TRANSACTIONS # BY SEGMENT (Q4)

Size: px
Start display at page:

Download "TRANSACTIONS # BY SEGMENT (Q4)"

Transcription

1 Q4 213 saw a slight uptick in M&A activity in the US healthcare industry. The trend is expected to continue for the duration of the year, though not without some fits and starts. The challenges facing Healthcare CEOs and CFOs in the coming year will be many and diverse as the industry continues to work through the uncertainties still present in the marketplace. The stuttering start of the HelathCare.gov rollout and the continuing trickle of regulatory rulings coming from HHS are indications that the industry may not yet have the clarity that much of the marketplace expected to have by the New Year. In any event, shareholders seem to be growing impatient with the amount of sidelined capital as evidenced by how far the index trailed the broader market in Q4. Nimble executives will need to find ways to manage the transition of their current portfolio away from the old volume based fee for service model to the new value based healthcare paradigm. In addition, they need to be ready to make swift decisions on which operating units and businesses to keep, which to exit, and which to acquire. This bodes well for the lower middle market, and is evidenced by the deal count and trend line in value of invested capital seen in 213. We expect to see deal value to rise as horizontal consolidations continue, and deal count to rise as vertical integration becomes one of the last cost control measures available to CEOs requiring rapid structural change. If you have any questions please contact us. - Chris Bouck, Principal - Travis Conway, Director TRANSACTIONS # BY SEGMENT (Q4) Laboratory Services 19 Technology 119 Equipment & Supplies 211 Providers & Services STRATEGIC VS. FINANCIAL TRANSACTIONS HIGHLIGHTS STRATEGIC ACQUISITIONS Local Staff acquired the operating assets of Allied Healthcare Staffing division of On Assignment Staffing for $3.6 million. Kitara Media Corp acquired Health Guru Media for $16.7 million from a group of investors. US Physical Therapy acquired 9% of ARC Physical Therapy for $36 million. ARC reported $11.5 million revenue FY 12. Undisclosed 39% Strategic 41% FINANCIAL ACQUISITIONS Francisco Partners Management signed a definitive agreement to acquire McKesson Automation from McKesson Corporation (NYSE:MCK) for $52 million. Financial 2% 1

2 Transactions Closed Date Target Buyers Transaction Comments 1/16/213 Aesynt Francisco Partners Management LLC 11/8/213 Vantage Health Inc. (OTCBB:VNTH) Nanobeak Inc. 12/19/213 Endoscopic Technologies, Inc. AtriCure, Inc. (NasdaqGM:ATRC) 1/9/213 Imperium Health Management, LLC Almost Family Inc. (NasdaqGS:AFAM) 1/16/213 Campbell Clinic Surgery Center-Midtow n Campbell Clinic Inc. 11/4/213 One Senior Living Community Located in Milford, Massachusetts Capital Senior Living Corp. (NYSE:CSU) 11/5/213 SunCrest Healthcare, Inc. National Health Industries, Inc. 11/13/213 Babar Enterprises, LLC Agility Health, Inc. (TSXV:AHI) Francisco Partners Management signed a definitive agreement to acquire McKesson Automation from McKesson Corporation (NYSE:MCK) for $52 million on October 16, 213. Post acquisition, McKesson Automation w ill operate under a new name. The transaction is subject to customary closing conditions. Nanobeak acquired 81.7% stake in Vantage Health (OTCBB:VNTH) from Bayview Terrace Limited on November 4, 213. Under the terms of agreement, Nanobeak issued.5 million shares in exchange of 112 million shares of Vantage Health, representing 81.7% stake in Vantage Health. AtriCure (NasdaqGM:ATRC) signed an agreement to acquire Endoscopic Technologies (Estech) from a group of shareholders for $61 million on December 19, 213. AtriCure w ill make an up-front payment of $34 million in $2.1mm of AtriCure common stock and up to $26 million in additional consideration based on achievements. Almost Family (NasdaqGS:AFAM) acquired 61.5% stake of Imperium Health Management for $5.8 million on October 9, 213. $3 million w ill be retained by Imperium for general corporate purposes. The transaction allow s for additional investments to be made by Almost Family to fund Imperium's development. Campbell Clinic acquired Midtow n Surgery Center for $3.2 million on October 15, 213. In conjunction w ith acquisition, Campbell Clinic has taken a loan of $3.2 million through Magna Bank. Capital Senior Living (NYSE:CSU) acquired a senior living community located in Milford, Massachusetts for $15.8 million on November 4, 213. The transaction w as financed w ith $11.9 million of non-recourse 1-year mortgage debt from Fannie Mae w ith the balance of the acquisition price paid from cash. National Health Industries signed a definitive agreement to acquire SunCrest HealthCare for $75.5 million in cash on November 4, 213. The purchase price is subject to a w orking capital adjustment. For the year ended December 31, 212, SunCrest reported revenues of $15.5 million. Agility Health (TSXV:AHI) acquired Excel Sports & Physical Therapy for $3.1 million on November 13, 213. $1.75 million is in cash and $1.89 million restricted voting common shares of Agility Health. Agility w ill pay the vendors any AR that are collected in excess of $.35 million w ithin the first 11 months follow ing closing. US HEALTHCARE M&A ACTIVITY , 1, 8, 6, 4, 2, - Deals Capital Invested HEALTHCARE TRANSACTIONS # OF TRANSACTIONS BY QUARTER Q1 Q2 Q3 Q4 2

