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A practitioner's guide to using data on private equity hospital acquisitions.

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Area of Science:

  • Health economics
  • Healthcare management
  • Health services research

Background:

  • Private equity (PE) investment in US hospitals is increasing.
  • Empirical research is limited by fragmented and inconsistent transaction data.
  • A comprehensive and validated dataset is needed for accurate analysis.

Purpose of the Study:

  • To construct a comprehensive and validated dataset of PE ownership of US hospitals.
  • To provide a practical guide for using these data in research.
  • To improve the accuracy and transparency of research on PE in the hospital sector.

Main Methods:

  • Integrated 6 commercial deal databases (2000-2024).
  • Filtered for PE-related hospital deals, matched to AHA and CMS identifiers.
  • Manually verified matches, reconciled duplicates, and verified deal/exit dates.

Main Results:

  • Identified 141 unique PE deals involving 555 hospitals (721 observations).
  • Databases varied significantly in coverage, deal type, and reporting level.
  • Manual verification was essential due to inconsistencies and system-level deals.

Conclusions:

  • Accurate study of PE ownership requires multisource data construction and validation.
  • A harmonized dataset and workflow enhance research accuracy, transparency, and replicability.
  • This infrastructure supports better understanding of PE's role in US hospitals.