Mitchell Love, DO

Emergency Med Resident @UTSW_EM (@DallasEMed) @OSUMedicine + @UofOklahoma alum | Proud Okie + Christ Follower!

[James Walker @jwalkermobile]

Boarding this morning’s flight with my emotional support trout…

[Felix Prehn 🐶 @felixprehn]

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.)

[Netflix @netflix]

“I hope I've demonstrated that you can face anything, you can face the end of your days, you can face hell with dignity. Fight, girls, and hold your heads high. Billie and Georgia, you are my heart, you are my everything. Goodnight. I love you.

Eric Dane leaves his daughters — and the world — with one final message in Famous Last Words.

[ESPN @espn]

OKLAHOMA SNAPS BAMA'S 17-GAME HOME WIN STREAK 🤯

It was the longest active streak in the FBS 😮

[Consumer Reports @ConsumerReports]

Our tests of popular dairy, beef, and plant-based protein products found plant-based options had the highest lead levels, 9x as much as dairy and 2x as much as beef. Even dairy powders weren’t risk-free: half were too contaminated for safe daily use.

[The Spectator Index @spectatorindex]

BREAKING: Huntington's Disease, which is normally fatal within two decades, has been treated for the first time, according to researchers at the University College London and BBC report.

[brantly.eth @BrantlyMillegan]

spotted at the OKC bombing memorial today, the day after the @okcthunder won the NBA Championship

"Dear Dad... I wish we could cheer on the Thunder together. You would get so much joy from this team." @NickAGallo

[Adam Schefter @AdamSchefter]

OKC’s first championship:

[SportsCenter @SportsCenter]

OKC REIGNS ON THE NBA’S MOUNTAINTOP 🏆

The Thunder’s new Big Three has cemented their place in history ⚡️

[OKC THUNDER @okcthunder]

THUNDER WINS NBA FINALS ⚡️⚡️⚡️⚡️

[SEC Network @SECNetwork]

BOOMER. SOONER.
NATIONAL. CHAMPIONS.

@OU_WGymnastics takes home their seventh national championship 🤩🏆

[UTSW EM @DallasEMed]

WELCOME INTERNS!!! We are SO excited to have you here in Dallas! Get ready to train at the busiest ED in the country!!!

[UTSW EM @DallasEMed]

We can't wait to welcome our incredible NEW INTERNS tomorrow! #Match2025 #MATCHDAY #EMBound

[UTSW EM @DallasEMed]

Happy Match Week! Welcome to the best specialty ❤️ We can't wait to meet our new interns!!! @emresidents #Match2025

[UTSW EM @DallasEMed]

Come do your Sub-I with us! We'd love to meet you! #emergencymedicine #vslo

[ESPN @espn]

"Great moments are born from great opportunity." 🗣️ This Miracle mashup could give you chills 🥶

📺 #4Nations Face-Off Championship | 8 PM ET | ESPN, ESPN+, Disney+

🏒 “Miracle” starring Kurt Russell now streaming on Disney+”

[James Diao @JamesADiao]

🧵1/ Last year, a thoughtful reply to our @JAMA_current article sent me down a rabbit hole on CVD prevention.

Should statins be prescribed less or more often? Available OTC? Added to the water supply??

Let’s talk trials, thresholds, and tradeoffs!

[Mitchell Love, DO @mitchelllove_]

The best department! Grateful to work with these men and women!

[Greg Abbott @GregAbbott_TX]

The @DallasFireRes_Q is deployed in California to help battle their wildfires.

These heroes are working around-the-clock to help their fellow Americans.

[NEJM @NEJM]

Physician shortages in the United States are projected to worsen, especially in rural areas. Dr. @RWalensky and @NCMcCann argue that broad reforms, including changes in education and compensation, are needed. Read the full report: https://t.co/NUayk59LnW

[emresidents @emresidents]

📣 Introducing the 2025 committee leaders of the Social EM Committee! Congratulations and thank you for your efforts and helping those in need and making an impact in EM!
@emresidents #EMRAfamily @MedEdtweeter @MegHayslip @mitchelllove_