3 % Change from Previous Month Close Price Publicly traded healthcare stocks continued the trend seen throughout the year with valuations slightly trailing the broader S&P. R&D and healthcare technology (HIT) companies have received the most generous valuation multiples from investors as investment dollars seem to be chasing innovation. Hospital and clinical systems have rarely put up multiples that are competitive with pharma, R&D, and HIT. However, the year ahead may signal a shift in this pattern as delivery systems increase their focus on vertical integration, picking up industry innovators in the process and cost controls built in to ACA begin to clamp down on the more profitable, but less certain outcomes that accompany research based or speculative business models. Successful companies will be marked by agility and flexibility benefiting the quick decision making and the quick execution of smaller companies; although the low tolerance for risk may mitigate this advantage. With all of the changes coming down the pipe, quick identification and speedy response to new challenges will determine success regardless of the size of a business. Market Cap Stock Price Stock Price Change Price/ Price Price/ Price/ Company Name Symbol State ($ in Mil) (Date) Monthly YTD LMT EPS Book Sales EBITDA MedAssets, Inc. NasdaqGS:MDAS GA $ 1, $ % 14.79% 67.6x 2.6x 3.2x 1.4x PharMerica Corporation NYSE:PMC KY $ $ 14. (2.3%) (1.69%) 1.6x.9x.4x 6.9x Analogic Corporation NasdaqGS:ALOG MA $ $ % 6.35% 33.x 2.1x 1.5x 12.4x AtriCure, Inc. NasdaqGM:ATRC OH $ $ 7.92 (1.81%) 14.78% NM 1.7x 2.3x NM Edwards Lifesciences Corp. NYSE:EW CA $ 9,46.5 $ (4.39%) (8.88%) 38.2x 6.3x 4.8x 19.5x Mindray Medical International LimitNYSE:MR NA $ 4, $ % 22.14% 35.4x 3.6x 3.8x 17.4x Cardinal Health, Inc. NYSE:CAH OH $ 22,814.8 $ % 62.24% 18.7x 3.6x.2x 9.5x AdCare Health Systems Inc. AMEX:ADK GA $ $ 4. (9.48%) (15.77%) NM 2.8x 1.1x 12.x Emeritus Corp. NYSE:ESC WA $ 1, $ (2.46%) 12.42% NM 6.x 3.8x 2.8x Lifepoint Hospitals Inc. NasdaqGS:LPNT TN $ 2,275.1 $ % 28.37% 15.x 1.1x 1.2x 7.4x Alliance Healthcare Services, Inc. NasdaqGM:AIQ CA $ 8.58 $ % 21.79% NM NM 1.4x 4.3x CorVel Corporation NasdaqGS:CRVL CA $ $ % 1.39% 22.4x 4.9x 1.2x 9.2x National Research Corp. NasdaqGS:NRCI.B NE $ $ % 6.65% 29.x 7.x 4.7x 14.7x Omnicare Inc. NYSE:OCR OH $ 4,26.87 $ % 12.8% 16.7x 1.2x.9x 8.3x Magellan Health Services Inc. NasdaqGS:MGLN CT $ 1, $ (7.74%) (2.92%) 11.2x 1.3x.3x 4.5x WellCare Health Plans, Inc. NYSE:WCG FL $ 2,54.78 $ % 19.4% 13.7x 1.9x.2x 4.9x Average $ 3,271.4 $ % 12.66% 26.x 3.7x 1.9x 1.8x HEALTHCARE INDUSTRY VS. S&P 5 RUNNING 12 MONTHS 35.% 3.% 25.% 2.% 15.% 1.% 5.%.% -5.% Healthcare Industry S&P 5 Index 3

4 % Change from Previous Month-End Close Price Market Cap Stock Price Change Price/ Price/ Price/ TEV/ Segment Averages ($ in Mil) Month YTD LTM LTM EPS Book Sales EBITDA Healtcare Providers and Services $ 5, % 42.5% 42.5% 48.43x 5.8x 4.66x 23.56x Healthcare Equipment and Supplies $ 3, % 8.8% 8.8% 45.1x 5.4x 5.74x 21.87x Laboratory Services $ 2, (11.2%) (8.1%) (8.1%) 51.32x 2.26x 1.47x 6.43x Healthcare Technology $ 2,5.71 (1.5%) 48.7% 48.7% 54.48x 6.5x 8.38x 67.82x Industry Average $ 4, % 24.5% 24.5% 39.14x 4.46x 4.34x 2.5x S&P 5 Average $ 34, % 29.6% 29.6% 27.25x 5.4x 3.6x 11.96x HEALTHCARE SEGMENTS VS. S&P 5 RUNNING 12 MONTHS 6.% 5.% 4.% 3.% 2.% 1.%.% -1.% -2.% Healthcare Providers and Serives Healthcare Equipment and Supplies Laboratory Services Healthcare Technology S&P 5 Index 4

5 COMPANIES BY REGION HEALTHCARE COMPANIES BY REGION AS OF DECEMBER COMPANIES BY SIZE State Not Disclosed $ - 5 $5-1 $1-25 $25-5 $5-1 $1+ AZ CO KS ND NE NM OK SD TX UT WY * in millions Southeast, 26% Mountain, 1% N/A, 9% Great Lakes, 1% Southwest, 12% West Coast, 22% Northeast, 11% 5

6 Transactions Closed CAPITAL STACK 1% 8% 6% 4% 2% % Equity Sub Debt Senior Debt US MIDDLE MARKET M&A ACTIVITY Q4 212 Q1 213 Q2 213 Q3 213 Q Capital Invested (in $Mil) Deals Closed Capital Invested Source: PitchBook TRANSACTION MULTIPLES EBITDA MULTIPLES BY TRANSACTION SIZE 12.x 1.x 1.9x 1.8x 8.x 9.4x 9.1x 9.1x 8.x 6.x 7.2x 6.x 6.4x 4.x 5.9x 4.8x 4.9x 5.2x 5.1x 5.x 2.x.x Q4 212 Q1 213 Q2 213 Q3 213 Q4 213 Source: PitchBook $-25mm $25-25mm $25mm+ 6

