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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

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

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

What You Can Do

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

Share this company's PE status

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