12/2014 West End Family Dental Clinic LLC Cane Run Smile Center, Inc. Healthcare Services 
03/12/2014 West End Family Dental Clinic LLC West Louisville Dental Center Healthcare Services 
Source: Capital IQ 
© 2014 Mercer Capital 11 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Healthcare Facility M&A Transactions 
Announced 
Date Buyers / Investors Target/Issuer Primary Industry 
03/13/2014 Northwestern Memorial Healthcare Corporation CDH-Delnor Health System, Inc. Healthcare Facilities 
03/14/2014 DLP Healthcare, LLC Conemaugh Health System, Inc. Managed Healthcare 
03/17/2014 Therapy Support, Inc. Town and Country Medical, Inc. Healthcare Distributors 
03/17/2014 OSF Healthcare System St. Anthony's Health System Healthcare Facilities 
03/17/2014 ATI Physical Therapy Holdings, LLC Ocoee Physical Therapy, Inc. Healthcare Services 
03/18/2014 Post Acute Medical, LLC Nanticoke Hospital Company, LLC Healthcare Facilities 
03/18/2014 Black Stone Of Cincinnati, LLC Nursing Resources by Black Stone Healthcare Services 
03/19/2014 Investment 360 L.L.C Sunnyview Nursing and Rehabilitation Center Healthcare Facilities 
03/20/2014 Hospice Of the Sacred Heart Celtic Healthcare of NE PA, Inc. Healthcare Services 
03/21/2014 Beaumont Health William Beaumont Hospital, Inc. Healthcare Facilities 
03/21/2014 Beaumont Health Botsford Health Care Continuum Healthcare Facilities 
03/25/2014 People's Choice Hospital LLC Community Healthcare Of Douglas, Inc. Healthcare Facilities 
03/27/2014 Rising Pharmaceuticals, Inc. PACK Pharmaceuticals, LLC Healthcare Distributors 
03/28/2014 ROC Seniors Housing Fund Manager, LLC Maristone Living Healthcare Facilities 
03/28/2014 Billings Clinic; RegionalCare Hospital Partners, Inc. Community Medical Center, Inc. Healthcare Facilities 
03/31/2014 NextGen Cannabis Consulting LLC Greens R US, Inc. Healthcare Facilities 
04/01/2014 Magellan Rx Management, LLC CDMI, LLC Managed Healthcare 
04/01/2014 FastMed Urgent Care Advanced Urgent Care, L.L.C. Healthcare Facilities 
04/01/2014 Celtic Healthcare, Inc. VNA-TIP Healthcare Healthcare Services 
04/01/2014 Baptist Health South Florida, Inc. Baptist Eye Surgery Center Healthcare Facilities 
04/02/2014 Walton Street Capital, L.L.C.; Life Care Services LLC Danberry at Inverness, Inc. Healthcare Facilities 
04/03/2014 LHC Group, Inc. (NasdaqGS:LHCG) St. Joseph's Hospital of Buckhannon, Inc. Healthcare Facilities 
04/03/2014 Water Street Healthcare Partners Take Care Employer Solutions, LLC Healthcare Facilities 
04/03/2014 Centers for Specialty Care Group LLC Westmount Health Facility Healthcare Facilities 
04/04/2014 Community Health Systems, Inc. (NYSE:CYH) Natchez Regional Medical Center Healthcare Facilities 
04/07/2014 Compass Health Whatcom Counseling & Psychiatric Clinic Healthcare Facilities 
04/08/2014 OrthoNY, LLP Schenectady Regional Orthopedic Associates, PC Managed Healthcare 
03/14/2014 DLP Healthcare, LLC Conemaugh Health System, Inc. Managed Healthcare 
03/17/2014 Therapy Support, Inc. Town and Country Medical, Inc. Healthcare Distributors 
03/17/2014 OSF Healthcare System St. Anthony's Health System Healthcare Facilities 
03/17/2014 ATI Physical Therapy Holdings, LLC Ocoee Physical Therapy, Inc. Healthcare Services 
03/18/2014 Post Acute Medical, LLC Nanticoke Hospital Company, LLC Healthcare Facilities 
03/18/2014 Black Stone Of Cincinnati, LLC Nursing Resources by Black Stone Healthcare Services 
03/19/2014 Investment 360 L.L.C Sunnyview Nursing and Rehabilitation Center Healthcare Facilities 
03/20/2014 Hospice Of the Sacred Heart Celtic Healthcare of NE PA, Inc. Healthcare Services 
Source: Capital IQ 
© 2014 Mercer Capital 12 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Healthcare Facility M&A Transactions 
Announced 
Date Buyers / Investors Target/Issuer Primary Industry 
03/21/2014 Beaumont Health William Beaumont Hospital, Inc. Healthcare Facilities 
03/21/2014 Beaumont Health Botsford Health Care Continuum Healthcare Facilities 
03/25/2014 People's Choice Hospital LLC Community Healthcare Of Douglas, Inc. Healthcare Facilities 
03/27/2014 Rising Pharmaceuticals, Inc. PACK Pharmaceuticals, LLC Healthcare Distributors 
03/28/2014 ROC Seniors Housing Fund Manager, LLC Maristone Living Healthcare Facilities 
03/28/2014 Billings Clinic; RegionalCare Hospital Partners, Inc. Community Medical Center, Inc. Healthcare Facilities 
03/31/2014 NextGen Cannabis Consulting LLC Greens R US, Inc. Healthcare Facilities 
04/01/2014 Magellan Rx Management, LLC CDMI, LLC Managed Healthcare 
04/01/2014 FastMed Urgent Care Advanced Urgent Care, L.L.C. Healthcare Facilities 
04/01/2014 Celtic Healthcare, Inc. VNA-TIP Healthcare Healthcare Services 
04/01/2014 Baptist Health South Florida, Inc. Baptist Eye Surgery Center Healthcare Facilities 
04/02/2014 Walton Street Capital, L.L.C.; Life Care Services LLC Danberry at Inverness, Inc. Healthcare Facilities 
04/03/2014 LHC Group, Inc. (NasdaqGS:LHCG) St. Joseph's Hospital of Buckhannon, Inc. Healthcare Facilities 
04/03/2014 Water Street Healthcare Partners Take Care Employer Solutions, LLC Healthcare Facilities 
04/03/2014 Centers for Specialty Care Group LLC Westmount Health Facility Healthcare Facilities 
04/04/2014 Community Health Systems, Inc. (NYSE:CYH) Natchez Regional Medical Center Healthcare Facilities 
04/07/2014 Compass Health Whatcom Counseling & Psychiatric Clinic Healthcare Facilities 
04/08/2014 OrthoNY, LLP Schenectady Regional Orthopedic Associates, PC Managed Healthcare 
04/10/2014 Rite Aid Corporation (NYSE:RAD) RediClinic LLC Healthcare Facilities 
04/10/2014 The Abell Foundation, Inc., Endownment Arm University of Maryland Specialty Hospital Healthcare Facilities 
04/11/2014 Cornerstone Healthcare, Inc. Life's Doors Hospice, Inc. Healthcare Services 
04/11/2014 CHP Friendswood SNF, LLC Friendship Haven Healthcare and Rehabilitation Center Healthcare Facilities 
04/14/2014 Lowell General Hospital, LLC Tufts Medical Center, Inc. Healthcare Facilities 
04/15/2014 Joerns Healthcare Inc. RecoverCare, LLC Healthcare Distributors 
04/17/2014 TRU Community Care Hospice of Northern Colorado, Inc. Healthcare Facilities 
04/18/2014 Wellspring Capital Management LLC Great Lakes Home Health Services, Inc. Healthcare Services 
04/21/2014 Latteno Food Corp. (OTCPK:LATF) DMND, Inc. Healthcare Distributors 
04/24/2014 Pacifica Senior Living, LLC Quiet Oaks Distinctive Assisted Living Healthcare Facilities 
04/24/2014 Berkshire Medical Center, Inc. North Adams Regional Hospital, Inc. Healthcare Facilities 
04/29/2014 University Wisconsin Health SwedishAmerican Health System Corporation Healthcare Facilities 
04/29/2014 Catholic Health System, Inc., Endowment Arm Mount St. Mary's Hospital and Health Center Healthcare Facilities 
05/01/2014 ACSH Urgent Care of Georgia, LLC CorrectMed, LLC Healthcare Facilities 
05/01/2014 Enhanced Medical Services, LLC Universal Ophthalmic Instruments, Inc. Healthcare Distributors 
05/01/2014 Pyramid Healthcare, Inc. Onward Behavioral Health, Inc. Healthcare Services 
05/06/2014 Prospira PainCare Holdings, LLC Advanced Interventional Pain Clinic, LLC Healthcare Services 
Source: Capital IQ 
© 2014 Mercer Capital 13 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Healthcare Facility M&A Transactions 
Announced 
Date Buyers / Investors Target/Issuer Primary Industry 
05/07/2014 The Ensign Group, Inc. (NasdaqGS:ENSG) Washington Heights Healthcare, Inc. Healthcare Facilities 
05/07/2014 C & C Shop LLC Better Buds LLC Healthcare Distributors 
05/08/2014 IPC The Hospitalist Company, Inc. (NasdaqGS:IPCM) Total InPatient Services, P.A. Healthcare Facilities 
05/08/2014 M3 USA Corporation PracticeMatch Services, LLC Managed Healthcare 
05/09/2014 Maxim Management Group, LLC Leesville Rehabilitation Hospital LLC Healthcare Facilities 
05/13/2014 Senior Care Centers of America, Inc. Senior Care of Clifton Heights Healthcare Facilities 
05/13/2014 Signature Hospice, Home Health and Home Care XL Hospice, Inc. Healthcare Facilities 
05/13/2014 Alecto Healthcare Services LLC Fairmont Regional Medical Center Healthcare Facilities 
05/15/2014 Kindred Healthcare Inc. (NYSE:KND) Gentiva Health Services Inc. (NasdaqGS:GTIV) Healthcare Services 
05/15/2014 Care New England Health System Inc. Southern New England Regional Cancer Center, LLC Healthcare Facilities 
05/19/2014 CHP Partners LP Mercy Rehabilitation Hospital, LLC Healthcare Services 
05/19/2014 CHP Partners LP HealthSouth Rehabilitation Hospital of Desert Canyon, LLC Healthcare Facilities 
05/19/2014 CHP Partners LP Saint Joseph Rehabilitation Institute Healthcare Facilities 
05/19/2014 CHP Partners LP Victory Medical Center Beaumont, LP Healthcare Facilities 
05/19/2014 CHP Partners LP Southwest Surgical Hospital Healthcare Facilities 
05/20/2014 Harvest Partners, LP AthletiCo Ltd. Healthcare Services 
05/21/2014 Silver Point Capital L.P. Specialty Hospitals of America, LLC Healthcare Facilities 
05/21/2014 Silver Point Capital L.P. Specialty Hospital of Washington LLC Healthcare Facilities 
05/21/2014 OSF Healthcare System Mendota Community Hospital Healthcare Facilities 
05/22/2014 The Peebles Corporation; The Witkoff Group LLC Long Island College Hospital Inc. Healthcare Facilities 
05/23/2014 Summit Behavioral Healthcare, LLC Valley Recovery Center of California Healthcare Facilities 
05/27/2014 ABC Home Medical Supply, Inc. Southeast Medical, Inc. Healthcare Distributors 
