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H1REPORTPREVIEWThe
fullreport
is
availablethroughthePitchBook
Platform.2023INDUSTRY
RESEARCHHea
lthca
reFu
nds
Repor
tPE
and
VC
fundraising
and
performanceContentsKeytakeaways2PitchBookData,Inc.John
Gabbert
Founder,CEOIntroduction3NizarTarhuni
Vice
President,
Institutional
Research
and
EditorialPaul
Condra
Head
ofEmerging
Technology
ResearchHealthcarespecialistfundraisingtrendsHealthcarespecialistperformanceManagerlists46InstitutionalResearchGroup9AnalysisInclusioncriteriaand
categories28Rebecca
Springer,Ph.D.Lead
Analyst,
Healthcarerebecca.springer@Key
takeawaysData•
The
PitchBook
Healthcare
Funds
Report
offersacomprehensive
guideto
450
healthcare
andlifesciencesspecialist
managers
across
bothprivateequity
andventurecapital.
Clients
can
interactwithdynamic
manager
liststoviewinvestments,
benchmarked
returns,key
personnel,
andmore
on
the
PitchBook
Platform.Collin
AndersonData
Analystpbinstitutionalresearch@Publishing•
Across
asset
classes,
2021
wasastandout
fundraisingyear
for
healthcare
specialists,
largely
dueto
theCOVID-19pandemic.Fundraisingnormalized
quickly
for
VC
lifesciences
funds
but
has
remainedelevatedfor
PE
healthcarefunds
and
VC
healthcare
fundsthatdo
not
focus
onlifesciences(alsoreferredto
as
“VC
other
healthcare”).ReportdesignedbyJuliaMidkiffPublished
on
August
7,
2023Clickhere
for
PitchBook’s
report
methodologies.•
Comparing
the
performanceofhealthcare
specialistfundsto
other
funds,
PE
healthcare
specialistsslightlyoutperform,
while
VC
lifesciences
specialists
outperformwhen
measuring
IRR
and
underperform
when
measuringTVPI.VC
healthcare
specialiststhatdo
not
focus
onlifesciences
noticeably
underperforminour
data,
though
datacounts
arelowforthiscategory.•
Read
our
inclusioncriteriafor
the
manager
listsinthisreport
on
page
28.To
update
yourfirm’sclassification
or
fund
data,
please
reach
outtorebecca.springer@.2H1
2023
HEALTHCARE
FUNDS
REPORTIntroductionAs
thePEand
VC
industrieshavematuredand
becomemorecompetitive,managersand
allocatorshaveplacedagrowingemphasison
operationalsophisticationand
sectorspecialization.Healthcareisapopularspecializationstrategybecause
oftheindustry’scomplexregulatoryframeworks,corporatestructures,
and
revenuearchitectures,nottomentionthescientificrigornecessary
toproperlydiligencetechnology
opportunities,
particularlyinlifesciences.Additionally,manyallocatorsareinterestedinexposuretohealthcarebecause
oftheindustry’sreputationforacyclicality.AccordingtoCollerCapital,87%ofLPs
believehealthcareand
pharmaceuticalsareattractiveareasforManagerlistsare
included
forthefollowingasset
class
andstyle
types:•
PEbuyout—diversifiedhealthcare•
PEbuyout—healthcareservices
focus•
PEbuyout—lifesciencesfocus•
PEgrowthequity•
Early-stageVC—biopharma•
Multi-/late-stageVC—biopharma•
Early-stageVC—digitalhealthand
healthcareIT•
Multi-/late-stageVC—digitalhealthand
healthcareIT•
Early-stageVC—diversifiedhealthcareand
lifesciences•
Multi-/late-stageVC—diversifiedhealthcareand
lifesciences•
Early-stageVC—diversifiedlifesciences•
Multi-/late-stageVC—diversifiedlifesciences•
Early-stageVC—medtech•
Multi-/late-stageVC—medtech•
CVC—healthsystemsPEinvestmentoverthenext
twoyears.
