On September 21, 2023, the Federal Trade Commission (FTC) sued
Welsh, Carson, Anderson & Stowe (WCAS) and U.S. Anesthesia
Partners, Inc. (USAP), in the Southern District of Texas, alleging the two companies "[e]xecuted a
multi-year anticompetitive scheme to consolidate anesthesiology
practices in Texas, drive up the price of anesthesia services
provided to Texas patients, and boost their own profits."
According to the FTC's complaint, WCAS founded USAP in 2012
to execute a strategy to consolidate hospital-based anesthesiology
services in Texas, including by acquiring large anesthesiology
practices, entering into price-setting agreements with independent
practices, and agreeing with a competitor to stay out of a USAP
territory. Although WCAS owns less than 25% of USAP today, the FTC
has sued the private equity investor and alleged that the investor
played an instrumental role in developing USAP's horizontal
acquisition strategy, particularly with respect to mergers