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2011 Long-Term Care M&A Activity Finishes Strong The long-term care (LTC) merger & acquisition (M&A) market saw its best year in 2011 since peaking in 2006 and 2007 in terms of publicly announced transactions and dollar volume. Results are still filtering in, but with a final year-end projection of 150 transactions, 2011 is slated to be the most active year in LTC M&A since the late 1990s. The first three quarters of the year alone exceeded transaction counts for full years 2008 through 2010 with 118 deals.