7 Chris Bouck Principal Healthcare Team p: e. Travis Conway Director - Healthcare Team p: e. tconway@sdrventures.com TRANSACTION ADVISORY Buy Side Running a proven process effective at generating responses, identifying off-the-radar opportunities, negotiating and closing accretive acquisitions. CAPITAL FORMATION Private Capital Placement An effective and efficient process negotiating favorable debt and equity with the right capital partner for our clients Sell Side Our process is designed to identify the right buyer and maximize shareholder value for our clients. Address Website Phone 5613 DTC Parkway, Suite 82 Greenwood Village, CO

TRANSACTIONS # BY SEGMENT (Q1)

TRANSACTIONS # BY SEGMENT (Q1) A perfect storm has brewed within the healthcare industry as a result of the parallel forces of eroding margins (hospitals may see 0% margins in 2014, down from about 4% in 2013) and increased competitive

More information

All Target/Issuer Buyers/Investors Transaction Comments

All Target/Issuer Buyers/Investors Transaction Comments - 1 All Target/Issuer Buyers/Investors Transaction Comments The Horrocks Company acquired Volu-Sol Reagents from ActiveCare for $0.22 06/25/2013 ActiveCare, Inc., Volu-Sol Reagents The Horrocks Company,

More information

Vol 2 Q Issue 4

Vol 2 Q Issue 4 INDUSTRY OVERVIEW The Healthcare Industry performed well this quarter as provisions within the Affordable Care Act (ACA) continue to take effect. The ACA has been a prevalent catalyst for recent hospital

More information

TRANSACTIONS # BY SEGMENT (Q2)

TRANSACTIONS # BY SEGMENT (Q2) Today s trend in healthcare consumerism has generated a greater focus on value-based care. The line between payers and providers is blurring as many healthcare organizations position for vertical integration.

More information

professionalservicesreport

professionalservicesreport INDUSTRY OVERVIEW The drop of corporate profits by 0.3% between the second quarter 2013 and 2014 prompted an industry slowdown and decline in stock prices across the professional services industry in the

More information

TRANSACTIONS # BY SEGMENT (Q2)

TRANSACTIONS # BY SEGMENT (Q2) The first half of 2014 M&A nearly set a record in terms of deal activity, as almost every facet of the category saw transactions. 24 Hour Fitness led the charge with the largest deal of the quarter; but

More information

Vol 1 Q Issue 3

Vol 1 Q Issue 3 INDUSTRY OVERVIEW Technology continued to see high deal value and volume in Q4 2014. While basic computer hardware and devices are becoming commoditized, technology companies are creating value by developing

More information

TRANSACTIONS # BY SEGMENT (Q2)

TRANSACTIONS # BY SEGMENT (Q2) The macroeconomic headwinds of slowed growth both domestically and in BRIC and EMEA countries did not decelerate M&A activity in the technology sector in 1H 2014. Experts mixed expectations for the sector

More information

Vol 1 Q Issue 3

Vol 1 Q Issue 3 INDUSTRY OVERVIEW After strong industry growth since the economic downturn, all sectors of the oil and gas industry witnessed major contraction in Q3 and Q4 2014. Crude oil prices continued to fall through

More information

TRANSACTIONS # BY SEGMENT (Q2)

TRANSACTIONS # BY SEGMENT (Q2) The quality and quantity of household food and beverage consumption are influenced by disposable income. Service providers, such as bars, cafes, coffee shops and restaurants are significantly more elastic

More information

Other Software Online Services IT Consulting/Outsourcing Application Software STRATEGIC ACQUISITIONS FINANCIAL

Other Software Online Services IT Consulting/Outsourcing Application Software STRATEGIC ACQUISITIONS FINANCIAL Other Software Online Services IT Consulting/Outsourcing Application Software 13 15 29 34 0 5 10 15 20 25 30 35 40 STRATEGIC ACQUISITIONS 9.18.14 8.22.14 SAP America announced that it will acquire Concur

More information

Goode Partners LLC acquired La Colombe Torrefaction, Inc. for $28.5 million

Goode Partners LLC acquired La Colombe Torrefaction, Inc. for $28.5 million Beverages Food Distributors Food Products Food Retail STRATEGIC ACQUISITIONS 07.14.14 09.26.14 07.17.14 Reignwood Group acquired All Market Inc. for $166 million. Triumph Foods, LLC acquired Daily s Foods,

More information

PRODUCER ANNUITY SUITABILITY TRAINING REQUIREMENTS BY STATE As of September 11, 2017

PRODUCER ANNUITY SUITABILITY TRAINING REQUIREMENTS BY STATE As of September 11, 2017 PRODUCER ANNUITY SUITABILITY TRAINING REQUIREMENTS BY STATE As of September 11, 2017 This document provides a summary of the annuity training requirements that agents are required to complete for each

More information

The Acquisition of Regions Insurance Group. April 6, 2018

The Acquisition of Regions Insurance Group. April 6, 2018 The Acquisition of Regions Insurance Group April 6, 2018 Forward-Looking Statements This presentation contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform

More information

Lehman Brothers 2007 Global Healthcare Conference March 20, Ronald A. Williams Chairman, CEO and President

Lehman Brothers 2007 Global Healthcare Conference March 20, Ronald A. Williams Chairman, CEO and President March 20, 2007 Ronald A. Williams Chairman, CEO and President 2 Cautionary Statement CAUTIONARY STATEMENT -- Certain information in this presentation is forward looking information. Forward-looking information

More information

Medicaid in an Era of Change: Findings from the Annual Kaiser 50 State Medicaid Budget Survey

Medicaid in an Era of Change: Findings from the Annual Kaiser 50 State Medicaid Budget Survey Medicaid in an Era of Change: Findings from the Annual Kaiser 50 State Medicaid Budget Survey Robin Rudowitz Associate Director, Kaiser Commission on Medicaid and the Uninsured The Henry J. Kaiser Family

More information

Experts Predict Sharp Decline in Competition across the ACA Exchanges

Experts Predict Sharp Decline in Competition across the ACA Exchanges Percent of August 19, 2016 Experts Predict Sharp Decline in Competition across the ACA Exchanges Avalere experts predict that one-third of the country will have no exchange plan competition in 2017, leaving

