Private equity at a glance

A visual guide to private equity's presence within the specialty

Dermatology World abstract illustration of hospitals

Private equity at a glance

A visual guide to private equity's presence within the specialty

Dermatology World abstract illustration of hospitals

By Emily Margosian, assistant editor

Since private equity’s debut into dermatology, its presence has sparked spirited debate among dermatologists about its impact on physician autonomy, patient care, and administrative burden. While Dermatology World has led discussions about the wider implications of a marriage between venture capital and health care (see July 2016’s “Skin in the game,” and January 2018’s “Pulling back the curtain on private equity”), a clear picture of the current size and scope of private equity’s influence can be elusive.

To help make sense of the steady pace of acquisitions, mergers, and occasional failed venture, this month Dermatology World presents a visual guide to the dermatology private equity landscape, by tracking:

  • Regional influence

  • The biggest deals in dermatology

  • Key stats on major players

  • Top 5 largest groups

  • Year-by-year growth within the specialty

  • Groups that have expanded the most 

Mapping out private equity ownership

While some private equity groups are regionally focused, others have a nationwide presence. See which groups are most prominent in your state.

mapping-out-private-equity.jpg

BIGGEST DEALS IN DERMATOLOGY

While some private equity firms can have millions to billions of dollars’ worth of capital at their disposal, how much are they spending on dermatology? Check the chart below for some of the biggest dermatology deals. (Note: This list includes transactions whose financial terms were disclosed. Other transactions may have been larger.)

biggest-deals-in-derm.jpg

The main players

While the precise number of equity-backed dermatology groups is constantly in flux, use this guide for key information on players who currently have skin in the game:

Adult and Pediatric Dermatology

Backed by: Waud Capital. Acquired in September 2017 for $25 million.

Practices in: Massachusetts, New Hampshire

Number of locations: 11

 

Advanced Dermatology & Cosmetic Surgery (ADCS)

Backed by: Harvest Partners, LP. Acquired in May 2016; investment: $600 million.

Formerly backed by Audax Group, which acquired ADCS in October 2011 for an undisclosed amount.

Practices in: Arizona, Colorado, Florida, Georgia, Maryland, Michigan, Nevada, Ohio, Pennsylvania, Rhode Island, South Carolina, Virginia, Wyoming

Number of locations: 168

Anne Arundel Dermatology

Backed by: New MainStream Capital (NMS). Acquired in June 2015; investment: undisclosed.
Practices in: Maryland, Tennessee, Virginia
Number of locations: 58

Dermatologists of Central States

Backed by: Sheridan Capital Partners. Acquired in May 2017 for an undisclosed amount.

Practices in: Indiana, Michigan, North Carolina, Ohio

Number of locations: 54

 

Dermatology Medical Partners
Backed by: Tyree & D’Angelo Partners. Acquired in December 2015 for an undisclosed amount.
Practices in: Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas
Number of locations: Unknown

DermCare Management

Backed by: Gemini Investors. Acquired in July 2017 for an undisclosed amount.

Practices in: Florida, Texas

Number of locations: 24

Epiphany Dermatology

Backed by: C.I. Capital Partners Private Equity. Acquired in June 2016 for an undisclosed amount.

Practices in: Arizona, Colorado, Iowa, Minnesota, Missouri, New Mexico, Oklahoma, Texas

Number of locations: 35

Forefront Dermatology (formerly Dermatology Associates of Wisconsin)

Backed by: OMERS Private Equity. Acquired in February 2016; investment: $450 million. Formerly backed by Varsity Health Care Partners, which acquired Forefront in May 2014 for an undisclosed amount.

Practices in: Alabama, Colorado, Florida, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Michigan, Minnesota, Missouri, North Carolina, Ohio, Pennsylvania, Virginia, Washington DC, Wisconsin

Number of locations: 139

 

Golden State Dermatology

Backed by: Sorenson Capital; Yukon Partners. Acquired in December 2015 for an undisclosed amount.

Practices in: California

Number of locations: 9

 

NavaDerm

Backed by: BelHealth Investment Partners. Launched NavaDerm in July 2018.

Practices in: New Jersey, New York

Number of locations: 4

Northeast Dermatology Associates

Backed by: OTTP; Century Equity. Acquired in October 2017 for an undisclosed amount.

Practices in: Maine, Massachusetts

Number of locations: 22

 

PhyNet Dermatology
Backed by: Century Equity Partners. Acquired in 2017 for an undisclosed amount.
Practices in: California, Florida, Illinois, Maine, Massachusetts, New Hampshire, Ohio, Tennessee
Number of locations: 33

Pinnacle Dermatology

Backed by: Chicago Pacific Founders. Acquired in March 2017 for an undisclosed amount.

Practices in: Illinois, Indiana, Michigan, Minnesota

Number of locations: 33


Platinum Dermatology

Backed by: Sterling Partners Private Equity. Acquired in January 2016 for an undisclosed amount.

Practices in: Arizona, Texas

Number of locations: 31

 

Preferred Dermatology (formerly Dermatology & Skin Cancer Surgery Center)

Backed by: Lead Capital Partners. Acquired in 2018 for an undisclosed amount.

Practices in: Texas

Number of locations: 14

QualDerm Partners, LLC

Backed by: Cressey & Company and Apple Tree Partners. Acquired in February 2016; investment $38.1 million.

Practices in: Georgia, North Carolina, Ohio, Pennsylvania, Tennessee

Number of locations: 23

 

Riverchase Dermatology and Cosmetic Surgery (Riverchase DCS)

Backed by: GTCR Private Equity. Acquired in October 2016; investment: $33 million.

Formerly backed by Prairie Capital, which acquired Riverchase DCS in December 2012 for an undisclosed amount.

