Modern Healthcare

Kindred-Gentiva deal may spur reforms

- By Bob Herman

Ending a monthslong battle, Kindred Healthcare and Gentiva Health Services announced they will merge, creating one of the largest post-acute-care providers in the country. Industry observers hope the merger will help accelerate the movement toward coordinate­d care in the currently fragmented post-acute-care sector.

Louisville, Ky.-based Kindred said once the deal closes, it will be the country’s fourth-largest healthcare employer, with 109,000 employees in hundreds of long-term acute-care hospitals, inpatient rehabilita­tion facilities, skilled-nursing facilities and hospices.

“Over the last eight weeks, we undertook a robust due diligence process and worked closely and constructi­vely with our counterpar­ts at Gentiva to better understand their operations, financial results and outlook,” Kindred CEO Paul Diaz said in a news release.

The new company is expected to gen- erate about $7.1 billion in annual revenue, making it larger than another recent industry merger between Genesis HealthCare and Skilled Healthcare Group.

Rodney Windley, chairman of Atlanta-based Gentiva, who ripped Kindred during the early takeover bids, said the merger “represents a successful conclusion to a process in which, from the beginning, we have focused on maximizing value for Gentiva’s shareholde­rs consistent with our board’s responsibi­lities, while ensuring the future success of the company,” Windley said.

The cash-and-stock deal is valued at $1.8 billion, which includes Gentiva’s approximat­ely $1.1 billion of debt. Kindred will pay $19.50 per share to Gentiva shareholde­rs. It’s also more than double Gentiva’s stock price of $8.54 from May, before Kindred made an offer. The deal includes $14.50 per share in cash and $5 of Kindred common stock.

Policymake­rs and insurers are pushing for more cost control and care coordinati­on in the post-acute sector, where costs have been growing faster than other healthcare costs.

Pending Gentiva shareholde­r approval, the transactio­n is expected to close in the first quarter of 2015. Kindred’s shares were up about 6% since it announced the deal on Oct. 9, hovering around $21.

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