Private equity firms bought 500 hospitals. Death rates in their emergency rooms went up 13%. They fired 12% of the staff. Then they paid themselves billions in dividends.
A Harvard study just confirmed what doctors already knew: people are dying so investors can hit quarterly targets.
Exactly what happens. A PE firm buys a hospital using debt. The debt gets placed on the hospital's balance sheet, not the firm's. Now the hospital owes hundreds of millions it never borrowed. To service that debt, the hospital cuts costs. Costs mean nurses.
The numbers from the Harvard/University of Chicago study are horrifying. After PE acquisition, emergency department salary spending dropped 18.2%. ICU salary spending dropped 15.9%. Hospital-wide employees were cut 11.6%. Emergency department deaths rose 13%, seven additional deaths per 10,000 visits.
A separate study found patients undergoing surgery at PE-acquired hospitals had 17% higher odds of dying within 90 days.
Steward Health Care, owned by Cerberus Capital, filed bankruptcy with $9 billion in debt after closing hospitals across Massachusetts. The CEO lived on a $40 million yacht while emergency rooms went dark. Eight hospitals serving 2 million people nearly disappeared because a PE fund extracted more cash than the system could survive.
The private equity industry has poured over $1 trillion into healthcare. They operate a quarter of ERs nationwide. This isn't going away.
The investing angle nobody talks about.
Non-PE hospital operators like HCA Healthcare (HCA) and Tenet (THC) are the direct beneficiaries. Every time a PE hospital closes or deteriorates, patients flow to the nearest competitor. HCA has returned 1,200% since 2011. Patient volume from PE closures is a structural tailwind nobody's pricing in.
Medical staffing firms (AMN Healthcare, Cross Country) charge premium rates specifically because PE hospitals cut staff. The staffing shortage IS the business model for these companies.
The disruption play: outpatient surgical centers (SCA Health, now part of UnitedHealth) are pulling profitable procedures out of hospitals entirely. PE-owned hospitals lose their highest-margin surgeries to outpatient, and the death spiral accelerates.
Pull up tradevision and monitor healthcare M&A alerts, hospital closure filings, and patient volume migration data. When a PE-owned hospital announces "restructuring," the patient volume shift to competitors like HCA starts within 30 days. That 30-day window is when the competitor's earnings revisions haven't updated yet. Free to try.
(a private equity firm bought your local hospital. borrowed $500 million in the hospital's name. fired 12% of the nurses. emergency room deaths rose 13%. then they paid themselves dividends. nobody went to prison. they're currently buying another hospital.)
Disney: we gotta keep Mickey Mouse safe and sterile! he's gotta be appealing to small children!
Paul Rudish: i am going to make Mickey Mouse an actual fucking gremlin do you hear me he is a feral rat now
Disney: brilliant
Midwestern Units of Measurement:
Next door = 500 feet - 3 miles
A couple minutes away = 5-10 miles
Up North= hand gesture north-ish
Just up the road = 10-20 miles
Not too far = 45 minutes
A lil’ ways = over an hour
Pretty good drive = 2 hours+
Drive down there = literally anywhere
New season kicks off March 15!
And unlike that guy who ordered Fireball at dinner and kept saying “crypto is the future,” this is one date you’ll want to remember.
@Films_At_Home Welp steaming services and costs have gotten out of hand. I'm glad I have been collecting physical media over the years and I have even created my on Plex server of all my owned content to create a similar experience as Netflix if I didn't want to grab the disc off the shelf
Moderna has said it will likely charge $130 for its Covid vaccine.
Taxpayers, through the US government, gave $2.5 billion to develop the Moderna vaccine.
It was nearly entirely funded by taxpayers.
And it costs only around $3 to produce.
Unusual.