NEW YORK – May 27, 2025 – MidOcean Partners (“MidOcean”), a premier New York-based alternative asset manager specializing in middle-market private equity, alternative credit, and structured equity, today announced it has made a preferred equity investment in Emergency Care Partners (“ECP” or the “Company”), a leading provider of emergency medicine services to hospitals in the U.S that is majority owned by Varsity Healthcare Partners. MidOcean’s non-control capital investment will be used to fund planned acquisitions and dividends to certain long-time physician shareholders in the Company. Terms of the transaction were not disclosed.
MidOcean’s investment in ECP is the firm’s second transaction in its Structured Equity Solutions strategy, which was launched last year with the firm’s investment in Gridhawk, a provider of critical infrastructure damage prevention services. The Structured Equity Solutions strategy combines the sector expertise, thematic focus, and operating advisor network of MidOcean’s private equity platform with the structuring and pricing discipline of MidOcean’s alternative credit business to deliver creative financing solutions and non-control capital to middle-market companies.
Formed in 2018, ECP manages the clinical services aspect of hospital and health systems’ emergency departments, functioning as the “front door of the hospital.” The Company supports over 1,100 emergency medicine providers, meeting the needs of 1.5 million annual patient visits across ECP’s physician group of 63 clinical locations, and is backed by Varsity Healthcare Partners and Regal Healthcare Capital Partners.
"We are extremely pleased to be partnering with ECP and Varsity Healthcare Partners on the next phase of the Company’s growth plan. ECP’s differentiated model, consistent performance, strong sponsor backing, and strategic alignment with MidOcean’s healthcare investment thesis made it an ideal candidate for relationship capital from our platform," said Graham Clempson, Vice Chairman of MidOcean Partners.
Eric Roth, Managing Director at MidOcean Partners, commented, “Given its strong fundamentals and management team, ECP is emblematic of the type of investments we seek to make across our structured equity platform. MidOcean’s private equity and credit businesses bring a unique combination of underwriting skills, and both have long-standing experience in the healthcare sector, enabling us to swiftly underwrite the investment with conviction.”
Bill Yarbrough, ECP's Chief Executive Officer, said, “Our partnership with MidOcean positions ECP for continued growth, specifically as we look to further our partnership model with like-minded physician groups. As a company, we are always focused on the long-term success of our organization and the well-being of the clinicians who make it all possible. We are excited to expand ECP’s presence with our existing health system partners and new hospital relationships while supporting continued investment in exceptional patient care and experience with every partner group and location.”
Gibson Dunn & Crutcher LLP acted as legal advisor to MidOcean. Greenhill & Co., a Mizuho affiliate, and Evercore Partners Inc. acted as placement agents and Greenhill & Co acted as the exclusive financial advisor to the Company in connection with this financing. Morgan Lewis & Bockius LLP acted as legal advisor to ECP.
About Emergency Care Partners
ECP is a leading provider of emergency department management services for hospitals across the U.S., with current operations in eight states, treating 1.5 million patient visits annually, and supported by a clinical workforce of 1,000+ physicians and mid-level providers. ECP provides a unique group model, highlighted by equity ownership through its physician partnership. ECP enables local groups to maintain their culture and clinical practice autonomy while benefiting from the organization's significant back-office infrastructure.
About Varsity Healthcare Partners
Varsity Healthcare Partners is a leading lower middle-market healthcare services private equity investment firm, targeting exclusively multi-site healthcare provider platforms or businesses providing outsourced services, technology, or tools to healthcare providers and/or payers. VHP’s tactical investment strategy emphasizes identifying and transacting with growth-seeking, provider-owned or founder-owned companies, leveraging VHP’s developed “buy and build” playbook to drive significant operational, managerial enhancement early in the life of each platform investment, followed by a well-resourced aggressive and multidimensional growth plan. VHP’s unique tactical investment playbook and strong track record is complemented by VHP’s distinct organizational culture, emphasizing highly collaborative engagement, strong professional accountability, and a commitment to excellence in work product and team performance.
About Regal Healthcare Capital Partners
Regal Healthcare Capital Partners is a growth equity and buyout firm focused exclusively on healthcare services. Regal’s founders and investors include physicians and other providers who have successfully built healthcare companies. Regal partners with successful healthcare entrepreneurs that benefit from the strategic, financial, operational, and managerial expertise, as well as the equity capital that its team and core investor group of healthcare professionals can bring to growing businesses.
