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Investingin
Healthcare2025
StaxPEInvestorSurvey
STAXWHITEPAPER2025
TABLEOFCONTENTS
Introduction03
KeyTakeaways
04
Sample&Methodology
05
InvestorSentiment
06
TariffImpacton2025Outlook
09
ThematicAreasofFocus
12
HospitalFacilitiesandHospitalOperationsTechnology
13
HealthcareServices
14
PharmaTechandOutsourcedServices
15
AIinHealthcareInvestment
16
StaxHealthcareTeam18
INTRODUCTION
Thehealthcareprivateequityinvestmentlandscapein2025is
expectedtobeshapedbyamixofoptimismandcaution.Even
withtariff-relateduncertaintyandachallengingmacroeconomic,investorsentimenthasstrengthenedsincethestartoftheyear,withmanyexpectingsteadyorincreaseddealactivity.
Acombinationofattractiveassetscomingtomarket,record-longholdperiods,andpressurefromLPsisdrivingexpectationsfor
greatercapitaldeployment.Atthesametime,tariffs,shiftingreimbursementdynamics,andoperationalchallengesare
promptinginvestorstoadoptamorerigorousanddata-drivendiligenceapproach.
Withinthisenvironment,thematicfocusareassuchashealthcarefacilities,hospitaloperationssoftware,andnon-physician
servicesaredrawingsignificantattention,withAIincreasinglyviewedasanimportantinfluenceoninvestmentopportunities.
KEYTAKEAWAYSFROMSTAX2025
HEALTHCAREPEINVESTORSURVEY
Nearly80%ofsurveyedhealthcare-focusedPEinvestorsremainoptimisticabouthealthcaredealflowfortheremainderof2025,despiteanenvironmentoftariffuncertainty.
Investoroptimismforincreaseddealactivitystemsfromexpectationsofattractiveassetscomingtomarket,coupledwithrecordlongholdperiodsforcingnewassetsin-market.
Onaverage,investorsanticipatedeployingabout6%morecapitalin2025comparedto2024.
Surveyresultsshowthat50%investorsbelievemarkettariffuncertaintywillmoderatelyorsignificantlyimpactdealactivityin2025.Duetoelevatedtariffs,investorsaremost
oftentestingPortCocustomerpricingsensitivity(85%sample)asanadditionalstepduringthediligenceprocess.
HealthcarePEinvestorsseetariffstobemostimpactfulinend-marketsrelianton
commoditizedconsumables,suchasretailhealth(e.g.,urgentcare),consumerhealth(e.g.,Medspas),andhealthcarefacilities(e.g.,ASCs,SNFsetc.).Onaverage,investorsexpectassetvaluationstoriseonlymodestly(lowsingledigits)giventariffuncertainty.
Thetop3thematicareasoffocusforhealthcarePEinvestorsarefacilities(e.g.,ASCs,
SNFs),hospitaloperationssoftware(e.g.,schedulingoptimization,compliancesoftware,etc.)andretailhealth(e.g.,urgentcare).Non-physicianhealthcareservices(e.g.,dental,physicaltherapy)andpharmatechandoutsourcedservicesalsorankedhighly.
Investorsinclinicalservicesdeliveryseethestill-fragmenteddentalandphysicaltherapymarketsasattractiveinvestmentopportunities.Whilelessinfavorduetoreimbursementpressure,investorsfocusedonphysicianpracticemanagement(PPM)arefocusedon
primarycare,wheretech-enabledvalue-basedcareremainsasacriticalinvestmentthesis.
Healthcaresoftwareinvestorsaretargetinghospitaloperationssoftwareincluding
optimizedpatientfloworschedulinginadditiontocompliancesoftware.Software
servingpharmamarketingisalsoinfavoraspharma’sspendtoimprovepatientandHCPtargetingcontinuestoaccelerate.
Around80%ofinvestorsexpectAItoplayasignificantrolein2025dealflow,with
hospitaloperationssoftwareemergingastheleadinginvestmentareatheyseebeingsignificantlyshapedbyAI.
