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Outsourcing

 

Spanish PPP debate resurfaces after Fresenius buys Quirón

The news that German healthcare giant Fresnius bought Spain's largest hospital group Quironsalud for €5.76bn was widely reported in mainstream media. In the presentation, CEO Stephan Sturm admitted that public contracts making up 34% of Quirón's sales are the most profitable business area, suggesting an EBITDA margin of over 20%. We look at PPP prospects in Spain as Catalonia and Valencia terminate contracts and concessions in Madrid fall under scrutiny.
September 16, 2016

Publicly listed European hospital groups: Financial review and comparison

How is the European hospital sector faring? Who are the winners and losers and what does this tell us about the health of the sector? We compare first half results from the big players - Capio, Rhoen, Helios, Spire, Aevis Victoria, Ramsay Health Care and BMI (Netcare), as well as privately-held Asklepios and listed outsource specialist Pihlajalinna. There are some fascinating differences.
September 1, 2016

Interview: Ignacio Riesgo, independent healthcare consultant

We speak to Ignacio Riesgo, previously a healthcare leader at PwC in Madrid, and currently an independent advisor to both public and private providers. Riesgo muses on the industrialization of healthcare in his latest book Médicos o robots: La medicina que viene (Rasche).
August 2, 2016

China Resources to buy GenesisCare

Macquarie-backed, state-owned conglomerate China Resources (CR) is waiting for Australian regulatory approval to buy private equity house KKR's 45% stake in oncology group GenesisCare. CR wants to continue expanding Genesis in Western Europe and to tap the Chinese market with new hospital management contracts. The deal values the company at US$1.3bn.
July 26, 2016

Carlyle to exit Concord

Private equity house Carlyle is exiting Chinese outsourcing group Concord Medical Services as management delists the company from the New York Stock Exchange. CEO Jianyu Yang's investment vehicle Morgancreek Investment and partner Blue Ocean Management will gain full ownership. They plan to expand the business to wholly owned cancer centres.
July 20, 2016

Universal health coverage and private health care: Friends or foes?

Universal Health Coverage is now explicitly targeted by the third sustainable development goal set out by the United Nations. Increasingly, governments around the world want to offer it to their citizenry. Where the capacity will come from is less certain. In this report, Healthcare Nova asks experts at the forefront of UHC schemes from India to Mexico, where UHC is today and what role the private sector should play in extending healthcare access to the poor?
July 13, 2016

UK healthcare faces up to Brexit

The UK has voted to leave the EU unleashing economic and political turmoil that has taken the legs out from under Sterling, ignited press hysteria and will likely see the leaders of both major parties replaced. As always, the NHS was front and centre during the campaign. But concerns for healthcare more broadly, including the private sector, are numerous. We talk to investors, operators and advisors.
July 1, 2016

Ambea set to IPO

Investment analysts expect Swedish care group Ambea to file for an IPO soon. Banks and advisers have already approached it to kick off the process.
June 22, 2016

Saudi healthcare plans – as clear as mud

We've outlined Saudi Arabia's ambitious plans to outsource all aspects of healthcare provision to the private sector. But operators tell us that there is little clarity. Announcements that ex-pat doctors of more than ten years standing may be kicked out aren't helping.
May 13, 2016
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