05/28/2014 National Specialty Hospitals, Inc. Fairfield Surgery Center, LLC Healthcare Facilities 
05/29/2014 IPC The Hospitalist Company, Inc. (NasdaqGS:IPCM) Eastside Medical Consultants, LLC Healthcare Facilities 
05/29/2014 Lifecare Hospitals, LLC Kindred Hospital-Pittsburgh-North Shore, L.L.C. Healthcare Facilities 
05/30/2014 SFMP, Inc. Memphis Surgery Associates, PC Healthcare Facilities 
05/30/2014 Apax Partners LLP GENEX Services, Inc. Managed Healthcare 
05/30/2014 Baptist Health South Florida, Inc. MaxCare Urgent Treatment Center Healthcare Facilities 
06/02/2014 Greystone Healthcare Management Corp. Brevard HMA Nursing Home, LLC Healthcare Facilities 
06/02/2014 U.S. Healthworks, Inc. Industricare, LLC Healthcare Facilities 
06/02/2014 Addus HomeCare Corporation (NasdaqGS:ADUS) Aid & Assist At Home LLC Healthcare Services 
06/03/2014 Apollo Medical Holdings, Inc. (OTCPK:AMEH) AKM Medical Group, Inc. Managed Healthcare 
06/03/2014 The Guardian Life Insurance Company of America Access Dental Plan, Inc. Healthcare Services 
06/03/2014 Tenet Healthcare Corp. (NYSE:THC) Texas Regional Medical Center Ltd. Healthcare Facilities 
06/04/2014 VWR International LLC LABREPCO, Inc. Healthcare Distributors 
Source: Capital IQ 
© 2014 Mercer Capital 14 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Healthcare Facility M&A Transactions 
Announced 
Date Buyers / Investors Target/Issuer Primary Industry 
06/04/2014 Avamere Family of Companies Inc. Sunnyside Operations LLC Healthcare Facilities 
06/04/2014 Center Management Group, LLC RUNNELLS Specialized Hospital of Union County Healthcare Facilities 
06/09/2014 Cleveland Clinic Akron General Health System Healthcare Facilities 
06/10/2014 Pediatric Associates, Inc. Jacksonville Pediatric Associates, M.D., P.A. Healthcare Facilities 
06/11/2014 Terner Capital Group, LLC Florence Hospital at Anthem, LLC Healthcare Facilities 
06/12/2014 Matt Smith Physical Therapy Rancho Injury Care Center Healthcare Services 
06/16/2014 ANIMART Inc. Michigan Veterinary Supply Co., Inc. Healthcare Distributors 
06/17/2014 ACSH Urgent Care of Florida, LLC Bay Walk-In Clinic, Inc. Healthcare Facilities 
06/17/2014 RepuCare Onsite LLC Spectrum Health Systems, Inc. Healthcare Facilities 
06/17/2014 Synergy Health Centers LLC Park Avenue Nursing & Rehabilitation Center Inc. Healthcare Facilities 
06/19/2014 Complete HealthCare Resources-Eastern, Inc. Cedar Haven Nursing Home Healthcare Facilities 
06/24/2014 Fresenius Medical Care AG & Co. KGAA (DB:FME) Sound Inpatient Physicians, Inc. Managed Healthcare 
06/25/2014 Partners HealthCare System, Inc. South Shore Hospital, Inc. Healthcare Facilities 
06/26/2014 Banner Health The University of Arizona Health Network, Inc. Healthcare Facilities 
06/27/2014 Alignment Healthcare LLC Honored Citizens Choice Health Plan, Inc. Managed Healthcare 
06/27/2014 Fresenius Medical Care AG & Co. KGAA (DB:FME) CRG Operating Company, LLC Healthcare Facilities 
06/27/2014 Regenerative Medicine Solutions, LLC Advanced Health Care Partners, LLC Managed Healthcare 
06/27/2014 Quantum International Income Corp. (TSXV:QIC.U) Roseland Ambulatory Surgery Center, LLC Healthcare Facilities 
06/30/2014 Muneris Capital Group LLC Presence Our Lady of the Resurrection Medical Center Healthcare Facilities 
06/30/2014 Center Management Group, LLC 
Catholic Health Care Services of Archdiocese of 
Philadelphia Healthcare Facilities 
06/30/2014 Integrated Anesthesia Associates, Inc. Medical Anesthesiology Associates, P.C. Healthcare Services 
Source: Capital IQ 
© 2014 Mercer Capital 15 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Public Company Pricing 
Acute Care Hospitals 
Company Name Ticker 
Community Health 
Systems, Inc. CYH $45.4 17.4% -3.5% $5,229.4 $22,460.4 $15,508.7 $1,987.9 1.61x 12.9x 1.12x 7.4x 
HCA Holdings, Inc. HCA $56.4 10.2% 52.6% $24,223.5 $53,859.5 $35,354.0 $6,921.0 1.56x 8.1x 1.40x 7.8x 
Lifepoint Hospitals Inc. LPNT $62.1 15.2% 27.7% $2,762.1 $4,708.0 $3,906.5 $520.9 1.25x 9.6x 1.04x 7.8x 
Tenet Healthcare 
Corp. THC $46.9 12.1% 1.5% $4,583.8 $16,069.8 $14,261.0 $1,579.0 1.27x 11.0x 0.92x 8.2x 
Universal Health 
Services Inc. UHS $95.8 20.2% 40.6% $9,459.6 $12,956.3 $7,557.2 $1,391.6 1.76x 9.3x 1.44x 9.1x 
Median 15.2% 27.7% 1.56x 9.6x 1.12x 7.8x 
$ in millions, except per share pricing 
Source: Capital IQ 
Assisted Living 
% Change 
Price at 
Market 
Ent. Value 
10/28/14 3-month 1 year 
Cap 
(TEV) 
Rev. EBITDA 
LTM LTM Multiples Forward Multiple 
EV / 
Rev. 
EV / 
EBITDA 
EV / 
Rev. 
EV / 
EBITDA 
% Change 
Price at 
Market 
Ent. Value 
10/28/14 3-month 1 year 
Cap 
(TEV) 
Rev. EBITDA 
LTM LTM Multiples Forward Multiple 
Company Name Ticker 
EV / 
Rev. 
EV / 
EBITDA 
EV / 
Rev. 
EV / 
EBITDA 
AdCare Health 
Systems Inc. ADK $4.3 2.9% -5.7% $75.0 $219.7 $223.8 $12.3 0.98x 16.4x 0.95x 13.7x 
Brookdale Senior 
Living Inc. BKD $33.3 0.8% 24.2% $4,287.2 $6,875.9 $2,604.2 $448.4 2.67x 15.7x 2.25x 13.1x 
Capital Senior Living 
Corp. CSU $23.8 -6.4% -2.7% $691.9 $1,208.0 $355.5 $53.8 3.46x 22.5x 3.05x 15.9x 
Five Star Quality Care 
Inc. FVE $5.0 6.1% -11.8% $243.6 $257.9 $1,086.3 $38.6 0.24x 6.1x 0.20x 5.3x 
Skilled Healthcare 
Group, Inc. SKH $6.3 25.3% -4.6% $249.2 $664.2 $831.3 $64.7 0.80x 10.0x 0.79x 9.0x 
Median 2.9% -4.6% 0.98x 15.7x 0.95x 13.1x 
$ in millions, except per share pricing 
Source: Capital IQ 
Quick References 
Enterprise Value Market Capitalization + Total Debt + Preferred Equity + Minority Interest - Cash and Short Term Investments 
EBITDA Earnings Before Interest, Taxes, Depreciation, and Amortization 
LTM Last Twelve Months 
Forward Next Twelve Month Estimates 
© 2014 Mercer Capital 16 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Public Company Pricing (cont.) 
Diagnostic Imaging 
% Change 
Price at 
Market 
Ent. Value 
10/28/14 3-month 1 year 
Cap 
(TEV) 
Rev. EBITDA 
LTM LTM Multiples Forward Multiple 
Company Name Ticker 
EV / 
Rev. 
EV / 
EBITDA 
EV / 
Rev. 
EV / 
EBITDA 
Alliance Healthcare 
Services, Inc. AIQ $27.0 -19.9% 70.9% $284.0 $812.8 $440.6 $132.2 1.83x 5.8x NM NM 
American Shared 
Hospital Services AMS $2.6 -21.2% 20.5% $13.7 $56.3 $15.8 $8.2 3.32x 6.3x NM NM 
RadNet, Inc. RDNT $6.6 142.0% 152.1% $277.2 $903.9 $701.5 $108.3 1.29x 8.2x 1.25x 7.4x 
Median -19.9% 70.9% 1.83x 6.3x 1.25x 7.4x 
$ in millions, except per share pricing 
Source: Capital IQ 
Dialysis Services 
% Change 
Price at 
Market 
Ent. Value 
10/28/14 3-month 1 year 
Cap 
(TEV) 
Rev. EBITDA 
LTM LTM Multiples Forward Multiple 
Company Name Ticker 
EV / 
Rev. 
EV / 
EBITDA 
EV / 
Rev. 
EV / 
EBITDA 
DaVita HealthCare 
Partners Inc. DVA $72.3 5.7% 19.4% $15,490.9 $23,609.5 $12,269.6 $2,413.0 1.97x 9.8x 1.86x 9.7x 
Fresenius Medical 
Care AG & Co. KGAA FME $49.0 -3.8% -10.0% $14,799.2 $21,278.5 $15,212.7 $2,852.8 1.96x 10.3x 1.89x 10.2x 
Median 0.9% 4.7% 1.96x 10.0x 1.87x 9.9x 
$ in millions, except per share pricing 
Source: Capital IQ 
Distribution / Supply 
% Change 
Price at 
Market 
Ent. Value 
10/28/14 3-month 1 year 
Cap 
(TEV) 
Rev. EBITDA 
LTM LTM Multiples Forward Multiple 
Company Name Ticker 
EV / 
Rev. 
EV / 
EBITDA 
EV / 
Rev. 
EV / 
EBITDA 
AmerisourceBergen 
Corporation ABC $72.7 12.1% 32.1% $16,409.5 $17,109.7 $112,449.5 $1,168.3 0.16x 15.7x 0.14x 9.9x 
Cardinal Health, Inc. CAH $68.6 -1.6% 44.1% $23,324.2 $24,203.2 $91,084.0 $2,369.0 0.26x 9.5x 0.27x 9.3x 
Henry Schein, Inc. HSIC $118.7 0.8% 22.2% $10,128.9 $11,276.9 $9,920.9 $822.8 1.16x 13.7x 1.09x 12.9x 
McKesson Corporation MCK $186.2 6.2% 60.3% $43,124.9 $51,447.9 $149,428.0 $3,352.0 0.37x 16.2x 0.31x 10.9x 
Patterson Companies, 
Inc. PDCO $39.5 -1.6% -0.7% $2,143.8 $2,177.4 $9,151.3 $238.1 0.24x 9.0x 0.24x 7.9x 
Median 0.8% 32.1% 0.26x 13.7x 0.27x 9.9x 
$ in millions, except per share pricing 
Source: Capital IQ 
© 2014 Mercer Capital 17 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Public Company Pricing (cont.) 
Emergency Services 
% Change 
Price at 
Market 
Ent. Value 
10/28/14 3-month 1 year 
Cap 
(TEV) 
Rev. EBITDA 
LTM LTM Multiples Forward Multiple 
Company Name Ticker 
EV / 
Rev. 
EV / 
EBITDA 
EV / 
Rev. 
EV / 
EBITDA 
Adeptus Health Inc. ADPT $25.4 0.0% 0.0% $237.8 $353.1 $140.4 $5.4 2.93x 34.1x 0.00x 0.0x 
Air Methods Corp. AIRM $51.7 -3.0% 52.5% $2,022.2 $2,722.0 $957.8 $247.8 2.94x 11.8x 2.65x 9.9x 
InfuSystem Holdings, 
Inc. INFU $2.7 -3.6% 74.3% $59.3 $86.0 $59.4 $16.4 1.49x 5.8x 1.23x NM 
Median -3.0% 52.5% 2.93x 11.8x 1.23x 4.9x 
$ in millions, except per share pricing 
Source: Capital IQ 
Home Care / Hospice 
Company Name Ticker 
Addus HomeCare 
Corporation ADUS $22.5 0.63% 14.64% $244.6 $227.6 $285.8 $18.3 0.83x 12.9x 0.72x 10.0x 
Almost Family Inc. AFAM $22.1 -5.88% 17.60% $208.6 $256.8 $430.9 $17.9 0.65x 17.2x 0.52x 8.9x 
Amedisys Inc. AMED $16.7 13.65% 49.87% $549.3 $589.6 $1,192.0 $35.3 0.49x 17.9x 0.50x 12.5x 
Chemed Corp. CHE $93.7 5.53% 28.16% $1,643.8 $1,790.1 $1,408.0 $183.8 1.27x 9.8x 1.22x 8.5x 
Gentiva Health 
Services Inc. GTIV $15.1 66.41% 59.70% $554.8 $1,661.5 $1,882.2 $142.1 0.92x 12.9x 0.83x 8.8x 
LHC Group, Inc. LHCG $21.4 -2.60% 8.59% $380.1 $461.4 $668.0 $54.1 0.71x 8.9x 0.63x 8.1x 
Median 3.08% 22.88% 0.77x 12.9x 0.68x 8.9x 
$ in millions, except per share pricing 
Source: Capital IQ 
Long Term Care 
% Change 
Price at 
Market 
Ent. Value 
10/28/14 3-month 1 year 
Cap 
(TEV) 
Rev. EBITDA 
LTM LTM Multiples Forward Multiple 
EV / 
Rev. 
