Date Target Buyer(s) Segment ($ in Mil) Rev EBITDA 3/28/2018 Albert Einstein Healthcare Network Jefferson Health System, Inc. General Providers - - -
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4 Financial 10% Strategic 90% Amount Date Target Buyer(s) Segment Rev EBITDA 3/28/2018 Albert Einstein Healthcare Network Jefferson Health System, Inc. General Providers /21/2018 Children's Eye Care LLC MEDNAX, Inc. Specialty Providers /21/2018 NxThera, Inc. Boston Scientific Corp. Medical Devices & Products /19/2018 Vyaire Medical, Inc. Apax Partners (UK) Ltd. Medical Devices & Products /16/2018 LifeScan, Inc. Platinum Equity LLC Medical Devices & Products 2, x - 3/12/2018 Sarnova, Inc. Patricia Industries AB Medical Product Distribution /8/2018 Express Scripts Holding Co. Cigna Corp. Pharma Services 67, x 9.27x 3/6/2018 ARxCare LLC PharmScript LLC Pharma Services /5/2018 EmergiNet LLC (Clinical Operations) Team Health, Inc. Specialty Providers /14/2018 CardiacAssist, Inc. LivaNova Plc Medical Devices & Products /21/2018 Bioverativ, Inc. Sanofi Medical Devices & Products 10, x 23.13x
5 Strategic Buyer Inv. Date Select Corporate Acquisitions MEDNAX 3/27/2018 Cool Springs Interventional PLLC 3/21/2018 Children's Eye Care LLC 1/10/2018 Tri-Valley Neonatal Medical Group, Inc. 10/18/2017 Synergy Radiology Associates, PA 10/2/2017 Palm Beach Pediatric Urology P.A 9/28/2017 Jefferson Radiology PC / Jefferson Imaging Associates LLC 8/23/2017 Radiology Associates of South Florida PA 6/20/2017 Greater Nashville Perinatology Plc Quest Diagnostics 1/23/2018 MedXM MSO, Inc. 10/30/2017 California Laboratory Associates 10/18/2017 Cleveland HeartLab, Inc. 9/28/2017 Shiel Medical Laboratory, Inc. 6/12/2017 Med Fusion LLC 6/12/2017 ClearPoint Diagnostic Laboratories LLC Envision Healthcare Corp. 3/1/2018 Chandler Radiology Associates LLP 7/5/2017 Infinity Healthcare, Inc. 6/29/2017 Anesthesia Associates of New London PC 3/7/2017 Imaging Advantage LLC 1/6/2017 Emergency Professional Services PC 1/4/2017 3/14/2017 Sunshine Radiology LLC PharmScript 3/6/2018 ARxCare LLC 3/5/2018 9/7/2017 Vinze Pharmacare, Inc. Medcart Pharmacy Financial Buyer Inv. Date Select Corporate Investments Gryphon Investors 3/9/2018 Newbury Park Dental Studio 3/7/2018 Accent Physical Therapy LLC 3/7/2018 Champion Physical Therapy LLC 3/7/2018 Professional Therapies of Roanoke, Inc. 3/7/2018 West Rehab & Sports Mediicine, Inc. 11/1/2017 Emergency Response & Training