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Q4 2008 Healthcare Transactions

Eclipsys to acquire Premise

Eclipsys Corporation is acquiring Premise Corporation, a privately-held industry provider of patient flow software solutions. Premise is a leading provider of integrated and clinically focused software solutions and services that optimize patient flow, streamline communications, enhance operational efficiency, and empower knowledge-based decision making. Eclipsys is a provider of advanced integrated clinical, revenue cycle and business process improvement software, clinical content and professional services that help healthcare organizations improve clinical, financial and operational outcomes.

Announcement Date: December 30, 2008
Deal Value: $38.5 Million (Cash)

SXC Health Solutions acquires Zynchros

SXC Health Solutions Corp. has acquired the assets of Zynchros, a privately-owned leader in formulary management solutions. Founded in 2000, Zynchros provides a suite of on-demand formulary management tools to approximately 45 health plan and PBM customers. The zynchros.com platform helps payers to effectively manage their formulary programs, and to maintain Medicare Part D compliance of their programs. SXC Health Solutions Corp. provides pharmacy benefit management (PBM) services and healthcare information technology (IT) solutions in North America.

Announcement Date: December 22, 2008
Deal Value: $2 Million

Patterson Companies acquires Dolphin Practice Management

Patterson Companies , Inc. acquired Dolphin Imaging Systems, LLC and Dolphin Practice Management, LLC, providers of 3D imaging and practice management software for specialized dental practitioners, including orthodontists, oral maxillofacial surgeons and dental radiologists. Dolphin’s imaging software maximizes the benefits of cone beam and other digital photography and radiography systems by enabling practitioners to electronically capture, manipulate and analyze imaging records; perform diagnosis and advanced 2D and 3D visualization; and graphically simulate treatment outcomes. Dolphin’s products support most cone beam systems, digital radiography systems, 2D and 3D digital photographic systems, and picture archiving and communications systems (PACS).

Announcement Date: December 19, 2008
Deal Value: Undisclosed

Manpower Software acquires Baum Hart & Partners

Manpower Software plc, provider of workforce optimization solutions, acquired Baum Hart & Partners, the market leader in the provision of integrated software systems, consultancy, training and support services principally to the National Health Service (NHS). The acquisition of Baum Hart enables Manpower Software to extend its offering to the NHS as well as move into new vertical markets. Manpower Software's business strategy in the healthcare sector is to be the leading supplier of workforce optimization solutions to the UK NHS and broader healthcare markets. This is Manpower Software's second acquisition in 2008 after Key IT Systems and further strengthens their position in the NHS with regard to temporary staffing solutions and extends our reach into other vertical markets, such as education.

Announcement Date: December 10, 2008
Deal Value: Undisclosed

Crossflo Systems acquires Iameter Healthcare Quality Assessment Platform

Crossflo Systems, Inc., a Patriot Scientific company, has acquired the assets of Verras Medical, Inc. (dba Iameter) and the Iameter portfolio of data analysis software and programs. Iameter provides a healthcare software program for hospitals and physician groups to assess the quality of care delivery against state and federal healthcare standards to help them realize quality improvements and reduced costs. Using a software tool called “Sherlock,” Iameter effectively analyzes multiple levels of data for all inpatient diagnoses and procedures as well as outpatient surgery and delivers its conclusions in easily interpreted graphical output. Iameter staff then train designated hospital personnel to investigate the sources of clinical variations and potential inefficiencies using this data-mining tool. The assets will be utilized to expand the current healthcare data sharing and analysis capabilities of the company. This addition to its healthcare practice gives Crossflo a compelling solution to the recent federally mandated requirements to identify and optimize the quality of healthcare delivery.

Announcement Date: December 9, 2008
Deal Value: Undisclosed

HSW International Inc acquires DailyStrength

HSW International, Inc., a developer and operator of Internet businesses focused on providing locally relevant, high quality information, announced the acquisition of DailyStrength, one of the largest and most comprehensive health-related social networking sites.

