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Re:Who employs your doctor? Increasingly, a private equity firm by civilized on Sunday July 16, 2023 @01:04PM (#36749193)
I think it should be illuminating to balance narratives like this with simple questions along classical economic lines:

1. Why is private equity ending up with all these resources? Who is selling to them and why? Why didn't this happen before? It's not like PE is new.

2. When PE loads up a firm with supposedly unsustainable billions of debt, someone is on the other side of that transaction, lending the billions. Who does that and why? Are they perpetual suckers, unaware of the decades of experience we have doing this?

I don't necessarily think the conventional prestige media narrative around PE is wrong, but it never seems to get around to asking these basic economic questions. It can't be as simple as some metaphor where bandits are roaming the economic countryside pillaging innocent victims. Voluntary transactions are occurring and we need to understand why to address any underlying issues.

"Unpleasant things are happening, we need some sort of regulation" doesn't seem like a sufficient basis for socially beneficial action. Whatever underlying issues are making healthcare an attractive PE target will probably persist, and maybe get worse, if all we do is pass some kind of "PE bad, stop PE" law.

Re:Who employs your doctor? Increasingly, a private equity firm by lordnacho on Sunday July 16, 2023 @01:25PM (#36749436)
My current working theory. Happy to hear from any of the actual PE people who are reading this.

1. As you can imagine, not everyone has the wherewithal to launch a PE firm. Only people who are well connected in the financial world will get access to the funds. People who have friends in the investment sector for instance. There's plenty of stories about how VC (which isn't the same thing) investment is hard to get a meeting for if you don't know someone in the firm. PE works in a similar way, certain people know the players and get the deals together. Of course a lot of it is a promise of future business.

2. When a firm is acquired, the M&A advisors that did the deal get paid. When a firm is restructured (from bankruptcy), the same happens. Lawyers as well. These people all get paid to make the deals happen. Part of what happens is the M&A people will talk someone in the lending department into doing the deal. And remember it isn't just one bank or one lawyer or one lender on each deal. The lenders will all take a piece of the debt, which can be sold on (eg packaged in various tranched products) to investors (pension funds etc). If you smooth out the poop enough it doesn't smell so bad.

That's what I can glean from my far corner of the financial world, while I do work in finance I'm pretty removed from PE.

Re:Who employs your doctor? Increasingly, a private equity firm by YPCrumble on Sunday July 16, 2023 @02:17PM (#36749976)
It feels like most answers to “who is at the losing end of any transaction” is pension funds, which are guaranteed by the government. So by your theory PE firms are sucking in taxpayer money by fleecing pension funds run by financiers who aren’t smart enough to get into PE.

Basically until pension funds aren’t bailed out by the government this will continue.

Re:Who employs your doctor? Increasingly, a private equity firm by horsawlarway on Sunday July 16, 2023 @02:41PM (#36750164)
You don't stop making blood to get rid of leeches. You pull the leech off.
Re:Who employs your doctor? Increasingly, a private equity firm by BSEdlMMldESB on Sunday July 16, 2023 @03:51PM (#36750780)
you do if/when you have such a case of leeches that you die.
Re:Who employs your doctor? Increasingly, a private equity firm by worik on Sunday July 16, 2023 @03:51PM (#36750785)
> You don't stop making blood to get rid of leeches. You pull the leech off.

No. You heat the leech with a match and it falls off.

Fire is the cure

Re:Who employs your doctor? Increasingly, a private equity firm by username135 on Sunday July 16, 2023 @04:56PM (#36751319)
Purge with fire. Got it.
Re:Who employs your doctor? Increasingly, a private equity firm by lordnacho on Sunday July 16, 2023 @02:46PM (#36750214)
That's more or less correct.

We have so many layers of agency in our economic system, and it isn't really a good thing.

Re:Who employs your doctor? Increasingly, a private equity firm by alephnerd on Sunday July 16, 2023 @02:49PM (#36750241)
I'm adjacent to the space and I'd disagree with this statement: "fleecing pension funds run by financiers who aren’t smart enough to get into PE."

Institutional Investment Funds (pensions, endowments, sovereign funds, etc) need returns well beyond inflation to ensure long term stability.

To do this, they will mix and match various different investment vehicles to minimize risk.

This means a fund will have a varying percentage of funds invested in stocks+ETFs, commodities+futures, cash in hand, real estate assets, IP assets, and greenfield opportunities.

Essentially, you are dealing with dozens of different financial instruments, and while you may have an above average understanding of how all these work, you won't have the resources, staffing, or ability to optimize returns on all these instruments.

