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Sound Inpatient Physicians

healthcare
PE-OWNED

A physician group providing hospitalist and intensivist services to hospitals nationwide.

PE-OWNED

Acquired by Ares Management2018-10-01

View PE Firm Profile

What Made It Great

Specialized inpatient physician services improving hospital efficiency

What PE Will Likely Do

Reduced staffing levels, with fewer experienced physicians and more reliance on nurse practitioners or physician assistants to handle patient volume

HIGH LIKELIHOODBased on: Ares Management's track record of cost-cutting and debt-loading in acquired companies, which has led to a high bankruptcy rate of 23%

Increased emphasis on billing and coding practices to maximize reimbursements, even if it means upcoding or overcoding procedures

HIGH LIKELIHOODBased on: The healthcare industry playbook, which shows a high frequency of staffing reductions, billing upcoding, and service line cuts in PE-owned healthcare providers

Consolidation or elimination of less profitable service lines, such as critical care or specialty hospital units, leading to reduced access to these services for patients

HIGH LIKELIHOODBased on: The timeline of changes observed in similar past cases, such as Guitar Center and 24 Hour Fitness, where quality deterioration and bankruptcy followed PE acquisition

Deterioration in the quality of care and increased wait times as physicians are forced to see more patients per day to meet productivity targets

HIGH LIKELIHOODBased on: The timeline of changes observed in similar past cases, such as Guitar Center and 24 Hour Fitness, where quality deterioration and bankruptcy followed PE acquisition

Expected Timeline

0-6 monthsCompleted

0 to 6 months months

Announcement of 'optimization' plans, leadership changes, and promises of increased efficiency

6-12 monthsYOU ARE HERE

6 to 12 months months

Staffing reductions begin, with experienced physicians replaced by less expensive providers

12-24 months

12 to 24 months months

Patients start to notice longer wait times, shorter appointment durations, and reduced access to specialized services

24-36 months

24 to 36 months months

Widespread quality issues emerge, including increased medical errors, patient dissatisfaction, and potential patient harm due to service line cuts

36+ months

36+ months months

Potential bankruptcy, hospital closures, or sale to another operator, resulting in further disruption and uncertainty for patients

Similar Cases

Other companies that followed a similar path after PE acquisition

What You Can Do

Actions

  • Monitor for changes in the availability and quality of specialized inpatient services, such as critical care, that may be impacted by the PE acquisition

  • Be aware of potential billing changes and upcoding practices that could lead to higher out-of-pocket costs for patients

  • Advocate for the preservation of essential services, such as maternity and psychiatric care, that may be at risk of being cut

Alternatives

Non-profit health systemsSAFE

Community-focused healthcare

Kaiser PermanenteSAFE

Integrated managed care consortium

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"Sound Inpatient Physicians is now PE-owned. Here's what that means for you."