
In this episode, Holly Buckley, Chair of Healthcare at McGuireWoods, shares insights on deal activity across the healthcare market, including rising interest in home-based care, behavioral health, and digital health.
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A
This is Scott Becker with the Becker Business and the Becker Private Equity Podcast. We're thrilled today to be joined by Holly Buckley. Holly chairs the healthcare department at McGuire woods and works at the intersection. She's a master and a leader at the intersection of private equity and healthcare. We're going to talk to her today about the healthcare market, the private equity deal market, as well as where she's most focused for the rest of this year. Holly, can you take a moment and introduce yourself and tell us a little bit about the McGuire woods and McGuire woods healthcare department.
B
Thank you, Scott, and thank you for having me. So I chair the healthcare department at McGuire woods on a national basis. We are one of the oldest healthcare departments in the country. We have about 50 attorneys doing nothing but healthcare. And we really live at the intersection of healthcare providers, healthcare investors, healthcare lenders, and we have a growing expertise in FDA and life sciences. And we are very focused right now on an active second half of the year. Things feel like they're really picking up and excited for the discussion.
A
Thank you. And talk to us a little bit about the deal activity. The deal market, the big deal market has been rocked and rolling. The mid sized deal market's been a little bit slower. What are you seeing there and what changes are you seeing afoot?
B
Yeah, so I think just in the last months we've seen just a really big uptick in deal volume on kind of not the mega deals, on just the standard lower market and middle market deals. We're seeing, I'd say even an uptick on PPM deals which had been pretty sluggish the first half of the year. We're seeing really good interest and volume around specialties that bring healthcare into the home. So home health, hospice infusion and other solutions that reduce the cost of health care. We're also continuing to see really good volume on digital health and kind of healthcare support solutions. We should be consistent throughout the year, but seeing good deal volume there as well.
A
Thank you. And what are you saying? Is it the buyers of practices in the PPM area or the the high tech or digital area? Where are you seeing the most activity and are the buyers private equity sponsored platforms? Are there any strategics at all? Are the insurance companies or the health systems active at all in the practice acquisition market or is that all but dried up?
B
I don't think. I think on the strategic side we are seeing activity obviously like Cardinal is a great example. They have been active this year with the GIA acquisition and then that's continued to be acquisitive and Then there's other payer backed platforms that are continuing to have good strong activity. So we're definitely seeing strategic activity as well. But we're, I think in my mind we, we think of them when it comes to the big mega deals, the big, the big exit deals. But in terms of the rollup activity, I think we're seeing them present as well. But we're seeing a lot more on the private equity side.
A
Got it. And for a period of time it seemed like people had really softened, slowed on bolt on acquisitions, just high interest rates and particularly in lower margin areas. What are you seeing? There are people starting to get active with bolt on and add on acquisitions again?
B
Yeah, they are. I mean I just think that there's so much pent up demand and dry powder that I, I think that we're seeing the deal activity loosen in the sense that it's, it's kind of getting moving again and it's certainly not as rapid as it was and there's more discipline around it. But we are starting to see in the kind of the back half of the year more Lois come in and more folks looking to transact and plan on closing things before the end of the year.
A
Thank you. And talk about where you're most focused and excited for this back half of the year.
B
Where I am focused is I would say deals, as I mentioned earlier, bringing kind of healthcare into the home. I've got a lot of them on my plate as well as some behavioral health deals. I expect them to pretty much fill my plate between now and the end of the year. And then outside of actual legal work, I would say we're very focused on continuing to recruit really high quality attorneys who are a great cultural fit with us. And so my, I'm kind of reorienting my attention to the focus back on lateral recruiting after a brief hiatus as we were working on integrating some new hires earlier this year.
A
It's fantastic and it's always exciting to see the growth in the hiring and the recruiting and the building. Just a fantastic job again. We're so thrilled today of Holly Buckley with us, brilliant leader, partner at Maguire Woods. Thank you for joining us in the Becker Business podcast and the Becker Private Equity podcast. Thank you very, very much.
B
Thank you.
