Home-Based Care M&A 2023 Year In Review

Home-Based Care Year In Review Report

As the North American M&A market fell as much as 40% in some sectors due to inflation, interest rate increases, and more disciplined buyers, Healthcare was a bright spot, with total M&A activity flat year over year.

Though M&A in the home-based care segment fell 12% in 2023 vs 2022, we saw several positive developments – the consolidation of the continuum of care via “Payviders” like United Health, the re-emergence of strategic buyers, and the sale of several larger strategic and PE-backed companies, which signals well to dealmaking in 2024.

This report delves into the key home-based care transactions and trends that made 2023 and will drive 2024. It also includes a Fireside Chat with Angelo Spinola of the law firm Polsinelli, and The DAK Group’s Melvyn Peters, who discuss how changing industry dynamics are driving M&A across home care, home health, and hospice, and what that means for buyers, and sellers in 2024.

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VCI – Emergency Vehicle Specialists recapitalized by Tightrope Capital & NewSpring Capital

VCI is the preeminent full lifecycle sales and service provider of emergency ambulance solutions to first aid squads, EMS organizations, fire departments, hospital organizations, municipalities, and private medical transport companies in the Mid-Atlantic Region. VCI was recapitalized by private equity firms Tightrope Capital Partners and NewSpring Capital.

DAK led a competitive, sell-side process for VCI, generating multiple offers from a wide range of strategic buyers and financial sponsors. By positioning the combination of VCI’s market leadership position, comprehensive services offering, strong manufacturer relationships, and robust backlog, DAK achieved an outstanding outcome for the company’s shareholders.

The acquisition provides the shareholders of VCI an opportunity to accelerate its growth strategy by expanding its core ambulance business, building out the value-added segments of conversions and remounts, implementing operational improvements, and pursuing acquisitions with the help of its new partners. Tightrope and NewSpring have an opportunity to leverage VCI’s strong management team and operating platform to build a multi-regional player in emergency ambulance solutions.

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