Finally,manyLPs1recognizeseculartailwindsand
innovationopportunities
inthehealthcareand
lifesciencesindustries,includingagingpopulations,theneed
fordramaticimprovementsinpatientexperiencesand
providerworkflows,
and
thepotentialforAIand
personalizedmedicinetotransformdrug
development.Thisreport
providesallocators,investorrelationsteams,and
othermarketparticipants
withacomprehensiveviewofhealthcarespecialistmanagersacrossPEand
VC
thatareheadquartered
inNorth
America
and
Europe.
Foradetailedexplanationoftheinclusioncriteriaand
categoriesused
inthisreport,
see
page28.•
CVC—pharma•
CVC—medtech•
CVC—payers•
CVC—otherhealthcare•
CVC—other1:“Global
Private
Equity
Barometer,”
Coller
Research
Institute,
Summer
2023.3H1
2023
HEALTHCARE
FUNDS
REPORTINTRODUCTIONHealthcare
specialistfundraisingtrendsPEhealthcarefundraisingactivity49423526252219181514137$2.3$4.22013$5.42014$3.5$6.82016$5.9$7.6$8.82019$9.5$18.32021$18.02022$13.3201220152017201820202023*Capitalraised($B)FundcountSource:
PitchBook
•
Geography:
North
America
and
Europe*AsofJuly
24,
2023Acrossasset
classes,
2021wasastandout
fundraisingyearforhealthcarespecialists.The
COVID-19pandemicbroughtwidespreadattentiontoopportunities
invirtual
caredeliveryand
mRNA
therapeutics,
as
wellas
soaringdemand
formental
healthcareand
rapid/point-of-carediagnostics.2021was,
ofcourse,
aheydayofprivatecapitalfundraisingregardlessofspecialization,as
multipleexpansionand
frothypublicmarketsfacilitatedearlyexitsand
allocatorsreachedforyieldinalow-rateenvironment.Between
2020and
2021,overallPEfundraising
forNorth
American
and
Europeanmanagersincreased34.7%
YoY,
and
VC
fundraising
increasedby51.7%.
However,overthesame
timeframe
and
inthesamegeographies,
PEhealthcarespecialistfundraisingincreasedby92.4%,VC
lifesciencesfundraisingincreased108.1%,and
VCotherhealthcarefundraisingincreased32.4%.VC
lifesciencesfundraisingactivity1207454676257534745393324After
2021,fundraisingforPEhealthcarespecialistswasmuchmoreresilientthanforVC
managers.
Notonlydid2022’sPEhealthcarefundraisingactivity
trackcloseto2021,butthefirst
halfof2023looks
almostas
strong—evenwithoutCapitalraised($B)FundcountSource:
PitchBook
•
Geography:
North
America
and
Europe*AsofJuly
24,
20234H1
2023
HEALTHCARE
FUNDS
REPORTHEALTHCARE
SPECIALIST
FUNDRAISING
TRENDSVC
otherhealthcarefundraisingactivity49413333323223212218169$0.6$1.1$3.2$2.3$4.1$3.5$1.8$4.02019$5.2$6.92021$5.5$2.72012201320142015201620172018202020222023*Capitalraised($B)FundcountSource:
PitchBook
•
Geography:
North
America
and
Europe*AsofJuly
24,
2023accountingforPatientSquareCapital’sunprecedented$3.9billionfirst-timefundraise.
PEhealthcaremanagerstendtoinvestinbusinesses
thatareconsideredrecessionresistant,and
theindustry’sconcentrationinambulatoryprovidergroupsand
pharmaceuticaldistribution,tools,and
servicespositionedtheindustry
on
therightsideofCOVID-19-relatedtrends.
VC
healthcaremanagersnotfocused
on
lifescienceshavealsoheld
upoverthepast
twoyears.
By
contrast,VC
lifesciencesfundraisingnormalizedabruptlyafter
2021,likelydue
tonarrativesshiftingawayfromwhathadbeen
asingularhypecycleforthebiopharmaceuticalindustry.weused
historicaldeal
activity
trendstoestimatethetotaldry
powder—heldbybothspecialistand
semispecialist/nonspecialistfirms—thatislikelytobe
deployedintohealthcarecompaniesinPEand
VC
deals.
We
peg
thisnumber
ataround$125.4
billionheld
byNorth
American
andEuropeanmanagersforhealthcaredeals,
$34.9billionforVClifesciencesdeals,
and
$34.9billionforVC
otherhealthcaredeals.