EV / 
EBITDA 
EV / 
Rev. 
EV / 
EBITDA 
% Change 
Price at 
Market 
Ent. Value 
10/28/14 3-month 1 year 
Cap 
(TEV) 
Rev. EBITDA 
LTM LTM Multiples Forward Multiple 
Company Name Ticker 
EV / 
Rev. 
EV / 
EBITDA 
EV / 
Rev. 
EV / 
EBITDA 
Diversicare Healthcare 
Services Inc. DVCR $7.6 23.9% 56.0% $46.7 $109.5 $322.1 $11.7 0.36x 18.4x NM NM 
Kindred Healthcare 
Inc. KND $23.1 0.7% 71.5% $1,473.5 $3,040.0 $5,012.8 $284.5 0.62x 10.3x 0.59x 7.2x 
National Healthcare 
Corp. NHC $56.3 3.7% 17.1% $799.8 $821.5 $832.4 $108.3 1.02x 6.7x 0.96x NM 
The Ensign Group, Inc. ENSG $31.1 -28.3% -13.1% $690.5 $888.3 $956.0 $119.1 0.96x 6.9x 0.87x 6.8x 
Median 2.2% 36.5% 0.79x 8.6x 0.87x 7.0x 
$ in millions, except per share pricing 
Source: Capital IQ 
© 2014 Mercer Capital 18 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Public Company Pricing (cont.) 
Pharmacy Management 
% Change 
Price at 
Market 
Ent. Value 
10/28/14 3-month 1 year 
Cap 
(TEV) 
Rev. EBITDA 
LTM LTM Multiples Forward Multiple 
Company Name Ticker 
EV / 
Rev. 
EV / 
EBITDA 
EV / 
Rev. 
EV / 
EBITDA 
BioScrip Inc. BIOS $8.3 23.6% -49.1% $570.7 $980.1 $975.3 $21.3 1.09x 40.1x 0.99x 16.7x 
Catamaran 
Corporation CCT $47.1 -4.0% -8.0% $9,747.0 $10,596.6 $18,443.2 $763.6 0.58x 13.2x 0.46x 12.0x 
Express Scripts 
Holding Company ESRX $69.3 -8.2% 12.0% $53,638.0 $65,578.9 $100,493.0 $6,419.7 0.64x 10.2x 0.67x 9.4x 
Omnicare Inc. OCR $66.6 13.3% 38.2% $6,592.2 $8,520.6 $6,233.0 $722.4 1.39x 11.9x 1.32x 11.7x 
PharMerica 
Corporation PMC $28.6 3.2% 107.8% $857.5 $1,075.7 $1,788.1 $112.0 0.61x 9.3x 0.61x 8.6x 
Median 3.2% 12.0% 0.64x 11.9x 0.67x 11.7x 
$ in millions, except per share pricing 
Source: Capital IQ 
Psychiatric Hospitals 
% Change 
Price at 
Market 
Ent. Value 
10/28/14 3-month 1 year 
Cap 
(TEV) 
Rev. EBITDA 
LTM LTM Multiples Forward Multiple 
Company Name Ticker 
EV / 
Rev. 
EV / 
EBITDA 
EV / 
Rev. 
EV / 
EBITDA 
Acadia Healthcare 
Company, Inc. ACHC $45.5 2.2% 34.1% $2,717.0 $3,373.0 $789.9 $154.7 4.48x 22.8x 3.59x 17.1x 
Magellan Health, Inc. MGLN $62.2 6.6% 10.5% $1,703.7 $1,446.7 $3,736.3 $206.9 0.39x 6.0x 0.38x 6.4x 
Providence Service 
Corp. PRSC $36.6 31.2% 22.0% $533.0 $557.7 $1,186.9 $60.7 0.49x 10.1x 0.39x 8.0x 
Median 6.6% 22.0% 0.49x 10.1x 0.39x 8.0x 
$ in millions, except per share pricing 
Source: Capital IQ 
© 2014 Mercer Capital 19 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Public Company Pricing (cont.) 
Surgical Centers / Rehabilitation 
Company Name Ticker 
AmSurg Corp. AMSG $45.6 -2.0% 27.1% $1,871.6 $2,950.7 $1,101.3 $371.0 2.72x 8.0x 2.53x 8.2x 
Surgical Care 
Affiliates, Inc. SCAI $29.1 -4.4% 0.0% $1,113.3 $1,935.0 $807.4 $171.1 2.45x 10.1x 2.28x 12.0x 
HEALTHSOUTH Corp. HLS $35.9 2.3% 21.3% $3,160.1 $4,842.9 $2,303.3 $577.5 2.14x 8.5x 2.02x 8.3x 
Select Medical 
Holdings Corporation SEM $15.6 30.8% 90.0% $2,041.1 $3,711.0 $2,963.0 $357.4 1.26x 10.2x 1.19x 9.9x 
Median 0.1% 24.2% 2.29x 9.3x 2.15x 9.1x 
$ in millions, except per share pricing 
Source: Capital IQ 
Healthcare REIT 
% Change 
Price at 
Market 
Ent. Value 
10/28/14 3-month 1 year 
Cap 
(TEV) 
Rev. EBITDA 
LTM LTM Multiples Forward Multiple 
EV / 
Rev. 
EV / 
EBITDA 
EV / 
Rev. 
EV / 
EBITDA 
% Change 
Price at 
Market 
Ent. Value 
10/28/14 3-month 1 year 
Cap 
(TEV) 
Rev. EBITDA 
LTM LTM Multiples Forward Multiple 
Company Name Ticker 
EV / 
Rev. 
EV / 
EBITDA 
EV / 
Rev. 
EV / 
EBITDA 
Health Care REIT, Inc. HCN $62.7 6.0% -5.6% $19,143.1 $31,267.4 $3,162.3 $1,712.0 10.36x 19.5x 9.32x 17.3x 
HCP, Inc. HCP $41.4 8.4% -7.9% $18,960.2 $27,580.2 $2,142.6 $1,747.6 13.02x 15.4x 13.06x 15.9x 
Healthcare Realty 
Trust Incorporated HR $25.4 5.7% 0.1% $2,441.3 $3,821.0 $359.5 $208.7 10.97x 19.0x 10.10x 17.2x 
Owens & Minor Inc. OMI $34.0 -1.6% -0.7% $2,143.8 $2,177.4 $9,151.3 $238.1 0.24x 9.0x 0.24x 7.9x 
Ventas, Inc. VTR $64.1 6.2% -6.6% $18,868.1 $28,527.7 $2,934.8 $1,623.3 9.95x 18.1x 9.35x 15.2x 
Median 5.99% -5.60% 10.36x 18.1x 9.35x 15.9x 
$ in millions, except per share pricing 
Source: Capital IQ 
© 2014 Mercer Capital 20 www.mercercapital.com
Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 
Sources 
1 “Centers for Medicare and Medicaid Services: Projected,” Online, Available, http://www.cms.gov/Research-Statistics-Data-and-Sys-tems/ 
Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsProjected.html, Accessed November 4, 2014. 
2 “Obesity and the Economics of Prevention: Fit not Fat,” Online, Available, http://www.oecd.org/unitedstates/Obesity-Update-2014-USA. 
pdf, Accessed November 13, 2014. 
3 “F is for Fat: How Obestiy Threatens America’s Future, 2012,” Online, Available, http://healthyamericans.org/report/100/, Accessed 
November 13, 2014. 
4 Ibid. 
5 Ibid. 
6 “The Facts on Medicare Spending,” Online, Available, http://kff.org/medicare/fact-sheet/medicare-spending-and-financing-fact-sheet/, 
Accessed November 4, 2014. 
7 “2013 Inpatient / Outpatient Revenue Survey,” Online, Available, http://www.wahospitalservices.com/wp-content/uploads/mha2013reve-nuesurveyPDF. 
pdf, Accessed November 4, 2014. 
8 “Physician Shortage to Worsen without Increase in Residency Training,” Online, Available, https://www.aamc.org/download/153160/data/ 
physician_shortages_to_worsen_without_increases_in_residency_tr.pdf, Accessed November 4, 2014. 
9 “Moody’s: 5 key for profit hospital consolidation trends,” Online, Available, http://www.beckershospitalreview.com/hospital-transac-tions- 
and-valuation/moody-s-5-key-for-profit-hospital-consolidation-trends.html, Accessed November 24. 2014. 
10 “Healthcare and Life Science Insider: June 2014,” Online, Available, www.bglco.com/files/healthcare__life_sciences_insider_jun_14. 
pdf, Accessed November 24, 2014. 
11 “Brookdale merges with Seattle senior-living giant,” Online, Available, http://www.bizjournals.com/nashville/blog/2014/02/brook-dale- 
merges-with-another-senior.html?page=all, Accessed November 24,2014 
12 “AMSURG Corp. to Acquire Sheridan Healthcare in Transformation Transaction Valued at $2.35 Billion,” Online, Available, http://www. 
businesswire.com/news/home/20140529005540/en/AMSURG-Corp.-Acquire-Sheridan-Healthcare-Transformational-Transaction#. 
VHO95IvF868, Accessed November 24, 2014. 
13 “KND proposes $14/share takeover of GTIV,” Online, Available, http://www.streetinsider.com/Hot+Corp.+News/Kindred+Health-care+% 
28KND%29+Proposes+$14Share+Takeover+of+Gentiva+Health+Services+%28GTIV%29/9488361.html, Accessed November 
24, 2014. 
14 “Cahill Group buys Rosewood Nursing Homes,” Online, Available, http://voices.suntimes.com/business-2/cahill-group-buys-rosewood-nursing- 
home-group/, Accessed November 24, 2014. 
© 2014 Mercer Capital 21 www.mercercapital.com
Mercer 
Capital 
Healthcare Facilities 
Industry Services 
Contact Us 
BUSINESS VALUATION & 
FINANCIAL ADVISORY SERVICES 
Mercer Capital has expertise in providing business 
valuation and financial advisory services to companies 
in the healthcare facilities industry. 
Industry Segments 
Mercer Capital serves the following industry segments: 
• Acute care hospitals 
• Assisted living facilities 
• Emergency services 
• Home care and hospice 
• Long-term care 
• Surgical centers and rehabilitation facilities 
• Other healthcare facilities 
Services We Provide 
• Valuation of healthcare companies for tax compliance 
• Valuations for purchase accounting and impairment testing 
• Fairness and solvency opinions 
• Transaction advisory for acquisitions and divestitures 
• Litigation support for economic damages and valuation and shareholder disputes 
Contact a Mercer Capital professional to discuss your needs in confidence. 
Sujan Rajbhandary, CFA 
901.322.9749 
sujanr@mercercapital.com 
Timothy R. Lee, ASA 
901.322.9740 
leet@mercercapital.com 
Jay D. Wilson, Jr., CFA, ASA, CBA 
901.322.9725 
wilsonj@mercercapital.com 
Atticus L. Frank 
901.322.9754 
franka@mercercapital.com 
Mercer Capital 
5100 Poplar Avenue, Suite 2600 
Memphis, Tennessee 38137 
901.685.2120 (P) 
www.mercercapital.com 
Copyright © 2014 Mercer Capital Management, Inc. All rights reserved. It is illegal under Federal law to reproduce this publication or any portion of its contents without the publisher’s permission. Media 
quotations with source attribution are encouraged. Reporters requesting additional information or editorial comment should contact Barbara Walters Price at 901.685.2120. Mercer Capital’s Industry 
Focus does not constitute legal or financial consulting advice. It is offered as an information service to our clients and friends. Those interested in specific guidance for legal or accounting matters should 
seek competent professional advice. Inquiries to discuss specific valuation matters are welcomed. To add your name to our mailing list to receive this complimentary publication, visit our web site at 
www.mercercapital.com.

