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European listed care groups: A financial review and comparison

First half 2016 results for the major care home groups point towards solid 5-6% organic sales growth from Orpea and Korian with the latter gradually recovering from the crisis which saw the replacement of CEO Yann Coleou at the turn of 2015. Recently listed Nordic groups Attendo and Humana are benefitting from strong demand for new nursing home beds from public payors and expansion in Finland. But Swedish proposals to limit the return on public-private care services to 8% of return on equity plus net debt (before inflation) pushed shares down. Meanwhile, Middle Eastern investors have bought in to Italian operator KOS.

Fresenius Medical Care to launch 200-clinic network in India

Fresenius Medical Care (FMC) is to grow its service platform in India after buying the country’s second largest clinic network Sandor Nephro Services. It is hoping to launch a large 200-clinic network and to obtain PPP contracts for centres in district hospitals, according Jan Walter, SVP Central Asia Pacific for Fresenius Medical Care.

PAI and SAR waiting to resume negotiations

Private equity house PAI Partners put negotiations to buy 100% of Spain's largest care group SARquavitae on hold in late July. Sources told Healthcare Europa that the price has already been set at €500-550m, roughly 15x EBITDA. But there are discrepancies on how to formalise the agreement. We're still waiting for official talks to resume after the summer, which otherwise could close this very month.

Fresenius Helios buys Quirónsalud

Fresenius Helios has acquired Quirónsalud, the largest Spanish hospital group, in a move which finally takes the largest German group outside its home country. The deal creates a hospital division inside Fresenius with sales of around €8bn, making it by far the largest private hospital player in Europe and larger than international comparitors Ramsay, Mediclinic, Netcare or Life.

Nisa’s handover to Spanish provider Vithas still up in the air

Spanish provider Vithas is set for full control at Valencian seven-hospital network Nisa after buying a 30% stake. Nisa's management is putting spokes in its wheel. But the deal is a key move to consolidate the sector and strengthens Vithas' position among the top three hospital groups in the country.

Medlife buys Bucharest operator

Romania’s largest private healthcare provider Medlife has just completed yet another acquisition. The group bought a 90% stake in Panduri Medical Centre, which runs two labs and two clinics in Bucharest. We speak to one consultant about its strategy.

Medicover plans IPO to raise SEK2bn for expansion

Medicover, the Pan-East European corporate healthcare provider and lab group, plans to IPO to expand internationally, raising SEK2bn for expansion of its core business into Emerging Markets.

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