Back to Search
AV

Aveanna Healthcare

healthcare
PE-OWNED

Provides home health and hospice services primarily for pediatric patients.

PE-OWNED

Acquired by Bain Capital2017-11-01

View PE Firm Profile

What Made It Great

Specialized pediatric and complex care home health services

What PE Will Likely Do

Aveanna Healthcare will likely reduce the number of highly skilled registered nurses (RNs) and replace them with less experienced licensed practical nurses (LPNs) or nursing aides to cut labor costs.

HIGH LIKELIHOODBased on: Bain Capital's track record of cost-cutting, debt loading, and operational efficiency improvements in acquired companies, which often lead to declines in service quality and consumer impact.

Aveanna Healthcare may attempt to extract equity from their real estate assets through sale-leaseback transactions, which could lead to higher rents and reduced investment in facility maintenance.

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

Aveanna Healthcare may engage in aggressive billing practices to maximize reimbursements, including upcoding procedures and diagnoses, which could lead to higher costs for patients and insurers.

HIGH LIKELIHOODBased on: The timeline of similar past cases in the retail and media industries, which have often resulted in bankruptcy or significant service quality issues within 3-5 years of private equity acquisition.

Aveanna Healthcare may choose to eliminate certain unprofitable but essential services, such as psychiatric or rural care, in order to improve their bottom line, which could leave vulnerable patients without access to necessary care.

HIGH LIKELIHOODBased on: The timeline of similar past cases in the retail and media industries, which have often resulted in bankruptcy or significant service quality issues within 3-5 years of private equity acquisition.

Expected Timeline

0-6 monthsCompleted

0 to 6 months months

Aveanna Healthcare may announce 'optimization' programs and shuffle leadership, creating uncertainty among patients and their families.

6-12 monthsYOU ARE HERE

6 to 12 months months

Staffing cuts and service reviews will begin, leading to longer wait times and potentially reduced quality of care.

12-24 months

12 to 24 months months

Patients and their families will likely notice a decline in service quality, with longer appointment times, higher caseloads for nurses, and deferred equipment maintenance.

24-36 months

24 to 36 months months

Major issues may emerge, such as the closure of certain care departments or quality scandals related to the changes implemented by Bain Capital.

36+ months

36+ months months

Aveanna Healthcare may face potential bankruptcy, hospital closures, or a fire sale to another operator, further disrupting patient care.

Similar Cases

Other companies that followed a similar path after PE acquisition

What You Can Do

Actions

  • Closely monitor any announcements or changes made by Aveanna Healthcare following the acquisition by Bain Capital.

  • Be vigilant for any signs of declining service quality, such as longer wait times, shorter appointments, or reductions in nursing staff.

  • Advocate for the preservation of essential services, such as psychiatric and rural care, to ensure vulnerable patients continue to have access to the care they need.

  • Consider alternative healthcare providers if the quality of care at Aveanna Healthcare deteriorates significantly.

Alternatives

Non-profit health systemsSAFE

Community-focused healthcare

Kaiser PermanenteSAFE

Integrated managed care consortium

Share this company's PE status

"Aveanna Healthcare is now PE-owned. Here's what that means for you."