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Mercer Capital's Value Focus: Healthcare Facilities | Mid-Year 2014

  • 1. Macroeconomic Trends 1 Industry Trends 3 Valuation Trends 5 M&A Trends 8 M&A Transactions 9 Public Company Pricing 16 About Mercer Capital 22 VALUE FOCUS Healthcare Facilities Overview The healthcare facilities sector has rebounded well following the most recent recession. An improving economy and rising consumer spending, coupled with favorable healthcare dynamics have greatly benefited the healthcare facilities sector. Health-care facilities do face some headwinds, however, with healthcare reform implementing new payment models, presenting facilities with the challenge of www.mercercapital.com adapting to a new reimbursement regime. Other structural factors leave the sector somewhat vul-nerable going forward, but overall trends remain positive for healthcare facilities. Current valuation trends and expectations are positive for the sector, with growth in both healthcare facility revenue and profitability expected through 2014 and into 2015. Mid-Year 2014 Inside
  • 2. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Macroeconomic Trends Disposable Income Per capita disposable income contracted in the most recent recession, but it has rebounded and is expected to grow through 2020 by approximately 2.5% to 3.0% annually. As disposable income rises, individuals are better able to afford out-of-pocket expenses and healthcare demand can be expected to increase. Per Capita Disposable Income U.S. Resident Population 6 Demographic Trends 5 Years and Older Aging populations are a major driving force behind spending on healthcare, with the elderly (aged 65 and older) accounting for approximately one-third of healthcare expenditure in the U.S. Elderly residents are expected to account for 14.8% of the population in 2015 and grow to 20.3% by 2030, continuing to increase overall healthcare demand.1 © 2014 Mercer Capital 1 www.mercercapital.com
  • 3. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Macroeconomic Trends (cont.) Obesity Rates US Adult Obesity Rates In addition to the greying population, the prevalence of unmet medical needs and increasing incidence of lifestyle diseases are likely to drive continued growth in the demand for healthcare services. According to OECD estimates, currently 70% of U.S. adults are overweight or obese, the second highest rate in the OECD. Some data does show obesity rate increases are slowing, however, and some forecasts are even predicting a downturn in the percentage of overweight individuals in the U.S. over the next several years. 2, 3 US Healthcare S US Healthcare Spending pending, Total and % of GDP Due to income levels and demographic shifts, total expenditure is expected to grow from approximately $3 trillion in 2014 to over $5 trillion by 2023. As a percentage of GDP, total healthcare expenditure is expected to grow from 17.6% in 2014 to almost 19.5% by 2023.4 © 2014 Mercer Capital 2 www.mercercapital.com
  • 4. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Industry Trends Health Insurance Health Insurance Coverage Enrollment Totals The Affordable Care Act (ACA) was passed, in part, to address the number of Americans without health insurance. People covered by private health insur-ance are more likely to use healthcare services because private health insur-ance decreases out-of-pocket costs. With passage of the ACA, the percentage of Americans enrolled in a health insur-ance plan is expected to grow from 84.4% in 2010 to 93.0% by 2016.5 Payor Mix Funding for Medicare and Medicaid and the terms of access to these reim-bursement programs affect demand for hospitals and other healthcare services. Federal and state funding also affect the prices for those services. According to projections, Medicare funding outlays are set to be relatively stable through 2020 and beyond. The Congressional Budget Office (CBO) estimates Medi-care will hover around 13.0% to 15.0% of federal spending and 3.0% of GDP through 2023.6 Health Expenditure by Source © 2014 Mercer Capital 3 www.mercercapital.com
  • 5. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Industry Trends (cont.) Physician Revenue Generation Since 2004, the average revenue by physicians generated for their respective hospitals has dropped by almost 22.0%. Medicare reimbursement cuts and an evolving payment model (from fee-for-service to value-based) are driving the decline in revenues. This loss of revenue per physician has led to consolidation among hospitals and medical groups in the last decade.7 Average Net Revenue Generated by Physicians for Hospitals Physician S Physician Shortages upply and Demand in the US According to the Association of American Medical Colleges (AAMC), the U.S. will have a shortage of approximately 90,000 doctors by 2020. An aging population and an increase in insured individuals are driving demand upward for health professionals, but supply has been slow to follow. Medicare supported residency training has been flat since 1997 and one possible solution may be to increase funding towards these programs to draw in more eligible doctoral candidates. Increasing wages could also reverse the trend, but would negatively affect health-care facility margins.8 © 2014 Mercer Capital 4 www.mercercapital.com
  • 6. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Valuation Trends Broader healthcare indices have outpaced general market performance. Over the last year, the S&P Healthcare index and various healthcare sub-indexes have outperformed the S&P 500 index. Market Indices 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% -10.00% Jul-01-2013 Aug-01-2013 Sep-01-2013 Oct-01-2013 Nov-01-2013 Dec-01-2013 Jan-01-2014 Feb-01-2014 Mar-01-2014 Apr-01-2014 May-01-2014 Jun-01-2014 Russell 2000 Health Care Facilities Industry - Index Value S&P 500 Index (^SPX) - Index Value SPDR S&P Healthcare Services ETF (NAV) Index (^XHS) - Index Value S&P 500 Health Care Distributors (Sub Ind) Index (^SP500-35102010) - Index Value Russell 2000 Index (^RUT) - Index Value Merrill Lynch US Healthcare REIT (Total Return) Index - Index Value S&P 500 Sector Indices - Health Care Sector Index (^HCX) - Index Value S&P 500 Health Care Providers & Services (Industry) Index (^SP500-351020) - Index Value Source: Capital IQ Healthcare distributors (46.7%) and healthcare providers and services (26.9%) have had the best broad performance among the sub-sector indices in the past year. Merrill Lynch’s Healthcare REIT index was a relative outlier compared to other indices, but still recorded gains over the period. Market Indices % Change Market Indices 3 month YTD 1 year S&P 500 Index 5.5% 6.1% 21.4% Russell 2000 Index 3.6% 2.5% 20.5% Merrill Lynch US Healthcare REIT (Total Return) Index - Index Value 2.4% 5.9% 8.2% S&P 500 Sector Indices - Healthcare Sector Index 5.4% 9.7% 27.3% S&P 500 Healthcare Providers & Services (Industry) Index 3.2% 9.1% 26.9% SPDR S&P Healthcare Services ETF (NAV) Index 7.7% 11.1% 23.9% Russell 2000 Healthcare Facilities Industry - Index Value 0.5% 6.5% 23.3% S&P 500 Healthcare Distributors (Sub Ind) Index 4.6% 8.4% 46.7% Source: Capital IQ © 2014 Mercer Capital 5 www.mercercapital.com
  • 7. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Valuation Trends (cont.) Market Sector Number of Companies Median % Change LTM Multiples Forward Multiples Sector 3 month 1 year EV / Revenue EV / EBITDA EV / Revenue EV / EBITDA Acute Care Hospitals 5 15.2% 27.7% 1.56x 9.6x 1.12x 7.8x Assisted Living 5 2.9% -4.6% 0.98x 15.7x 0.95x 13.1x Diagnostic Services 3 -19.9% 70.9% 1.83x 6.3x 1.25x 7.4x Dialysis Services 2 0.9% 4.7% 1.96x 10.0x 1.87x 9.9x Distribution / Supply 6 0.8% 32.1% 0.26x 13.7x 0.27x 9.9x Emergency Services 3 -3.0% 52.5% 2.93x 11.8x 1.23x 4.9x Healthcare REIT 5 6.0% -5.6% 10.36x 18.1x 9.35x 15.9x Home Care / Hospice 6 3.1% 22.9% 0.77x 12.9x 0.68x 8.9x Long Term Care 4 2.2% 36.5% 0.79x 8.6x 0.87x 7.0x Pharmacy Management 5 3.2% 12.0% 0.64x 11.9x 0.67x 11.7x Psychiatric Hospitals 3 6.6% 22.0% 0.49x 10.1x 0.39x 8.0x Surgical Centers / Rehabilitation 4 0.1% 24.2% 2.29x 9.3x 2.15x 9.1x All / Median 51 2.5% 23.5% 1.27x 11.0x 1.04x 9.0x Source: Capital IQ Median Stock Price % Change, 1 Year Diagnostic Services Emergency Services Dialysis Services Pharmacy Management S&P 500 Psychiatric Hospitals Home Care / Hospice Surgical Centers / Rehabilitation Acute Care Hospitals Distribution / Supply Long Term Care Healthcare REIT Assisted Living -10.00% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% Source: Capital IQ Median Stock Price Companies in various healthcare facility subsectors have generally outperformed the broader market. The S&P 500 index has grown 21.4% year over year, trailing gains made by numerous healthcare facility sub-sectors. Excluding healthcare REITs, the best performing sub-sec-tors over the last year were diagnostic services (70.9%), emergency services (52.5%), and long-term care (36.5%). The worst performing sub-sectors were assisted living (-4.6%) and dialysis services (4.7%). © 2014 Mercer Capital 6 www.mercercapital.com
  • 8. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Valuation Trends (cont.) EV / Revenue Multiples Excluding healthcare REITs, sub-sec-tors with the highest current revenue multiples are emergency services (2.93x) and surgical centers/rehabilita-tion (2.29x). Forward revenues in most sub-sectors are pegged to increase over the next year. EV / EBITDA Multiples The sub-sectors with the highest current EBITDA multiples are assisted living (15.7x) and distribution/supply (13.7x). Similar to forward revenue expectations, forward EBITDA estimates are expected to increase across the majority of health-care facility sub-sectors. 3.50x 3.00x 2.50x 2.00x 1.50x 1.00x 0.50x 0.00x Acute Care Hospitals Assisted Living Diagnostic Services Dialysis Services Distribution / Supply Emergency Services Home Care / Hospice Long Term Care Pharmacy Management Psychiatric Hospitals Surgical Centers / Rehabilitation All / Median LTM Multiples Forward Multiples Source: Capital IQ 18.0x 16.0x 14.0x 12.0x 10.0x 8.0x 6.0x 4.0x 2.0x 0.0x Acute Care Hospitals Assisted Living Diagnostic Services Dialysis Services Distribution / Supply Emergency Services Home Care / Hospice Long Term Care Pharmacy Management Psychiatric Hospitals Surgical Centers / Rehabilitation All / Median LTM Multiples Forward Multiples Source: Capital IQ © 2014 Mercer Capital 7 www.mercercapital.com
