Author: Abhay Panchal

The article discusses rollover equity in private equity (PE) acquisitions of physician practices, focusing on how it aligns selling physicians’ interests with the PE partner. In these transactions, a PE-sponsored management services organization (MSO) typically purchases nonclinical aspects of a practice. Consideration for the sale often includes cash and rollover equity in the MSO, usually split around 75-25. Key points:

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As of 2024, the average cost of a colonoscopy in the U.S. is $1,608. The cost differs between Ambulatory Surgical Centers (ASCs) and Hospital Outpatient Departments (HOPDs). In 2017, a diagnostic colonoscopy cost $943 at ASCs and $1,402 at HOPDs. By 2022, these costs increased to $1,040 at ASCs and $1,646 at HOPDs. This reflects a 17% increase at HOPDs and a 10% increase at ASCs over six years. There’s a notable difference in cost escalation between these two types of facilities, with HOPDs experiencing a higher rate.

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