So, an $18.3 billion check is being written to take Hologic—a company that literally builds the machines that find cancer in women—off the public market. The press release is a masterclass in corporate poetry, full of phrases like "exciting new chapter" and "advancing women's health."
Give me a break.
Let's call this what it is: a private equity raid. Blackstone and TPG, two of the biggest sharks in the financial ocean, didn't just wake up one morning with a burning passion for cervical cancer screening. They smelled money. They saw a stable, necessary industry and figured they could squeeze it for a few billion more than it’s currently worth. And they're paying a 46% premium to do it, which tells you everything you need to know about how much fat they think is left on the bone.
The deal is structured with $76 per share in cash and this little financial instrument called a "contingent value right," or CVR. It’s basically a lottery ticket for up to another $3, tied to hitting "certain global revenue goals" for their Breast Health business. What does that actually mean? It means they’ve just incentivized the new, private Hologic to push mammography machines and screening tests with the ferocity of a used car salesman on the last day of the month. Is that really what we want from the people in charge of cancer detection?
The Feel-Good Language of a Corporate Takeover
You have to admire the sheer audacity of the quotes. Stephen MacMillan, Hologic's CEO, says Blackstone and TPG will "help accelerate our growth." Ram Jagannath from Blackstone talks about his admiration for the company's "positive impact." It's all so heartwarming.
This is just business. No, 'business' is too clean a word—this is a corporate raid dressed up in a lab coat. Private equity firms are not benevolent patrons of science. They are financial engineers. Their job is to buy a company, load it with debt (which Hologic will now be responsible for paying back, offcourse), cut costs to the bone, and then flip it a few years later for a massive profit. It’s like hiring a demolition crew to "renovate" a hospital. They might talk about improving the structure, but they’re really just there to strip the copper wiring out of the walls.
The press release is filled with talk of "innovation" and "next-generation solutions." But what happens when the R&D budget for a slightly-better diagnostic tool conflicts with a quarterly debt payment? What gets cut first? The long-term, life-saving research, or the short-term obligation to the bankers who funded the buyout? I think we all know the answer to that. This ain't their first rodeo.

Then again, maybe I'm the crazy one here. Maybe these private equity titans really do lie awake at night worrying about improving patient outcomes. But history, and common sense, suggest their sleep is more troubled by interest rates and exit multiples.
Welcome to the Shadows, Hologic
By "going private," Hologic is essentially stepping out of the light. No more pesky quarterly earnings reports for the public to scrutinize. No more nosy analysts asking tough questions on conference calls. All the decision-making will happen behind the closed doors of Blackstone and TPG boardrooms, far from public view.
They say Hologic will keep its headquarters and brand, which is a nice, comforting thought. It’s also completely meaningless. The soul of the company is no longer its mission statement; it's the term sheet for the leveraged buyout. The new bosses aren't doctors or scientists; they're dealmakers from firms with a combined $1.4 trillion in assets under management. Do we really believe they’re going to prioritize a patient in a clinic over a percentage point of ROI for their limited partners?
And what about that 45-day "go-shop" period? It's a contractual fig leaf. It’s the illusion of a fair process, designed to give the board legal cover against shareholder lawsuits. The odds of another buyer swooping in to top a 46% premium from two of the most aggressive funds on the planet are basically zero. It’s a done deal. They just have to go through the motions.
The whole thing feels designed to maximize shareholder value in the short term, and if patient care happens to improve along the way, well...
The real question is, five years from now, when Blackstone and TPG are getting ready to sell off the company they've "transformed," will Hologic be a more innovative leader in women's health? Or will it be a hollowed-out brand name, saddled with debt and stripped of its best assets?
So Much for 'Women's Health'
Let's drop the pretense. This isn't a partnership; it's an acquisition. The language of "collaboration" and "shared vision" is a smokescreen to hide the brutal reality of modern finance. A vital piece of the healthcare industry, one focused on the well-being of millions of women, has just been converted into a pure financial asset. Its new purpose isn't to serve patients, but to generate returns. And anyone who believes otherwise is buying a fantasy that not even Hollywood would dare to write.
