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IA

IASIS Healthcare

healthcare
PE-OWNED

Operated acute care hospitals and healthcare facilities across multiple states.

PE-OWNED

Acquired by TPG Capital2004-05-01

View PE Firm Profile

What Made It Great

“

Community-focused hospital operator with strong local market positions

What PE Will Likely Do

Predictions

Reduction in nursing staff and increased use of lower-skilled LPNs and aides, leading to longer wait times and reduced quality of care

HIGH LIKELIHOODBased on: TPG Capital's track record of cost-cutting and operational efficiency tactics in acquired companies, with a bankruptcy rate of 21%

Sale-leaseback of hospital real estate, extracting equity for investors and potentially leading to higher facility rental costs

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

Aggressive upcoding of procedures and diagnoses to maximize reimbursements, potentially leading to higher bills for patients

HIGH LIKELIHOODBased on: The negative consumer impact score of 0.18 for TPG Capital's tactics, indicating a harmful effect on the quality of products and services

Elimination of unprofitable but essential services like maternity, psychiatric, and rural care, reducing access to critical healthcare for local communities

HIGH LIKELIHOODBased on: The negative consumer impact score of 0.18 for TPG Capital's tactics, indicating a harmful effect on the quality of products and services

Extraction of large management and consulting fees, diverting resources away from patient care and hospital operations

HIGH LIKELIHOODBased on: The negative consumer impact score of 0.18 for TPG Capital's tactics, indicating a harmful effect on the quality of products and services

Expected Timeline

Phases
0-6 monthsCompleted

“0 to 6 months months”

Announcement of 'optimization' initiatives, leadership changes, and vague promises of improving efficiency

6-12 monthsYOU ARE HERE

“6 to 12 months months”

Initiation of staffing cuts and service reviews, with gradual decline in care quality

12-24 months

“12 to 24 months months”

Noticeable increase in wait times, reduced availability of certain services, and deterioration of patient experience

24-36 months

“24 to 36 months months”

Potential closure of departments, quality scandals, and growing concerns about the ability of IASIS to provide adequate care

36+ months

“36+ months months”

High risk of bankruptcy, hospital closures, or a fire sale to another operator, leaving local communities without access to essential healthcare services

Similar Cases

Other companies that followed a similar path after PE acquisition

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Steward Health Care

Cerberus Capital Management·2010

See full case study
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Envision Healthcare

KKR·2018

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US Dermatology Partners

Ares Management·2016

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Hahnemann University Hospital

Cerberus Capital Management·2018

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Sound Physicians

Summit Partners·2019

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What You Can Do

Take Action

Actions

  • Closely monitor any changes in the availability and quality of healthcare services provided by IASIS hospitals in your local community

  • Be aware of potential increases in medical bills and be vigilant for any signs of upcoding or other billing irregularities

  • Advocate for the preservation of essential healthcare services, such as maternity, psychiatric, and rural care, in your local IASIS facilities

  • Stay informed about any leadership changes or operational shifts at IASIS hospitals and be prepared to voice concerns about declining care quality

Alternatives

Non-profit health systemsSAFE

Community-focused healthcare

Kaiser PermanenteSAFE

Integrated managed care consortium

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