Solutions, Inc. 7/6/2017 OB Hospitalist Group, Inc. 6/26/2017 Spine & Sport Foundation, Inc. 3/14/2017 CI Capital Partners 2/12/2018 Dermatology Associates, Inc. 11/13/2017 R. Todd Plott, M.D., P.A. 6/20/2017 Dermatology Associates of Oklahoma LLC 3/22/2017 Procare Physical Therapy, Inc. Summit Partners 12/1/2017 CBM Pathology 11/1/2017 CytoPath PC 5/15/2017 Cleveland Skin Pathology Laboratory, Inc. 10/7/2016 The ALARIS Group, Inc. ABRY Partners 11/22/2017 North Valley Dermatology (U.S. Dermatology Partners) 11/21/2017 Center for Advanced Dermatology 10/16/2017 Medical Center Dermatology, PA 10/16/2017 Lakeway Dermatology & Skin Cancer Center PA 1/25/2017 Austin Dermcare Mso PLLC SV Health Investors 3/6/2018 Dermone LLC (Clinics 9) (Clear Clinic & Schweiger Dermatology Management Co.) 9/12/2017 Island Dermatology PC 5/4/2017 Village Dermatology & Cosmetic Surgery LLC 3/8/2017 Lower Manhattan Medical Associates PC
6 20% 15% 10% 5% 0% -5% -10% -15% -20% -25% -30% Dental Products & Providers Medical Devices & Products Medical Product Distribution Specialty Providers Pharma Services Practice Management Provider Services Long Term & Behavioral Care General Providers S&P 500 EBITDA $ -9.6% -9.6% 81.7% 2.5% 36.0% 4.1x 11.3x 12.3x 4.0x 11.2x Zimmer Biomet Holdings, Inc. ZBH $ 22, Align Technology, Inc. ALGN 20, % 13.0% 87.4% 32.5% 28.6% 13.2x 49.5x 88.7x 10.2x NM DENTSPLY SIRONA, Inc. XRAY 11, % -23.6% 72.9% 7.1% 23.4% 3.2x 15.3x (7.4x) 3.0x 13.5x Henry Schein, Inc. HSIC 10, % -3.8% 71.9% 8.1% 8.8% 1.0x 12.0x 25.1x 1.0x 11.4x Cantel Medical Corp. CMN 4, % 8.3% 90.1% 14.6% 19.2% 5.8x 31.1x 51.6x 5.0x 24.6x Patterson Cos., Inc. PDCO 2, % -38.5% 46.0% (0.1%) 5.2% 0.6x 7.1x 8.6x 0.6x 9.6x BIOLASE, Inc. BIOL % -4.8% 28.0% 8.6% (30.9%) 0.6x NM (1.5x) 0.4x (1.5x) Pro-Dex, Inc. PDEX % 0.7% 85.6% 10.0% 13.2% 1.0x 5.5x 11.9x 1.0x 8.9x Milestone Scientific, Inc. MLSS % -39.0% 40.0% 25.5% (63.2%) 1.9x NM (4.5x) 1.5x NM Birner Dental Management Services, Inc. BDMS % 3.7% 45.2% NM (0.8%) 0.4x 54.0x (4.9x) NM NM Segment Average $7,090 (9.4%) (9.4%) 64.9% 12.1% 4.0% 3.2x 23.2x 18.0x 2.9x 11.1x Segment Median $3,376 (4.3%) (4.3%) 72.4% 8.6% 11.0% 1.5x 13.6x 10.2x 1.5x 11.2x