  • 9. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 M&A Trends Over 200 transactions have been announced in the first half of 2014 in the healthcare facility sector. Hospitals and healthcare facilities are adapting to changes sweeping through the industry, as new policies and market forces are driving consolidation. Transaction activity remains high as providers combine and consolidate to remain competitive and achieve greater economies of scale, along with addressing shifting payment models. Major factors currently driving transactions include: 9, 10 • Reduced reimbursement rates. Reimbursement issues are causing heavy financial stress on healthcare facilities, as payment models move from fee-for-service towards value based and bundle payments. Stagnant reimbursement from Medicare, Medicaid, and other commercial payors are also hurting industry revenue, driving an uptick in consolidating M&A activity. • Volume challenges. Patients have been gravitating towards lower cost outpatient facilities, lowering the number of patients in inpatient facilities. Higher deductibles and growing copays have resulted in larger out-of-pocket expenses for consumers, leading patients to delay certain medical treatments. This has led to greater uncertainty in patient volume in a number of healthcare facility sub-sectors. • Integrated healthcare services. In order to maintain margins and profitability, healthcare facilities are looking to expand their footprint into a number of sub-sectors. Larger healthcare facilities are absorbing smaller groups in divergent sectors in order to provide a continuum of care to patients, diversify their services, and control costs. • Scale advantages. Larger and more integrated healthcare facilities have greater leverage and bargaining power when dealing with third-party payors, leading smaller facilities to consolidate with larger healthcare groups. Large capital expenditures will be needed to upgrade older facilities due to increasing healthcare demand as well, and large medical facility groups are better equipped to take on improvement projects due to their advantageous capital positions. Major Transactions • Brookdale Senior Living (BKD) announced in the first quarter of 2014 plans to merge with the Seattle-based Emeritus Corporation, effectively creating the first national senior-living company. The transaction value totaled $2.8 billion, including $1.4 billion in debt, and the deal subsequently closed in the third quarter of 2014.11 • AMSURG Corp. (AMSG) and Sheridan Healthcare announced in the second quarter 2014 that their respective boards of directors unanimously approved a definitive agreement under which AMSURG acquired Sheridan Healthcare in a cash and stock transaction valued at approximately $2.4 billion. The transaction combined an ambulatory surgical center with a physician management company and closed in the third quarter of 2014.12 • Kindred Healthcare, Inc. (KND) announced in the second quarter of 2014 a proposal to acquire all of the outstanding shares of common stock of Gentiva Health Services, Inc. (GTIV). The proposed price for Gentiva implied a total equity value of approximately $533 million. With the assumption of Gentiva’s debt, the transaction was valued at approximately $1.6 billion. The deal closed early in the fourth quarter of 2014.13 • The Cahill Group acquired Rosewood nursing homes and skilled-care centers for $250 million. The deal included skilled nursing facilities, senior living, home health and related companies in St. Louis and Illinois. The new company is named Cahill Rosewood, and the deal closed in the first quarter of 2014.14 © 2014 Mercer Capital 8 www.mercercapital.com
  • 10. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Healthcare Facility M&A Transactions Announced Date Buyers / Investors Target/Issuer Primary Industry 01/02/2014 180 Medical, Inc. PRN Medical Services, LLC Healthcare Distributors 01/02/2014 Hope Medical Supply Inc. Medina County Medical Equipment Company, Inc. Healthcare Distributors 01/02/2014 Alecto Healthcare Services LLC Olympia Health Care, LLC Healthcare Facilities 01/03/2014 Alan D. Shoopak, D.M.D. Orthodontic Group, P.A.; Sebring Management FL, LLC Implant, General & Cosmetic Dentistry of Tampa Bay, P.A. Healthcare Services 01/03/2014 Crozer-Keystone Health System Inc. Pioneer Urgent Care Healthcare Facilities 01/06/2014 Acadia Healthcare Company, Inc. (NasdaqGS:ACHC) Riverside Center for Behavioral Medicine Healthcare Facilities 01/06/2014 Global Healthcare REIT, Inc. (OTCPK:GBCS) ATL/WARR, LLC Healthcare Facilities 01/06/2014 Numotion Specialty Wheelchairs L.L.C Healthcare Distributors 01/06/2014 UCSF Benioff Children's Hospital UCSF Benioff Children's Hospital Oakland Healthcare Facilities 01/07/2014 RestorixHealth, Inc. Candescent Healing, LLC Healthcare Facilities 01/07/2014 South Jersey Radiology Associates, P.A. Booth Radiology Inc. Healthcare Services 01/07/2014 California Physicians' Service, Inc. GEMCare Health Plan, Inc. Managed Healthcare 01/07/2014 Surgical Care Affiliates, Inc. (NasdaqGS:SCAI) East Brunswick Surgery Center, LLC Healthcare Facilities 01/07/2014 BluePearl Veterinary Partners LLC Animal Critical Care and Emergency Services, PLLC Healthcare Facilities 01/07/2014 Northwestern Management Services LLC Dean, Israel & Associates, D.D.S., P.A. Healthcare Services 01/08/2014 Patient Home Monitoring Corp. (TSXV:PHM) Resource Medical Group, LLC Healthcare Distributors 01/08/2014 Patient Home Monitoring Corp. (TSXV:PHM) Palmetto Medical Holdings, LLC Healthcare Facilities 01/08/2014 Patient Home Monitoring Corp. (TSXV:PHM) RMGC, LLC Healthcare Services 01/08/2014 Alan D. Shoopak, D.M.D. Orthodontic Group, P.A.; Sebring Management FL, LLC Simon Orthodontic Centers, P.A. Healthcare Facilities 01/08/2014 Sebring Dental of Arizona, LLC North Scottsdale Family & Cosmetic Dentistry, PLLC Healthcare Services 01/09/2014 American Financial Group Inc. (NYSE:AFG) Summit Holding Southeast Inc. Managed Healthcare 01/09/2014 Catholic Health Initiatives Memorial Health System of East Texas Healthcare Facilities 01/09/2014 Physical Rehabilitation Network, Inc. RehabAuthority Healthcare Services 01/09/2014 Wesley Willows Corporation Peterson Meadows, Inc. Healthcare Facilities 01/10/2014 Pharos Capital Group, LLC Seaside Healthcare LLC Healthcare Facilities 01/13/2014 The Cahill Group Rosewood Care Center Holding Company Inc. Healthcare Facilities 01/14/2014 HCA Holdings, Inc. (NYSE:HCA) SP Acquisition Corp. Healthcare Facilities 01/14/2014 HRC Investors Corp. Jordan Oaks Retirement Community Healthcare Facilities 01/14/2014 HealthPRO Management Services, LLC Rehab Solutions, Inc. Healthcare Services 01/15/2014 Cornerstone Health Care, P.A. Ashe Medical Associates P.A. Healthcare Facilities 01/15/2014 University Hospitals Of Cleveland, Inc. Robinson Memorial Hospital Healthcare Facilities 01/15/2014 ThedaCare, Inc. Community Health Network, Inc. Healthcare Facilities 01/17/2014 Stratose, Inc. PPOplus, LLC Managed Healthcare 01/17/2014 Norco, Inc. The Walla Walla Home Medical, Inc. Healthcare Distributors Source: Capital IQ © 2014 Mercer Capital 9 www.mercercapital.com
  • 11. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Healthcare Facility M&A Transactions Announced Date Buyers / Investors Target/Issuer Primary Industry 01/20/2014 Pamplona Capital Management LLP, Private Equity; Broad Street Principal Investments, L.L.C. MagnaCare Inc. Managed Healthcare 01/22/2014 Vancrest Health Care Centers Inc. Dayview Care Center Inc. Healthcare Facilities 01/23/2014 Univita Health, Inc.; Sisters of Charity of Leavenworth Health System, Inc. Allcare Home Health LLC Healthcare Services 01/24/2014 Miami International Medical Center, LLC Metropolitan Hospital of Miami Healthcare Facilities 01/26/2014 Life Care Services LLC Encore Senior Living LLC Healthcare Facilities 01/27/2014 Focus Ventures LLC Otsego Manor Healthcare Facilities 01/28/2014 PDHC, Ltd. Park Dental St. Croix Valley Healthcare Services 01/29/2014 SentosaCare LLC North Sea Associates, LLC Healthcare Facilities 01/29/2014 National Dentex Corporation Tri-County Dental Lab Inc. Healthcare Services 01/29/2014 Centra Health, Inc. Bedford Memorial Hospital Healthcare Facilities 01/29/2014 Dynamic Dental Partners Inc. Personal Dental Care, Inc. Healthcare Services 01/29/2014 Atlantic Health System, Inc. Hackettstown Regional Medical Center Healthcare Facilities 01/29/2014 VestraCare Chautauqua County Home Healthcare Facilities 01/29/2014 Visiting Nurse Association of Cape Cod Inc. Vineyard Nursing Association Inc Healthcare Services 01/30/2014 Methodist McKinney Hospital Methodist McKinney Surgery Center Healthcare Facilities 01/30/2014 Global Healthcare REIT, Inc. (OTCPK:GBCS) Wood Moss, LLC Healthcare Facilities 01/31/2014 CHRISTUS Hospital-St. Elizabeth Beaumont Bone & Joint Institute, PA Healthcare Facilities 02/02/2014 Kinderhook Industries GlobalHealth, Inc. Managed Healthcare 02/04/2014 Stratose, Inc. Arkansas Managed Care Organization, Inc. Managed Healthcare 02/04/2014 AxelaCare Health Solutions, LLC ARC Infusion Corp. Inc. Healthcare Services 02/05/2014 Extended Care Physicians, PA Network Geriatric Services, PA Healthcare Services 02/05/2014 Dialysis Clinic, Inc. The Hortense And Louis Rubin Dialysis Center, Inc. Healthcare Facilities 02/06/2014 Prime Healthcare Services, Inc. Garden City Hospital Inc. Healthcare Facilities 02/06/2014 Belleville Surgical Center Ltd Physicians' Surgical Center, Ltd. Healthcare Facilities 02/06/2014 Comprehensive Healthcare Management Services LLC The Villages of Orleans Health & Rehabilitation Center Healthcare Facilities 02/06/2014 Montefiore Health System, Inc. White Plains Hospital Healthcare Facilities 02/07/2014 Merry X-Ray Corporation SouthWest Imaging Inc. Healthcare Distributors 02/09/2014 Princeton Radiology Associates P.A., Inc. Quakerbridge Radiology Associates, P.A. Healthcare Services 02/10/2014 Neurorestorative Associates, Inc. Ann Arbor Rehabilitation Centers, Inc. Healthcare Facilities 02/11/2014 Health Care REIT, Inc. (NYSE:HCN); Revera Inc. Sunrise Senior Living, LLC Healthcare Facilities 02/11/2014 21st Century Oncology, Inc. South Florida Radiation Oncology, LLC Healthcare Facilities 02/12/2014 ALK-Abelló, Inc. Bio-Medical Services, Inc. Healthcare Facilities 02/12/2014 Elements Behavioral Health, Inc. Clarity Way Drug and Alcohol Rehabilitation Center Healthcare Facilities 02/13/2014 West Paces Ferry Healthcare REIT, Inc. Southern Tulsa, LLC Healthcare Facilities Source: Capital IQ © 2014 Mercer Capital 10 www.mercercapital.com
