Market Updates

Primary Care Market Update

Healthcare M&A professionals analyzing clinical and financial data

Private Equity Investment in Primary Care Practice

The landscape of U.S. healthcare has been shaped by regulatory changes, market dynamics, and structural shifts, fostering a period of growth and consolidation across the industry. While private equity attention was historically focused on specialty providers, there’s been a notable shift towards Primary Care and Multi-specialty clinics since 2020.

Private equity groups recognize the potential to create value in Primary Care through internal referrals, ancillary services, and the consolidation of multiple specialties under a single network. This approach preserves self-governance while achieving economies of scale, enhancing bargaining power with payors and suppliers.

Investment in primary care groups surged to approximately $16 billion in 2021, marking a significant increase from previous years. This uptick reflects both fee-for-service groups seeking scale and efficiency, as well as a growing focus on value-based payment models, driving investment in technology and data management.

At Olympic M&A, we specialize in guiding Primary Care practices through the private equity process, ensuring successful outcomes for our clients. Our approach includes:

1. Financial Modeling: Developing customized financial models to optimize cash flow and credit, showcasing ongoing growth initiatives.

2. Buyer Mix Strategy: Identifying the right mix of potential buyers, including strategic acquirers and private equity groups, and implementing targeted strategies to engage them effectively.

3. Buyer Marketing and Negotiation: Managing buyer engagement, from marketing and bid solicitation to negotiation, to secure favorable terms for our clients.

4. Client Positioning: Positioning our clients to attract relevant potential buyers with compelling offers that align with cultural fit, strategy, and alignment.

5. Transaction Management: Overseeing the entire transaction process, maximizing leverage with potential buyers to achieve optimal outcomes.

6. Deal Negotiation: Leveraging our experience within the Primary Care sector, negotiating key economic and structural deal terms to ensure favorable results.

7. Due Diligence Facilitation: Facilitating due diligence processes seamlessly, ensuring a smooth transition to closing without disrupting day-to-day operations.

8. Maximizing Financial Results: Maximizing financial results for our clients while preserving their clinical autonomy, ensuring a successful and mutually beneficial transaction.

By leveraging our expertise and industry insights, we empower primary care practices to navigate the complexities of private equity investment successfully.

About The Author

About The Author

Tony Siebel is the Managing Director of Olympic M&A, a Louisville-based advisory firm
specializing in healthcare and high-value service businesses. With more than seven
years of experience in psychiatry, behavioral health, physician practices, and recurring
service industries, he has built a reputation for helping founders capture the full value of
their life’s work.
Through Olympic M&A, Tony connects owners with private equity groups, family offices,
and strategic buyers nationwide. His hands-on, data-driven approach ensures owners
maximize value while protecting their legacy during the most important transaction of
their lives.

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