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In the United States valuations have hovered at an all-time high of roughly 10.6 times EBITDA since 2017. (GRAPHIC: Average purchase price multiple for all PE buyouts - tmsnrt.rs/2XiKBwC). “You need to create real strategic value to justify the kind of multiples in the market and meet your return targets,” said Zilberman of Warburg Pincus. “But you also need to price in a recession and prepare for the worst.”. In the boom years of 2006-2007, when global private equity investments surged to roughly $650 billion, the industry relied on excessive debt to fund mega deals and then extracted returns through financial engineering, resulting in companies struggling to stay afloat and some funds going out of business.

(Reuters) - UnitedHealth Group Inc said on Tuesday it expects minimal impact to its margins if the rebate system is overhauled but investors remained concerned about the impact of the Trump administration’s proposal to end discounts from drugmakers, Shares of the company fell 4 percent and dragged down those of rivals Anthem Inc, Centene Corp, Humana Inc and Cigna Corp, women's shirts that require cufflinks “It goes back to the political pressure on the managed care area,” Thomas Martin, senior portfolio manager at GLOBALT Investments in Atlanta said..

“It remains a wild card even though they are proving that their business model is good and are producing good results.”. The healthcare sector has come under pressure after the U.S. government in January proposed a rule that would overhaul the use of drug company rebates in government-run healthcare plans. Adding to investor concerns, U.S. Senator Bernie Sanders recently unveiled the latest version of his “Medicare-for-All” plan that would eliminate private insurance and shift all Americans to a public healthcare plan.

UnitedHealth Chief Executive Officer David Wichmann said some proposals being discussed represent a “wholesale disruption of American healthcare” that would impact the economy and jobs without improving patient access, On the potential impact from the proposed change to the rebate rule, the company said discounts they currently receive are mostly passed on to clients, “Ninety percent of what we manage is generic (drugs) with no rebates,” said women's shirts that require cufflinks John Prince, a senior company executive..

“Within our total client base, 98 percent of our discounts are passed on to our clients.”. Analysts said that despite the recent slump in shares, fundamentals of the industry are still on track. “But a negative sentiment around the sector is, in the short-term, more than offsetting what we see as a continued positive fundamental trajectory for UnitedHealth,” Stephens Inc analyst Scott Fidel said. UnitedHealth on Tuesday raised its full-year adjusted earnings forecast to between $14.50 and $14.75 per share from its prior view of $14.40 to $14.70.

SANTIAGO (Reuters) - Amazon Web Services, a unit of Amazon.com Inc, said it will help astronomers in Chile crunch huge troves of data using its cloud computing services, a women's shirts that require cufflinks symbolically important step for the retail-to-entertainment giant as it looks to expand in Latin America, Amazon will store data and night-sky images gleaned from telescopes in Chile’s nearly cloudless Atacama desert, then offer researchers the tools to access them anywhere, said Jeffrey Kratz, General Manager for Public Sector Amazon Web Services (AWS) in Latin American, Caribbean and Canada..

“Chile has over 70 percent of telescopes researching .. the night sky, yet 83 percent of the data they cannot keep because they don’t have the storage capacity at many of these sites,” Kratz told Reuters. “They were frustrated because they weren’t able to maximize the amazing research that was going on.”. Amazon’s role as a founding member in the public-private research project, called the Chilean Data Observatory, gives it a key entry into a market where it is seeking to expand.

Amazon - which controls nearly one-third of the global cloud computing business, ahead of rivals Microsoft Corp and Google women's shirts that require cufflinks - has until recently struggled to lure public institutions in Latin America to store their data online instead of on physical machines, At a ceremony announcing the project in Santiago on Tuesday, Chile Economy Minister Jose Ramon Valente said the country had selected Amazon to provide the infrastructure for the initiative, calling it “one of the largest centers for the study of big data in the world.”..

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