More information

Report to Congressional Defense Committees

Report to Congressional Defense Committees Report to Congressional Defense Committees The Department of Defense Comprehensive Autism Care Demonstration December 2016 Quarterly Report to Congress In Response to: Senate Report 114-255, page 205,

More information

Successful Execution of Business Transformation Driving Sustainable Growth. CL King 15 th Annual Best Ideas Conference 2017 September 14, 2017

Successful Execution of Business Transformation Driving Sustainable Growth. CL King 15 th Annual Best Ideas Conference 2017 September 14, 2017 Successful Execution of Business Transformation Driving Sustainable Growth CL King 15 th Annual Best Ideas Conference 2017 September 14, 2017 Preliminary Statements Forward Looking Statements This document

More information

Cost and Coverage Implications of the ACA Medicaid Expansion: National and State by State Analysis

Cost and Coverage Implications of the ACA Medicaid Expansion: National and State by State Analysis Cost and Coverage Implications of the ACA Medicaid Expansion: National and State by State Analysis Report Authors: John Holahan, Matthew Buettgens, Caitlin Carroll, and Stan Dorn Urban Institute November

More information

2016 Workers compensation premium index rates

2016 Workers compensation premium index rates 2016 Workers compensation premium index rates NH WA OR NV CA AK ID AZ UT MT WY CO NM MI VT ND MN SD WI NY NE IA PA IL IN OH WV VA KS MO KY NC TN OK AR SC MS AL GA TX LA FL ME MA RI CT NJ DE MD DC = Under

More information

Percent of Employees Waiving Coverage 27.0% 30.6% 29.1% 23.4% 24.9%

Percent of Employees Waiving Coverage 27.0% 30.6% 29.1% 23.4% 24.9% Number of Health Plans Reported 18,186 3,561 681 2,803 3,088 Offer HRA or HSA 34.0% 42.7% 47.0% 39.7% 35.0% Annual Employer Contribution $1,353 $1,415 $1,037 $1,272 $1,403 Percent of Employees Waiving

More information

Investor Update Business Transformation Delivering Results

Investor Update Business Transformation Delivering Results Investor Update Business Transformation Delivering Results September 13, 2016 Preliminary Statements Forward Looking Statements This document contains certain forward-looking statements. These statements

More information

Fannie Mae 2009 Second Quarter Credit Supplement. August 6, 2009

Fannie Mae 2009 Second Quarter Credit Supplement. August 6, 2009 Fannie Mae 2009 Second Quarter Credit Supplement August 6, 2009 1 These materials present tables and other information about Fannie Mae, including information contained in Fannie Mae s Quarterly Report

More information

Taxing Investment Income in the States New Hampshire Fiscal Policy Institute 2 nd Annual Budget and Policy Conference Concord, NH January 23, 2015

Taxing Investment Income in the States New Hampshire Fiscal Policy Institute 2 nd Annual Budget and Policy Conference Concord, NH January 23, 2015 Taxing Investment Income in the States New Hampshire Fiscal Policy Institute 2 nd Annual Budget and Policy Conference Concord, NH January 23, 2015 Norton Francis State and Local Finance Initiative Urban-Brookings

More information

Fannie Mae 2012 Second-Quarter Credit Supplement. August 8, 2012

Fannie Mae 2012 Second-Quarter Credit Supplement. August 8, 2012 Fannie Mae 2012 Second-Quarter Credit Supplement August 8, 2012 This presentation includes information about Fannie Mae, including information contained in Fannie Mae s Quarterly Report on Form 10-Q for

More information

Comparative Revenues and Revenue Forecasts Prepared By: Bureau of Legislative Research Fiscal Services Division State of Arkansas

Comparative Revenues and Revenue Forecasts Prepared By: Bureau of Legislative Research Fiscal Services Division State of Arkansas Comparative Revenues and Revenue Forecasts 2010-2014 Prepared By: Bureau of Legislative Research Fiscal Services Division State of Arkansas Comparative Revenues and Revenue Forecasts This data shows tax

More information

PORTFOLIO REVENUE EXPENSES PERFORMANCE WATCHLIST

PORTFOLIO REVENUE EXPENSES PERFORMANCE WATCHLIST July 2018 ASSET MANAGEMENT Low-Income Housing Tax Credit Portfolio Trends Analysis Enterprise s Low-Income Housing Tax Credit (LIHTC) Portfolio Trends Analysis provides important information to our management

More information

Fannie Mae 2008 Q3 10-Q Credit Supplement. November 10, 2008

Fannie Mae 2008 Q3 10-Q Credit Supplement. November 10, 2008 Fannie Mae 2008 Q3 10-Q Credit Supplement November 10, 2008 1 These materials present tables and other information about Fannie Mae, including information contained in Fannie Mae s Quarterly Report on

More information

Texas Economic Outlook: Cruising in Third Gear

Texas Economic Outlook: Cruising in Third Gear Texas Economic Outlook: Cruising in Third Gear Keith Phillips Assistant Vice President and Senior Economist 1/19/17 The views expressed in this presentation are strictly those of the presenter and do not

More information

QUARTERLY PET INDUSTRY REPORT Vol. 5 Issue 3 Q3 2014

QUARTERLY PET INDUSTRY REPORT Vol. 5 Issue 3 Q3 2014 PET INDUSTRY DEAL ACTIVITY Q3 201 Deal Activity P. 1 M&A activity in the pet industry remained high in Q3 of 201, yielding total transactions. As the Spotlight P. 2 pet industry continues to experience

More information

Formulary Access for Patients with Mental Health Conditions

Formulary Access for Patients with Mental Health Conditions Formulary Access for Patients with Mental Health Conditions Background on Avalere s PlanScape and Methodology for Formulary Analysis PlanScape Methodology This analysis reviews formulary coverage in the