  • 12. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Healthcare Facility M&A Transactions Announced Date Buyers / Investors Target/Issuer Primary Industry 02/13/2014 PhotoMedex, Inc. (NasdaqGS:PHMD) LCA-Vision Inc. Healthcare Facilities 02/13/2014 Holy Cross Hospital, Inc. Maryland Care, Inc. Managed Healthcare 02/13/2014 St. Alexius Medical Center, Inc. Catholic Health Initiatives Healthcare Facilities 02/14/2014 Alta Healthcare System LLC Newport Specialty Hospital Healthcare Facilities 02/15/2014 CareRite Centers, LLC Squirrel Hill Operating, LLC Healthcare Facilities 02/17/2014 TPG Capital, L.P.; Fosun Industrial Co., Ltd. Chindex International Inc. Healthcare Facilities 02/17/2014 Partners Group Holding AG (SWX:PGHN); Starr Investment Holdings, LLC, Investment Arm MultiPlan, Inc. Managed Healthcare 02/17/2014 Siskin Hospital For Physical Rehabilitation, Inc. St. Barnabas Healthcare Center Healthcare Facilities 02/18/2014 Highmark Inc. Hospital Service Association Of Northeastern Pennsylvania Managed Healthcare 02/18/2014 Erickson & Gill, P.A. Gentility Touch Dentistry Healthcare Services 02/18/2014 Westchester County Health Care Corporation MidHudson Regional Hospital of Westchester Medical Center Healthcare Facilities 02/19/2014 Furlong Fund, LLC Dynacq Healthcare Inc. (OTCPK:DYII) Healthcare Facilities 02/19/2014 Dynamic Healthcare Services, Inc. Reliable Medical Inc. Healthcare Distributors 02/19/2014 South Nassau Communities Hospital Inc Long Beach Medical Center Healthcare Facilities 02/20/2014 Brookdale Senior Living Inc. (NYSE:BKD) Emeritus Corp. Healthcare Facilities 02/20/2014 Yakima Valley Farm Workers Clinic Inc Community Dental Care Healthcare Services 02/20/2014 Saint Alphonsus Regional Medical Center, Inc. Oasis Medical Center Healthcare Facilities 02/20/2014 HEALTHSOUTH Corp. (NYSE:HLS) New England Rehabilitation Services Of Central Massachusetts, Inc. Healthcare Facilities 02/21/2014 Humility of Mary Health Partners, Inc. River Valley Health Partners Healthcare Facilities 02/25/2014 Aeroflow Inc. Air-Care Home Health, Inc. Healthcare Distributors 02/25/2014 Healthcare Finance Group, LLC; AcuityHealthcare, LP; HealthCap Partners, LLC; American Realty Capital LLC; Tutera & Co. Restora Healthcare Company, LLC Healthcare Facilities 02/26/2014 InPatient Hospitalist Healthcare Services of New York, P.C. CAP Medical Group, PLLC Healthcare Facilities 02/27/2014 Greater Rochester Health System, Inc. United Memorial Medical Center Healthcare Facilities 02/28/2014 Via Christi Health Inc. Mercy Regional Health Center, Inc. Healthcare Facilities 02/28/2014 Universal Health Services Inc. (NYSE:UHS) Palo Verde Behavioral Health Healthcare Facilities 03/04/2014 MEDNAX, Inc. (NYSE:MD) Piedmont Neonatology, PC Managed Healthcare 03/04/2014 Discovery Minerals Ltd. (OTCPK:DSCR) VPR Group, Inc. Healthcare Distributors 03/04/2014 Senior Care Centers of America, Inc. Senior Care of Brick Healthcare Facilities 03/05/2014 West Coast Commonwealth Partners, LLC Blue Ridge Health Care Center Healthcare Facilities 03/12/2014 West End Family Dental Clinic LLC Cane Run Smile Center, Inc. Healthcare Services 03/12/2014 West End Family Dental Clinic LLC West Louisville Dental Center Healthcare Services Source: Capital IQ © 2014 Mercer Capital 11 www.mercercapital.com
  • 13. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Healthcare Facility M&A Transactions Announced Date Buyers / Investors Target/Issuer Primary Industry 03/13/2014 Northwestern Memorial Healthcare Corporation CDH-Delnor Health System, Inc. Healthcare Facilities 03/14/2014 DLP Healthcare, LLC Conemaugh Health System, Inc. Managed Healthcare 03/17/2014 Therapy Support, Inc. Town and Country Medical, Inc. Healthcare Distributors 03/17/2014 OSF Healthcare System St. Anthony's Health System Healthcare Facilities 03/17/2014 ATI Physical Therapy Holdings, LLC Ocoee Physical Therapy, Inc. Healthcare Services 03/18/2014 Post Acute Medical, LLC Nanticoke Hospital Company, LLC Healthcare Facilities 03/18/2014 Black Stone Of Cincinnati, LLC Nursing Resources by Black Stone Healthcare Services 03/19/2014 Investment 360 L.L.C Sunnyview Nursing and Rehabilitation Center Healthcare Facilities 03/20/2014 Hospice Of the Sacred Heart Celtic Healthcare of NE PA, Inc. Healthcare Services 03/21/2014 Beaumont Health William Beaumont Hospital, Inc. Healthcare Facilities 03/21/2014 Beaumont Health Botsford Health Care Continuum Healthcare Facilities 03/25/2014 People's Choice Hospital LLC Community Healthcare Of Douglas, Inc. Healthcare Facilities 03/27/2014 Rising Pharmaceuticals, Inc. PACK Pharmaceuticals, LLC Healthcare Distributors 03/28/2014 ROC Seniors Housing Fund Manager, LLC Maristone Living Healthcare Facilities 03/28/2014 Billings Clinic; RegionalCare Hospital Partners, Inc. Community Medical Center, Inc. Healthcare Facilities 03/31/2014 NextGen Cannabis Consulting LLC Greens R US, Inc. Healthcare Facilities 04/01/2014 Magellan Rx Management, LLC CDMI, LLC Managed Healthcare 04/01/2014 FastMed Urgent Care Advanced Urgent Care, L.L.C. Healthcare Facilities 04/01/2014 Celtic Healthcare, Inc. VNA-TIP Healthcare Healthcare Services 04/01/2014 Baptist Health South Florida, Inc. Baptist Eye Surgery Center Healthcare Facilities 04/02/2014 Walton Street Capital, L.L.C.; Life Care Services LLC Danberry at Inverness, Inc. Healthcare Facilities 04/03/2014 LHC Group, Inc. (NasdaqGS:LHCG) St. Joseph's Hospital of Buckhannon, Inc. Healthcare Facilities 04/03/2014 Water Street Healthcare Partners Take Care Employer Solutions, LLC Healthcare Facilities 04/03/2014 Centers for Specialty Care Group LLC Westmount Health Facility Healthcare Facilities 04/04/2014 Community Health Systems, Inc. (NYSE:CYH) Natchez Regional Medical Center Healthcare Facilities 04/07/2014 Compass Health Whatcom Counseling & Psychiatric Clinic Healthcare Facilities 04/08/2014 OrthoNY, LLP Schenectady Regional Orthopedic Associates, PC Managed Healthcare 03/14/2014 DLP Healthcare, LLC Conemaugh Health System, Inc. Managed Healthcare 03/17/2014 Therapy Support, Inc. Town and Country Medical, Inc. Healthcare Distributors 03/17/2014 OSF Healthcare System St. Anthony's Health System Healthcare Facilities 03/17/2014 ATI Physical Therapy Holdings, LLC Ocoee Physical Therapy, Inc. Healthcare Services 03/18/2014 Post Acute Medical, LLC Nanticoke Hospital Company, LLC Healthcare Facilities 03/18/2014 Black Stone Of Cincinnati, LLC Nursing Resources by Black Stone Healthcare Services 03/19/2014 Investment 360 L.L.C Sunnyview Nursing and Rehabilitation Center Healthcare Facilities 03/20/2014 Hospice Of the Sacred Heart Celtic Healthcare of NE PA, Inc. Healthcare Services Source: Capital IQ © 2014 Mercer Capital 12 www.mercercapital.com
  • 14. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Healthcare Facility M&A Transactions Announced Date Buyers / Investors Target/Issuer Primary Industry 03/21/2014 Beaumont Health William Beaumont Hospital, Inc. Healthcare Facilities 03/21/2014 Beaumont Health Botsford Health Care Continuum Healthcare Facilities 03/25/2014 People's Choice Hospital LLC Community Healthcare Of Douglas, Inc. Healthcare Facilities 03/27/2014 Rising Pharmaceuticals, Inc. PACK Pharmaceuticals, LLC Healthcare Distributors 03/28/2014 ROC Seniors Housing Fund Manager, LLC Maristone Living Healthcare Facilities 03/28/2014 Billings Clinic; RegionalCare Hospital Partners, Inc. Community Medical Center, Inc. Healthcare Facilities 03/31/2014 NextGen Cannabis Consulting LLC Greens R US, Inc. Healthcare Facilities 04/01/2014 Magellan Rx Management, LLC CDMI, LLC Managed Healthcare 04/01/2014 FastMed Urgent Care Advanced Urgent Care, L.L.C. Healthcare Facilities 04/01/2014 Celtic Healthcare, Inc. VNA-TIP Healthcare Healthcare Services 04/01/2014 Baptist Health South Florida, Inc. Baptist Eye Surgery Center Healthcare Facilities 04/02/2014 Walton Street Capital, L.L.C.; Life Care Services LLC Danberry at Inverness, Inc. Healthcare Facilities 04/03/2014 LHC Group, Inc. (NasdaqGS:LHCG) St. Joseph's Hospital of Buckhannon, Inc. Healthcare Facilities 04/03/2014 Water Street Healthcare Partners Take Care Employer Solutions, LLC Healthcare Facilities 04/03/2014 Centers for Specialty Care Group LLC Westmount Health Facility Healthcare Facilities 04/04/2014 Community Health Systems, Inc. (NYSE:CYH) Natchez Regional Medical Center Healthcare Facilities 04/07/2014 Compass Health Whatcom Counseling & Psychiatric Clinic Healthcare Facilities 04/08/2014 OrthoNY, LLP Schenectady Regional Orthopedic Associates, PC Managed Healthcare 04/10/2014 Rite Aid Corporation (NYSE:RAD) RediClinic LLC Healthcare Facilities 04/10/2014 The Abell Foundation, Inc., Endownment Arm University of Maryland Specialty Hospital Healthcare Facilities 04/11/2014 Cornerstone Healthcare, Inc. Life's Doors Hospice, Inc. Healthcare Services 04/11/2014 CHP Friendswood SNF, LLC Friendship Haven Healthcare and Rehabilitation Center Healthcare Facilities 04/14/2014 Lowell General Hospital, LLC Tufts Medical Center, Inc. Healthcare Facilities 04/15/2014 Joerns Healthcare Inc. RecoverCare, LLC Healthcare Distributors 04/17/2014 TRU Community Care Hospice of Northern Colorado, Inc. Healthcare Facilities 04/18/2014 Wellspring Capital Management LLC Great Lakes Home Health Services, Inc. Healthcare Services 04/21/2014 Latteno Food Corp. (OTCPK:LATF) DMND, Inc. Healthcare Distributors 04/24/2014 Pacifica Senior Living, LLC Quiet Oaks Distinctive Assisted Living Healthcare Facilities 04/24/2014 Berkshire Medical Center, Inc. North Adams Regional Hospital, Inc. Healthcare Facilities 04/29/2014 University Wisconsin Health SwedishAmerican Health System Corporation Healthcare Facilities 04/29/2014 Catholic Health System, Inc., Endowment Arm Mount St. Mary's Hospital and Health Center Healthcare Facilities 05/01/2014 ACSH Urgent Care of Georgia, LLC CorrectMed, LLC Healthcare Facilities 05/01/2014 Enhanced Medical Services, LLC Universal Ophthalmic Instruments, Inc. Healthcare Distributors 05/01/2014 Pyramid Healthcare, Inc. Onward Behavioral Health, Inc. Healthcare Services 05/06/2014 Prospira PainCare Holdings, LLC Advanced Interventional Pain Clinic, LLC Healthcare Services Source: Capital IQ © 2014 Mercer Capital 13 www.mercercapital.com
