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Private Equity’s Billion Dollar Deals in Healthcare IT: Why Executive Leadership Makes or Breaks Mega-Deals

by Matt Sommi, Dylan Hryc

Private equity's record-breaking healthcare IT (HCIT) investments in 2024 have raised the stakes for executive leadership.

Leaders who drive billion-dollar exits are more than impactful, they are transformative. When we look at our track record of 100+ successful HCIT placements, one thing stands out: private equity firms aren't interested in maintainers. They want leaders who can drive measurable improvements, prioritize growth, increase returns, and generate strong exits. Read on for more insights from our new Healthcare IT Talent Report.  

Key Private Equity Healthcare IT Deals of 2024

When Vista Equity Partners acquired EngageSmart valued at $4B to kick off 2024, it truly set the tone for what was to come for private equity and HCIT. By year's end, we've watched private equity showcase  deals with post valuations nearing $9B. In this high-stakes game of healthcare tech consolidation, one thing's crystal clear: the appetite for transformative deals is exploding.

As you read through these record–breaking deals, remember one thing: these aren't possible without executives who know how to turn investor capital into market dominance.

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EngageSmart (Vista Equity Partners)

Vista Equity Partners acquired EngageSmart valuing EngageSmart at $4 billion in January of 2024, expanding its portfolio of SaaS platforms in health, wellness, and financial services. The takeover accelerates EngageSmart's growth plans for SimplePractice and InvoiceCloud while extending its market reach.

RCM

R1 RCM Buyout

On August 1, 2024, TowerBrook, CD&R and R1 announced a merger agreement valuing R1 at approximately $8.9 billion. The $8.9B valuation emphasizes the demand for battle-tested leaders who can execute. The winning executives will combine large-scale operational expertise with tech savvy to unlock massive value in healthcare revenue cycle management.

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Altaris Acquires Sharecare

Altaris acquired Sharecare for $540 million on October 22, 2024. The acquisition combines Sharecare's virtual health platform - serving providers, employers, and health plans - with Altaris' ecosystem, highlighting the critical need for executives who can masterfully integrate complex, multi-stakeholder platforms.

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Endpoint Clinical Acquisition

Arsenal Capital Partners and HealthQuest Capital's $345M acquisition of Endpoint Clinical alongside Fortrea Patient Access signals big moves in clinical trials tech. The deal demands executives who can scale sophisticated solutions for both biopharma companies and contract research organizations.

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Model N (Vista Equity Partners)

Vista Equity Partners acquired Model N for $1.25 billion to accelerate the company's growth in revenue optimization software. The acquisition positions Model N to scale its enterprise solutions across pharma, medtech, and high-tech sectors while focusing on long-term innovation.

Executive Leadership:
The PE Success Multiplier

Today's private equity-backed HCIT leaders must be masters of integration, revenue optimization, and strategic growth. These multi-talented executives need to drive both organic expansion and M&A wins while keeping provider relationships rock-solid. The real trick is hitting these marks while maintaining operational excellence.

Great healthcare IT executives can supercharge returns in a number of ways. Here are our top three:

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    Speed to Value

    They accelerate wins by crushing integration timelines and pivoting fast when markets shift. Time is money in private equity - these leaders know how to move quickly.

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    Smart Risk Management

    They navigate the healthcare tech minefield with expertise in compliance, integration, and change management. These veterans prevent costly mistakes while keeping operations humming.

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    Growth Acceleration

    They spot opportunities others miss and leverage deep networks to build game-changing partnerships. By balancing quick wins with long-term value, they keep their companies ahead of the curve.

The Bottom Line

2024's billion-dollar HCIT deals are setting a new standard in private equity. When firms are putting this kind of capital on the line, they need executives who deliver. Our 100+ successful placements prove we know how to find these transformational executives - the ones who consistently deliver on exits and returns.

Learn More About Our Experience in HCIT

To learn more about Bespoke Partners and our HCIT talent trends report please visit:

https://www.bespokepartners.com/healthcare-software-executive-recruiters

PE Report Special Edition - Healthcare IT Trends - HCIT

Authored by:

  • Senior Vice President

    Based in Philadelphia, Matt helps lead Bespoke’s client engagement efforts across the firm’s suite of services.

    Prior to joining Bespoke, Matt spent 8 years in research and business development at GLG, supporting private equity due diligence efforts and building relationships with GLG’s middle market private equity firms.

  • Senior Research Analyst, Healthtech Sector Expert

    Dylan is a Senior Research Analyst in Bespoke’s CFO practice.

    Prior to joining Bespoke, he was at True Search, where he specialized in executive searches across SaaS, fintech, and AI. Dylan worked on C-Suite searches in finance, product, and technology, including the placement of Spotify’s CFO. He holds Bachelor’s degrees in Economics and Statistics from the University of Virginia. Originally from New Jersey, Dylan is now based in Philadelphia.

    Outside of work, he enjoys traveling, going for runs, and supporting his favorite team, the NY Yankees.