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Absolutely - anyone can break into healthcare investment banking, and recently I’ve seen a ton of non-targets break into it. Honestly, being a non-target only means that you need to network more, but once you’re in the process, it doesn’t really matter what school you go to as long as you nail your technicals and have a solid story.

As far as why investment banking, I find that answer to be hugely personal. One thing I would note is that in healthcare banking, you also deal with a lot of capital raising (obviously in addition to mostly M&A). I’ve heard some great answers about wanting to help companies raise money to bring their products to more patients etc. However, as I said, the more real the response is, the better. Read healthcare news and see what sticks with you. It’s super obvious if people are really passionate about something, and that’s honestly one of the biggest factors for us while hiring.

 

1. How has HCIT changed over the past 5 years in the capital markets/M&A space? What are the trends you've noticed in strategic buyers / PE firms? 

2. Will HC providers consolidation ever slow down? Seems to always be a stable M&A market yet a lot of political views seem anti-consolidation.

3. Are there certain trends that strategic/corporate buyers look for in HC companies that sponsors don't? And vice versa?

4. What verticals are you bullish on? For ex: HC services? HCIT? Biotech? Medtech?

5. Is telemedicine losing its "appeal"? It was booming in 2020 but now the market seems to have cooled down. A lot of public companies and recent SPACs/IPO have not performed well. 

Thanks in advance.

 
Most Helpful

Oh boy loaded question haha. Let me see:

  1. So last year was huge for HCIT. Record M&A, record healthcare issuance. A lot of strategics have realized these capabilities are tough to develop internally so they resort to buying. You no longer just see consolidation and only big HCIT guys buying the smaller ones - big tech and medtech players are acquiring HCIT companies as well. For PE buyers, consolidation still matters - it’s a great way to patch together a bunch of different businesses and offer solutions across a broad set of needs
  1. Highly doubt it will slow down, especially with so many digital health VC-backed companies coming to life. There’s a ton of room to grow, healthcare is far from being great in this country, so new solutions keep emerging
  1. Synergies, but that’s for all strategics, not just strategics in this space. Ability to integrate with existing solutions is also another big one. Also keep in mind profitability - some public strategics can get penalized by the market if profitability is really far out, so that’s what sometimes pushes them to sidelines. A lot of time the most aggressive buyers are sponsor backed strategics
  1. Biotech hands down. People will keep being sick, and there is still so much opportunity. And yes, while the government keeps threatening with regulations surrounding drug pricing, the truth is that the US is an innovation hub and without proper incentives, R&D wouldn’t be a thing. If this topic interests you, I highly recommend reading Kolchinsky’s book - the TLDR for it is that insurance companies are to blame
  1. I wouldn’t say it’s telemedicine specific, the market has been down in general, especially with generalist investors rotating out of healthcare stocks post COVID. I personally think telemedicine solutions are amazing, especially for mental health

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