7 EBITDA $ -8.3% -8.3% 86.4% 7.1% 25.7% 4.7x 14.3x NM 4.5x 12.3x Johnson & Johnson JNJ $ 343, Medtronic Plc MDT 108, % -0.7% 89.4% 4.1% 31.9% 4.1x 13.1x 39.3x 4.0x 12.4x Abbott Laboratories ABT 104, % 5.0% 92.8% 14.3% 22.0% 4.5x 23.9x NM 4.0x 15.6x Stryker Corp. SYK 60, % 3.9% 94.7% 10.2% 27.2% 5.2x 19.0x 60.0x 4.8x 16.8x Becton, Dickinson & Co. BDX 57, % 1.2% 87.2% 36.7% 28.4% 6.5x 23.4x NM 4.3x 12.9x Intuitive Surgical, Inc. ISRG 46, % 13.1% 91.3% 15.2% 39.3% 13.4x 35.0x 72.8x 12.8x 29.7x Boston Scientific Corp. BSX 37, % 10.2% 91.3% 9.4% 27.7% 4.7x 17.9x NM 4.3x 14.9x Baxter International, Inc. BAX 34, % 0.6% 89.6% 7.7% 19.4% 3.3x 15.7x 50.5x 3.2x 13.4x Edwards Lifesciences Corp. EW 29, % 23.8% 97.4% 14.5% 29.6% 8.4x 26.3x 51.7x 7.6x 22.9x Zimmer Biomet Holdings, Inc. ZBH 22, % -9.6% 81.7% 2.5% 36.0% 4.1x 11.3x 12.3x 4.0x 11.2x ABIOMED, Inc. ABMD 12, % 55.3% 95.6% 36.6% 31.3% 23.1x 83.5x NM 17.5x NM Integra LifeSciences Holdings Corp. IART 4, % 15.6% 95.1% 26.2% 23.6% 5.1x 22.5x 67.5x 4.0x 17.0x Wright Medical Group NV WMGI 2, % -10.6% 62.9% 11.2% 17.8% 3.8x 36.3x NM 3.4x 23.5x EBITDA $ 5.5% 5.5% 93.4% 7.3% 24.9% 4.1x 17.1x 27.7x 4.0x 16.7x Danaher Corp. DHR $ 68, Stryker Corp. SYK 60, % 3.9% 94.7% 10.2% 27.2% 5.2x 19.0x 60.0x 4.8x 16.8x McKesson Corp. MCK 29, % -9.7% 78.8% 4.5% 1.8% 0.2x 9.1x 6.4x 0.2x 8.3x Cardinal Health, Inc. CAH 19, % 2.3% 75.7% 5.5% 2.5% 0.2x 8.6x 10.9x 0.2x 8.3x AmerisourceBergen Corp. ABC 18, % -6.1% 81.1% 11.7% 1.4% 0.1x 8.3x 19.5x 0.1x 8.4x Henry Schein, Inc. HSIC 10, % -3.8% 71.9% 8.1% 8.8% 1.0x 12.0x 25.1x 1.0x 11.4x Patterson Cos., Inc. PDCO 2, % -38.5% 46.0% (0.1%) 5.2% 0.6x 7.1x 8.6x 0.6x 9.6x Owens & Minor, Inc. OMI % -17.6% 44.5% 7.8% 2.2% 0.2x 7.6x 13.0x 0.2x 5.9x Aceto Corp. ACET % -26.4% 44.4% (2.5%) 7.0% 0.7x 7.0x NM 0.7x 9.0x EBITDA $ -2.8% -2.8% 88.2% 12.0% 15.5% 2.0x 12.3x 21.5x 1.8x 9.6x Fresenius Medical Care AG & Co. KGaA FMS $ 31, DaVita, Inc. DVA 12, % -8.7% 81.7% 8.3% 20.8% 2.0x 10.1x 19.0x 1.9x 10.3x Encompass Health Corp. HLS 5, % 15.7% 96.4% 7.8% 21.3% 2.2x 10.2x 21.3x 2.0x 10.1x MEDNAX, Inc. MD 5, % 4.1% 79.7% 9.6% 16.7% 2.0x 12.1x 16.1x 1.8x 11.0x Envision Healthcare Corp. AMSG 4, % 11.2% 60.0% 9.4% 12.0% 1.5x 10.9x NM 1.3x 11.4x LHC Group, Inc. LHCG 1, % 0.5% 80.9% 16.6% 6.3% 1.2x 14.6x 22.1x 0.7x 7.1x American Renal Associates Holdings, Inc. ARA % 8.3% 78.3% 9.8% 24.3% 1.9x 8.9x NM 1.7x 12.0x AAC Holdings, Inc. AAC % 27.6% 87.9% 9.7% 12.7% 1.5x 12.4x NM 1.3x 6.4x
