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Q1 2016

Industry Snapshot: Healthcare

Notable M&A Activity

Capital Markets

2/10/16 - Constellation Healthcare Technologies, Inc. (AIM:CHT) acquired MDRX Medical Billing LLC for $30 million in cash.

MDRX is a

healthcare practice management and billing company.

2/5/16 - Halma plc (LSE:HLMA) acquired CenTrak, Inc. from private shareholders for $140 million.

CenTrak, Inc. provides real time location

systems to healthcare facilities in the United States, Asia, Europe, and the Middle East.

2/3/16 - LTC Properties Inc. (NYSE:LTC) acquired skilled nursing center in Texas for $16 million.

LTC has been investing in a diverse, high-

quality portfolio of seniors housing and healthcare properties that today spans 29 states.

2/2/16 - Forefront Dermatology acquired Westmoreland Dermatology Associates.

Westmorland Dermatology Associates provides medical and

cosmetic laser treatments across Western Pennsylvania.

2/1/16 - Grey Healthcare Group, Inc. acquired The Lathe, LLC.

The Lathe, LLC operates as a digital design and development company that

focuses on helping healthcare organizations utilize Web and mobile technologies to connect patients, caregivers and professionals.

1/27/16 - Pamplona Capital Partners acquired MedAssets, Inc. (NasdaqGS:MDAS) for $2.7 billion.

MedAssets, Inc., a performance

improvement company, provides technology-enabled products and services for hospitals, health systems, non-acute healthcare providers, payers,

and other service providers and product manufacturers in the United States.

1/19/16 - ExamWorks, Inc. acquired Advanced Medical Reviews, Inc. from Eytan Alpern and Barak Mevorak for $39.8 million in cash.

Advanced Medical Reviews, Inc. provides medical case review and utilization management services to the healthcare sector.

1/4/16 - Quality Systems Inc. (NasdaqGS:QSII) acquired HealthFusion Holdings, Inc. for $190 million.

HealthFusion develops Web-enabled

computing software products and communication services to healthcare providers through its Internet portal.

.

3/1/16 - Amedisys Inc. (NasdaqGS:AMED) acquired

Associated Home Care Inc. from Michael Trigilio for

$38.1 million

. Associated Home Care Inc. provides in-

home senior care services.

2/29/16 - Decision Resources, Inc. acquired Adaptive

Software LLC for $24.5 million

. Adaptive Software LLC

provides business process management software

solutions for the pharmacy benefits management industry.

Source: Public Filings; Industry Newswires and Capital IQ as of 3/8/16

Healthcare Medical Devices:

NYSE:JNJ, NYSE:MDT , NYSE:SYK, LSE:SN., NYSE:ZBH

Healthcare IT:

NYSE:MCK, NYSE:IMS, NasdaqGS:MDRX, NasdaqGS:CERN, NasdaqGS:ATHN

Healthcare Services:

NYSE:KND, NYSE:FVE, NYSE:HLS, NasdaqGS:ENSG, NYSE:UHS

Medical Laboratory Services:

NasdaqGM:AIQ, NYSE:LH, NYSE:DGX, NasdaqCM:PMD, NasdaqGM:RDNT

% Change

Q2 2015 Q3 2015 Q4 2015

YTD

Healthcare Medical Devices

(1.2%)

(5.0%)

7.5% 6.1%

Healthcare IT

(0.3%)

(14.7%)

4.9%

(13.8%)

Healthcare Services

16.2%

(14.7%)

(6.0%)

(1.4%)

Medical Laboratory Services

(4.4%)

(13.9%)

11.5%

(5.5%)

S&P 500

0.2%

(7.6%)

4.7%

(0.5%)