Explore the issues

Find more information on the issues deeply affected by private equity investments:

Reports

Private equity’s autism therapy boom is straining Medicaid

Private equity firms have rapidly expanded into autism therapy services, scaling a Medicaid-funded model that is driving up costs while audits across multiple states have uncovered widespread billing and compliance issues. As demand for autism services…

Reports

Private Equity Bankruptcy Tracker

PESP has released the Private Equity Bankruptcy Tracker A running list of U.S. bankruptcies connected to private equity  Updated February 20, 2026 For data on 2024 PE-connected bankruptcies, click here. Key Findings  Disproportionate Role in Bankruptcies and Distressed…

Reports

Private Equity Healthcare Deals: 2025 in Review

Overview In light of private equity’s continued interest in healthcare and the risks associated with private equity ownership of healthcare companies, the Private Equity Stakeholder Project (PESP) tracks private equity-backed healthcare deals each month and produces an annual summary…

Reports

Private equity lags stocks for retail investors

Private equity funds for retail investors dramatically underperformed stocks in 2025 despite charging much higher fees Private equity seeking DOL safe harbor against 401K lawsuits over fees, performance As the private equity industry is asking the Trump Administration to provide…

Reports

2025 State Healthcare Policy Review

In 2025, state legislatures across the country advanced a wave of proposals to rein in the risks of private equity in healthcare. Spurred by hospital closures, bankruptcies, and mounting evidence of financial extraction by private investors, lawmakers in…

Reports

Private Equity in Ambulatory Surgical Centers

Private equity firms are reshaping outpatient surgical care through consolidation, leveraged buyouts, and joint ventures with major health systems. This PESP report examines how those strategies impact costs, transparency, and competition across the fast-growing ambulatory surgery sector.

Reports

PESP PACE Investment Tracker

Table of Contents Introduction Private Equity Risks Methodology PACE Tracker Case Study: InnovAge Private Equity, Opportunity Zones, and PACE Conclusion Introduction PACE – the Program of All-Inclusive Care for the Elderly – provides…

Reports

Private Equity’s Failed Bet on Value-Based Care

A new report from the Private Equity Stakeholder Project exposes the risks of private equity investments in value-based care (VBC) providers, detailing how debt-based financial strategies have led to bankruptcies, clinic closures, and healthcare consolidation, impacting vulnerable patient populations. To download…

Reports

PE is continuing to acquire — and bankrupt — nursing homes

Private equity firms remain active in acquiring nursing homes, despite claims to the contrary. This activity continues to pose significant risks to residents and workers due to profit-driven practices, high debt levels, and complex real estate transactions.Current estimates…

Reports

Case Study: Lifepoint in North Carolina

Apollo and Lifepoint paint a rosy picture of PE hospital ownership; safety and quality data tell a different story Private equity ownership of healthcare providers has increasingly come under scrutiny for a business model that prioritizes short term profits over…

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