  • 15. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Healthcare Facility M&A Transactions Announced Date Buyers / Investors Target/Issuer Primary Industry 05/07/2014 The Ensign Group, Inc. (NasdaqGS:ENSG) Washington Heights Healthcare, Inc. Healthcare Facilities 05/07/2014 C & C Shop LLC Better Buds LLC Healthcare Distributors 05/08/2014 IPC The Hospitalist Company, Inc. (NasdaqGS:IPCM) Total InPatient Services, P.A. Healthcare Facilities 05/08/2014 M3 USA Corporation PracticeMatch Services, LLC Managed Healthcare 05/09/2014 Maxim Management Group, LLC Leesville Rehabilitation Hospital LLC Healthcare Facilities 05/13/2014 Senior Care Centers of America, Inc. Senior Care of Clifton Heights Healthcare Facilities 05/13/2014 Signature Hospice, Home Health and Home Care XL Hospice, Inc. Healthcare Facilities 05/13/2014 Alecto Healthcare Services LLC Fairmont Regional Medical Center Healthcare Facilities 05/15/2014 Kindred Healthcare Inc. (NYSE:KND) Gentiva Health Services Inc. (NasdaqGS:GTIV) Healthcare Services 05/15/2014 Care New England Health System Inc. Southern New England Regional Cancer Center, LLC Healthcare Facilities 05/19/2014 CHP Partners LP Mercy Rehabilitation Hospital, LLC Healthcare Services 05/19/2014 CHP Partners LP HealthSouth Rehabilitation Hospital of Desert Canyon, LLC Healthcare Facilities 05/19/2014 CHP Partners LP Saint Joseph Rehabilitation Institute Healthcare Facilities 05/19/2014 CHP Partners LP Victory Medical Center Beaumont, LP Healthcare Facilities 05/19/2014 CHP Partners LP Southwest Surgical Hospital Healthcare Facilities 05/20/2014 Harvest Partners, LP AthletiCo Ltd. Healthcare Services 05/21/2014 Silver Point Capital L.P. Specialty Hospitals of America, LLC Healthcare Facilities 05/21/2014 Silver Point Capital L.P. Specialty Hospital of Washington LLC Healthcare Facilities 05/21/2014 OSF Healthcare System Mendota Community Hospital Healthcare Facilities 05/22/2014 The Peebles Corporation; The Witkoff Group LLC Long Island College Hospital Inc. Healthcare Facilities 05/23/2014 Summit Behavioral Healthcare, LLC Valley Recovery Center of California Healthcare Facilities 05/27/2014 ABC Home Medical Supply, Inc. Southeast Medical, Inc. Healthcare Distributors 05/28/2014 National Specialty Hospitals, Inc. Fairfield Surgery Center, LLC Healthcare Facilities 05/29/2014 IPC The Hospitalist Company, Inc. (NasdaqGS:IPCM) Eastside Medical Consultants, LLC Healthcare Facilities 05/29/2014 Lifecare Hospitals, LLC Kindred Hospital-Pittsburgh-North Shore, L.L.C. Healthcare Facilities 05/30/2014 SFMP, Inc. Memphis Surgery Associates, PC Healthcare Facilities 05/30/2014 Apax Partners LLP GENEX Services, Inc. Managed Healthcare 05/30/2014 Baptist Health South Florida, Inc. MaxCare Urgent Treatment Center Healthcare Facilities 06/02/2014 Greystone Healthcare Management Corp. Brevard HMA Nursing Home, LLC Healthcare Facilities 06/02/2014 U.S. Healthworks, Inc. Industricare, LLC Healthcare Facilities 06/02/2014 Addus HomeCare Corporation (NasdaqGS:ADUS) Aid & Assist At Home LLC Healthcare Services 06/03/2014 Apollo Medical Holdings, Inc. (OTCPK:AMEH) AKM Medical Group, Inc. Managed Healthcare 06/03/2014 The Guardian Life Insurance Company of America Access Dental Plan, Inc. Healthcare Services 06/03/2014 Tenet Healthcare Corp. (NYSE:THC) Texas Regional Medical Center Ltd. Healthcare Facilities 06/04/2014 VWR International LLC LABREPCO, Inc. Healthcare Distributors Source: Capital IQ © 2014 Mercer Capital 14 www.mercercapital.com
  • 16. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Healthcare Facility M&A Transactions Announced Date Buyers / Investors Target/Issuer Primary Industry 06/04/2014 Avamere Family of Companies Inc. Sunnyside Operations LLC Healthcare Facilities 06/04/2014 Center Management Group, LLC RUNNELLS Specialized Hospital of Union County Healthcare Facilities 06/09/2014 Cleveland Clinic Akron General Health System Healthcare Facilities 06/10/2014 Pediatric Associates, Inc. Jacksonville Pediatric Associates, M.D., P.A. Healthcare Facilities 06/11/2014 Terner Capital Group, LLC Florence Hospital at Anthem, LLC Healthcare Facilities 06/12/2014 Matt Smith Physical Therapy Rancho Injury Care Center Healthcare Services 06/16/2014 ANIMART Inc. Michigan Veterinary Supply Co., Inc. Healthcare Distributors 06/17/2014 ACSH Urgent Care of Florida, LLC Bay Walk-In Clinic, Inc. Healthcare Facilities 06/17/2014 RepuCare Onsite LLC Spectrum Health Systems, Inc. Healthcare Facilities 06/17/2014 Synergy Health Centers LLC Park Avenue Nursing & Rehabilitation Center Inc. Healthcare Facilities 06/19/2014 Complete HealthCare Resources-Eastern, Inc. Cedar Haven Nursing Home Healthcare Facilities 06/24/2014 Fresenius Medical Care AG & Co. KGAA (DB:FME) Sound Inpatient Physicians, Inc. Managed Healthcare 06/25/2014 Partners HealthCare System, Inc. South Shore Hospital, Inc. Healthcare Facilities 06/26/2014 Banner Health The University of Arizona Health Network, Inc. Healthcare Facilities 06/27/2014 Alignment Healthcare LLC Honored Citizens Choice Health Plan, Inc. Managed Healthcare 06/27/2014 Fresenius Medical Care AG & Co. KGAA (DB:FME) CRG Operating Company, LLC Healthcare Facilities 06/27/2014 Regenerative Medicine Solutions, LLC Advanced Health Care Partners, LLC Managed Healthcare 06/27/2014 Quantum International Income Corp. (TSXV:QIC.U) Roseland Ambulatory Surgery Center, LLC Healthcare Facilities 06/30/2014 Muneris Capital Group LLC Presence Our Lady of the Resurrection Medical Center Healthcare Facilities 06/30/2014 Center Management Group, LLC Catholic Health Care Services of Archdiocese of Philadelphia Healthcare Facilities 06/30/2014 Integrated Anesthesia Associates, Inc. Medical Anesthesiology Associates, P.C. Healthcare Services Source: Capital IQ © 2014 Mercer Capital 15 www.mercercapital.com
  • 17. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Public Company Pricing Acute Care Hospitals Company Name Ticker Community Health Systems, Inc. CYH $45.4 17.4% -3.5% $5,229.4 $22,460.4 $15,508.7 $1,987.9 1.61x 12.9x 1.12x 7.4x HCA Holdings, Inc. HCA $56.4 10.2% 52.6% $24,223.5 $53,859.5 $35,354.0 $6,921.0 1.56x 8.1x 1.40x 7.8x Lifepoint Hospitals Inc. LPNT $62.1 15.2% 27.7% $2,762.1 $4,708.0 $3,906.5 $520.9 1.25x 9.6x 1.04x 7.8x Tenet Healthcare Corp. THC $46.9 12.1% 1.5% $4,583.8 $16,069.8 $14,261.0 $1,579.0 1.27x 11.0x 0.92x 8.2x Universal Health Services Inc. UHS $95.8 20.2% 40.6% $9,459.6 $12,956.3 $7,557.2 $1,391.6 1.76x 9.3x 1.44x 9.1x Median 15.2% 27.7% 1.56x 9.6x 1.12x 7.8x $ in millions, except per share pricing Source: Capital IQ Assisted Living % Change Price at Market Ent. Value 10/28/14 3-month 1 year Cap (TEV) Rev. EBITDA LTM LTM Multiples Forward Multiple EV / Rev. EV / EBITDA EV / Rev. EV / EBITDA % Change Price at Market Ent. Value 10/28/14 3-month 1 year Cap (TEV) Rev. EBITDA LTM LTM Multiples Forward Multiple Company Name Ticker EV / Rev. EV / EBITDA EV / Rev. EV / EBITDA AdCare Health Systems Inc. ADK $4.3 2.9% -5.7% $75.0 $219.7 $223.8 $12.3 0.98x 16.4x 0.95x 13.7x Brookdale Senior Living Inc. BKD $33.3 0.8% 24.2% $4,287.2 $6,875.9 $2,604.2 $448.4 2.67x 15.7x 2.25x 13.1x Capital Senior Living Corp. CSU $23.8 -6.4% -2.7% $691.9 $1,208.0 $355.5 $53.8 3.46x 22.5x 3.05x 15.9x Five Star Quality Care Inc. FVE $5.0 6.1% -11.8% $243.6 $257.9 $1,086.3 $38.6 0.24x 6.1x 0.20x 5.3x Skilled Healthcare Group, Inc. SKH $6.3 25.3% -4.6% $249.2 $664.2 $831.3 $64.7 0.80x 10.0x 0.79x 9.0x Median 2.9% -4.6% 0.98x 15.7x 0.95x 13.1x $ in millions, except per share pricing Source: Capital IQ Quick References Enterprise Value Market Capitalization + Total Debt + Preferred Equity + Minority Interest - Cash and Short Term Investments EBITDA Earnings Before Interest, Taxes, Depreciation, and Amortization LTM Last Twelve Months Forward Next Twelve Month Estimates © 2014 Mercer Capital 16 www.mercercapital.com
  • 18. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Public Company Pricing (cont.) Diagnostic Imaging % Change Price at Market Ent. Value 10/28/14 3-month 1 year Cap (TEV) Rev. EBITDA LTM LTM Multiples Forward Multiple Company Name Ticker EV / Rev. EV / EBITDA EV / Rev. EV / EBITDA Alliance Healthcare Services, Inc. AIQ $27.0 -19.9% 70.9% $284.0 $812.8 $440.6 $132.2 1.83x 5.8x NM NM American Shared Hospital Services AMS $2.6 -21.2% 20.5% $13.7 $56.3 $15.8 $8.2 3.32x 6.3x NM NM RadNet, Inc. RDNT $6.6 142.0% 152.1% $277.2 $903.9 $701.5 $108.3 1.29x 8.2x 1.25x 7.4x Median -19.9% 70.9% 1.83x 6.3x 1.25x 7.4x $ in millions, except per share pricing Source: Capital IQ Dialysis Services % Change Price at Market Ent. Value 10/28/14 3-month 1 year Cap (TEV) Rev. EBITDA LTM LTM Multiples Forward Multiple Company Name Ticker EV / Rev. EV / EBITDA EV / Rev. EV / EBITDA DaVita HealthCare Partners Inc. DVA $72.3 5.7% 19.4% $15,490.9 $23,609.5 $12,269.6 $2,413.0 1.97x 9.8x 1.86x 9.7x Fresenius Medical Care AG & Co. KGAA FME $49.0 -3.8% -10.0% $14,799.2 $21,278.5 $15,212.7 $2,852.8 1.96x 10.3x 1.89x 10.2x Median 0.9% 4.7% 1.96x 10.0x 1.87x 9.9x $ in millions, except per share pricing Source: Capital IQ Distribution / Supply % Change Price at Market Ent. Value 10/28/14 3-month 1 year Cap (TEV) Rev. EBITDA LTM LTM Multiples Forward Multiple Company Name Ticker EV / Rev. EV / EBITDA EV / Rev. EV / EBITDA AmerisourceBergen Corporation ABC $72.7 12.1% 32.1% $16,409.5 $17,109.7 $112,449.5 $1,168.3 0.16x 15.7x 0.14x 9.9x Cardinal Health, Inc. CAH $68.6 -1.6% 44.1% $23,324.2 $24,203.2 $91,084.0 $2,369.0 0.26x 9.5x 0.27x 9.3x Henry Schein, Inc. HSIC $118.7 0.8% 22.2% $10,128.9 $11,276.9 $9,920.9 $822.8 1.16x 13.7x 1.09x 12.9x McKesson Corporation MCK $186.2 6.2% 60.3% $43,124.9 $51,447.9 $149,428.0 $3,352.0 0.37x 16.2x 0.31x 10.9x Patterson Companies, Inc. PDCO $39.5 -1.6% -0.7% $2,143.8 $2,177.4 $9,151.3 $238.1 0.24x 9.0x 0.24x 7.9x Median 0.8% 32.1% 0.26x 13.7x 0.27x 9.9x $ in millions, except per share pricing Source: Capital IQ © 2014 Mercer Capital 17 www.mercercapital.com