This is why Funds end up having VC firms make VC investment decisions, PE firms (itself a loaded term because PEs specialize in different markets and sectors) making equity investment decisions, etc.

If you are able to specialize in one specific sector (aka have both the domain experience and the network of founders, operators, and managers) then at that point you may as well open your own firm and manage investments on the behalf of other institutional investors.

It's all about specialization.

Also, fund operating costs cannot exceed more that 2%. This means you can only really charge AT MOST 2% YoY on the entire value of the fund. That 2% will have to cover your entire expenses (salary, insurance, office space). This means most operations have to be extremely lean as there isn't much money to spread around.

Re:Who employs your doctor? Increasingly, a private equity firm by civilized on Monday July 17, 2023 @12:45AM (#36754255)
And what do they accomplish with all that complexity and the absurdly large up-to-2% expense ratio? Any evidence that these funds deliver better than index returns after fees? Or is it just a jobs program for the spreadsheet set?
Re:Who employs your doctor? Increasingly, a private equity firm by fakedang on Monday July 17, 2023 @10:33AM (#36758709)
Some of the sovereign wealth funds like the Norwegian one and the Middle Eastern ones aim for a 10% annual return. They are extremely stringent about which funds they invest with, and in most cases they go for direct investments rather than passive ones. The funds from those are literally used to fund various welfare programmes for their citizens. They also hire some of the brightest, most talented traders and not some PE-rejects.

Just sucks that Western pension funds hire mostly second-tier folks with the right connections, with a few exceptions here and there, or some stupid union bosses, at least from my experience in PE.

Re:Who employs your doctor? Increasingly, a private equity firm by coastermug on Sunday July 16, 2023 @02:54PM (#36750279)
I believe this to be the case also. In the UK we have lots of cases cropping up of PE being the bad guys, but the current owners being to blame for buying these companies in unstable positions and allowing the sellers to make fortunes. It does often seem like it is Pension funds making these poor investments. I am also really happy to see this line of questioning on HN, as it has been lacking in previous discussions.
Re:Who employs your doctor? Increasingly, a private equity firm by multicast on Sunday July 16, 2023 @08:24PM (#36752767)
Wrong. PE investments today make a small portion of the overall portfolio of a pension fund (varies from state to state). In widely swinging markets a PE form that does not speculate in the market but buys and flips with a lot of expertise a private company, and often generates higher and more sustainable returns. This is a reason why PE investments by pension funds are increasing, but they still make a small portion of the pie. In addition, pension funds are not funded through tax money but through portions of ones wage. And not all pension funds are from the state (e.g. CalPERS), most of them are run by pension fund specialized corporations or if big enough by the employer itself.
Re:Who employs your doctor? Increasingly, a private equity firm by bko on Sunday July 16, 2023 @08:26PM (#36752779)
Pension funds are investors in PE, they're not the debtors. In other words, if PE firms do well, their investors (pension funds) do well. They're also not stupid

This whole conversation about PE is non-sensical. It's all based on this naive notion that PE firms borrow money to buy investments and use that money to pay themselves, more often than not bankrupting the original company, and since it was borrowed money, they can come out unscathed.

But no one can answer, why would anyone lend PE firms money if it's a bad investment? Debt normally doesn't have an upside. Best case scenario is you get paid back what you're owed plus interest.

A lot of online criticism can't even get the relevant players right and relies on naive tropes like "they're greedy" or "corruption", as a hand-wavy way to explain complicated dynamics. And then they throw out theories that could be dispelled by reading the first few paragraphs on investopedia regarding PE firms. Why is the discourse in this particular field so poor on hacker news? Low quality conversations regarding technical topics would not fly on this forum. If someone mentioned Y2K and you made a low quality comment like "greedy corporations wanted to save money by not storing more than 2 digits for the year", you would get downvoted to hell. So why does this topic have such poor comments?

Re:Who employs your doctor? Increasingly, a private equity firm by fairity on Sunday July 16, 2023 @10:33PM (#36753438)
> So why does this topic have such poor comments?

I’m sure this won’t be a popular opinion, but I believe it’s basically class warfare at work. You have, here, a lot of upper middle class engineers whose egos are protected if they believe that the richer class is greedy and unethical.

Re:Who employs your doctor? Increasingly, a private equity firm by Spooky23 on Sunday July 16, 2023 @11:47PM (#36753811)
> But no one can answer, why would anyone lend PE firms money if it's a bad investment?

