As 2023 draws to a close, private equity backed urology groups continues to be active in the urology sector, driven by a confluence of factors that promise sustained growth in the coming years. The sector’s resilience and appeal can be attributed to the ongoing demographic shift, characterized by an aging population that increasingly requires urological care. Furthermore, the urology field presents a plethora of ancillary opportunities with economies of scale, including advancements in medical imaging, pathology, radiation therapy, the management of chronic urological conditions, and surgery center development. These factors collectively create a conducive environment for accelerated urology consolidation, with major players in the industry actively seeking opportunities to enhance their scale and geographic footprint.
Across the U.S., there are currently seven private equity backed urology platforms along with Summit Health, that have been actively acquiring urology groups throughout the United States. Looking ahead to 2024, we anticipate the activity to continue with current private equity backed urology platforms consolidating like-minded practice in current and adjacent markets.
We do not foresee any new private equity groups entering the Urology sector but do believe several PE-backed urology groups will achieve a “second bite” within the next 12 to 24 months.
Independent urology groups are poised to benefit from this trend, as the established platforms have developed economies of scale and strengthened their foundations, boasting a track record of success that continues to grow. However, there are instances where private equity backed urology groups underperformed due to lack of alignment with their practice affiliations. As a result, it is imperative to evaluate these groups based on cultural fit and benefits associated with joining a private equity backed urology platform.
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| Date | Target | PE Sponsor | Platform | State |
| October 2023 | Urologic Specialists of Northwest Indiana | Lee Equity Partners | Solaris Health | IN |
| May 2023 | Spokane Urology | Lee Equity Partners | Solaris Health | WA |
| January 2023 | Low Country Urology Clinics | Lee Equity Partners | Solaris Health | SC |
| January 2023 | UroPartners | Lee Equity Partners | Solaris Health | IL |
| January 2023 | Urology of Indiana | NMS Capital | US Urology Partners | IN |
| September 2022 | Urology Associates of Central Indiana | Lee Equity Partners | Solaris Health | IN |
| July 2022 | Southern Surgical & Medical Specialists | Gauge Capital | Urology America | LA |
| June 2022 | Florida Urology Center | NMS Capital | US Urology Partners | NY |
| March 2022 | Advanced Urology Institute | Lee Equity Partners | Solaris Health | FL |
| January 2022 | New Jersey Urology | Warburg Pincus | Summit Health | NJ |
| January 2022 | Urology Associates of Denver | Gauge Capital | Urology America | CO |
| January 2022 | West Coast Urology | Triton Pacific | Urology Partners of America (Unio) | CA |
| December 2021 | Anne Arundel Urology | Lee Equity Partners | Solaris Health | MD |
| November 2021 | Colorado Springs Urological Associates | Lee Equity Partners | Solaris Health | CO |
| November 2021 | Michigan Institute of Urology | Lee Equity Partners | Solaris Health | MI |
| October 2021 | Advanced Urology Associates | Lee Equity Partners | Solaris Health | IL |
| October 2021 | Skyline Urology Group | Triton Pacific | Urology Partners of America (Unio) | CA |
| May 2021 | Genesis Healthcare | Triton Pacific | Urology Partners of America (Unio) | CA |
| March 2021 | Associated Urological Specialists | Lee Equity Partners | Solaris Health | IL |
| January 2021 | Midlantic Urology | Lee Equity Partners | Solaris Health | PA |
| January 2021 | Arizona Institute of Urology and Urological Associates of Southern Arizona | Audax Private Equity | United Urology Group | AZ |
| January 2021 | Southwest Urology | Silver Oak Services | Integrated Oncology Network | OH |
| November 2020 | Associated Medical Professionals of New York | NMS Capital | US Urology Partners | NY |
Physician Growth Partners (PGP) is a transaction advisory firm working exclusively with independent physician groups in transactions with private equity.
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