Tag: Jonathan Sadock

M&A transactions in 2021 ranged from the $2-billion mega merger of AdaptHealth and AeroCare to smaller rollups, says Jonathan Sadock, managing partner of Paragon Ventures.  Sadock, who was a guest on the HME News in 10 podcast in November, says there are several drivers behind that the activity, including deep pockets and the opportunity for horizontal integration, especially in respiratory.  “I believe what’s really interesting are the private equity groups investing...

YARMOUTH, Maine – Analysts expect the final months of 2021 to bring a flurry of deal-making as sellers try to get ahead of a possible increase in the capital gains tax in 2022.  When President Biden released his proposed 2022 fiscal year budget earlier this year, it called for an increase to 39.6%, although the rates look more likely to settle around 25% or so, say analysts.  “That has pulled some activity into 2021 for folks on the fence, so I think the fourth quarter...

Since 1965, when the Medicare Trust was first established, entrepreneurial individuals have established and built a wide variety of health care businesses to serve and support a growing population of those in need of medical care. Soon thereafter, the HME sector as we now know it was born.Receiving care and treatment in the safety and comfort of their home quickly became the preferred method for patients to receive medical care. The associated cost savings became increasingly attractive to the U.S....

NEWTOWN, Pa. - When Paragon Ventures launched in 1994, competitive bidding wasn't even on the horizon. Today, it is the biggest driver of change in the HME industry.Through it all, the Newtown, Pa.-based mergers and acquisitions adviser, which is in its 25th year, has remained committed to the industry, says Marc Rose, president and managing partner.“It feels good to have made it this far and still feel as energetic and as excited as we are,” he said. “We are as passionate...

YARMOUTH, Maine - It has been a hot market in the past, but there aren't a lot of deals being done in home infusion these days, mainly due to a shortage of inventory, say M&A analysts.“There are fewer new startups and the other guys have been consolidating,” said Reg Blackburn, managing director of specialty pharmacy and infusion services for The Braff Group. “It's definitely a supply and demand issue.”That's good news for sellers, with valuations in home infusion remaining...

A. It may surprise you to learn that many times a high offered price is not always the best deal. Many other factors must be considered before accepting an offer.The structure of each proposed offer is also a vital consideration. Is the offer a stock/membership sale or the acquisition of assets? Each carries different opportunities and challenges.  Many offers include other components besides cash at closing.  They may include a hold-back amount for representations and warranties...

Q. I am interested in acquiring an HME business. How do I find a good business and what should I do to assess the opportunity?A. Start your search by developing an acquisition profile and financing strategy. The profile should determine the business model you are most interested in acquiring.  The financing strategy will determine the size and valuation of a business you are able to afford. Recent sales of similar businesses will give you some insight into current market valuations. While...

 A. Every business, at some point, will either be sold, bequeathed, merged or closed during its lifetime. As a business owner you have a responsibility to protect and realize the value of what is usually your single most valuable asset, your business. Often, this process is referred to as exit or succession planning.Just as you make many important decisions to start, build and grow your business, it is vitally important that you properly prepare and plan your eventual exit or business...

A. The era of competitive bidding has caused 40% of HME businesses to close or merge over the past decade. Sometimes a sale or merger is the only option for a business owner to scale for survival and realize a return on a lifetime of work.While the thought to just deny may come to mind, a business owner will find many benefits to being forthright, professional and candid in directly answering an employee's inquiry.One sincere answer is: “We are always looking at our strategic options...

YARMOUTH, Maine - When it comes to mergers and acquisitions in the home infusion space, analysts report seeing a “blurring of the lines” among its different segments.“Just like our HME channels are blurring lines between providers and insurers, the same thing is happening with home infusion,” said Jonathan Sadock, managing partner with Paragon Ventures. “It's becoming where it is not unusual to find an infusion provider and a specialty pharmacy all rolled together.”Other...