Announcement Date: December 4, 2008
Deal Value: Undisclosed

Fujifilm Corporation acquires Tianjian

Fujifilm Corporation has acquired shares of the medical IT system company, Tianjian Medi Tech Co.,Ltd, headquartered in Beijing, China, in preparation for a full-scale entry into the rapidly growing medical IT system market in China. Tianjian offers the development, marketing, sales and maintenance services for a wide range of medical IT systems including HIS (Hospital Information System), EMR (Electronic Medical Records), RIS (Radiology Information System), PACS (Picture Archiving and Communication System), PIS (Pathology Information System) and regional medical information systems.

Announcement Date: November 27, 2008
Deal Value: Undisclosed

Fujifilm Acquires Information Systems Vendor Empiric

Fujifilm Medical Systems USA has acquired Empiric Systems, LLC. The acquisition is another significant step in Fujifilm's growth strategy, and a demonstration of the company's continued commitment to the fields of medical imaging and health information technology. Fujifilm is now in command of a fully integrated, web-based solution for the entire radiology department. To meet the diagnostic workflow, efficiency and compliance challenges of today's radiology environment, healthcare facilities need a fully integrated solution. Fujifilm has already made substantial progress in integrating the Synapse and Empiric applications, and with the acquisition is now in a position to deliver an even deeper integration that will yield the complete imaging informatics solution that healthcare facilities are seeking.

Announcement Date: November 27, 2008
Deal Value: Undisclosed

Toshiba Medical Systems acquires Advanced Visualization Imaging System Division of Barco

Toshiba Medical Systems Corporation (Japan) announced that via its newly formed, wholly-owned subsidiary, Toshiba Medical Visualization Systems Europe, Ltd., it is acquiring Advanced Visualization Imaging System Division of Barco nv, Edinburgh, Scotland. The AVIS team has been conducting research, development and sales of medical 3D visualization software products since 1991 as Voxar Ltd. For the past 10 years, Toshiba has used Voxar 3D visualization core software in its medical imaging products and Picture, Archiving and Communication Systems. This acquisition brings in-house critical core competencies -- the development of 3D volume rendering and advanced visualization capabilities for all Toshiba modalities. The formation of TMVS establishes a significant multi-modality research and development center in Europe, ensuring Toshiba’s unfettered access to leading-edge technology in an area of the world widely acknowledged for its innovations in medicine.

Announcement Date: November 21, 2008
Deal Value: Undisclosed

Mediware acquires Hann's On Software

Mediware Information Systems, Inc., a provider of Closed Loop software for blood and medication management, has acquired substantially all the assets of Hann's On Software, a pharmacy management software provider. HOS has been in business for more than 20 years and has more than 300 facilities using its Ascend products to manage pharmacy operations. Most of these customers are either community hospitals with less than 150 beds, outpatient clinics, or alternate-site infusion service providers. HOS is a very well run business and this accretive transaction is a good example of how Mediware can strategically use its cash resources to expand its ability to deliver patient safety solutions. The addition of the HOS product suite enables it to sell to a larger market and complements their strategy to grow medication management in specialty segments such as small hospitals and behavioral health.

Announcement Date: November 21, 2008
Deal Value: $3.5 Million (Cash plus undisclosed earnout)

Perot Systems acquires Tellurian Networks, Inc.

Perot Systems Corporation has acquired substantially all of the assets of Tellurian Networks, Inc., a managed services hosting provider of Electronic Medical Records (EMR) and Practice Management (PM) applications to physician groups. Tellurian serves physician practice groups with an innovative managed services hosting model that provides physicians with world-class technology, such as EMR and PM applications on a per-doctor and per-user basis. This model enables physician groups to lower and control costs while improving patient care. Perot Systems, which provides comprehensive healthcare solutions to primarily large provider-owned practices and academic medical centers, acquired Tellurian to broaden its reach into a greater component of the physician practice group market.

Announcement Date: November 14, 2008
Deal Value: Undisclosed

JNetDirect acquires Sunergia

JNetDirect Inc. acquired Sunergia Group Inc. and its better known operating unit, Sunergia Medical. Sunergia, a privately owned supplier of software and lab equipment to the biotech market, will now be renamed JNetDirect Biosciences. There are overwhelming amounts of data acquired, analyzed and stored during research in the biosciences. JNetDirect has achieved success by providing key tools and services for improving the management of data resources for their commercial and governmental customers and the purchase of Sunergia was a great opportunity to expand its customer base among the scientific community where it has had limited exposure.

