HCA, KKR make final offer to buy Envision Healthcare — 6 insights

Nashville, Tenn.-base HCA Healthcare and private equity partner KKR have made their final offer to acquire Nashville-based Envision Healthcare, The New York Post reports.

Here's what you should know:

1. HCA and KKR are one of three groups competing to acquire Envision.

2. The Post reports KKR secured approximately 7.25 times EBITDA in financing, which would amount to a bid in the high-$40 range for the company. Envision shareholders previously said they'd accept a bid in the mid-$40 range.

3. If HCA acquires Envision and subsidiary AmSurg, HCA would almost triple its ASC-related holdings. The combined companies would have 354 ASCs. HCA would add approximately $1.3 billion in revenue as a result.

4. HCA would also expand its presence into 16 additional states and Washington, D.C.

5. After low third-quarter 2017 earnings, Envision began an internal review to "enhance shareholder value." Envision's board said a company sale was being considered.

6. The Post believes activist investors are weighing a proxy fight to gain control of the board, if they are not satisfied with the sale process.

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