More information

Fannie Mae 2010 First Quarter Credit Supplement. May 10, 2010

Fannie Mae 2010 First Quarter Credit Supplement. May 10, 2010 Fannie Mae 2010 First Quarter Credit Supplement May 10, 2010 1 These materials present tables and other information about Fannie Mae, including information contained in Fannie Mae s Quarterly Report on

More information

SCHIP: Let the Discussions Begin

SCHIP: Let the Discussions Begin Figure 0 SCHIP: Let the Discussions Begin Diane Rowland, Sc.D. Executive Vice President, Henry J. Kaiser Family Foundation and Executive Director, Kaiser Commission on for Alliance for Health Reform February

More information

Who s Above the Social Security Payroll Tax Cap? BY NICOLE WOO, JANELLE JONES, AND JOHN SCHMITT*

Who s Above the Social Security Payroll Tax Cap? BY NICOLE WOO, JANELLE JONES, AND JOHN SCHMITT* Issue Brief September 2011 Center for Economic and Policy Research 1611 Connecticut Ave, NW Suite 400 Washington, DC 20009 tel: 202-293-5380 fax: 202-588-1356 www.cepr.net Who s Above the Social Security

More information

ACA and Medicaid: Current Landscape and Future Outlook

ACA and Medicaid: Current Landscape and Future Outlook ACA and Medicaid: Current Landscape and Future Outlook RPCC Health Policy Forum Washington, DC December 5, 2017 Robin Rudowitz Associate Director, Program on Medicaid and the Uninsured Kaiser Family Foundation

More information

< Executive Summary > Ready Mixed Concrete Industry Data Report Edition

< Executive Summary > Ready Mixed Concrete Industry Data Report Edition Ready Mixed Concrete Industry Data Report A benchmarking tool for planning, evaluating and directing the financial activities of your organization. 2012 Edition (2011 data) < Executive Summary > Prepared

More information

Florida s Medicaid Funding: A National Overview of Medicaid Waiver Trends

Florida s Medicaid Funding: A National Overview of Medicaid Waiver Trends Florida s Medicaid Funding: A National Overview of Medicaid Waiver Trends Joan Alker Executive Director Georgetown University Center for Children and Families Space Coast Health Foundation Melbourne, Florida

More information

Putting Nevada in Perspective: State and Local Budgets in Recession and Recovery

Putting Nevada in Perspective: State and Local Budgets in Recession and Recovery Putting Nevada in Perspective: State and Local Budgets in Recession and Recovery Tracy M. Gordon Fellow, Economic Studies Prepared for Brookings Mountain West at UNLV September 17-21, 2011 1 Outline of

More information

State of the Automotive Finance Market

State of the Automotive Finance Market State of the Automotive Finance Market A look at loans and leases in Q4 2017 Presented by: Melinda Zabritski Sr. Director, Financial Solutions www.experian.com/automotive 2018 Experian Information Solutions,

More information

Survey Says: 10 Dos & Don ts in Stock Plan Administration. Summary of Key Findings

Survey Says: 10 Dos & Don ts in Stock Plan Administration. Summary of Key Findings Survey Says: 10 Dos & Don ts in Stock Plan Administration Summary of Key Findings Speakers Kathleen Cleary NASPP kcleary@naspp.com Joseph Rapanotti Deloitte Consulting LLP jrapanotti@deloitte.com Donna

More information

Massachusetts Budget and Policy Center

Massachusetts Budget and Policy Center Progressive Massachusetts 2013 Policy Conference March 24, 2013 Lasell College Newton, MA Presentation by Massachusetts Budget and Policy Center Our State Budget: Building a Better Future Together Massachusetts

More information

Q4 AND FULL-YEAR 2017 INVESTOR PRESENTATION. February 23, 2018

Q4 AND FULL-YEAR 2017 INVESTOR PRESENTATION. February 23, 2018 Q4 AND FULL-YEAR 207 INVESTOR PRESENTATION February 23, 208 DISCLAIMERS FORWARD-LOOKING STATEMENTS. The financial results in this presentation reflect preliminary unaudited results, which are not final

More information

Medicaid Expansion and Section 1115 Waivers

Medicaid Expansion and Section 1115 Waivers Medicaid Expansion and Section 1115 Waivers Council of State Governments National Conference December 11, 2015 Figure 1 The goal of the ACA is to make coverage more available, more reliable, and more affordable.

More information

The Lincoln National Life Insurance Company Term Portfolio

The Lincoln National Life Insurance Company Term Portfolio The Lincoln National Life Insurance Company Term Portfolio State Availability as of 7/16/2018 PRODUCTS AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MP MD MA MI MN MS MO MT NE NV NH NJ

More information

Black Knight Mortgage Monitor

Black Knight Mortgage Monitor Black Knight Mortgage Monitor Mortgage Market Performance Observations Data as of May, 2014 Month-end Black Knight First Look May 2014 Total U.S. loan delinquency rate (loans 30 or more days past due,

More information

Fannie Mae 2009 First Quarter Credit Supplement. May 8, 2009

Fannie Mae 2009 First Quarter Credit Supplement. May 8, 2009 Fannie Mae 2009 First Quarter Credit Supplement May 8, 2009 1 These materials present tables and other information about Fannie Mae, including information contained in Fannie Mae s Quarterly Report on

More information

MEMORANDUM. SUBJECT: Benchmarks for the Second Half of 2008 & 12 Months Ending 12/31/08

MEMORANDUM. SUBJECT: Benchmarks for the Second Half of 2008 & 12 Months Ending 12/31/08 MEMORANDUM TO: FROM: HR Investment Center Members Matt Cinque, Managing Director DATE: March 12, 2009 SUBJECT: Benchmarks for the Second Half of 2008 & 12 Months Ending 12/31/08 Please find enclosed the

