GI deal activity drops 59% since 2022 

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While gastroenterology deal activity has declined sharply over the past three years, momentum is expected to continue as independent practices pursue consolidation to gain scale and modernization benefits, according to a Q1 2025 corporate finance report from KPMG.

Despite the downturn, consolidation remains a strategic priority for many GI groups seeking to enhance their capabilities through electronic health record systems, modern endoscopy equipment, specialized software and ancillary services.

A breakdown of GI physician practice M&A activity by year: 

2022: 27

2023: 19

2024: 11

A breakdown of the deals by region: 

South: 29

Northeast: 15

West: 8

Midwest: 5

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