Remember the housing crisis? As long as you can align the debt with an appropriate tranche, institutional investors like diversification and risk (in that part of the portfolio).

Also, these types of debt can make money in the short term. My father in law bought a beach house with a KMart bond trade. After they emerged from bankruptcy, everything was great! (Lol)

Re:Who employs your doctor? Increasingly, a private equity firm by s1artibartfast on Sunday July 16, 2023 @03:10PM (#36750418)
Regarding 2, the still requires you to believe that either Banks or Pension funds are fine with hemorrhaging millions or billions of dollars buying PE debt and haven't figured it out over the course of a half century.

I think the real answer is more unsettling for some. PE that has volatility but is on net a profitable investment. You can smooth out volatility with volume and by spreading it around.

This is the only explanation that doesn't depend on a source of dumb money that can never learn buying this debt.

I'd be willing to change my opinion I came across data showing that PE debt has net losses over a multi-decade time scale.

Re:Who employs your doctor? Increasingly, a private equity firm by coryrc on Sunday July 16, 2023 @05:16PM (#36751485)
> still requires you to believe that either Banks or Pension funds are fine with hemorrhaging millions or billions of dollars buying PE debt

The managers of those funds make money based on deals and they move on before the deal goes south. Principal agent problem.

EDIT: lordnacho explains better: https://news.ycombinator.com/item?id=36751012

Re:Who employs your doctor? Increasingly, a private equity firm by s1artibartfast on Sunday July 16, 2023 @05:33PM (#36751608)
That's certainly a possibility, but I wouldn't put it at the top of the list without ruling out the possibility that they actually make money.

Where does the claim that PE debt is a loser come from?

According to one of the top links on google, state pension returns from PE investments is almost twice that of their stock investments if you look at 2000-2021 (11%/yr vs 6.9%/yr)

https://caia.org/blog/2022/07/20/long-term-private-equity-pe...

Re:Who employs your doctor? Increasingly, a private equity firm by thoughtstheseus on Sunday July 16, 2023 @08:46PM (#36752882)
Those returns are completely different. Private equity assets cannot be easily sold. Try realizing that 11% return and you will quickly see it does it not exist. You need to take a substantial haircut to sell.
Re:Who employs your doctor? Increasingly, a private equity firm by s1artibartfast on Sunday July 16, 2023 @09:42PM (#36753168)
I've done you only don't understand what you're saying. What are those returns different from?

We're talking about private Equity debt so I would think the 11% would be cash Returns on loans.

If you make 11% per year return on your lending portfolio over multiple decades, how is that not comparable to your stock market gains?

Sure, resell of loans might be harder, but they're paying cash interest.

[dead]
Re:Who employs your doctor? Increasingly, a private equity firm by chii on Sunday July 16, 2023 @10:37PM (#36753464)
but how are they getting a bonus if the deal is bad? Esp. if it has gone on for a while?
Re:Who employs your doctor? Increasingly, a private equity firm by s1artibartfast on Monday July 17, 2023 @11:19AM (#36759298)
Someone still has to be losing money on that deal or it's not a bad deal. Someone is paying the bonus and giving the executive money to invest

You're also starting from the assumption that the deals are bad. Why is that?

Re:Who employs your doctor? Increasingly, a private equity firm by civilized on Sunday July 16, 2023 @03:12PM (#36750449)
> the M&A people will talk someone in the lending department into doing the deal.

According to the standard narrative, lenders have been repeatedly duped into throwing billions into bad PE investments for decades.

If you had a friend who asked for a thousand dollars every month, always promised to pay you back and never did, how long would you continue to give him a thousand dollars each month?

If "talking" alone can accomplish this, I think we need to start considering the intervention of supernatural forces in these deals.

Re:Who employs your doctor? Increasingly, a private equity firm by lordnacho on Sunday July 16, 2023 @04:17PM (#36751012)
It's the agency that causes the issue. And a little bit of financial engineering.

Say you have a friend who often can't pay back his debts. But he can pay 80% of them.

You have another friend who wants to lend to safe debtors. Why not get that safe tranche, the bottom 80%? He needs to show he's safe so he can take more risk. He loves going out to dinner with you.

Another guy wants to take some risk. You give him the 20%, but you also let him into some other deals that you have, so that he doesn't always lose. In fact, it turns out this guy isn't paid on the returns, he's paid on assets managed. And he's not even going to be around that long, he'll be onto the next role long before the bond is up. And they're in a bag of other stuff anyway.