More information

Zions Bank Economic Overview

Zions Bank Economic Overview Zions Bank Economic Overview Utah League of Cities and Towns June 18, 2018 Utah Economic Conditions CA 0.6% OR 1.4% WA 1.7% NV 2.0% Utah Population 3 rd Fastest Growing in U.S. ID 2.2% UT 1.9% AZ 1.6%

More information

Strategic Partner(s) - Private Corporate Debt RFP #I Response to Inquiries

Strategic Partner(s) - Private Corporate Debt RFP #I Response to Inquiries Strategic Partner(s) - Private Corporate Debt RFP #I-2017-4 Response to Inquiries 1. We would like to complete the IPERS RFP #I-2017-4 but have a few questions that require clarification: a. Please define

More information

American Realty Capital Properties Investor Presentation September 2014

American Realty Capital Properties Investor Presentation September 2014 American Realty Capital Properties Investor Presentation September 2014 www.arcpreit.com :: NASDAQ: ARCP Forward-Looking Statements Information set forth herein (including information included or incorporated

More information

LibertyMark SM Series Annuity Quick Reference

LibertyMark SM Series Annuity Quick Reference Carrier Features es Americo Life and Annuity Kansas City, MO A.M. Best A (Excellent) for strength. 3rd highest of 15 6/15/2015 LibertyMark Series single deferred fixed Years 7 No 7 7 Yes 7 10 No 10 10

More information

Just The Facts: On The Ground SIF Utilization

Just The Facts: On The Ground SIF Utilization Just The Facts: On The Ground SIF Utilization The Access 4 Learning Community (A4L), previously the SIF Association, has changed its brand name due to the fact that the majority of its 3,000 members represent

More information

Local Anesthesia Administration by Dental Hygienists State Chart

Local Anesthesia Administration by Dental Hygienists State Chart Education or AK 1981 General Both Specific Yes WREB 16 hrs didactic; 6 hrs ; 8 hrs lab AZ 1976 General Both Accredited Yes WREB 36 hrs; 9 types of AR 1995 Direct Both Accredited/ Board Approved No 16 hrs

More information

States and Medicaid Provider Taxes or Fees

States and Medicaid Provider Taxes or Fees March 2016 Fact Sheet States and Medicaid Provider Taxes or Fees Medicaid is jointly financed by states and the federal government. Provider taxes are an integral source of Medicaid financing governed

More information

Older consumers and student loan debt by state

Older consumers and student loan debt by state August 2017 Older consumers and student loan debt by state New data on the burden of student loan debt on older consumers In January, the Bureau published a snapshot of older consumers and student loan

More information

Refinance Report August 2012

Refinance Report August 2012 This report contains data on refinance program activity of Fannie Mae and Freddie Mac (the Enterprises) through. Report Highlights Refinance volume continued to be strong in August as 30-year mortgage

More information

Medicaid s Future. National PACE Association Spring Policy Forum. MaryBeth Musumeci

Medicaid s Future. National PACE Association Spring Policy Forum. MaryBeth Musumeci Medicaid s Future National PACE Association Spring Policy Forum MaryBeth Musumeci March 20, 2017 Figure 2 The basic foundations of Medicaid are related to the entitlement and the federal-state partnership.

More information

Union Construction Labor Cost Trends and Outlook 2018

Union Construction Labor Cost Trends and Outlook 2018 Union Construction Labor Cost Trends and Outlook 2018 Copyright 2018 This report contains both general and detailed data on union labor rates for craft workers in the construction industry. Data are presented

More information

Property Tax Relief in New England

Property Tax Relief in New England Property Tax Relief in New England January 23, 2015 Adam H. Langley Senior Research Analyst Lincoln Institute of Land Policy www.lincolninst.edu Property Tax as a % of Personal Income OK AL IN UT SD MS

More information

ehealth, Inc Fall Cost Report for Individual and Family Policyholders

ehealth, Inc Fall Cost Report for Individual and Family Policyholders ehealth, Inc. 2010 Fall Cost Report for and Family Policyholders Table of Contents Page Methodology.................................................................. 2 ehealth, Inc. 2010 Fall Cost Report

More information

Zions Bank Economic Overview

Zions Bank Economic Overview Zions Bank Economic Overview Jackson Hole Mountain Resort March 20, 2018 National Economic Conditions When Good News is Bad News Is Good News?? Dow Tops 26,000 Up 44% Since 2016 Election Source: Wall Street

More information

The Entry, Performance, and Viability of De Novo Banks

The Entry, Performance, and Viability of De Novo Banks The Entry, Performance, and Viability of De Novo Banks Yan Lee and Chiwon Yom* FEDERAL DEPOSIT INSURANCE CORPORATION *The views expressed here are solely of the authors and do not necessarily reflect the

More information

TCJA and the States Responding to SALT Limits

TCJA and the States Responding to SALT Limits TCJA and the States Responding to SALT Limits Kim S. Rueben Tuesday, January 29, 2019 1 What does this mean for Individuals under TCJA About two-thirds of taxpayers will receive a tax cut with the largest

More information

Getting Better Value for the Healthcare Dollar. National Conference of State Legislators Fall Forum November 30, 2011.