Becker Private Equity & Business Podcast Summary
Episode: A Look at Mid-Year Healthcare Transactions and Talent Strategy with Holly Buckley of McGuireWoods LLP
Host: Scott Becker
Guest: Holly Buckley, Chair of the Healthcare Department at McGuireWoods LLP
Release Date: July 22, 2025
In this insightful episode of the Becker Private Equity & Business Podcast, host Scott Becker welcomes Holly Buckley, a prominent figure in the intersection of private equity and healthcare. As the chair of the healthcare department at McGuireWoods LLP, Holly brings a wealth of knowledge and expertise to the discussion, focusing on the current landscape of healthcare transactions and talent strategies for the remainder of the year.
Holly Buckley begins by providing an overview of her role and the comprehensive capabilities of McGuireWoods' healthcare department.
"We are one of the oldest healthcare departments in the country. We have about 50 attorneys doing nothing but healthcare. And we really live at the intersection of healthcare providers, healthcare investors, healthcare lenders, and we have a growing expertise in FDA and life sciences."
— Holly Buckley [00:31]
She emphasizes the department's national reach and its pivotal position in facilitating various stakeholders within the healthcare sector.
Scott initiates the conversation by addressing the recent fluctuations in the deal market, noting a robust big deal market contrasted by a slower mid-sized deal segment.
Holly responds by highlighting a significant uptick in deal volumes, especially within the lower and middle market segments.
"In the last months we've seen just a really big uptick in deal volume on kind of not the mega deals, on just the standard lower market and middle market deals... We're seeing really good interest and volume around specialties that bring healthcare into the home."
— Holly Buckley [01:21]
She points out specific areas gaining traction, including home health, hospice, infusion services, and digital health solutions aimed at reducing healthcare costs.
"We're seeing a lot more on the private equity side."
— Holly Buckley [02:38]
Delving deeper, Scott inquires about the primary buyers in the practice acquisition market, questioning the roles of private equity firms versus strategic buyers such as insurance companies or health systems.
Holly elucidates that while strategic buyers like Cardinal Health remain active, private equity firms are increasingly prominent in the roll-up strategies within the sector.
"We're definitely seeing strategic activity as well. But... we're seeing a lot more on the private equity side."
— Holly Buckley [02:38]
She cites Cardinal Health as a prime example of a strategic player actively engaging in acquisitions.
Addressing concerns about previous slowdowns in bolt-on acquisitions due to high-interest rates and low margins, Scott probes whether there is renewed activity in this area.
Holly affirms the resurgence, attributing it to pent-up demand and available dry powder in the market.
"We're starting to see in the back half of the year more loosening and more folks looking to transact and plan on closing things before the end of the year."
— Holly Buckley [03:35]
She notes that while the pace has moderated, there is a disciplined and strategic approach to new acquisitions.
Scott shifts the discussion to Holly's personal focus and the broader strategic priorities of McGuireWoods for the latter half of the year.
Holly highlights two main areas:
Healthcare Into the Home: Continuing strong deal activity in home health and behavioral health sectors.
"Deals... bringing kind of healthcare into the home. I've got a lot of them on my plate as well as some behavioral health deals."
— Holly Buckley [04:16]
Talent Acquisition: A renewed emphasis on recruiting high-quality attorneys to bolster the department's expertise and maintain cultural fit.
"We're very focused on continuing to recruit really high quality attorneys who are a great cultural fit with us."
— Holly Buckley [04:16]
She mentions a strategic pivot back to lateral recruiting after integrating new hires earlier in the year, signaling growth and expansion within the team.
The episode concludes with Scott expressing appreciation for Holly's valuable insights into the dynamic healthcare transaction landscape and the strategic initiatives at McGuireWoods. Holly echoes the sentiment, underscoring the collaborative and forward-thinking approach of her team.
"Thank you."
— Holly Buckley [05:15]
This episode provides a comprehensive overview of the current trends in healthcare private equity, emphasizing the resurgence in mid-sized deals, the active roles of both private equity and strategic buyers, and the strategic focus on expanding expertise and talent within the healthcare department.
Key Takeaways:
For those interested in the evolving landscape of healthcare private equity and strategic legal insights, this episode offers valuable perspectives from a seasoned industry leader.