— Glossary

The private equity playbook.

Four steps from scouting to exit, with your landlord, your hospital, and your grocery store somewhere in the middle.

Step 1 of 4

A PE firm finds a company that looks undervalued.

Scouting is the least glamorous part of the job and the one that decides everything. Analysts screen for stable cash flow, low capital intensity, and a management team either tired or replaceable. The public market may have stopped caring, either because the company is too small to get coverage or because its last two earnings calls were boring. Fragmented industries are a favorite: a hundred regional HVAC companies or dental practices that can be rolled up into one big operator. A founder approaching retirement with no obvious successor is catnip. What the firm is really looking for is a business that throws off predictable cash and is priced like it doesn't.

— What this means for you

Usually the signal is a company the public market has stopped paying attention to.

Timeline: Scouting, months

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— Why this is in your life

Roughly eleven million Americans work at a PE-owned firm, and most of them did not notice when the ownership changed.

The portfolio is broader than the headlines suggest. PE-owned companies run hospitals, dialysis clinics, nursing homes, veterinarians, dental practices, grocery chains, and, increasingly, single-family rental homes. The logo on the door does not change. The billing software does. The staffing ratio does. The contract with the insurer does.

The research on outcomes is the part nobody at the firm likes to talk about. PE-owned companies go bankrupt at roughly ten times the rate of comparable public peers in the decade after acquisition. Headcount at acquired firms falls on average in the first two years. Prices at PE-owned hospitals go up. Quality metrics at PE-owned nursing homes go down. None of this is universal, but all of it is the central tendency the academic literature keeps finding.

If your rent went up more than you expected, if your kid's pediatric practice got absorbed into a bigger system, if the ER wait got longer and the bill got stranger, there is a decent chance a leveraged buyout is sitting upstream of the experience. It is not the only reason any of those things happen. It is a surprisingly common one.

— FAQ

Private equity, answered.

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