
Private Equity Roll-up Activation Pack
Global Health Industries Big Bet
2023
Work in Progress
With our global deals capabilities we are able to support our clients with any transaction - Pharma Lifescience (PLS) and Healthcare Services (HCS) M&A.
Our extensive portfolio of industry-focused deals services starting from the first strategic considerations and scoping of a target to the intense planning phase between Signing and Closing, to the first 100 days of supporting the integration.
Especially when planning transactions in the highly regulated and thus complex environment our digital tools help us along the deal cycle and make processes more efficient by e.g., automating planning and aligning regulatory and production timelines.
With our PE Roll-up expertise we accommodate the requirements of routined deal maker clients to create scalable platforms that drive value creation when following their buy-&-build strategy.

Savvy health industry dealmakers who can navigate a tricky regulatory and macroeconomic landscape will continue to use M&A to innovate, grow in line with enterprise priorities and implement strategic portfolio measures. This way, they will stay ahead of their competitors.
Christian K. Moldt
Global Health Industries Deals Leader, Partner, PwC Germany
Your Health Industries Private Equity Experts

Stijn Spitaels
Big Bet Expert Private Equity Roll-Up EMEA
stijn.spitaels@pwc.com
+31 6 48452186
Our Health Industries Deals European team consisting of subject matter experts is a true x-Territory and x-LoS effort


Rutger Koning
rutger.koning@pwc.com
+31 6 22009320


Jaymal Patel
jaymal.patel@pwc.com
+44 7841 566876


Wissam Iskandar
iskandar.wissam@pwc.com
+33 1 56 57 48 69


Miguel Contreras Tamayo
miguel_adolfo.contreras.tamayo@pwc.com
+34 680 73 35 67


Roberta Carter
roberta.w.carter@pwc.com
+44 7710 036054


Alex Haenen
alex.haenen@pwc.com
+ 31 6 83608321


Fabrizio Franco
fabrizio.franco@pwc.com
+39 348 528 8714


Ignacio Cañal Illueca
Ignacio.canal.illueca@pwc.com
+34 646 83 70 48


Fiona Webb
fiona.c.webb@pwc.com
+44 7809 756077


Jonathan Williams
jonathan.williams@pwc.com
+44 7595 610363


Marcus Bauer
marcus.bauer@pwc.com
+49 170 2238834


Claudia Frattini
claudia.frattini@pwc.com
+39 346 008 5342


Thomas Krantz
thomas.krantz@pwc.com
+45 39 45 31 40


Benjamin Bredero
Benjamin.bredero@pwc.ch


Anne-Lise Glauser
anne-lise.glauser@pwc.com
+33 6 48098824


Philip Sommer
philip.sommer@pwc.ch
+41 58 792 75 28


Nichlas Jakobsen
nichlas.t.jakobsen@pwc.com
+45 39 45 91 24
Conversation starters

Market trends
Historically, financial value creation for investors was relatively easy, driven by multiple expansion: buying cheap (~5x for a small practice with <3 chairs) and selling a chain for a much higher multiple (~10-15x).
As it (1) becomes harder to find small clinics willing to sell, (2) chains combine into even larger chains, and (3) inflation limits expansion, realizing operational value creation is more important.
To harvest deal volumes above the terminal value in your business, a compelling value creation story and a smooth integration not endangering business continuity remains key.

Health Industries
Health Industries services are under pressure with increasing demand and scientific and technological innovation driving cost increases. Consolidation and business model innovation could drive efficiencies and unlock capacity and trapped value.
Although consolidation across Health Industries services is accelerating, overall level of consolidation is still relatively low and differs across subsectors. One subsector where we at PwC see a strong wave of consolidation is in Dentistry, mostly in domestic deals driven by PE-investors.
The premise of dental consolidation is to create scalable platforms that drive value creation for dentists, patients and investors alike.

PwC comments
We are observing value creation plans often yield mixed results due to practical challenges. Exemplary issues are an excessive focus on growth and acquisitions at the expense of site integration, a decline in dentist/staff engagement, and limited retention of dental professionals.
While achieving the perfect balance may seem challenging, we at PwC have developed a range of best practices for value creation initiatives that drive success in healthcare roll-up strategies.
Learn more about the other Big Bets
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Christian Moldt
Client Relationship Partner BioNTech
Dear Team,
Hey, you just created a text paragraph! Somebody once said that the pen is mightier than the sword — and that was in 1839. Just imagine, with the power of cutting-edge content experiences and the ability to distribute your content around the world in mere seconds, writing this paragraph could be one of the most influential things you ever do!
Hey, you just created a text paragraph! Somebody once said that the pen is mightier than the sword — and that was in 1839. Just imagine, with the power of cutting-edge content experiences and the ability to distribute your content around the world in mere seconds, writing this paragraph could be one of the most influential things you ever do!