Getting Better Value for the Healthcare Dollar. National Conference of State Legislators Fall Forum November 30, 2011. Getting Better Value for the Healthcare Dollar National Conference of State Legislators Fall Forum November 30, 2011 NCQA History NCQA a non-profit that for 21 years has worked with federal, state, consumer

More information

2012 Catalyst Census Fortune 500

2012 Catalyst Census Fortune 500 2012 Catalyst Census Fortune 500 Impetus In 1993, Catalyst instituted an annual Census to systematically examine women s representation at the highest levels of corporate America. First assessing the status

More information

LibertyMark SM Series Annuity Quick Reference

LibertyMark SM Series Annuity Quick Reference Carrier Features Bonuses Americo Life and Annuity Kansas City, MO A.M. Best A (Excellent) for strength. 3rd highest of 15 7/29/2016 LibertyMark Series single premium deferred fixed indexed annuities* Bonus

More information

2018 National Electric Rate Study

2018 National Electric Rate Study 2018 National Electric Rate Study Ranking of Typical Residential, Commercial and Industrial Electric Bills LES Administrative Board June 15, 2018 Emily N. Koenig Director of Finance & Rates 1 Why is the

More information

LibertyMark SM Series Annuity Quick Reference

LibertyMark SM Series Annuity Quick Reference Carrier Features Bonuses Americo Life and Annuity Kansas City, MO A.M. Best A (Excellent) for strength. 3rd highest of 15 9/8/2016 LibertyMark Series single premium deferred fixed indexed annuities* Bonus

More information

PLAN TODAY AND HELP SECURE YOUR FUTURE.

PLAN TODAY AND HELP SECURE YOUR FUTURE. PLAN TODAY AND HELP SECURE YOUR FUTURE. GROUP LONG TERM CARE INSURANCE Underwritten by Genworth Life Insurance Company 38682CV 01/28/07 38682CV_SCPMG 03/01/14 This brochure contains educational information

More information

Q Investor Presentation. November 2, 2018

Q Investor Presentation. November 2, 2018 Q3 08 Investor Presentation November, 08 Disclaimer FORWARD-LOOKING STATEMENTS. The financial results in this presentation reflect preliminary unaudited results, which are not final until the Form 0-Q

More information

Presented by: Matt Turkstra

Presented by: Matt Turkstra Presented by: Matt Turkstra 1 » What s happening in Ohio?» How is health insurance changing? Individual and Group Health Insurance» Important employer terms» Impact small businesses that do not offer insurance?

More information

SCHIP Reauthorization: The Road Ahead

SCHIP Reauthorization: The Road Ahead SCHIP Reauthorization: The Road Ahead The State Children s Health Insurance Program: Past, Present and Future Jocelyn Guyer Georgetown University Health Policy Institute Center for Children and Families

More information

Age of Insured Discount

Age of Insured Discount A discount may apply based on the age of the insured. The age of each insured shall be calculated as the policyholder s age as of the last day of the calendar year. The age of the named insured in the

More information

Unemployment Insurance Benefit Adequacy: How many? How much? How Long?

Unemployment Insurance Benefit Adequacy: How many? How much? How Long? Unemployment Insurance Benefit Adequacy: How many? How much? How Long? Joel Sacks, Deputy Commissioner Washington State Employment Security Department March 1, 2012 1 Outline How many get unemployment

More information

LibertyMark SM Series Annuity Quick Reference

LibertyMark SM Series Annuity Quick Reference Carrier Features es LibertyMark SM Series Annuity Quick Reference 800-395-1053, Ext. 4002 As of 5/18/2015 ** Crediting Strategies* Approved Americo Life and Annuity Kansas City, MO A.M. Best A (Excellent)

More information

Q INVESTOR PRESENTATION. May 4, 2018

Q INVESTOR PRESENTATION. May 4, 2018 Q 208 INVESTOR PRESENTATION May 4, 208 DISCLAIMERS FORWARD-LOOKING STATEMENTS. The financial results in this presentation reflect preliminary unaudited results, which are not final until Form 0-Q for the

More information

Contents of the Application Package. Additional Documents to Provide INSTRUCTIONS FOR SUBMISSION. Silvergate Bank Correspondent Services Group

Contents of the Application Package. Additional Documents to Provide INSTRUCTIONS FOR SUBMISSION. Silvergate Bank Correspondent Services Group Thank you for your interest in becoming an approved correspondent client with Silvergate Bank. In order to make the application process as customerfriendly as possible, we have outlined the documents and

More information

Supreme Court Ruling on the Affordable Care Act (ACA): Overview & Implications

Supreme Court Ruling on the Affordable Care Act (ACA): Overview & Implications Supreme Court Ruling on the Affordable Care Act (ACA): Overview & Implications June 28, 2012 Avalere Health LLC Avalere Health LLC The intersection of business strategy and public policy In a 5-4 Decision,

More information

State & Local Health Departments Challenges & Opportunities

State & Local Health Departments Challenges & Opportunities State & Local Health Departments Challenges & Opportunities Judith A. Monroe, MD, FAAFP Deputy Director, Centers for Disease Control and Prevention Director, Office for State, Tribal, Local and Territorial

More information

IMPROVING COLLEGE ACCESS

IMPROVING COLLEGE ACCESS IMPROVING COLLEGE ACCESS Grants and Resources for Education Leaders West Virginia Leaders of Education Conference December 3, 2018 THE EDUCATION ALLIANCE Statewide non-profit organization W E brings B

More information

Pharmaceuticals: Can or Should We Do Anything About Rising Drug Costs? Caroline F. Pearson

Pharmaceuticals: Can or Should We Do Anything About Rising Drug Costs? Caroline F. Pearson Pharmaceuticals: Can or Should We Do Anything About Rising Drug Costs? Caroline F. Pearson Avalere Health An Inovalon Company April 2015 Number of News Articles Public Focus on Drug Prices Increased Dramatically

More information

FORM ADV UNIFORM APPLICATION FOR INVESTMENT ADVISER REGISTRATION AND REPORT BY EXEMPT REPORTING ADVISERS

FORM ADV UNIFORM APPLICATION FOR INVESTMENT ADVISER REGISTRATION AND REPORT BY EXEMPT REPORTING ADVISERS FORM ADV UNIFORM APPLICATION FOR INVESTMENT ADVISER REGISTRATION AND REPORT BY EXEMPT REPORTING ADVISERS Primary Business Name: QUADRANT REAL ESTATE ADVISORS LLC CRD Number: 138077 Annual Amendment - Item

