Find more information on the issues deeply affected by private equity investments:
PESP has created the Private Equity Hospital Tracker (July 2026) A current list of all private equity-owned hospitals in the U.S. Key Points Approximately 447 US hospitals are owned by private equity firms. That represents: 9.5% of all…
Behind nonprofit partnerships, private equity firms are building a growing footprint across hospitals, hospice, rehabilitation, and outpatient care. Over the past decade, private equity has dramatically expanded its presence across the healthcare system. While much of the public…
As states prepare for expanded Medicaid work requirements, more frequent eligibility reviews, and increased administrative oversight, they are relying heavily on private contractors to manage the systems that determine coverage, process payments, and oversee care.
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…
To download a PDF version of this report, click here. Introduction Private equity firms have become increasingly influential in Michigan’s economy. These firms raise money from institutional investors such as pension funds, university…
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…
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…
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…
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…
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.
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…
PESP released a new report, “Private equity’s investments in private duty nursing,” which exposes how the private equity business model could exacerbate staffing shortages and compromise care for children and adults with complex medical needs who rely…