8 EBITDA $ 10.4% 10.4% 90.8% 5.8% 20.4% 1.6x 8.3x 16.3x 1.5x 8.1x HCA Healthcare, Inc. HCA $ 34, Universal Health Services, Inc. UHS 10, % 4.5% 92.4% 15.0% 17.1% 1.5x 8.8x 15.2x 1.3x 8.5x Tenet Healthcare Corp. THC 2, % 60.0% 96.1% (5.6%) 15.9% 1.0x 8.6x NM 1.1x 7.6x LifePoint Health, Inc. LPNT 1, % -5.6% 69.2% 1.9% 7.0% 0.8x 7.2x 18.7x 0.8x 6.5x Community Health Systems, Inc. CYH % -7.0% 37.7% (10.5%) (6.4%) 0.9x 13.7x NM 1.0x 9.2x EBITDA $ -14.2% -14.2% 74.1% 3.5% 7.8% 0.5x 7.1x 9.7x 0.5x 7.1x CVS Health Corp. CVS $ 63, Express Scripts Holding Co. ESRX 38, % -7.4% 81.2% 1.3% 8.0% 0.5x 7.2x 8.9x 0.5x 7.0x Perrigo Co. Plc PRGO 11, % -4.4% 86.9% 3.1% 21.3% 2.9x 12.9x NM 2.9x 12.3x Magellan Health, Inc. MGLN 2, % 10.9% 97.5% 33.3% 5.5% 0.5x 9.9x 23.7x 0.3x 6.7x Allscripts Healthcare Solutions, Inc. MDRX 2, % -15.1% 76.6% 23.3% 9.1% 2.3x 16.0x NM 1.8x 9.2x EBITDA $ -3.7% -3.7% 87.3% 11.4% NM 0.3x NM 23.3x 0.3x 6.4x WellCare Health Plans, Inc. WCG $ 8, HealthEquity, Inc. HQY 3, % 29.7% 88.1% 26.5% 21.9% 15.0x 49.0x 78.6x 12.1x 30.8x EBITDA $ -13.9% -13.9% 78.5% 9.8% 28.5% 3.7x 12.3x 22.6x 3.4x 10.9x Cerner Corp. CERN $ 19, Healthcare Services Group, Inc. HCSG 3, % -17.5% 77.4% 14.2% 7.1% 1.6x 23.0x 36.5x 1.5x 18.4x Omnicell, Inc. OMCL 1, % -10.5% 78.3% 13.1% 14.4% 2.6x 30.0x 81.9x 2.3x 14.2x HMS Holdings Corp. HMSY 1, % -0.6% 80.6% 10.2% 23.4% 3.0x 13.8x 35.8x 2.8x 11.9x Evolent Health, Inc. EVH 1, % 15.9% 51.8% 38.1% (0.9%) 2.1x NM NM 1.3x 29.0x Providence Service Corp. PRSC % 16.5% 92.8% 2.0% 5.7% 0.5x 13.1x 22.6x 0.6x 11.1x
9 EBITDA $ 20.1% 20.1% 72.1% 9.0% 20.6% 2.3x 11.5x NM 2.1x 10.1x Acadia Healthcare Co., Inc. ACHC $ 3, The Ensign Group, Inc. ENSG 1, % 18.5% 89.9% 9.9% 7.7% 0.9x 11.6x 34.2x 0.8x 8.3x National HealthCare Corp. NHC % -2.1% 78.8% NM 11.6% 0.8x 8.0x 16.2x NM NM Civitas Solutions, Inc. CIVI % -9.9% 77.4% 8.4% 9.0% 0.9x 8.6x 49.7x 0.8x 7.5x AAC Holdings, Inc. AAC % 27.6% 87.9% 9.7% 12.7% 1.5x 12.4x NM 1.3x 6.4x SunLink Health Systems, Inc. SSY % -13.8% 65.9% NM 2.6% 0.2x NM NM NM NM
10 10.0x 8.0x 6.0x 9.0x 9.0x 9.2x 8.3x 7.5x 7.5x 7.8x 7.3x 6.4x 6.6x 6.5x 6.4x 6.7x 5.5x 5.8x 5.9x 4.0x 2.0x 0.0x $10-25mm $25-50mm $50-100mm $ mm
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120 100 80 60 40 20-11 62 4 98 42 13 9 31 56 Financial 13% Strategic 87% Amount Date Target Buyer(s) Segment Rev EBITDA 6/28/2018 Keryx Biopharmaceuticals, Inc. Akebia Therapeutics, Inc. Medical Product
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50 40 30 20 10-2 9 39 4 32 19 6 10 13 34 Financial 17% Strategic 83% Date Target Buyer(s) Segment Amount Rev EBITDA 9/28/2017 Jefferson Radiology PC / Jefferson Imaging MEDNAX, Inc. Specialty Providers
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