Forcomparison,UShealthcareexpenditureswere$4.3trillionin2021.
Itisalsoimportant
tonotethatthese
dry2powderfigures
do
notincludecapitalavailabletobe
deployedtonontraditionalinvestors,suchas
corporateventurecapital(CVC)
arms
and
hedge
funds,
or
toinstitutionalinvestors,suchas
sovereignwealthfunds
and
familyoffices,
fordirect
investments.Because
healthcarespecialistmanagersaccountforonlyasmallportion
oftheprivatecapitaldeployedintohealthcare,2:
“NHE
Fact
Sheet,”
Centers
for
Medicare
&Medicaid
Services,
June
14,
2023.5H1
2023
HEALTHCARE
FUNDS
REPORTHEALTHCARE
SPECIALIST
FUNDRAISING
TRENDSHealthcare
specialistperformancePooledIRRs
by
PEsector*30%25%20%15%10%5%0%2012-20142015-2017PE
healthcare2018-2020PESource:
PitchBook
•
Geography:
North
America
and
Europe*AsofJuly
24,
2023Conventionalwisdomholds
thatspecialistmanagers,
byvirtue
oftheirfocusand
operationalexpertise,
outperformgeneralists.
Manyalsobelievethathealthcaremanagersmayoutperform
due
toindustry
tailwindsand
acyclicality.Contrary
tothisassumption,previousPitchBookresearchhasdemonstratedthatsector
specializationisnotcorrelatedwithoutperformance
ineitherPE
or
VC.Domainexpertiseand
deal-sourcingadvantagearecounteredbyanarrowerinvestableuniverseand
greaterexposuretoindustrydislocation;additionally,manygeneralistGPs
operatewithformalor
de
factosector-specializedteams,furthermuddyingcomparisons.
However,our
previousresearchhasnotspecificallyexaminedtheperformance
ofhealthcarespecialists.We
comparedtheperformance
ofhealthcarespecialistsusingthecuratedlistsinthisreport,
backfilled
tocapturemanagersactivebetween
2012and
thepresent.PooledIRRs
by
VC
sector*30%25%20%15%10%5%0%2012-2014VC2015-20172018-2020VClifesciences
VCotherhealthcareSource:
PitchBook
•
Geography:
North
America
and
Europe*AsofJuly
24,
20236H1
2023
HEALTHCARE
FUNDS
REPORTHEALTHCARE
SPECIALIST
PERFORMANCETVPIdispersionby
VC
sector*5.0x4.0x3.0x2.0x1.0x0xVCVClifesciencesVCotherhealthcareVCVClifesciencesVCotherhealthcareVCVClifesciencesVCotherhealthcare2012-20142015-20172018-2020Top
and
bottomquartilerangeTop
decileMedianBottomdecileAverageSource:
PitchBook
•
Geography:
North
America
and
Europe*AsofJuly
24,
2023Comparingequal-weightedpooled
IRRs
and
TVPIs
ofhealthcarespecialistswiththebroader
assetclassessuggested
severalperformance
trends.
PEhealthcarespecialistsinNorth
America
and
EuropeoutperformedrelativetoallPEmanagersinthesame
geographyforthe2012-2014vintagebucketand
performed
about
as
wellasothermanagersformorerecentvintages.ForVC,thepictureisless
rosy.VC
lifesciencesmanagersreturnedsuperiorIRRsrelativetothebroader
VC
industry
intwoofthreevintagebucketsbut
postedconsiderablylowerTVPIs
acrosstheboard.Thismaybe
due
tothecapital-intensivenatureofdrugdevelopment.Meanwhile,VC
healthcarespecialiststhatdonotfocuson
lifesciencesseverelyunderperformed
usingIRRand
moderatelyunderperformed
usingTVPI.
