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Shining a light on PE ownership.

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LifeCare Holdings

healthcare
PE-OWNED

Operated long-term acute care hospitals for critically ill patients requiring extended treatment.

PE-OWNED

Acquired by Sun Capital Partners2007-01-01

View PE Firm Profile

What Made It Great

“

Specialized in complex medical cases requiring extended acute care treatment

What PE Will Likely Do

Predictions

LifeCare Holdings will likely experience reductions in nursing staff and a shift towards less-qualified LPNs and nursing aides to provide patient care

HIGH LIKELIHOODBased on: Sun Capital Partners' history of high bankruptcy rates and cost-cutting tactics in acquired companies

LifeCare's hospitals will likely sell their real estate assets and lease them back, extracting equity for investors while increasing long-term operating costs

HIGH LIKELIHOODBased on: The PE playbook for the healthcare industry, which frequently includes staffing reductions, real estate sale-leasebacks, billing upcoding, and service line cuts

LifeCare may aggressively code for higher-reimbursement procedures and diagnoses, leading to potential billing upcoding and inappropriate care

HIGH LIKELIHOODBased on: The specific nature of LifeCare Holdings' business in providing long-term acute care for critically ill patients, which is vulnerable to quality declines from PE cost-cutting

LifeCare will likely eliminate unprofitable but essential services like psychiatric care or specialized long-term acute care for their most complex patients

HIGH LIKELIHOODBased on: The specific nature of LifeCare Holdings' business in providing long-term acute care for critically ill patients, which is vulnerable to quality declines from PE cost-cutting

LifeCare will likely see large management and consulting fees extracted by the PE firm, reducing resources available for patient care

HIGH LIKELIHOODBased on: The specific nature of LifeCare Holdings' business in providing long-term acute care for critically ill patients, which is vulnerable to quality declines from PE cost-cutting

Expected Timeline

Phases
0-6 monthsCompleted

“0 to 6 months months”

Cosmetic changes, 'optimization' announcements, and leadership shuffles at LifeCare Holdings as the PE firm implements its playbook

6-12 monthsYOU ARE HERE

“6 to 12 months months”

Nursing staff cuts begin under 'efficiency' programs, and LifeCare starts reviewing which service lines to maintain or eliminate

12-24 months

“12 to 24 months months”

Quality of care at LifeCare's hospitals noticeably declines, with longer wait times and reduced access to specialized services

24-36 months

“24 to 36 months months”

Major quality issues emerge, including department closures and potential patient care scandals at LifeCare

36+ months

“36+ months months”

LifeCare Holdings faces a high likelihood of bankruptcy, hospital closures, or a fire sale to another operator

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

  • Patients and their families should closely monitor the quality of care at LifeCare's hospitals, including staffing levels, wait times, and availability of specialized services

  • Patients should be vigilant for potential billing issues or inappropriate coding that could lead to higher out-of-pocket costs

  • Patients requiring long-term acute care should explore alternative options and be prepared for potential LifeCare hospital closures or service cuts

Alternatives

Non-profit health systemsSAFE

Community-focused healthcare

Kaiser PermanenteSAFE

Integrated managed care consortium

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"LifeCare Holdings is now PE-owned. Here's what that means for you."