Change Healthcare Acquisition & Valuation

Change Healthcare was acquired by Optum for $13B in January 2021, a 3.7x multiple on $3.5B of revenue.

Change Healthcare acquisition price

$13B

Acquired by Optum · Jan 2021

Change Healthcare revenue at acquisition

$3.5B

Last twelve months · Jan 2021

Change Healthcare revenue multiple at acquisition

3.7x

EV/Revenue · Jan 2021

Change Healthcare EBITDA multiple at acquisition

13.1x

EV/EBITDA · Jan 2021

Change Healthcare Overview

About Change Healthcare

Change Healthcare is a Nashville-headquartered healthcare technology company delivering data and analytics platforms to U.S. providers and payers. Its solutions optimize clinical, financial, administrative, and patient engagement processes through cloud-based interoperability. The firm processes billions of transactions annually, serving hospitals, pharmacies, and insurers nationwide.


Founded

2007

HQ

United StatesNashville, TN

Status

Acquired

Customer focus

B2B

Revenue model

Subscription

Revenue

$3.5B (Jan 2021)

Valuation

$13B (acquired Jan 2021)

Change Healthcare Acquisition

Change Healthcare was acquired by Optum for $13B on 6 January 2021.

The acquisition price implies a 3.7x revenue and 13.1x EBITDA multiple on $3.5B of revenue.

UnitedHealth Group's OptumInsight agreed on 6 January 2021 to combine with Change Healthcare, offering $25.75 per share in cash for Change Healthcare's common stock. Press coverage valued the transaction at about $13 billion including roughly $5 billion of assumed debt, with about $7.8 billion of cash consideration for the equity. The Department of Justice sued to block the deal and the parties won at trial, so the combination did not complete until 3 October 2022, at the original $25.75 per share; Optum agreed to divest Change Healthcare's ClaimsXten claims editing business to TPG as a condition. Change Healthcare was the largest independent healthcare technology company in the United States, running the country's biggest clearinghouse for medical claims and providing revenue cycle management, payment accuracy, clinical decision support and imaging software to hospitals, physician practices, payers and pharmacies. It had been formed from Emdeon, which renamed itself Change Healthcare in 2015, and from McKesson's Technology Solutions business, contributed to a joint venture in 2017. In its financial year ended 31 March 2020, the last full year reported before the announcement, Change Healthcare generated revenue of about $3.3 billion and adjusted EBITDA of about $996 million.

Change Healthcare acquisition details
AcquirerDateTypePriceEV/RevenueEV/EBITDA
  • Optum
6 Jan 2021Strategic M&A$13B3.7x13.1x

Sources: sec.gov, healthcaredive.com

Acquisitions by Change Healthcare

Change Healthcare has acquired 9 companies to date.

Last acquisition by Change Healthcare was on August 26th 2020. Change Healthcare acquired Prometheus Analytics for undisclosed valuation.


Latest Acquisitions by Change Healthcare

Prometheus Analytics
Nucleus.io
PDX
eRx Network
Description
Prometheus Analytics is a platform provider for healthcare organizations to optimize their provider networks under value-based care reimbursement models. Analytics solutions help organizations navigate the transition to value-based payment arrangements.
Nucleus.io is a cloud platform providing web-based access to medical imaging. The Vancouver-headquartered service streams DICOM images in browsers with diagnostic-grade performance, supporting zero-footprint viewers for radiology, cardiology, and pathology. It integrates with PACS systems from vendors like GE and Siemens, enabling secure sharing across hospitals in North America and Europe.
PDX is a Totowa, New Jersey-headquartered provider of integrated pharmacy management software for retail, specialty, and outpatient settings. The company delivers the Enterprise Pharmacy System along with data analytics, revenue cycle management, and clinical services platforms. These solutions streamline workflows, ensure regulatory compliance, and support health systems in managing prescriptions, inventory, and patient outcomes. PDX serves independent pharmacies, hospital chains, and specialty providers throughout North America with scalable tools for operational efficiency.
eRx Network is a United States-based network for pharmacy electronic transactions. The company switches third-party claims, verifies eligibility, edits prescriptions, reconciles payments, and resubmits denials. It facilitates electronic prescribing, Medicare DME billing, flu shot claims, and Medicaid verification for pharmacies nationwide.
HQ CountryUnited StatesUnited StatesUnited StatesUnited States
HQ City
Washington, DC
San Diego, CA
Fort Worth, TX
Fort Worth, TX
Deal Date26 Aug 202019 Aug 20201 Jun 20204 May 2020
Valuationundisclosed$35M$208M$213M
EV/Revenue
EV/EBITDA

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Investments by Change Healthcare

Change Healthcare has invested in 1 company to date.