More information

Fannie Mae 2014 Second Quarter Credit Supplement. August 7, 2014

Fannie Mae 2014 Second Quarter Credit Supplement. August 7, 2014 Fannie Mae Second Quarter Credit Supplement August 7, This presentation includes information about Fannie Mae, including information contained in Fannie Mae s Quarterly Report on Form 10-Q for the quarter

More information

Aviva Announcing Changes to Products and Annuity Rates

Aviva Announcing Changes to Products and Annuity Rates September 9, 2011 Aviva Announcing Changes to Products and Annuity Rates This field update contains information on product and rate changes effective September 16, 2011. We want to thank you for all of

More information

MARKETPLACES! Health Insurance Exchanges: The Political And Policy Context

MARKETPLACES! Health Insurance Exchanges: The Political And Policy Context + Health Insurance Exchanges: The Political And Policy Context MARKETPLACES! By Susan Dentzer Senior Policy Adviser, The Robert Wood Johnson Foundation Presentation to the Health Insurance Exchange Summit

More information

Fiduciary Tax Returns

Fiduciary Tax Returns Functions and Procedures Index Books On Line Main Directory Overview... 2 How does it work?... 3 What Information is transmitted to the Tax Service?... 4 How do I initiate this service?... 8 Do I have

More information

50% are at or over 48, 50% are at or under 48 years of age (median) Cancer/Tumor registrars taking the survey ranged in age from 22 to 69

50% are at or over 48, 50% are at or under 48 years of age (median) Cancer/Tumor registrars taking the survey ranged in age from 22 to 69 Cancer/Tumor Registrar Summary Cancer/Tumor Registrar Total Responses: 238, with 210 full-time and 28 part-time registrars responding. We also polled 72 Cancer/Tumor Registry Managers. Cancer Registrar

More information

INTERIM SUMMARY REPORT ON RISK ADJUSTMENT FOR THE 2016 BENEFIT YEAR

INTERIM SUMMARY REPORT ON RISK ADJUSTMENT FOR THE 2016 BENEFIT YEAR DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Center for Consumer Information and Insurance Oversight 200 Independence Avenue SW Washington, DC 20201 INTERIM SUMMARY REPORT

More information

Eye on the South Carolina Housing Market presented at 2008 HBA of South Carolina State Convention August 1, 2008

Eye on the South Carolina Housing Market presented at 2008 HBA of South Carolina State Convention August 1, 2008 Eye on the South Carolina Housing Market presented at 28 HBA of South Carolina State Convention August 1, 28 Robert Denk Assistant Staff Vice President, Forecasting & Analysis 2, US Single Family Housing

More information

Alternative Paths to Medicaid Expansion

Alternative Paths to Medicaid Expansion Alternative Paths to Medicaid Expansion Robin Rudowitz Kaiser Commission on Medicaid and the Uninsured Kaiser Family Foundation National Health Policy Forum March 28, 2014 Figure 1 The goal of the ACA

More information

Introducing LiveHealth Online

Introducing LiveHealth Online Introducing LiveHealth Online Online Health Care when you need it! Meeting Members Wherever They Are 1 Why Consider Tele-Health? Convenience: Employees are able to access care at work, outside of traditional

More information

Preparing your business for the economic upswing. Understanding business behavior for portfolio growth

Preparing your business for the economic upswing. Understanding business behavior for portfolio growth Preparing your business for the economic upswing Understanding business behavior for portfolio growth Current signs point to economic recovery, but as was true during the recession, multiple factors will

More information

Athene Performance Elite 10

Athene Performance Elite 10 Athene Performance Elite 10 Product Guide Rates effective February 12, 2018 State Availability WA MT ND VT ME CA # OR NV ID AZ UT WY NM CO SD NE KS OK MN WI MI IA PA OH IN IL MO^ WV KY VA NC TN AR SC MS

More information

Credit Suisse 2012 Healthcare Conference November 14, 2012

Credit Suisse 2012 Healthcare Conference November 14, 2012 Walter Hosp Chief Financial Officer Maria Perrin Chief Business Officer Contact: Christine Saenz csaenz@hms.com 212.857.5986 Credit Suisse 2012 Healthcare Conference November 14, 2012 Sf Safe Harbor Statement

More information

Oregon: Where Taxes Are Low, Fees Are High and Revenue Is Slightly Below Average

Oregon: Where Taxes Are Low, Fees Are High and Revenue Is Slightly Below Average Issue Brief March 6, 2012 Oregon: Where Taxes Are Low, Fees Are High and Revenue Is Slightly Below Average The money we pay in fees and taxes helps create jobs, build a strong economy, and preserve Oregon

More information

CDFA Annual Volume Cap Report

CDFA Annual Volume Cap Report CDFA Annual Volume Cap Report An Analysis of 2015 Private Activity Bond & Volume Cap Trends Released August 2016 2015 Council of Development Finance Agencies 1 The Council of Development Finance Agencies

More information

The Affordable Care Act (ACA)

The Affordable Care Act (ACA) The Affordable Care Act (ACA) An Overview by the Kaiser Family Foundation NBC News Editorial Roundtable June 26, 2013 1. The Basics of the Affordable Care Act (ACA) Expanded Medicaid Coverage Starting

More information

CONSUMER RIGHTS LITIGATION CONFERENCE

CONSUMER RIGHTS LITIGATION CONFERENCE CONSUMER RIGHTS LITIGATION CONFERENCE Authority to Foreclose: Updates and Recent Developments Elizabeth Renuart November 7, 2013 PRESENTATION OUTLINE Right to Foreclose: 50 state overview. Right to Foreclose:

More information

COMPANY PRESENTATION. Thomas Gutschlag, CEO

COMPANY PRESENTATION. Thomas Gutschlag, CEO COMPANY PRESENTATION Thomas Gutschlag, CEO March 2017 DISCLAIMER This document constitutes neither an offer to sell nor a solicitation of an offer to buy or subscribe to any securities of Deutsche Rohstoff

More information