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QU

Quorum Health Resources

healthcare
PE-OWNED

Provided management and consulting services to hospitals and healthcare systems.

PE-OWNED

Acquired by TPG Capital2013-04-01

View PE Firm Profile

What Made It Great

Leading provider of hospital management services to independent facilities

What PE Will Likely Do

Quorum Health Resources will likely experience significant staffing reductions, with nursing staff being replaced by lower-cost licensed practical nurses (LPNs) or nursing assistants to cut labor costs.

HIGH LIKELIHOODBased on: TPG Capital's history of aggressive cost-cutting and debt-loading tactics in acquired companies, with a 21% bankruptcy rate.

Quorum is likely to sell hospital real estate and lease it back, extracting equity for the PE firm's investors while potentially leading to higher facility costs passed on to patients.

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

Quorum may aggressively upcode medical procedures and diagnoses to maximize reimbursements, leading to higher healthcare costs for patients and insurance providers.

HIGH LIKELIHOODBased on: The timeline of similar past cases in other industries, where cost-cutting measures led to a decline in product/service quality and eventual financial distress.

Quorum is likely to eliminate unprofitable but essential services like psychiatric care or rural hospital services in order to focus on more profitable lines of business.

HIGH LIKELIHOODBased on: The timeline of similar past cases in other industries, where cost-cutting measures led to a decline in product/service quality and eventual financial distress.

Quorum will likely extract significant management and consulting fees from the hospitals it manages, potentially reducing resources available for patient care.

HIGH LIKELIHOODBased on: The timeline of similar past cases in other industries, where cost-cutting measures led to a decline in product/service quality and eventual financial distress.

Expected Timeline

0-6 monthsCompleted

0 to 6 months months

Quorum will likely announce cosmetic changes, 'optimization' programs, and a leadership shuffle as the PE firm takes control.

6-12 monthsYOU ARE HERE

6 to 12 months months

Staffing cuts will begin under the guise of 'efficiency' programs, and Quorum will start reviewing its service lines for potential cuts.

12-24 months

12 to 24 months months

Patients will likely notice a decline in service quality, with longer wait times and reduced access to certain healthcare services.

24-36 months

24 to 36 months months

Significant issues may emerge, including the closure of certain hospital departments and potential quality scandals.

36+ months

36+ months months

Quorum may face bankruptcy, hospital closures, or a fire sale to another operator as the PE firm's cost-cutting strategies take a toll on patient care.

Similar Cases

Other companies that followed a similar path after PE acquisition

What You Can Do

Actions

  • Patients of Quorum-managed hospitals should closely monitor any changes in staffing, service offerings, and billing practices, and be prepared to advocate for their healthcare needs.

  • Consumers should research alternative healthcare providers in their area that may not be under PE ownership, in order to maintain access to quality care.

  • Patients should stay informed about the performance and financial stability of Quorum-managed hospitals, and be ready to voice concerns to local authorities or regulatory bodies if service quality declines.

Alternatives

Non-profit health systemsSAFE

Community-focused healthcare

Kaiser PermanenteSAFE

Integrated managed care consortium

Share this company's PE status

"Quorum Health Resources is now PE-owned. Here's what that means for you."