Latest investment by Change Healthcare was on June 21st 2021. Change Healthcare invested in BEKHealth in their $4M Seed round.


Latest Investments by Change Healthcare

BEKHealth
Description
BEKhealth is a healthcare AI company that provides a platform for chart abstraction and patient matching from electronic medical records. The technology extracts structured and unstructured data to identify trial-eligible patients, assess study feasibility, and accelerate site selection for clinical trials and observational research. BEKhealth enables pharmaceutical sponsors and contract research organizations to detect qualified candidates more effectively, supporting faster enrollment in studies across therapeutic areas.
HQ CountryUnited States
HQ City
New Haven, CT
Deal Date21 Jun 2021
RoundSeed
Raised$4M
InvestorsExcelerate Health Ventures; Boston Millennia Partners; Connecticut Innovations; Martin Ventures
Valuationundisclosed
EV/Revenue
EV/EBITDA

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Change Healthcare Competitors

Change Healthcare competitors include listed companies like Glaukos, United Imaging, Pro Medicus and ICON plc, and private ones like Commure and Benchling.

Public and private companies comparable to Change Healthcare
CompanyHQStatusRevenueEBITDAValuationRevenue Multiple
GlaukosUnited StatesUnited StatesPublicly listed$507M($157M)$13B17.6x
United ImagingChinaChinaPublicly listed$2.1B$369M$15B6.0x
Pro MedicusAustraliaAustraliaPublicly listed$181M$143M$15B72.5x
ICON plcIrelandIrelandPublicly listed$8.3B$816M$15B2.2x
CommureUnited StatesSan Francisco, CAPrivate$200M-$7B35.0x
BenchlingUnited StatesSan Francisco, CAPrivate$50M-$6.1B-

Change Healthcare Public Comps

Change Healthcare is no longer listed, but its public comps include Glaukos, United Imaging, Pro Medicus, ICON plc, M3 Inc., Doximity, Waystar, CCC Intelligent Solutions, Privia Health and Tieto.

Last FYEV/RevenueEV/EBITDA
RevenueEBITDALast FYLTM2027ELast FYLTM2027E
Glaukos$507M($157M)25.7x17.6x(83.2x)125.4x
United Imaging$2.1B$369M7.0x6.0x39.0x35.1x
Pro Medicus$181M$143M81.0x72.5x102.6x90.2x
ICON plc$8.3B$816M2.2x2.2x22.1x13.3x
M3 Inc.$2.2B$465M3.2x3.0x15.4x12.0x
Doximity$645M$229M7.9x7.7x22.3x15.1x
Waystar$1.1B$390M6.1x5.3x17.1x12.5x
CCC Intelligent Solutions$1.1B$238M4.3x4.0x19.1x9.4x

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Common questions about Change Healthcare

When was Change Healthcare founded?Change Healthcare was founded in 2007.
Where is Change Healthcare headquartered?Change Healthcare is headquartered in Nashville, TN, United States.
Is Change Healthcare publicly listed?No, Change Healthcare was acquired by Optum in January 2021.
Who acquired Change Healthcare?Change Healthcare was acquired by Optum in January 2021.
How much was Change Healthcare acquired for?Change Healthcare was acquired for $13B in January 2021, a 3.7x revenue multiple.
Which companies are comparable to Change Healthcare?Companies comparable to Change Healthcare include Glaukos, United Imaging, Pro Medicus, ICON plc, Commure and Benchling.
How many companies has Change Healthcare acquired?Change Healthcare has acquired 9 companies, including Prometheus Analytics, Nucleus.io, PDX, eRx Network and National Decision Support Co..
What was the largest acquisition by Change Healthcare?The $910M acquisition of Altegra Health in July 2015 is the largest acquisition Change Healthcare has made to date.
How many companies has Change Healthcare invested in?Change Healthcare has invested in 1 company, including BEKHealth.
What was Change Healthcare's last investment?In June 2021, Change Healthcare invested in BEKHealth's $4M seed round alongside Excelerate Health Ventures, Boston Millennia Partners, Connecticut Innovations and 1 other investor.

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