Tag: Jonathan Sadock

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...

EDEN PRAIRIE, Minn. - OptumRx's recent purchase of AxelaCare Health Solutions, a home infusion services provider, points to a larger trend of both pharmacy benefit managers and payers bringing other services under their umbrellas, analysts say.“This is the changing landscape in health care,” said Justin Ishbia, founder and managing partner of Shore Capital Partners, a private equity firm that used to own SCP Specialty Infusion. “They are the payer but they are also the provider...

NORWOOD, Mass. - Despite the industry upheaval of the past year, National Sleep Therapy (NST) is ready to scale its business. “We think there's a market in that there are a number of DME companies who don't have the resources or mental bandwidth to keep going,” said Eric Cohen, president. “We are hoping that there are others that are ready to be done because we are ready to keep going.”In April, NST acquired Wallingford, Conn.-based Gaylord Sleep Medicine Equipment.On...