Practices in: Florida

Number of locations: 34


Sanova Dermatology

Backed by: Spindletop Capital. Acquired in May 2018 for an undisclosed amount.

Practices in: Louisiana, Texas

Number of locations: 12

 

Schweiger Dermatology Group

Backed by: Triangle Capital. Acquired in June 2017; investment: $20 million.

Formerly backed by LLR Partners, who joined SV Health Investors (formerly SV Life Sciences) in support of Schweiger in May 2016, with an investment of $35 million. SV Life Sciences acquired Schweiger in January 2015 for an undisclosed amount.

Practices in: New Jersey, New York, Pennsylvania

Number of locations: 47


Select Dermatology

Backed by: Welsch, Carson, Anderson & Stowe; Riata Capital Group. Launched Select Dermatology in May 2018.

Practices in: Texas

Number of locations: Unknown


Skin & Beauty Center

Backed by: Gemini Investors. Acquired in March 2017 for an undisclosed amount.

Practices in: CA

Number of locations: 6


Skin and Cancer Associates

Backed by: Susquehanna Private Capital. Acquired in April 2018 for an undisclosed amount.

Practices in: Florida

Number of locations: 32


Sona Dermatology & Medspa

Backed by: Pharos Capital. Acquired in December 2015 for an undisclosed amount.

Formerly backed by Carousel Capital Partners, which acquired Sona Dermatology in November 2007 for an undisclosed amount.

Practices in: Arkansas, North Carolina, Tennessee, Texas Virginia

Number of locations: 18


Summit Dermatology Partners

Backed by: Alpine. Launched Summit Dermatology Partners in 2018.

Practices in: Unknown

Number of locations: Unknown


Tricenna (formerly The Dermatology Group, P.C.)

Backed by: Riverside Company Private Equity. Acquired in January 2016 for an undisclosed amount.

Practices in: Connecticut, New Jersey, New York, Pennsylvania

Number of locations: 24


United Derm Partners

Backed by: Frazier. Acquired in December 2016 for an undisclosed amount.

Practices in: California, Idaho, Nevada, Oregon, Texas

Number of locations: 22


United Skin Specialists

Backed by: Tonka Bay Partners Private Equity. Acquired in September 2015 for an undisclosed amount.

Practices in: Minnesota, Missouri, Illinois

Number of locations: 9


US Dermatology Partners (formerly Dermatology Associates/Dermatology Associates of Tyler)

Backed by: ABRY Partners. Acquired in May 2016; investment: $300 million.

Formerly backed by Candescent Partners, which acquired US Dermatology Partners in January 2013 for an undisclosed amount.

Practices in: Arizona, Kansas, Louisiana, Maryland, Missouri, Oklahoma, Texas, Virginia

Number of locations: 66


Water’s Edge Dermatology

Backed by: Gryphon Investors. Acquired in June 2018 for an undisclosed amount.

Practices in: Florida

Number of locations: 35

West Dermatology

Backed by: Enhanced Equity Funds Private Equity. Acquired in December 2014 for an undisclosed amount.

Practices in: Arizona, California, Nevada

Number of locations: 44

MOST RAPID GROWTH

As more private equity groups enter the market, which have had the most rapid expansion? Check the chart below. 

most-rapid-growth.jpg

Evolution of ownership

Critics of private equity note that physicians and their staff are subject to new ownership at the whims of the market. Find out which equity-backed dermatology groups have changed hands, how many times, and which groups have exited the market entirely.

private-equity-icon2.pngNo longer PE-backed:


Dermatology Solutions Group (DSG).
Still retains practices in Alabama, Florida, Georgia, and Mississippi. DSG was formerly backed by Cressey & Company, who acquired them in August 2013 for $58 million. However, they ended their partnership in May 2015 and DSG is currently listed as being physician-owned with no known backers.

private-equity-icon3.pngDefunct:


DermOne (formerly Accredited Dermatology).
Originally backed by Westwind Investors, who acquired DermOne in February 2012 for an undisclosed amount, DermOne partner practices were eventually acquired by PE-backed dermatology group Schweiger Dermatology Group in March 2018.

private-equity-icon4.pngChanged hands:


Forefront Dermatology.
Formerly backed by Varsity Health Care Partners, who acquired Forefront in May 2014 for an undisclosed amount. Forefront was subsequently acquired by OMERS Private equity in February 2016 for $450 million.

Riverchase Dermatology and Cosmetic Surgery (Riverchase DCS). Formerly backed by Prairie Capital, who acquired Riverchase DCS in December 2012 for an undisclosed amount. Riverchase DCS was then acquired by GTCR in October 2016 for $33 million.

Schweiger Dermatology Group. Formerly backed by SV Health Investors (formerly SV Life Sciences), who acquired Schweiger in January 2015 for an undisclosed amount. In May 2016, LLR Partners joined SV Health investors in May 2016 in support of Schweiger with a $35 million investment. Schweiger has since been acquired by Triangle Capital in June 2017 for $20 million.

US Dermatology Partners. Formerly backed by Candescent Partners, who acquired US Dermatology Partners in January 2013 for an undisclosed amount. US Dermatology Partners has since been acquired by ABRY Partners in May 2016 for $300 million.

Advanced Dermatology & Cosmetic Surgery (ADCS). Formerly backed by Audax Group, who acquired ADCS in October 2011 for an undisclosed amount. ADCS has since been acquired by Harvest Partners in May 2016 for $600 million.

Sona Dermatology & MedSpa. Formerly backed by Carousel Capital Partners, who acquired Sona in November 2007 for an undisclosed amount. Sona has since been acquired by Pharos Capital in December 2015 for an undisclosed amount.

Dermatology practice ownership

dermatology-practice-ownership.jpg