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AL

Altus Emergency Centers

healthcare
PE-OWNED

A freestanding emergency room operator providing 24/7 emergency care in Texas.

PE-OWNED

Acquired by Sentinel Capital Partners2016-09-01

View PE Firm Profile

What Made It Great

Convenient freestanding emergency rooms in suburban locations

What PE Will Likely Do

Staffing at Altus Emergency Centers will be reduced, with more lower-skilled medical assistants and fewer experienced registered nurses (RNs) on staff

HIGH LIKELIHOODBased on: Sentinel Capital Partners' history of cost-cutting and debt-loading tactics in their portfolio companies

Altus will sell the real estate of its freestanding emergency room locations and begin leasing them back, extracting equity for investors

HIGH LIKELIHOODBased on: The healthcare industry playbook for private equity firms, which commonly involves staffing reductions, real estate sale-leasebacks, billing upcoding, and service line cuts

Altus will aggressively upcode medical procedures and diagnoses to increase reimbursements from insurance providers

HIGH LIKELIHOODBased on: The typical timeline of private equity ownership, which often sees quality and service declines within the first few years

Altus may choose to eliminate unprofitable but essential services like pediatric emergency care or behavioral health support

HIGH LIKELIHOODBased on: The typical timeline of private equity ownership, which often sees quality and service declines within the first few years

Expected Timeline

0-6 monthsCompleted

0 to 6 months months

Altus will announce 'optimization' initiatives and likely undergo a management shuffle, with Sentinel's executives taking on key roles

6-12 monthsYOU ARE HERE

6 to 12 months months

Staffing reductions will begin, with RNs being replaced by lower-cost medical assistants. Altus will also start reviewing its service lines for potential cuts

12-24 months

12 to 24 months months

Patients will start to notice longer wait times, as well as a decline in the quality of care. Altus may begin closing down certain service lines or departments

24-36 months

24 to 36 months months

Major issues will emerge, such as service closures, quality scandals, and potentially even the closure of some Altus emergency room locations

36+ months

36+ months months

Altus may face bankruptcy or be sold off to another operator, potentially resulting in the permanent closure of some of its emergency room facilities

Similar Cases

Other companies that followed a similar path after PE acquisition

What You Can Do

Actions

  • Patients should be vigilant for any signs of declining care quality at their local Altus Emergency Center, such as longer wait times, less experienced staff, or the elimination of essential services

  • Consumers should reach out to their local elected officials and healthcare regulators to advocate for maintaining high-quality emergency care in their communities

  • Patients with ongoing medical conditions or who require specialized emergency services should consider identifying alternative care providers in their area as a precaution

Alternatives

Non-profit health systemsSAFE

Community-focused healthcare

Kaiser PermanenteSAFE

Integrated managed care consortium

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