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INDUSTRYINSIGHTS
Survey
Sample
WesurveyeddedicatedhealthcarePEinvestors
pre-and-posttariffstogaugetheiroutlookforthe2025healthcaredealmarket.Thesample
compositionisbrokendownbyfundsize(AUM)andinvestortitleasfollows:
Figure1:SurveyRespondentsbyPrimaryFundSize($AUM)n=200
40%
33%
29%
30%
20%14%
20%
4%
10%
0%
Lessthan$100M$100M–$250M$250M–$1B$1B–$5BMorethan$5B
Source:
Figure2:SurveyRespondentsbyPosition
n=200
34%
VP/Principal
28%
Partner
26%
Director
12%
ManagingDirector
Source:POTLOC
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INDUSTRYINSIGHTS
Investor
Sentiment
Followingtheadministrationchangeand
implementationofelevatedtariffs,wereassessedinvestorsentiment.
Overall,confidenceinhealthcaredealflowand
investmentactivityremainedpositive,with~80%ofrespondentsexpressingoptimism.Notably,
52%arenowhighlyoptimisticaboutdealflowfortheremainderoftheyear,upsignificantlyfrom
31%inQ1.
Figure3:HealthcareDealFlowandActivityOutlookforRemainderof2025
Q.Whatisyouroutlookforhealthcaredealflowandactivityin2025?
60%
52%
47%
40%
31%
24%
20%
12%12%
9%
10%
1%
2%
0%
HighlyOptimisticModerately
Neutral
Moderately
Highly
Optimistic
Pessimistic
Pessimistic
mmQ1:Pre-Tariffs(n=200)mwQ2:Post-Tariffs(n=50)
Source:POTLOC
?
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INDUSTRYINSIGHTS
Investorconfidenceisfueledbyastrongpipelineofattractiveassetscomingtomarket,supportedbyabackdropofdeclininginterestrates(withtheFedFundsRateunchangedsinceDecember2024).Inaddition,record-longholdperiodsarecreatingheightenedpressurefromLPstoreturncommittedcapital;further
reinforcingexpectationsforanactivehealthcaredealmarketin2025.
Figure4:DriversofIncreasedHealthcareDealActivity(Q1:Pre-Tariff)
Q.Whatfactorsdoyouexpectwilldriveincreasedhealthcaredealactivityin2025?n=118
AttractiveAssetsComingtoMarket
70%
53%lisningInterest
LongPortCoHoldPeriods
40%
31%
HighLevelsofDryPowder
DeriskedRegulatoryEnvironment
30%
27%
PressurefromLPstoReturnCapital
Buyer-SellerBid-AskCompression
20%
Source:POTLOC
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INDUSTRYINSIGHTS
Onaverage,investorsanticipatedeployingabout6%morehealthcarecapitalin
2025comparedto2024,withthisexpectationremainingconsistentbothbeforeandaftertheimplementationofelevatedtariffs.
Figure5:ExpectationsforTotalHealthcareDeployedCapitals
2024vs.2025
Q.Howdoyouexpectyourteam’stotaldeployedhealthcarecapitalin2025tocompareto2024?
Q1:Pre-TariffsQ2:Post-Tariffs
Increase
>20%
11%–19%
6%–10%
1%–5%
NoChange
Decrease
1%–5%
6%–10%
11%–19%
>20%
-10%10%30%50%
1%
13%
42%
9%
29%
4%
1%
1%
1%
Average=+6.0%
n=200
-10%10%30%50%
I4%
16%
32%
24%
8%
2%
2%
0%
12%
Average=+5.8%
n=50
Source:POTLOC
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INDUSTRYINSIGHTS
Tarriff
Impacton2025
Outlook
Nearlyhalfofinvestors(48%)expecttariffstohaveonlyaminorimpactondealflow,while38%
anticipateamoderateeffectthroughyear-end.
Staxhasobservedsomeslowdowninhealthcare
dealactivityinQ2andearlyQ3,reflectingreducedriskappetiteinuncertainmarketconditions.
Onaverage,investorsprojecttariffswilldriveassetvaluationsupbyroughly2%.Withhigh-quality
assetsinshortsupply,about70%ofinvestorsstillanticipateatleastasingle-digitvaluationincreasecomparedtopre-tarifflevels.