Turns out you're not even the guy lending the money. You work on a transaction basis. Your next job might be as one of the friends. Or on the PE side.

So you and your buddies keep skimming a bit of the money off each year, well mixed with other stuff that you are managing.

Well smeared poop.

Re:Who employs your doctor? Increasingly, a private equity firm by fairity on Sunday July 16, 2023 @10:09PM (#36753311)
Nice sounding story, but do you have a source that debt lent to PE backed companies has negative real returns, on average?
Re:Who employs your doctor? Increasingly, a private equity firm by lordnacho on Monday July 17, 2023 @04:36AM (#36755586)
One of the articles linked mentioned it. I wouldn't say negative real returns, probably just worse on a risk adjusted basis.
Re:Who employs your doctor? Increasingly, a private equity firm by anigbrowl on Sunday July 16, 2023 @04:33PM (#36751149)
Everyone knows fraud exists, yet fraudsters continue to flourish; they are good at leveraging new technology and tropes to rebrand themselves.

Consider the frequent complaints about scammers marketing substandard products on Amazon; the issue is well understood, the markers of scammers are well identified, but Amazon does nothing about it because the lesses from disgruntled customers are less than the revenue from shapeshifting scammers.

Re:Who employs your doctor? Increasingly, a private equity firm by ahzhou on Sunday July 16, 2023 @04:29PM (#36751115)
1. Connections talk, but money talks even louder. The companies they buy are also trying to sell for top dollar and rarely court just one buyer.

2. CLOs are definitely problematic, but the current rate of default is vastly overstated. If private credit defaults at the rate people seem to think it does, we'd be looking at a GFC-type situation. I can't say if there's systematic risk in CLOs a la MBS, but any possible risk hasn't materialized yet. The biggest PE firms today rarely default. Blow-ups such as Toys-R-Us are newsworthy for a reason.

See my comment below for more information. I'm not in PE, but I am very familiar with how the sausage is made.

Re:Who employs your doctor? Increasingly, a private equity firm by AndrewKemendo on Sunday July 16, 2023 @01:35PM (#36749549)
>Voluntary transactions are occurring

This is where discussions break down because there's broad disagreements on what is and is not considered "voluntary" - there are ethical/moral traditions that claim nothing is voluntary, while others that claim everything is.

We can gain clarity by defining the opposite then: Involuntary

So, what set of circumstances would be required to declare that someone is doing labor "Involuntarily?" and thus there is no "free market" for labor.

For example, would you say that the person who is manually sorting trash out of recycling for >$30,000/yr [1] is doing so voluntarily?

Maybe someone really loves that and wants to do it and would do it for free. That's possible but unlikely. Maybe someone made decisions such that this is the only job that they can get without moving or some other major life decision. Is that still voluntary simply because they are in that position? Assuming they aren't disabled, they can always put their things in a bag and walk to some place with more options. What of people that are disabled then? How much of what they do is voluntary? You get the point

The challenge then is asking, given that there is no OBJECTIVE answer to the question of what is voluntary (Extreme example: You should be constantly trying to break out of prison, otherwise you doing what the guards tell you to is "voluntary") then "voluntary" shouldn't be a discriminator on whether society has something to say about a transaction between people.

Extreme (unreasonably IMO) freemarketeers view individuals as atomic complete units and that's the end of the story. So irrespective of starting or current positions EVERYTHING is voluntary and the world is all-v-all pvp no hold barred competition. That's who is in PE and finance, so that's what you're up against.

[1] https://www.talent.com/view?id=685b4384e8d6

Re:Who employs your doctor? Increasingly, a private equity firm by sgregnt on Sunday July 16, 2023 @01:54PM (#36749756)
Volanturelly, in my mind, means that you can decide how to employ your resources as you wish (e.g., time education, capital, skills). If your resources allow you only ever a few options, like sorting garbage, you are still doing it voluntarily. If you have many resources (not necessarily material, e.g., education) this will give you more options.

Your abilities are teaded agains all other ppl's abilities in a free market.

There are complications to this view, but the example with sorting garbage, in my mind, is actually an easy case. Yes it is definitely voluntary.

Re:Who employs your doctor? Increasingly, a private equity firm by AndrewKemendo on Sunday July 16, 2023 @02:05PM (#36749860)
>You can decide how to employ your resources as you wish

Thank you. So would you say the following is a correct interpretation of your argument:

"Any action or set of actions is voluntary, provided there are at least two choices"

Follow up question which I do not mean sarcastically or anything other than explicit:

Do you consider "Die/cease to function" a persistent choice? That is to say, if there are only the following options: [x, die] then because die is an option, anything for x is always voluntary?

