For-profit health care services in Italy

You've come to the right place to understand health care services in Italy. Here is how we can help you:
  • Detailed research report on health care services in Italy with marketshare and growth rates for 15 sectors (HBI Intelligence)
  • Database of the top 175+ private health care operators, including profile and major external investors across 18 sub-sectors from diagnostic labs to domiciliary homecare and from telehealth to hospitals (HBI Intelligence)
  • Merger and acquisition (M&A) intelligence showing likelihood of sale (HBI Intelligence)
  • News stories and interviews with operators and investors in Italy (HBI Deals and Insights)
  • Events that cover health care services globally including Italy (HBI 2020)
  • “A key research tool for Fresenius. Nothing else is gives such a broad, yet structured picture of all the players.”
    Wolfgang Hofmann, Senior Vice president, Fresenius Medical Care
  • “Aetna finds the service really useful. Often insightful on business model innovation and help us in our thinking, particularly about Emerging Markets.”
    Dr Sneh Khemka, Managing Director, Population Health, Aetna International
  • “Awesome, always on the money, full of good information, much used internally.”
    CEO of one of the top five international hospital groups
  • “The best source of information for deals and trends in the global healthcare market.”
    Mr. Stefano Ciampolini, CEO & Co-Founder, Renal Services
  • “A really useful tool for investors. Continually digs out interesting stories and casts light on healthcare services internationally.”
    Dr Mark Wadley, Fund Manager, Visio Capital Management
  • “A fascinating ecosystem of data, information, and perspectives on the private healthcare market. My favourite source of information.”
    Andreas Völkl, Global Marketing Manager - Outcome Studies and Collaboration, Siemens Healthineers
  • “I like the team at HBI, their highly focused, analytical work and their ability to bring senior people from different countries in health care together.”
    Dr. Sanjeev Kanoria, Chairman, Advinia Healthcare
  • “May I congratulate you, very interesting and relevant content.”
    Joe Ryan, CFO, Medicover
  • “Unique focus on private healthcare globally. Always learn something useful about sectors, companies and countries where we invest.”
    Kemp Dolliver, Chief Investment Officer, Cherrystone Hill Capital Management LLC
  • “Really useful in keeping track of transactions across Europe and trends in healthcare services.”
    Irina Stamate-Rocha, Principal, Patron Capital Advisors
  • “Extremely useful view of what is happening in European healthcare”
    Laurent Ganem, CEO, G Square Capital
  • “A great site for keeping up with the healthcare sector. Its excellent search facility also means that it is easy to find older but relevant information about a given company or sector.”
    Rune Aresvik, Co-owner, Vardetun
  • “A really valuable initiative that tracks developments across Europe. If it didn't exist, we'd have had to invent it ourselves.”
    Jeremy Tasker, Head of Healthcare, Colliers International
  • “Gives an excellent overview of the European healthcare industry, very perceptive, written with real insight!”
    Nancy Hollendoner, Industry Consultant, Senior Adviser to Hawkpoint Partners

Country Report
Italy Country

Updated: May 2020

Executive Summary

Executive Summary
 
Impact of Covid-19 
 
We are in the process of analyzing the impact of Covid all countries in HBI Intelligence and should have updates on market sizes by the end of May for the 5 largest economies and by the end of June for others. Meanwhile we are covering the impact of Covid in news stories. Recent examples include a detailed examination of the impact on French and German hospitals, an article on labs and imaging and a look at the broad elective sector. 
 
Background

The Italian healthcare market is not for the faint-hearted. Italians spend less on public healthcare as a percentage of GDP than just about every country in Western Europe, its NHS system is complicated by co-pays and massive regional variations in financing, standards and culture and reliable data can be hard to find. The for-profit hospital sector has always had a role and continues to do so, but its market is shrinking. Conversely, the private sector is growing in elderly care, albeit only by 10% by bed numbers in the last decade. Private operators have taken on much of the burden of austerity since the 2012 Spending Review dictated severe cuts to the sector. The for-profit lab, rehab and hospital markets, for example, are losing around 2-3% every year in revenue.

See the report for full details on market size, including data.
 
Italian healthcare system

The system is built around the Italian Servizio Sanitario Nazionale or NHS. Established in 1978, it’s supposed to guarantee universal coverage across the country that’s free at the point of use and offers uniform standards of care. In reality, Italians face a post-code lottery when it comes to healthcare and have to pay for much of it themselves. The Ministry of Health defines the livelli essenziali di assistenza (essential level of care) to be delivered across the country. But it’s Italy’s 21 regions and autonomous provinces (R&AP) that are responsible for the actual planning and delivery of services, with divergence even in the accreditation systems used to monitor standards, not to mention in tariffs. Provision also varies by several factors across regions. 

See the report for full details on the Italian healthcare system including data figures.


Below are two example extracts from the sector breakdowns. See the report for full details on each sector. See the table of contents for information on which sectors are represented in the report.
 
Imaging Services

Market size

In 2012, Alliance Medical put the private imaging services sector at €800m, four times the size of the UK market. We think that since then it has probably grown to €1billion in 2016.  Almost all of this is in outpatient diagnostic centres of which Alliance estimates there are 900-1,000 in Italy. These handle not only imaging, but also labs and may have a layer of primary care. These centres vary greatly in size.

In 2015 Alliance reckoned that private paid and private delivered was already 16% of all diagnostic imaging examinations, with a further 27% public paid for and privately-delivered. The remaining 57% was publicly funded and delivered, typically in public hospitals. This suggests that the total market was around €2.3cbn in 2016.