  • 19. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Public Company Pricing (cont.) Emergency Services % Change Price at Market Ent. Value 10/28/14 3-month 1 year Cap (TEV) Rev. EBITDA LTM LTM Multiples Forward Multiple Company Name Ticker EV / Rev. EV / EBITDA EV / Rev. EV / EBITDA Adeptus Health Inc. ADPT $25.4 0.0% 0.0% $237.8 $353.1 $140.4 $5.4 2.93x 34.1x 0.00x 0.0x Air Methods Corp. AIRM $51.7 -3.0% 52.5% $2,022.2 $2,722.0 $957.8 $247.8 2.94x 11.8x 2.65x 9.9x InfuSystem Holdings, Inc. INFU $2.7 -3.6% 74.3% $59.3 $86.0 $59.4 $16.4 1.49x 5.8x 1.23x NM Median -3.0% 52.5% 2.93x 11.8x 1.23x 4.9x $ in millions, except per share pricing Source: Capital IQ Home Care / Hospice Company Name Ticker Addus HomeCare Corporation ADUS $22.5 0.63% 14.64% $244.6 $227.6 $285.8 $18.3 0.83x 12.9x 0.72x 10.0x Almost Family Inc. AFAM $22.1 -5.88% 17.60% $208.6 $256.8 $430.9 $17.9 0.65x 17.2x 0.52x 8.9x Amedisys Inc. AMED $16.7 13.65% 49.87% $549.3 $589.6 $1,192.0 $35.3 0.49x 17.9x 0.50x 12.5x Chemed Corp. CHE $93.7 5.53% 28.16% $1,643.8 $1,790.1 $1,408.0 $183.8 1.27x 9.8x 1.22x 8.5x Gentiva Health Services Inc. GTIV $15.1 66.41% 59.70% $554.8 $1,661.5 $1,882.2 $142.1 0.92x 12.9x 0.83x 8.8x LHC Group, Inc. LHCG $21.4 -2.60% 8.59% $380.1 $461.4 $668.0 $54.1 0.71x 8.9x 0.63x 8.1x Median 3.08% 22.88% 0.77x 12.9x 0.68x 8.9x $ in millions, except per share pricing Source: Capital IQ Long Term Care % Change Price at Market Ent. Value 10/28/14 3-month 1 year Cap (TEV) Rev. EBITDA LTM LTM Multiples Forward Multiple EV / Rev. EV / EBITDA EV / Rev. EV / EBITDA % Change Price at Market Ent. Value 10/28/14 3-month 1 year Cap (TEV) Rev. EBITDA LTM LTM Multiples Forward Multiple Company Name Ticker EV / Rev. EV / EBITDA EV / Rev. EV / EBITDA Diversicare Healthcare Services Inc. DVCR $7.6 23.9% 56.0% $46.7 $109.5 $322.1 $11.7 0.36x 18.4x NM NM Kindred Healthcare Inc. KND $23.1 0.7% 71.5% $1,473.5 $3,040.0 $5,012.8 $284.5 0.62x 10.3x 0.59x 7.2x National Healthcare Corp. NHC $56.3 3.7% 17.1% $799.8 $821.5 $832.4 $108.3 1.02x 6.7x 0.96x NM The Ensign Group, Inc. ENSG $31.1 -28.3% -13.1% $690.5 $888.3 $956.0 $119.1 0.96x 6.9x 0.87x 6.8x Median 2.2% 36.5% 0.79x 8.6x 0.87x 7.0x $ in millions, except per share pricing Source: Capital IQ © 2014 Mercer Capital 18 www.mercercapital.com
  • 20. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Public Company Pricing (cont.) Pharmacy Management % Change Price at Market Ent. Value 10/28/14 3-month 1 year Cap (TEV) Rev. EBITDA LTM LTM Multiples Forward Multiple Company Name Ticker EV / Rev. EV / EBITDA EV / Rev. EV / EBITDA BioScrip Inc. BIOS $8.3 23.6% -49.1% $570.7 $980.1 $975.3 $21.3 1.09x 40.1x 0.99x 16.7x Catamaran Corporation CCT $47.1 -4.0% -8.0% $9,747.0 $10,596.6 $18,443.2 $763.6 0.58x 13.2x 0.46x 12.0x Express Scripts Holding Company ESRX $69.3 -8.2% 12.0% $53,638.0 $65,578.9 $100,493.0 $6,419.7 0.64x 10.2x 0.67x 9.4x Omnicare Inc. OCR $66.6 13.3% 38.2% $6,592.2 $8,520.6 $6,233.0 $722.4 1.39x 11.9x 1.32x 11.7x PharMerica Corporation PMC $28.6 3.2% 107.8% $857.5 $1,075.7 $1,788.1 $112.0 0.61x 9.3x 0.61x 8.6x Median 3.2% 12.0% 0.64x 11.9x 0.67x 11.7x $ in millions, except per share pricing Source: Capital IQ Psychiatric Hospitals % Change Price at Market Ent. Value 10/28/14 3-month 1 year Cap (TEV) Rev. EBITDA LTM LTM Multiples Forward Multiple Company Name Ticker EV / Rev. EV / EBITDA EV / Rev. EV / EBITDA Acadia Healthcare Company, Inc. ACHC $45.5 2.2% 34.1% $2,717.0 $3,373.0 $789.9 $154.7 4.48x 22.8x 3.59x 17.1x Magellan Health, Inc. MGLN $62.2 6.6% 10.5% $1,703.7 $1,446.7 $3,736.3 $206.9 0.39x 6.0x 0.38x 6.4x Providence Service Corp. PRSC $36.6 31.2% 22.0% $533.0 $557.7 $1,186.9 $60.7 0.49x 10.1x 0.39x 8.0x Median 6.6% 22.0% 0.49x 10.1x 0.39x 8.0x $ in millions, except per share pricing Source: Capital IQ © 2014 Mercer Capital 19 www.mercercapital.com
  • 21. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Public Company Pricing (cont.) Surgical Centers / Rehabilitation Company Name Ticker AmSurg Corp. AMSG $45.6 -2.0% 27.1% $1,871.6 $2,950.7 $1,101.3 $371.0 2.72x 8.0x 2.53x 8.2x Surgical Care Affiliates, Inc. SCAI $29.1 -4.4% 0.0% $1,113.3 $1,935.0 $807.4 $171.1 2.45x 10.1x 2.28x 12.0x HEALTHSOUTH Corp. HLS $35.9 2.3% 21.3% $3,160.1 $4,842.9 $2,303.3 $577.5 2.14x 8.5x 2.02x 8.3x Select Medical Holdings Corporation SEM $15.6 30.8% 90.0% $2,041.1 $3,711.0 $2,963.0 $357.4 1.26x 10.2x 1.19x 9.9x Median 0.1% 24.2% 2.29x 9.3x 2.15x 9.1x $ in millions, except per share pricing Source: Capital IQ Healthcare REIT % Change Price at Market Ent. Value 10/28/14 3-month 1 year Cap (TEV) Rev. EBITDA LTM LTM Multiples Forward Multiple EV / Rev. EV / EBITDA EV / Rev. EV / EBITDA % Change Price at Market Ent. Value 10/28/14 3-month 1 year Cap (TEV) Rev. EBITDA LTM LTM Multiples Forward Multiple Company Name Ticker EV / Rev. EV / EBITDA EV / Rev. EV / EBITDA Health Care REIT, Inc. HCN $62.7 6.0% -5.6% $19,143.1 $31,267.4 $3,162.3 $1,712.0 10.36x 19.5x 9.32x 17.3x HCP, Inc. HCP $41.4 8.4% -7.9% $18,960.2 $27,580.2 $2,142.6 $1,747.6 13.02x 15.4x 13.06x 15.9x Healthcare Realty Trust Incorporated HR $25.4 5.7% 0.1% $2,441.3 $3,821.0 $359.5 $208.7 10.97x 19.0x 10.10x 17.2x Owens & Minor Inc. OMI $34.0 -1.6% -0.7% $2,143.8 $2,177.4 $9,151.3 $238.1 0.24x 9.0x 0.24x 7.9x Ventas, Inc. VTR $64.1 6.2% -6.6% $18,868.1 $28,527.7 $2,934.8 $1,623.3 9.95x 18.1x 9.35x 15.2x Median 5.99% -5.60% 10.36x 18.1x 9.35x 15.9x $ in millions, except per share pricing Source: Capital IQ © 2014 Mercer Capital 20 www.mercercapital.com
  • 22. Mercer Capital’s Value Focus: Healthcare Facilities Industry Mid-Year 2014 Sources 1 “Centers for Medicare and Medicaid Services: Projected,” Online, Available, http://www.cms.gov/Research-Statistics-Data-and-Sys-tems/ Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsProjected.html, Accessed November 4, 2014. 2 “Obesity and the Economics of Prevention: Fit not Fat,” Online, Available, http://www.oecd.org/unitedstates/Obesity-Update-2014-USA. pdf, Accessed November 13, 2014. 3 “F is for Fat: How Obestiy Threatens America’s Future, 2012,” Online, Available, http://healthyamericans.org/report/100/, Accessed November 13, 2014. 4 Ibid. 5 Ibid. 6 “The Facts on Medicare Spending,” Online, Available, http://kff.org/medicare/fact-sheet/medicare-spending-and-financing-fact-sheet/, Accessed November 4, 2014. 7 “2013 Inpatient / Outpatient Revenue Survey,” Online, Available, http://www.wahospitalservices.com/wp-content/uploads/mha2013reve-nuesurveyPDF. pdf, Accessed November 4, 2014. 8 “Physician Shortage to Worsen without Increase in Residency Training,” Online, Available, https://www.aamc.org/download/153160/data/ physician_shortages_to_worsen_without_increases_in_residency_tr.pdf, Accessed November 4, 2014. 9 “Moody’s: 5 key for profit hospital consolidation trends,” Online, Available, http://www.beckershospitalreview.com/hospital-transac-tions- and-valuation/moody-s-5-key-for-profit-hospital-consolidation-trends.html, Accessed November 24. 2014. 10 “Healthcare and Life Science Insider: June 2014,” Online, Available, www.bglco.com/files/healthcare__life_sciences_insider_jun_14. pdf, Accessed November 24, 2014. 11 “Brookdale merges with Seattle senior-living giant,” Online, Available, http://www.bizjournals.com/nashville/blog/2014/02/brook-dale- merges-with-another-senior.html?page=all, Accessed November 24,2014 12 “AMSURG Corp. to Acquire Sheridan Healthcare in Transformation Transaction Valued at $2.35 Billion,” Online, Available, http://www. businesswire.com/news/home/20140529005540/en/AMSURG-Corp.-Acquire-Sheridan-Healthcare-Transformational-Transaction#. VHO95IvF868, Accessed November 24, 2014. 13 “KND proposes $14/share takeover of GTIV,” Online, Available, http://www.streetinsider.com/Hot+Corp.+News/Kindred+Health-care+% 28KND%29+Proposes+$14Share+Takeover+of+Gentiva+Health+Services+%28GTIV%29/9488361.html, Accessed November 24, 2014. 14 “Cahill Group buys Rosewood Nursing Homes,” Online, Available, http://voices.suntimes.com/business-2/cahill-group-buys-rosewood-nursing- home-group/, Accessed November 24, 2014. © 2014 Mercer Capital 21 www.mercercapital.com
  • 23. Mercer Capital Healthcare Facilities Industry Services Contact Us BUSINESS VALUATION & FINANCIAL ADVISORY SERVICES Mercer Capital has expertise in providing business valuation and financial advisory services to companies in the healthcare facilities industry. Industry Segments Mercer Capital serves the following industry segments: • Acute care hospitals • Assisted living facilities • Emergency services • Home care and hospice • Long-term care • Surgical centers and rehabilitation facilities • Other healthcare facilities Services We Provide • Valuation of healthcare companies for tax compliance • Valuations for purchase accounting and impairment testing • Fairness and solvency opinions • Transaction advisory for acquisitions and divestitures • Litigation support for economic damages and valuation and shareholder disputes Contact a Mercer Capital professional to discuss your needs in confidence. Sujan Rajbhandary, CFA 901.322.9749 sujanr@mercercapital.com Timothy R. Lee, ASA 901.322.9740 leet@mercercapital.com Jay D. Wilson, Jr., CFA, ASA, CBA 901.322.9725 wilsonj@mercercapital.com Atticus L. Frank 901.322.9754 franka@mercercapital.com Mercer Capital 5100 Poplar Avenue, Suite 2600 Memphis, Tennessee 38137 901.685.2120 (P) www.mercercapital.com Copyright © 2014 Mercer Capital Management, Inc. All rights reserved. It is illegal under Federal law to reproduce this publication or any portion of its contents without the publisher’s permission. Media quotations with source attribution are encouraged. Reporters requesting additional information or editorial comment should contact Barbara Walters Price at 901.685.2120. Mercer Capital’s Industry Focus does not constitute legal or financial consulting advice. It is offered as an information service to our clients and friends. Those interested in specific guidance for legal or accounting matters should seek competent professional advice. Inquiries to discuss specific valuation matters are welcomed. To add your name to our mailing list to receive this complimentary publication, visit our web site at www.mercercapital.com.