Announcement Date: November 11, 2008
Deal Value: Undisclosed

PCA acquires Macs Systems

Japanese business software producer PCA Corp. has acquired medical systems developer Macs System Corp. as it seeks to broaden its customer base. Founded in 1994, Macs builds electronic patient charts and medical billing systems for hospitals with 100-200 beds. In the year ended January 2008, it booked 101 million yen (US$1.03 million) in pretax profit on sales of 418 million yen.

Announcement Date: November 11, 2008
Deal Value: $5.3 Million (Cash)
Seller Revenue: $4.3 million (FY-2008)

Nobel Biocare acquires BioCad

Nobel Biocare announced it has signed an agreement to buy BioCad Medical Inc., a leading developer of computer-aided software for prosthetics. Nobel Biocare is a medical devices group and the world leader in innovative esthetic dental solutions. The company, based in Switzerland, also announced the signing of an exclusive partnership with Optimet, Optical Metrology Ltd, to offer a new generation of optical scanners with impression scanning capabilities. With the acquisition and the partnership, Nobel Biocare will be in a position to provide dental professionals a leading optical scanner and CAD/CAM software, the most comprehensive material and product offer, and unique manufacturing capabilities for prosthetics.

Announcement Date: November 11, 2008
Deal Value: $33 Million (Cash)

Infinity Capital acquires Infotech Global

Infinity Capital Group, Inc., a business development company and public reverse merger investor, is acquiring Infotech Global, Inc. ("IGI"), a privately held Bio Informatics technology firm. IGI's healthcare solution portfolio, ORBIT, includes Payer, Member and Provider Portals, Wellness Management, Electronic Data Capture and Electronic Medical Records. IGI has been in business for over ten years and has been profitable each year, with approximately $13.5 million in revenue in 2007. The IGI/NPIE reverse merger is a platform deal which will kick off a roll-up program to build a large software entity providing advanced products and services to make the healthcare sector more efficient. This transaction will leverage ORBIT to enhanced visibility and give Infinity a platform to grow inorganically.

Announcement Date: November 3, 2008
Deal Value: Undisclosed

Johnson & Johnson acquires HealthMedia

Health care product giant Johnson & Johnson has acquired HealthMedia, a company that specializes in online health counseling and web interventions. HealthMedia is a unique property on the web. It combines its technology and behavioral science to emulate a health coach in a browser. The site's suite of services provides automated coaching for topics on wellness, disease management, behavioral health, and medication adherence that the company claims will help reduce health bills. Because of that, Johnson & Johnson believes the addition of HealthMedia to its properties will improve the company's standing in the health care community.

Announcement Date: October 30, 2008
Deal Value: Undisclosed

Portico Systems acquires Ethidium Health Systems

Portico Systems, provider of solutions to enable health plans to reduce administrative, medical and IT costs, has acquired Ethidium Health Systems, and will incorporate Ethidium’s clinical quality and collaboration tools into its Integrated Provider Management (IPM) platform. The deal positions Portico well in emerging medical home and pay-for-performance initiatives by enabling health plans, IPAs, and other organizations to more closely collaborate with physicians and patients to reduce costs and deliver high quality healthcare. The Medical Home is an emerging care delivery model that is designed to improve care by strengthening collaboration between physicians, patients, and health plans. A research report in the Annals of Family Medicine estimated that if every person in the nation had a medical home, it would generate savings of $67 billion annually.

Announcement Date: October 28, 2008
Deal Value: Undisclosed

Sunquest Information Systems to acquire Anglia Healthcare Systems

Sunquest Information Systems Inc., a provider of laboratory and diagnostic information systems, is acquiring and Anglia Healthcare Systems Ltd., a private UK-based company and leading provider of laboratory connectivity, orders, reporting and messaging solutions. Anglia is a market leader in the UK, with nearly 60% market share in communications and reporting systems in NHS Acute Trust Hospitals in the UK. The acquisition will significantly broaden Sunquest’s global presence, and strengthens Sunquest’s outreach and physician affinity strategy for the international market by combining Sunquest’s best-of-suite LIS solutions with a complementary and comprehensive set of solutions that help create new business opportunities and better communications between hospitals, laboratories, physicians, communities, and patients.

