Case Study: 21st Century Oncology

21st Century Oncology logo

Deal Synopsis


  • We were retained by 21st Century Oncology with a mandate to seek acquisitions and strategic partnerships in the freestanding radiation therapy sector

About Cancer Treatment Services

  • Operator of 3 freestanding radiation therapy centers in Casa Grande, Arizona, West Boca, Florida, and Chula Vista, California

Transaction Outcomes

  • 21st Century structured a joint venture partnership with Cancer Treatment Services Arizona
  • Consolidated the competitive Phoenix radiation therapy market
  • 21st Century now operates 185 radiation therapy centers across 16 states and six countries

Our Role


  • We were able to develop a strategic partnership plan for 21st Century to consolidate the Phoenix, Arizona market


  • We used our expertise to assist 21st Century with finding, valuing, structuring, and executing this transaction