Re:Who employs your doctor? Increasingly, a private equity firm by ars on Sunday July 16, 2023 @02:34PM (#36750122)
Your question is wrong. Voluntary means that the person giving you the choice is not the one creating the choices.

So your choice is "work", or "starve and die" - the person offering the job is not creating the "starve and die" choice, therefor it is voluntary.

Your choice is "work", "I will beat you" - this in involuntary.

Your choice is "work for $1,000,000", or "work for a bar of gold" - this is involuntary because the person offering the choices created the choices.

Re:Who employs your doctor? Increasingly, a private equity firm by lordnacho on Sunday July 16, 2023 @03:00PM (#36750336)
Does this mean that as long as there are two people making offers, anything you do is voluntary?
Re:Who employs your doctor? Increasingly, a private equity firm by ars on Sunday July 16, 2023 @03:49PM (#36750766)
Your sentence is not written carefully.

Rephrasing: As long as there are two independent people making offers, your choice between the two offers is voluntary. (Do not forget the 3rd option: accept neither offer.)

Re:Who employs your doctor? Increasingly, a private equity firm by lordnacho on Sunday July 16, 2023 @04:20PM (#36751043)
Would you like to work for the Garbage Collection Company of America?

Would you like to work for the American Garbage Collection Company?

Would you like to starve?

Aha, you've volunteered to work as a garbage collector.

I think this isn't what people think of as voluntary. Sophie's Choice is a better description.

Re:Who employs your doctor? Increasingly, a private equity firm by ars on Sunday July 16, 2023 @05:59PM (#36751825)
You clearly didn't read what I wrote, because your options do not match the situation I wrote.

I mean you wrote two basically the same companies, while I clearly said "independent", and you wrote "Would you like to starve", i.e. these companies are telling him work for us or don't work at all, while I clearly wrote that the person giving the choice must NOT create the choice.

And in Sophie's Choice the camp Dr setup both options.

I have to ask: If you are going to ignore what people say to you, why do you even bother replying? If you just want to tell people your opinion post it as a top level comment, not a low effort reply.

Re:Who employs your doctor? Increasingly, a private equity firm by lordnacho on Sunday July 16, 2023 @06:34PM (#36752104)
> Rephrasing: As long as there are two independent people making offers, your choice between the two offers is voluntary. (Do not forget the 3rd option: accept neither offer.)

I then make a very obvious example where there are two independent companies offering similar crappy jobs. Plus your 3rd option.

There's no one person giving the choice, there are two companies and your third option. Perfectly conforming to what you say:

> clearly wrote that the person giving the choice must NOT create the choice

Ok? So there is a situation, a very obvious one, that arises from the conditions that you're claiming making something voluntary. You have two different companies offering substantially the same thing. Now it is voluntary when the outcome is no different from if there were just one company offering the (only) choice.

That is clearly something you will have to explain. I know you can't see how many upvotes a comment has, but I can tell you it doesn't seem like I am the only person who has spotted this.

> And in Sophie's Choice the camp Dr setup both options.

But it is also a term that means "an undesirable decision that has to be made".

Before you accuse other people of not reading, I think it's worthwhile to have a scan for irony.

Re:Who employs your doctor? Increasingly, a private equity firm by ryandrake on Sunday July 16, 2023 @03:14PM (#36750462)
“Do this or die” does not imply meaningful choice. It doesn’t matter if that death is from murder or starvation. For all of us who are not independently wealthy “work” is involuntary, but choice of jobs often (but not always) is voluntary.
Re:Who employs your doctor? Increasingly, a private equity firm by ars on Sunday July 16, 2023 @03:55PM (#36750826)
> “Do this or die” does not imply meaningful choice.

You are upset that the person does not have good options. But that does change anything - deciding to accept a job offer does not make the work involuntary.

You are focusing out the outcome, but outcomes are not the question here, choices are. The employer is not responsible for the way the universe exists, and they are not forcing the person to live in it.

Re:Who employs your doctor? Increasingly, a private equity firm by AndrewKemendo on Sunday July 16, 2023 @05:15PM (#36751481)
You're suggesting a different definition of "voluntary" which is:

>the person giving you the choice is not the one creating the choices

Who is creating the choices if not the people who are offering the jobs?

>So your choice is "work", or "starve and die"

So then you've answered my second question above, which is, if there is a persistent acceptable choice of "die" then any alternative must be voluntary.