However,itisimportant
tonotethatdatacountsforthisanalysisarelow,particularlyforthe“VCotherhealthcare”category.7H1
2023
HEALTHCARE
FUNDS
REPORTHEALTHCARE
SPECIALIST
PERFORMANCETVPIdispersionby
PEsector*3.0x2.5x2.0x1.5x1.0x0.5x0xAllPEPE
healthcareAllPEPE
healthcareAllPEPE
healthcare2012-20142015-2017Top
decile
Median2018-2020Top
and
bottomquartilerangeBottomdecileAverageSource:
PitchBook
•
Geography:
North
America
and
Europe*AsofJuly
24,
2023Datacounts*IRRTVPI2012-20142015-20172018-20202012-20142015-20172018-2020PE
healthcare1315111812141101716VC
life
sciences22101916VCother
healthcare110810PE232783111183531252247527898332114VCSource:
PitchBook
•
Geography:
North
America
and
Europe*AsofJuly
24,
20238H1
2023
HEALTHCARE
FUNDS
REPORTHEALTHCARE
SPECIALIST
PERFORMANCEManager
listsClicktoviewtheinteractivelistson
thePitchBookPlatform.PEbuyout—diversifiedhealthcare*ManagerFundraising
status
Current/last
fundLast
closed
year
Last
fund
size
($M)HQ
countryUSAltaris
Capital
PartnersAmulet
Capital
PartnersApposite
CapitalOpenAltaris
Health
Partners
VI20212021202120222020N/A$2350.0$650.0$240.0N/AOpenAmulet
Capital
Fund
IIIUSClosedClosedClosedClosedClosedClosedOpenApposite
Healthcare
Fund
IIIArdan
Investment
Co.
VConsonance
Private
Equity
IIEvolve
Healthcare
Partners
FundG
Square
Capital
IIIUKArdan
EquityUSConsonance
Capital$856.0N/AUSEvolve
HealthCare
PartnersG
Square
Healthcare
Private
EquityGreat
Point
PartnersHealthEdge
Investment
PartnersHildred
Capital
ManagementImpiloSpainUK202020222016202220212021202320212023N/A$555.6$506.0$152.0$362.5$699.2$3,000.0$779.0$290.0$3,900.0N/AGreat
Point
Partners
IVUSHealthEdge
Investment
Fund
IVHildred
Capital
Management
Fund
IIImpilo
Pool
IIUSClosedClosedClosedClosedClosedClosedOpenUSSwedenUSLinden
Capital
PartnersMartis
Capital
ManagementNaviMed
CapitalLinden
Capital
Partners
VMartis
Partners
IVUSNaviMed
Partners
Fund
IIPatient
Square
Capital
FundVivalto
Capital
IUSPatient
Square
CapitalVivalto
PartnersUSFranceUSWater
Street
Healthcare
PartnersWindRose
Health
InvestorsClosedClosedWater
Street
Healthcare
Partners
VWindRose
Health
Investors
VI20222023$1,400.0$1,400.0USSource:
PitchBook
•
Geography:
North
America
and
Europe*AsofJuly
24,
20239H1
2023
HEALTHCARE
FUNDS
REPORTMANAGER
LISTSEarly-stageVC—biopharma*ManagerFundraising
status
Current/last
fundLast
closed
year
Last
fund
size
($M)HQ
countryAditum
BioOpenOpenClosedOpenClosedClosedClosedOpenOpenClosedOpenClosedOpenOpenOpenClosedOpenOpenOpenOpenOpenOpenOpenClosedOpenClosedClosedClosedOpenAditum
Bio
Fund
22020201920202021202220212022202220222020N/A$133.0N/AUSAglaia
Oncology
FundsALSA
VenturesAglaia
Biomedical
VenturesALSA
Ventures
Fund
IApollo
Health
Ventures
Fund
IIARCH
Venture
Fund
XIIATEM
Capital
FundNetherlands$59.0$180.0$2,975.0$0.5UKApollo
Health
VenturesARCH
Venture
PartnersATEM
CapitalGermanyUSUSAtlas
VentureAtlas
Venture
Fund
XIIIAyuh
Ventures
Fund
IIBering
Partners
II$450.0N/AUSAyuh
VenturesUSBering
Capital$1.4USBioqube
VenturesCommodore
CapitalCreacion
VenturesInvivo
CapitalBioqube
Factory
Fund
ICommodore
Capital
FundCreacion
Ventures$122.9N/ABelgiumUS2020N/A$155.3N/AUSInvivo