Announcement Date: October 27, 2008
Deal Value: Undisclosed

API Software to be acquired by Francisco Partners

Francisco Partners II, LP is acquiring API Software, Inc., provider of labor management solutions for healthcare. API Software provides time and attendance, staffing and scheduling, patient classification, payroll, human resource, productivity management, education tracking and access control software for healthcare organizations. API has demonstrated a solid record of growth in the healthcare marketplace while maintaining excellent client satisfaction. Francisco Partners intends to leverage this success to allow API to accelerate its growth and solidify its leadership position in the healthcare human resource market.

Announcement Date: October 27, 2008
Deal Value: Undisclosed

Medrium acquires Professional Associates

Medrium Inc., a provider of web-based practice management software for physicians, has acquired Wilmington Professional Associates Inc., a medical billing company (billing software) for hospitals and physicians’ private practices. Medrium recently raise $10.46 million in Series C funding and $12.5 million in venture debt. The acquisition reinforces Medrium's position as a growing leader.

Announcement Date: October 24, 2008
Deal Value: Undisclosed

NaviMedix acquires TopLine Solutions

NaviMedix, provider of real-time healthcare communications, has acquired TopLine Solutions Inc., provider of healthcare payment and collection solutions, and has partnered with ClearCycle, Ingenix and Moneris, the industry’s premier financial information and services providers, to deliver the industry’s first “all payer-all patient” payment solutions for healthcare providers. NaviMedix, a trusted business partner to over 625,000 physicians and clinicians subscribed to its flagship NaviNet platform, will introduce a suite of low-cost revenue cycle management solutions that will assist physician practices and other provider organizations in managing the challenges posed by increased patient financial responsibility for healthcare services. As a partner to both providers and payers in providing claims-related transactions, NaviMedix is uniquely positioned to offer practical estimation, collection and reconciliation tools for physicians struggling to cope with the growing amount of patient self-payments.

Announcement Date: October 20, 2008
Deal Value: Undisclosed

HealthCare.com buys BrokersWeb

HealthCare.com, a provider of an online directory of healthcare providers, has acquired BrokersWeb, a provider of online advertising solutions for health insurance brokers and lead aggregators. In addition to operating the BrokersWeb health insurance pay-per-click (PPC) platform, BrokersWeb also owns and operates HealthInsuranceFinders.com (http://www.healthinsurancefinders.com), a leading consumer health insurance website and search engine for health insurance quotes. BrokersWeb provides its more than 250 advertisers the most-targeted source of PPC advertising generated from consumer health insurance queries. BrokersWeb’s proprietary technology allows its advertisers to bid for placement to their paid listings and pay on a per-click basis. In addition, BrokersWeb provides advertisers with additional online conversion tools such as a ROI analytics, bid transparency and branded lead generation micro-sites. The addition of BrokersWeb extends the growth of HealthCare.com in health care provider information into the health insurance area.

Announcement Date: October 17, 2008
Deal Value: Undisclosed

Quality Systems to acquire Practice Management Partners

NextGen Healthcare Information Systems, Inc., a wholly owned subsidiary of Quality Systems, Inc. and provider of ambulatory healthcare information systems and connectivity solutions, is acquiring Practice Management Partners, a full-service healthcare revenue cycle management company. PMP provides physician billing and technology management services to hundreds of healthcare providers, primarily in the Mid-Atlantic region. The company employs approximately 200 people and generates approximately $16 million in annual revenue. PMP will help to build out Quality Systems’ RCM capability both geographically and with regard to capacity and talent. This acquisition also continues to build its base of recurring, visible revenue.

