HCA Healthcare finalizes Catholic Medical Center acquisition for $110 million

Deal News | Feb 04, 2025 | EIN

HCA Healthcare finalizes Catholic Medical Center acquisition for $110 million

HCA Healthcare has completed its acquisition of Catholic Medical Center (CMC) in Manchester, New Hampshire, for $110 million as confirmed by Healthcare Dive. The acquisition follows CMC's financial distress exacerbated by rising expenses, loss of revenue from anesthesia services, and failed electronic medical records implementation. The facility, critical for 330-bed acute care, was on the verge of insolvency, which spurred New Hampshire Attorney General's office to approve the sale with several stipulations. These include HCA's commitment to a $200 million investment to enhance healthcare capacity and maintain vital services for a decade. CMC projected a $41.5 million loss for the 2024 fiscal year and carried about $160 million in debt, leading credit agencies S&P and Moody’s to downgrade their ratings of CMC, underscoring the deal’s urgency. Despite HCA's previous reductions in services elsewhere, New Hampshire's prioritization of local healthcare needs enabled this deal. Different regulatory procedures for handling distressed deals, such as that of FTC's recent intervention in North Carolina, are expected to become critical in the coming year.

Sectors

  • Healthcare
  • Mergers and Acquisitions

Geography

  • United States – The article discusses hospital operations and mergers specifically within New Hampshire, US, and touches on regulatory practices also seen in North Carolina.
  • New Hampshire – Central to the article, as the acquisition of Catholic Medical Center in Manchester, New Hampshire, and regulatory actions by the state authorities are discussed.

Industry

  • Healthcare – The article discusses a major hospital acquisition within the healthcare industry, highlighting issues of financial distress and regulatory scrutiny in hospital operations and mergers.
  • Mergers and Acquisitions – The article focuses on the acquisition of a distressed hospital, involving regulatory approvals and oversight, making it relevant to the M&A industry.

Financials

  • $110 million – The purchase price paid by HCA Healthcare for Catholic Medical Center.
  • $200 million – The required investment HCA Healthcare must make to expand healthcare capacity and maintain critical services in the New Hampshire area.
  • $41.5 million – Projected financial loss for Catholic Medical Center in the 2024 fiscal year.
  • $160 million – Debt load of Catholic Medical Center prior to acquisition by HCA Healthcare.

Participants

NameRoleTypeDescription
HCA HealthcareBuyerCompanyA major healthcare provider acquiring Catholic Medical Center to expand its network in New Hampshire.
Catholic Medical CenterTargetCompanyA financially distressed hospital in Manchester, New Hampshire, acquired by HCA Healthcare.
New Hampshire Attorney General's OfficeRegulatorGovernmentProvided regulatory approval and imposed conditions on the sale to HCA to ensure continued healthcare service provision in New Hampshire.
S&P Global RatingsCredit Rating AgencyCompanyDowngraded CMC's credit rating amid its financial issues, highlighting urgency in acquisition.
Moody's RatingsCredit Rating AgencyCompanyDowngraded CMC's credit rating similar to S&P Global, indicating financial distress.