Figure6:TariffImpactonHealthcareDealFlow(Q2:Post-Tariff)
Q.Towhatextenthavetariffsimpactedyourhealthcaredealflowandactivity?n=50
60%
48%
38%
40%
20%
12%
2%
0%
VerySignificant
SignificantModerateMinor
Source:
Figure7:TariffImpactonAssetValuationsIn-Market(Q2:Post-Tariff)
Q.Towhatextenthavetariffsimpactedvaluationsofhealthcareassetsin-marketversusbeforetariffswereimplemented?
n=50
48%
Average=+2.0%
50%
20%
30%
18%
10%
-10%
4%8%2%
Increase6%–10%
Increase1%–5%
FlatDecreaseDecreaseDecrease
1%–5%6%–10%11%–19%
Source:
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INDUSTRYINSIGHTS
Tariffshaveshiftedinvestorfocusduringtheduediligenceprocess,withmore
considerationevaluatingtheabilitytopassonincreasedsourcingcostsonto
customers.Whilesupplychainanalysisandcosttracingarealsoreviewed,theseconsiderationsremainsecondarytocustomerpricingsensitivity.
Figure8:TopDueDiligenceConsiderationsduetoTariffUncertainty
(Q2:Post-Tariff)
Q.Whatduediligenceconsiderationshavebecomeaprominentareaoffocusduetotariffuncertainty?n=50
Pricing86%
72%
CountryofOriginTracing
SupplyChainAnalysis
56%
40%
SupplierRelationshipStrength
Inventory
ContingencyPlanning
30%
28%
Source:POTLOC
CapExImpactfromSourcingRelocation
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INDUSTRYINSIGHTS
Healthcareservices,includingretailhealth,consumer-drivenserviceslikemedspas,andhealthcarefacilities(e.g.,SNFs,ASCs,etc.)areimpactedbycommoditized
disposableproductsoftensourcedinternationally.Whiletheimpactisless
pronouncedthaninmedicalproducts,downstreamareasofservicedelivery,
includinghospitaloperationstechnologyorrevenuecyclemanagement(RCM),mayalsofeeltheeffects.
Figure9:AreasofInvestmentFocusMostImpactedbyTariff
Uncertainty(Q2:Post-Tariff)
Q.Whichareasofinvestmentfocusdoyouexpecttoseethemostsignificantimpactoftariffuncertainty?n=50
0%50%100%
80%
76%
76%
Areasimpactedbyinternationallysourced commoditized consumables,though themagnitudefora servicedeliverymodelmaybelower.
RetailHealth(e.g.,UrgentCare)
ConsumerHealth(e.g.,Medspa,LaserTreatment)
Facilities(e.g.,SNFs,ASCs)
42%
36%
Downstreamimpactofservicesdelivery.
HospitalOperationsTech(e.g.,ComplianceSoftware)
RCM
28%
BehavioralHealthServices
24%
HomeHealth
Source:POTLOC
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INDUSTRYINSIGHTS
Thematic
AreasofFocus
Consolidationofhealthcarefacilities(e.g.,SNFs,ASCs,dialysiscenters)remainsafavoredstrategyamonginvestors.Potentialexitsthroughhospitalconsolidationandtheextensionofhospital
networkscontinuetosupportfacilityroll-upstrategies.
Staxhasalsoseenstronginvestorinterestinthe
standardizationofhospitaltechnology,particularlyashospitalsseektoimprovecompliance,
governance,andcybersecurity.Fragmentednon-physicianservicessuchasdental,veterinary,or
physicaltherapy,presentattractiveopportunitiesdespitesignificantconsolidationactivityinrecentyears.
