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Shining a light on PE ownership.

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PS

Psychiatric Solutions

healthcare
PE-OWNED

A behavioral healthcare company operating psychiatric hospitals and treatment facilities.

PE-OWNED

Acquired by Bain Capital2010-01-01

View PE Firm Profile

What Made It Great

“

Specialized inpatient and outpatient psychiatric care

What PE Will Likely Do

Predictions

Psychiatric Solutions will likely cut nursing staff and replace registered nurses (RNs) with less-qualified licensed practical nurses (LPNs) or nursing aides to reduce labor costs

HIGH LIKELIHOODBased on: Bain Capital's track record of cost-cutting, outsourcing, and service quality reduction in previous acquisitions

Psychiatric Solutions will likely sell hospital real estate and lease it back, extracting equity for Bain Capital investors

HIGH LIKELIHOODBased on: The high frequency of specific PE tactics commonly used in the healthcare industry, such as staffing reductions, real estate sale-leasebacks, billing upcoding, service line cuts, and management fee extraction

Psychiatric Solutions will likely aggressively code for higher-reimbursement psychiatric procedures and diagnoses to boost revenues

HIGH LIKELIHOODBased on: The timeline of events observed in similar past cases involving PE acquisitions of healthcare and service-based companies

Psychiatric Solutions will likely eliminate unprofitable but essential psychiatric and behavioral health services, forcing patients to seek care elsewhere

HIGH LIKELIHOODBased on: The timeline of events observed in similar past cases involving PE acquisitions of healthcare and service-based companies

Psychiatric Solutions will likely charge acquired hospitals large management and consulting fees, diverting funds away from patient care

HIGH LIKELIHOODBased on: The timeline of events observed in similar past cases involving PE acquisitions of healthcare and service-based companies

Expected Timeline

Phases
0-6 monthsCompleted

“0 to 6 months months”

Psychiatric Solutions will likely announce 'optimization' initiatives and shuffle leadership, giving the appearance of change

6-12 monthsYOU ARE HERE

“6 to 12 months months”

Psychiatric Solutions will likely begin staffing cuts under the guise of 'efficiency' programs, while also reviewing service lines

12-24 months

“12 to 24 months months”

Patients at Psychiatric Solutions facilities will likely experience noticeably declining service quality, with longer wait times and reduced access to specialized care

24-36 months

“24 to 36 months months”

Major issues will likely emerge at Psychiatric Solutions, such as the closure of psychiatric departments or quality scandals

36+ months

“36+ months months”

Psychiatric Solutions may potentially face 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

  • Closely monitor Psychiatric Solutions facilities for any changes in staffing, service quality, and access to specialized psychiatric and behavioral health services

  • Be aware of potential billing issues and advocate for transparent and ethical coding practices

  • Research alternative psychiatric care options in the community in case Psychiatric Solutions reduces or eliminates essential services

  • Voice concerns to local authorities and regulatory bodies if Psychiatric Solutions' actions negatively impact patient care and safety

Alternatives

Non-profit health systemsSAFE

Community-focused healthcare

Kaiser PermanenteSAFE

Integrated managed care consortium

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"Psychiatric Solutions is now PE-owned. Here's what that means for you."