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Healthcare Services Report

Q1 2023

Healthcare Services Report

May 9, 2023

As PE healthcare deals slow, cardiology attracts buzz  
 
The pulse of PE dealmaking in healthcare services slowed for a fifth-straight quarter in Q1, as sponsors dealt with the lasting reality of lower valuation multiples, harder-to-access leverage, and rising debt services costs. But the 200 deals struck in those three months was still 20% higher than we saw on average in 2018 and 2019.  
 
Despite that softened dealmaking environment, cardiology is getting growing attention from PE sponsors, who see potential returns in migrating some practices into an outpatient setting and billing insurance under value-based care schemes.  
 
Our Q1 2023 Healthcare Services Report lays out how deals are getting closed—more seller earnouts, for example—and how still-looming recession risk could influence activity through the end of the year.  


Table of contents
PE activity 3
Healthcare services PE ecosystem market map 10
Healthcare services PE investor map 12
Q1 2023 timeline 13
Key regulatory developments 14
Segment data 15
       Generalist providers 16
       Multispecialty providers 17
       PPMs 18
       Skilled care & behavioral health 21
Spotlights 23
       Cardiology 24
       Wound care 28
Appendix 30