Overall, CT and PET modalities are increasing by 5% while MRIs are actually falling (OECD data). Add to that a largely static national healthcare budget, increasing 0.5-2% each year (Istat, the country’s national statistics association), we think the imaging sector is growing at most, the upper end of that range.
 
Psychiatry and Mental Health
Total Italian psychiatry is worth around €4bn according to Mariuccia Rossini, director of Korian Italy. According to our company database, we estimate the for-profit sector was worth a tiny €100m in 2017.

Korian Italy focuses on elderly care but operates four long-term psychiatric facilities in Liguria and Piemonte, where tariffs per bed in Piemonte range between €111-160. For-profit psychiatry is a murky market to penetrate, though according to a source, there remains opportunity and activity among smaller players.
For the big consolidators, however, the market looks less attractive. Tariffs and accreditation differ per region, it is an isolated and fragmented arena that is not nationally monitored, with no clear regional or national consolidators and a plethora of public, non-profit, religious and for-profit providers providing different models of care. Organic growth in this sector is stagnant as the national budget has all but frozen.
See the report for full details on each sector, including further details on the two above. See the table of contents for information on which sectors are represented in the report.
 
 
What we offer
 
-       Instant overview of the Italian market This report gives you visibility of this fast-growing market detailed profiles of the Top 164 players.
-       Ever green! Updated throughout your subscription As part of our HBI intelligence platform this report is updated throughout the period of your subscription. You will also receive additional news stories and interviews on Italian throughout the period.
-       Insights on business models The report looks at the main models – private hospitals and lab and dialysis outsourcing.
-       Identify national opportunities We assess opportunities at national level.
-  Size markets This report enables you to swiftly see market sizes and market shares at a sub-sector level
-       Save time and money This report will save you time researching this opaque market and enable you to swiftly identify investment opportunities, new partners and markets.
 
 

Table of Contents


Table of Contents
 
Italy – National overview
Dentistry
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Dialysis
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Domiciliary Care
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Fertility
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Hospital
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Imaging Services
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Laboratory Services
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Medicalised Homecare
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Nursing Homes
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Occupational Healthcare
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Oncology
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Post-acute Rehabilitation
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Psychiatry and Mental Health
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Telehealth primary
 
Data sets
For-profit /private market size and growth rates 2016-2020
 
Market description and trends.
 

Italy News & Interviews

Our indepth stories dig deep and cover profit multiples, revenue, EBITDA and CEO thinking.

300 news stories on Italy.

Lifebrain buys all of Unilabs' Italian assets 42h ago

Pan-European lab group Unilabs has sold its Italian assets to market rival Lifebrain as the latter beefs up for a sale....

EU countries to pump €50bn into health and social reform recovery plans 1w ago

EU countries have already earmarked over €47bn euros to spend on health care from the €672bn Recovery and Resilience Facility (RRF), the continent's centrepiece of COVID-19 recovery. Digital innovation, primary care and long-term care are clear spending pri...

Ramsay Santé borrows €1.65bn dirt cheap 1w ago

Ramsay Santé, the European arm of global hospital group Ramsay Health Care, has refinanced its €1.65bn syndicated debt and introduced an environmental, social and governance (ESG) component for the first time. The interest rate is eye-wateringly low for an ...

San Donato bids for Catholic-owned hospital 2w ago

Italy's largest hospital group San Donato is bidding to make its first move out of northern Italy through a binding offer for Rome's Fatebenefratelli hospital. Another Vatican-owned hospital is trying to shut down sale rumours at a time when many are struggling...

Private care home market share varies widely across Europe 2w ago

Private sector penetration of care home markets varies across Europe. This week's infographic shows how care home ownership divides between the for-profit, non-profit and public sectors in European countries....

Covid continues to boost Unilabs in 2021 3w ago

Executive chairman Jos Lamers has told HBI that Covid sales continue to rise in Q1 and Q2 2021. They certainly boosted 2020 results at the international lab and imaging group owned by Apax Partners. Like rivals Synlab and Sonic, the business continues to roar...

First of EQT's new Italian care homes likely to go to local operators 4w ago

Following EQT announcing its €300m investment in care homes in Northern Italy, HBI talks to a local expert on the market....

EQT Real Estate invests in Italian care home sector 1mo ago

EQT Real Estate has announced a €300m joint venture with Italian construction company Arco Lavori, to build high quality care homes in Northern Italy....

EQT buys Partners' stake in Cerba 1mo ago

EQT has agreed to buy Partners Group's stake in French lab group Cerba for a ball-park enterprise value of €4.5bn, making it a 12x multiple on the group's 2020 EBITDA....

Database of 175 Italy service providers

HBI has built a unique database of the Top 4,000 operators globally in health care services. As part of this we have identified the top 175 operators in Italy.

Profiles include revenue/sales data as well as EBITDA and other profit margins where known. They also cover private equity ownership with dates and mergers and acquisitions.

Mergers & Acquisition (M&A) Intelligence

Our deal pipeline shows how likely all private equity and some privately companies are to sell based on algorithms and journalistic know-how.

HBI 2020 – the only CEO-level conference to cover healthcare services globally

HBI 2020 – the only CEO-level conference to cover healthcare services globally
 
In 2019 this event brought together 700 delegates from over 40 countries. Over 60% are CEO level and they included 150 specialist investors in health care services. HBI 2020 sessions look at trends in hospitals and labs as well as investment and merger and acquisition, plus digital health and telehealth.
 
In the wake of Covid, HBI has develped an exciting series of interactive digital meetings, HBI-365. 
Contact us in the UK on 0207 183 3779 for more information.