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Shining a light on PE ownership.

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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

Predictions

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

Phases
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

Operating

Steward Health Care

Cerberus Capital Management·2010

See full case study
Operating

Envision Healthcare

KKR·2018

See full case study
Operating

US Dermatology Partners

Ares Management·2016

See full case study
Operating

Hahnemann University Hospital

Cerberus Capital Management·2018

See full case study
Operating

Sound Physicians

Summit Partners·2019

See full case study

What You Can Do

Take Action

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

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