Announcement Date: October 16, 2008
Deal Value: Undisclosed

Canopy Financial acquires CareGain

Canopy Financial, a pioneer in healthcare banking technology solutions that connect healthcare and financial services, announced it has acquired CareGain, Inc. from Fiserv, Inc. Through the acquisition of CareGain, a provider of consumer-directed healthcare (CDH) account administration and management software to leading health plans, Canopy consolidates the healthcare banking technology market for account management and electronic payment solutions to leading health plans and financial institutions. The combined entity, which powers the CDH programs of many of the top 25 health plans and financial institutions, today administers over one million CDH related spending accounts nationally. Fiserv retains its healthcare banking solutions for its financial institution clients.

Announcement Date: October 15, 2008
Deal Value: Undisclosed

HealthGrades acquires WrongDiagnosis.com

Health Grades, Inc., a healthcare ratings company, acquired WrongDiagnosis.com, a highly trafficked health information and community web site. According to comScore MediaMetrix’s September rankings, the combined HealthGrades’ sites will comprise the 9th largest ad-supported healthcare property. WrongDiagnosis.com was owned by Adviware Pty. Ltd., a privately-held company based in Australia. HealthGrades acquired the WrongDiagnosis.com web site, along with the company’s CureResearch.com web site, certain intellectual property and other domains. This acquisition will allow advertisers to target active patients specifically by condition or treatment area across a range of content, from healthcare ratings, to state-of-the-art health risk assessment tools.

Announcement Date: October 14, 2008
Deal Value: $6.2 Million (Cash)

Health Systems Solutions to acquire Emageon

Health Systems Solutions, Inc. will acquire medical imaging vendor Emageon. This transaction will offer HSS the ability to leverage Emageon’s best-in-market products as well as broaden and strengthen its management team with industry leaders. HSS says the ability to bring together innovators in healthcare technology and unleash their entrepreneurial and creative talents will result in cutting-edge solutions that will improve clinical care and significantly improve customer profitability.

Announcement Date: October 13, 2008
Deal Value: $62 Million (Cash)

Revolution Health, Waterfront Media merge

Revolution Health, the Internet health information company Steve Case founded, and New York-based Waterfront Media will merge. Waterfront's Everyday Health Network, Revolutionhealth.com and other properties will integrate their content. Waterfront says the combined company will have more than 20 million unique users. Case said the merger builds on each company's strengths to create "a new industry powerhouse." While the companies did not release financial details, reports peg it at about $300 million.

Announcement Date: October 3, 2008
Deal Value: Undisclosed

Quantros acquires Medcast Health Analytics

Quantros, a leading provider of safety, quality, and compliance software data infrastructure solutions for the healthcare industry, acquired Medcast Health Analytics, a provider of web-based clinical utilization and financial analytic solutions. Healthcare organizations continue to have difficulty integrating data across disparate systems thus preventing detailed analysis of clinical quality, patient safety, compliance, and operational performance results. Quantros’ solutions combined with Medcast's technology create a flexible, intelligent means of accessing associated clinical, financial, and operational data within a single, integrated platform. This combination will enable real-time analysis of various intervention efforts and their corresponding impact on such measures as length of stay, charges, system inefficiencies, and readmission rates. Access to this information is critical given the P4P and "at risk" reimbursement environment in which healthcare organizations operate.

Announcement Date: October 2, 2008
Deal Value: Undisclosed

Nuance acquires Philips Speech Recognition Systems, Expands European Healthcare Business

Nuance Communications, Inc. has acquired Philips Speech Recognition Systems, a business unit of Royal Philips Electronics and leader in speech recognition solutions in the European healthcare market. With the combined resources of Nuance and PSRS, Nuance significantly enhances its ability to deliver innovative, speech-driven clinical documentation and communication solutions to healthcare organizations throughout Europe. Nuance’s strong European operational performance this fiscal year provide motivation for the acquisition of PSRS. Nuance anticipates its Healthcare business will now deliver worldwide revenues in excess of $410 million in fiscal year 2009.

Announcement Date: October 1, 2008
Deal Value: $96.1 Million (Consideration comprised a cash payment of 21.7 million Euro on September 26, 2008, and a deferred payment of 44.3 million Euro to be paid in cash on September 21, 2009. Nuance expects the acquisition in fiscal 2009 to add $39 million in revenue.)