Mp24-10 Trends in Urology Practice Consolidation and Private Equity Investment From 2011-2023

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making II (MP24)1 May 2024MP24-10 TRENDS IN UROLOGY PRACTICE CONSOLIDATION AND PRIVATE EQUITY INVESTMENT FROM 2011-2023 Aleksandra M. Golos, James Nie, Walter R. Hsiang, Benjamin J. Davies, Christopher Filson, and Michael S. Leapman Aleksandra M. GolosAleksandra M. Golos , James NieJames Nie , Walter R. HsiangWalter R. Hsiang , Benjamin J. DaviesBenjamin J. Davies , Christopher FilsonChristopher Filson , and Michael S. LeapmanMichael S. Leapman View All Author Informationhttps://doi.org/10.1097/01.JU.0001008860.46052.c4.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urology practices in the United States have undergone increasing consolidation in recent years, accelerated by private equity (PE) investment. We sought to describe practice characteristics and geographic trends in this rapidly evolving landscape. METHODS: We searched financial and press databases to identify acquisitions of urology practices from January 1, 2011, through August 1, 2023. Collecting data from pre-acquisition and August 2023 versions of practice websites, we described trends in the number of urologists, advanced practice providers (APPs), urology clinics, and ancillary (surgical, radiation, and pathology) sites acquired. We estimated the number of urologists by state using 2016-2022 American Urological Association (AUA) census data. RESULTS: We identified 110 urology practice acquisitions: 51 (46.4%) by physician groups, 19 (17.3%) by hospitals/health systems, and 40 (36.4%) by PE platforms (Figure 1A). PE platforms (n=6) were generally established via acquisition of large group practices (mean=45.7±25.3 urologists, 23.2±12.2 clinical sites). Practices acquired by PE platforms since 2016 (n=40) had a mean of 24.2±24.4 urologists, 4.2±4.9 urologists per APP, 13.2±14.0 clinical sites, and 2.0±3.3 ancillary sites. Practices acquired by physician groups since 2016 (n=15) had a mean of 12.3±9.6 urologists, 4.7±5.0 urologists per APP, 8.0±6.4 clinical sites, and 0.4±0.5 ancillary sites. As of 2023, 4 PE platforms continued to focus on urology (growing via geographic expansion and acquisition of ancillary services), 1 diversified into other specialties, and 1 engaged in a sale. PE-affiliated practices employed an average of 9.1%±7.7% of all practicing urologists across 19 states (Figure 1B). Notably, 26.5% of all urologists in New Jersey were affiliated with a single PE platform in 2021, prior to its sale. CONCLUSIONS: PE investment continues to drive consolidation of urology practices. Our findings suggest that compared to acquisitive physician groups, PE platforms have targeted larger practices with higher utilization of APPs and ancillary services. Download PPT Source of Funding: Research reported in this publication was supported by the Richard K. Gershon Endowed Medical Student Research Fellowship and Yale School of Medicine Fellowship for Medical Student Research © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e396 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Aleksandra M. Golos More articles by this author James Nie More articles by this author Walter R. Hsiang More articles by this author Benjamin J. Davies More articles by this author Christopher Filson More articles by this author Michael S. Leapman More articles by this author Expand All Advertisement PDF downloadLoading ...