Figure10:2025AreasofThematicFocusinHealthcare
Q.Withinhealthcare,whatare2025areasofthematicfocusforyourfund?
n=200
0%25%50%75%
HealthcareFacilities
HospitalOperationsTechnology
RetailHealth
Non-physicianHealthcareServicesPharmaOutsourcedTechandServices
HomeHealth
ConsumerHealthandWellnessPhysicianPracticeManagement(PPM)
BehavioralHealthServicesRevenueCycleManagement(RCM)
PracticeManagement/EMR
PayerTechnology
EmployerSponsoredHealthPlans
Rank1Rank2Rank3Rank4Rank5
Source:POTLOC
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INDUSTRYINSIGHTS
In2025,healthcarefacilities—includinghospitals,urgentcarecenters,SNFs,andASCs—remainakeyareaofinvestorfocus.Staxcontinuestoseestrongclientinterestinsoftwarethatenhancesand
streamlineshospitaloperations,reflectingongoinginvestordemand.
Forward-thinkinghospitalsareinvestingin
technologytoeasecapacitypressuresforboth
patientsandstaff,withtech-enabledcybersecurityandcompliancealsoemergingastopspending
priorities.
Hospital
Facilities&Hospital
OperationsTech
Figure11:HealthcareFacilities
Hospitals
29%
UrgentCare
24%
ASCs
13%
DialysisCenters
11%
StandaloneEDs
9%
Q.Whatspecifichealthcarefacilitytypedoesyourfundfocuson?n=106
'。
SNFs
13%
Source:POTLOC
Figure12:HospitalOperationsTechnology
40%
20%
0%
Q.Whatspecificoperationstechnologydoesyourfundfocuson?n=101
28%
22%
21%
15%
15%
Optimized
Scheduling/Staffing
PatientFlow
PatientSafetyMgmt.
ComplianceRiskMgmt.
Procurement
Mgmt.
Source:POTLOC
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INDUSTRYINSIGHTS
Healthcare
Services
Investorinterestinhealthcareservicesdelivery
remainsmoderatelystrong,thoughsome
hesitationpersistsaroundreimbursementriskasaprimarydeliverymodel.
Dentalofficesarestillhighlyfragmented,makingDSOconsolidationanattractiveexitstrategyandacontinuedareaofinterest.opportunityforanexit,likelytosupportinvestorinterest.
Formoredetail,
seeourreportondentalmarketinvestment
opportunities
.
PrimarycareisstillmostinfavoramongstPPMs,withinvestorsdrawntoPCPassetsthatalignwiththeongoingshifttowardvalue-basedcareasaninvestmentthesis.
Figure13:Non-PhysicianServices
Dental
34%
ChiropracticCare
13%
Optometry
10%
Veterinary
8%
Podiatry
5%
Q.Whatspecificnonphysicianservicesdoesyourfundfocuson?n=69
PhysicalTherapy
31%
Source:POTLOC
Figure14:PhysicianPracticeManagement
30%
15%
0%
Q.Whatspecificphysicianpracticemanagementdoesyourfundfocuson?n=48
20%
18%
15%
12%
16%
7%
7%
5%
PrimaryCardiologyOncologyNeurologyDermatologyWomen'sPsychiatryOther
CareHealth
Source:POTLOC
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INDUSTRYINSIGHTS
Pharma
Techand
OutsourcedServices
Inpharmatechandoutsourcedservices,investorattentioniscenteredonclinicaltrialtechnologyandmarketingtechforpatientsandHCPs.Overthepast12months,Staxhassupportedbuy-andsell-sideinvestorprocessesallfocusedinpharmamarketingtechnology.Pharma’swillingnessto
spendonadvanced,targetedmarketing,
particularlyinoncology,raredisease,neurology,andcardiology,drivesthisspendandthatthe
investmentopportunitiesthatcomewithit.
Clinicaltrialsitesarestillheavilyfragmented,creatingopportunitiesin-sitemanagement.
InvestorinterestherehasgrownasthetraditionalCROmodelfacesdisruption,withmanypharma
companiesshiftingsitemanagementbackin-houseratherthanrelyingsolelyonCROs.
Figure15:PharmaTech+Services
Q.Whatspecificareasdoesyourfundfocuson?n=61
11%
ClinicalTrialTech
23%
12%
Patient/HCPMarketingTech
CROs/SiteMgmt.
13%
Pre-clinicalTargetIdentificationTech
21%
Outsourced
CommercializationCMOs/CDMOs
20
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