Ventures
FCRJLS
Fund
IISpainUSJLS
Fund2021N/A$5.3KASTx
VenturesKhanu
ManagementLeafy
TunnelKASTx
Life
Science
Fund
IKHAN
Technology
Transfer
Fund
ILeafy
Tunnel
Fund
1N/ACanadaGermanyUK2019N/A$66.6N/ALinden
Lake
Venture
CapitalLongeVCLinden
Lake
Venture
Capital
FundLongeVCFundN/AN/AUSN/AN/ASwitzerlandUSMedFocusJaic-Henson
MedFocus
Fund
IINCL
Health
Technology
Fund
IINewpath
Partners
IIIMEDCAN
FUND20162020202120202022N/AN/ANCL
Technology
VenturesNewpath
PartnersOskare
CapitalN/AUK$358.0N/AUSFranceUSPalo
SantoPalo
Santo
Venture
FundquadraScope
Venture
FundSMO-Nectero$50.0N/AquadraScope
Venture
FundRM
Global
PartnersThe
Conscious
FundThe
Longevity
FundUtopia
SISUS202320212020N/A$0.2USTCFI$2.5USLongevity
Vision
Fund
IIUtopia
Fund$100.0N/AUSItalySource:
PitchBook
•
Geography:
North
America
and
Europe*AsofJuly
24,
202313H1
2023
HEALTHCARE
FUNDS
REPORTMANAGER
LISTSInclusion
criteria
andcategoriesList
inclusionWe
alsolisthealthcarespecialistfunds
thatmeet
thebelowcriteriabut
aremanagedbynonspecialistfirms.
Forfirms
withmultiplefund
families,wereport
thestatusoftheflagshipfund
familywhereverpossible.The
managerslistedinthisreport
meet
thefollowingcriteria:1.
Theyarehealthcarespecialists,withallor
virtuallyalloftheirinvestmentsinhealthcare.
Thisreport
does
notinclude“targeted”
or
semispecialistmanagerswithastrong,but
notexclusive,healthcarefocus(examplesincludeNewEnterpriseAssociates,OakHC/FT,andShoreCapitalPartners).Lists
ofthemost
activeinvestors(regardlessofspecialization)byhealthcarevertical
can
beStrategy
designationForVC,wedeterminedearly-stageversusmulti-/late-stagedesignationusingacombinationofdeal
designationsaccordingtoPitchBook’smethodology,fund
size,andmanager-statedpreferences.ForPE,
wegenerallycategorizedfirms
as
buyoutfirms
(includinggrowthbuyoutstrategies)unlesstheypredominantlymakegrowthequity
or
late-stageVC
investmentsor
stateapreferenceforgrowthequity.CVCinvestorsarecategorizedbytheindustry
oftheparentcorporationratherthanbythefund’sinvestmentfocus.foundinAnalystWorkspaceson
thePitchBookPlatform.3CVCslistedareactivehealthcareinvestorsbut
maynotbespecialists.2.
TheymanageaPEor
VC
fund
or
areaCVCarm.
Mezzanine,privatecredit,and
publicequitiesstrategiesarenotincluded,
nor
arehedge
funds,
funds
offunds,
or
allocatorsthatmaymakedirectinvestments,suchas
pensions,sovereignwealthfunds,
or
familyoffices,
unlesstheyalsomanagePEor
VC
funds.
Fundlesssponsors
aregenerallynotincluded,
withafewexceptionsforimportant
firmsinvestingoff
ofbalancesheetor
otherperpetualcapital.Fundraising
and
performance
dataFundraisingand
performance
dataincludesmanagersandfunds
meetingcriteria1through3on
theleft
withatleastthreeequity
investmentssince2012.Inthisdata,“VClifesciences”includesonlylifesciencesspecialists.Venturefirms
thatsplitinvestmentsbetween
lifesciencesandotherhealthcaresegments
(suchas
healthcareIT,
digitalhealth,and
healthcareservices)areincludedin“VCotherhealthcare.”The
“PE
healthcare”category
includesallbuyoutand
growthfirms.
We
classifyPEroyaltystrategiesasgrowthequity.3.
Theyareheadquartered
in
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