Thoughtful physician considering private equity investments for long-term wealth strategy.


Thoughtful physician considering private equity investments for long-term wealth strategy.

Why Physicians Should Invest in Private Equity

Por Esteban Handal

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Private Equity has quietly become one of the most powerful drivers of wealth creation in modern markets. Over the past two decades, it has repeatedly outperformed public equities, rewarding investors who could commit capital for the long haul. For many individual investors, the longer holding periods and lack of liquidity can be a deterrent. But for physicians, who can have more stable earnings and longer careers than other professionals, the asset class is a natural fit.

As of December 2023, the PitchBook North American Private Equity Index beat the S&P 500 across every major time horizon—5, 10, 15, and 20 years. Data shows PE funds generating roughly 15% annualized returns (IRR) as of Q3 2024, compared to around 7.8% in the public markets. For doctors with the ability to lock up capital, those extra percentage points translate into meaningful long-term wealth.

  • 5 years: 18.3% (PE) vs. 9.9% (S&P 500)
  • 10 years: 17.3% vs. 11.9%
  • 15 years: 14.3% vs. 11.3%
  • 20 years: 15.2% vs. 9.7%
Bar chart comparing the performance of the PitchBook North American Private Equity Index and the S&P 500 over 5-year, 10-year, 15-year, and 20-year periods. The private equity index (yellow bars) consistently outperforms the S&P 500 (blue bars) across all timeframes: 5-year: 18.3% vs. 9.9% 10-year: 17.3% vs. 11.9% 15-year: 14.3% vs. 11.3% 20-year: 15.2% vs. 9.7%
Fonte: Pitchbook, as of December 31, 2023

The illiquidity of Private Equity—typically a 5–7 year holding period—can be a barrier for investors who need frequent access to cash. For established physicians, though, their more stable incomes means this is often not a major constraint and they can take advantage of the higher returns. Even with a modest allocation (15–20% of a portfolio), doctors can capture PE’s return premium while still maintaining liquidity for opportunities, lifestyle needs, or emergencies.

Private Equity has matured into a highly diverse ecosystem. While large-scale firms like Blackstone or KKR often command headlines, smaller and more specialized funds have gained traction – ­particularly in the middle and lower-middle markets, such as Handal Dunaway’s AI Tactical Opportunities Fund. These funds often focus on niche industries or regional opportunities overlooked by mega funds, and they remain more accessible to high-net-worth individuals.

Beyond direct fund commitments, investors can also gain exposure by purchasing shares in publicly listed PE giants such as Carlyle and TPG. While this route resolves the liquidity issue, it also introduces the complexity of investing in diversified asset managers whose performance extends well beyond core Private Equity operations.

Despite growing demand, entry points into compelling Private Equity funds are still not widely available for individuals outside the ultra-high-net-worth tier. Some firms are increasingly working with investment advisors to open doors, but accessibility remains limited. As awareness rises, the question is not whether physicians should be involved in Private Equity, but whether the industry will expand access to meet this demand.

Na Handal Dunaway, we know physicians carry unique challenges: grueling work hours, administrative responsibilities, and personal commitments often leave little time for financial management. That’s why our team specializes in designing investment strategies that fit the realities of doctors’ lives—helping them benefit from asset classes like Private Equity without adding another burden.

You dedicate your career to patients. We dedicate ours to ensuring your wealth continues to grow.


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Sobre o Autor

Esteban é CEO e Sócio-Gerente da Handal Dunaway. Anteriormente, atuou como banqueiro de investimentos em Fusões e Aquisições no grupo de Tecnologia, Fintech e Serviços da Nomura, além de ter passado pela Centerview Partners, um dos principais bancos de investimento independentes do mercado.

Ele também fundou a Washington Academy, transformando-a no maior operador de escolas vocacionais no México e na América Central. Esteban possui um MBA pela Yale University e uma graduação em Finanças e Economia pela Babson College.