KKR's acquisition of Nashville, Tenn.-based Envision Healthcare in June 2018 was the second biggest deal of 2018, according to a PwC report.
What you should know:
1. The top three deals of 2018 were Cigna's $67 billion acquisition of Express Scripts, KKR's $9.9 billion acquisition of Envision and RCCH HealthCare Partners' acquisition of LifePoint Health for $5.6 billion.
2. Those three deals raised the average quarterly mega-deal value to double digits for the second consecutive year, totaling $82.5 billion.
3. The KKR-Envision deal was the fifth largest mega-deal announced since 2014.
4. The top five deals of 2018 were rounded out by Welltower's $4 billion acquisition of Quality Care Properties and WellCare Health Plans' $2.5 billion acquisition of Meridian Health Plan, which tied for fifth with Minnetonka, Minn.-based UnitedHealth Group's $2.5 billion acquisition of Genoa Healthcare.
5. In 2018, 231 deals involved physician medical groups. Deals in the physician medical group sub-sector grew 11.6 percent year over year, for a total value of $12,251 in 2018.
6. PwC predicts health services companies will continue seeking deals in 2019, driven by regulatory uncertainty, a consumer-focused approach, high costs and cross-industry deals such as Amazon's health venture with Berkshire Hathaway and JPMorgan Chase.
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