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Steward Health Care

healthcare
PE-OWNED

Largest physician-owned for-profit hospital network in the United States.

PE-OWNED

Acquired by Cerberus Capital Management2010-11-01

View PE Firm Profile

What Made It Great

Community hospitals providing essential healthcare services to local populations.

What PE Will Likely Do

Staffing cuts leading to longer wait times, fewer nurses per patient, and increased patient loads

HIGH LIKELIHOODBased on: Cerberus Capital Management's track record of aggressive cost-cutting and debt loading in acquired companies

Closure of unprofitable but essential services like rural clinics, maternity wards, and psychiatric care

HIGH LIKELIHOODBased on: The healthcare industry playbook of common PE tactics that degrade service quality and patient outcomes

Aggressive billing practices resulting in higher out-of-pocket costs for patients

HIGH LIKELIHOODBased on: The historical precedents of Steward Health Care and other healthcare companies acquired by PE firms filing for bankruptcy

Sale-leaseback of hospital real estate, leading to potential rent increases that get passed on to patients

HIGH LIKELIHOODBased on: The historical precedents of Steward Health Care and other healthcare companies acquired by PE firms filing for bankruptcy

Expected Timeline

0-6 monthsCompleted

0 to 6 months months

Announcement of 'efficiency' programs, leadership changes, and vague promises of 'optimization'

6-12 monthsYOU ARE HERE

6 to 12 months months

Staffing cuts begin, with RNs replaced by LPNs and aides to reduce labor costs

12-24 months

12 to 24 months months

Noticeable decline in service quality, with longer wait times, shorter appointments, and reduced access to specialized care

24-36 months

24 to 36 months months

Closure of unprofitable service lines, potential quality scandals, and financial strain leading to bankruptcy risk

36+ months

36+ months months

Potential bankruptcy, hospital closures, or fire sale to another operator, leaving communities without access to essential healthcare services

Similar Cases

Other companies that followed a similar path after PE acquisition

What You Can Do

Actions

  • Monitor for any changes in staffing levels, service offerings, and out-of-pocket costs at your local Steward Health Care facilities

  • Advocate for your local representatives to closely monitor the impact of the PE acquisition on your community's access to essential healthcare services

  • Consider seeking care at other healthcare providers if the quality of service at Steward Health Care facilities significantly declines

Alternatives

Non-profit health systemsSAFE

Community-focused healthcare

Kaiser PermanenteSAFE

Integrated managed care consortium

Share this company's PE status

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