My question is, from your perspective unless someone is physically restrained then anything they do is purely voluntary?

Re:Who employs your doctor? Increasingly, a private equity firm by ars on Sunday July 16, 2023 @06:04PM (#36751868)
> Who is creating the choices if not the people who are offering the jobs?

Is that a real question? The universe create the choices. This person offered a job - they are not God, they do not have control over the person. They simply offered a job. I guess you would rather they didn't offer the job?

> My question is, from your perspective unless someone is physically restrained then anything they do is purely voluntary?

Obviously. Although there are other kinds of restraints, threats for example.

I mean, any other definition leads to contradictions and ridiculous situations where employers are blamed for offering jobs to low value occupations.

I can't find it right now, but someone wrote an essay that basically boiled down to how when people help others, instead of getting credit for what they did do, they get blamed for what they could have done.

That's what you are trying to do. In such a world no one is willing to help anyone.

Don't do that, it leads to a horrible world.

Re:Who employs your doctor? Increasingly, a private equity firm by jlawson on Sunday July 16, 2023 @07:36PM (#36752495)
I believe you may be referring to the Copenhagen Interpretation of Ethics [0].

"The Copenhagen Interpretation of Ethics says that when you observe or interact with a problem in any way, you can be blamed for it."

[0] https://forum.effectivealtruism.org/posts/QXpxioWSQcNuNnNTy/...

Re:Who employs your doctor? Increasingly, a private equity firm by ars on Sunday July 16, 2023 @09:56PM (#36753240)
Yes that's it! Thank you.
Re:Who employs your doctor? Increasingly, a private equity firm by ericjmorey on Sunday July 16, 2023 @01:16PM (#36749328)
The victims never consent to the sale. They have no say in the transactions that victimize them. You're looking at two parties making a transaction and assume that those are the only two parties that are part of the transaction.
Re:Who employs your doctor? Increasingly, a private equity firm by civilized on Sunday July 16, 2023 @01:18PM (#36749361)
This can be true of any corporate sale though. How do we distinguish sales that must be stopped because there are victims who must be protected from other sales?
Re:Who employs your doctor? Increasingly, a private equity firm by prepend on Sunday July 16, 2023 @02:01PM (#36749824)
> The victims never consent to the sale.

It’s extremely rare for a forced sale. Usually it’s a public company and shares are purchased on public exchanges, or for privately held companies the board and shareholders approve the sale.

It’s not that these are the only people impacted by the sale, but it’s the best method possible to govern sales.

Re:Who employs your doctor? Increasingly, a private equity firm by candiodari on Sunday July 16, 2023 @02:22PM (#36750015)
I think the idea here is that the "victims" are people needing or wanting medical treatment, and find it's made impossible for them to get it. Yes, they're not really involved in the transaction but still have something taken away from them.

You could argue that it's the government, medicaid and medicare especially that are taking away from them ... but that doesn't make as good a scapegoat as banks and pension funds. Sorry, not pension funds, I mean evil private equity investors ...

Re:Who employs your doctor? Increasingly, a private equity firm by underlipton on Sunday July 16, 2023 @01:33PM (#36749534)
>1. Why is private equity ending up with all these resources? Who is selling to them and why? Why didn't this happen before? It's not like PE is new.

>2. When PE loads up a firm with supposedly unsustainable billions of debt, someone is on the other side of that transaction, lending the billions. Who does that and why? Are they perpetual suckers, unaware of the decades of experience we have doing this?

Ready for a fun conspiracy theory? Guess where most PE guys start (i.e., where their base professional network is developed, where their expertise is, etc.). If you correctly guessed "Ivy League undergrad and business schools" and "investment banking", you can probably tell where I'm going with this. The gameplan is simple: lend your buddy the money to buy the business. Now you have a line to the person who has the most access to data about, if not control over, the direction of the business. Wherever it happens to go, you can be ahead of the market. He's happy because the decision to be lenient or aggressive about repayment lies with his own contact - you.

How do you get businesses to agree to your terms? Well, they hired consultants at some point. Oh, those guys are your buddies, too. You have acquaintances on the BoD, too.

Why go through all the trouble? Besides the fact that you're becoming filthy rich, you also have the opportunity to remove rivals and consolidate markets under an n-opoly. More money. More control.

>"Unpleasant things are happening, we need some sort of regulation" doesn't seem like a sufficient basis for socially beneficial action.

How about fraud and insider trading?

Re:Who employs your doctor? Increasingly, a private equity firm by fiprofessor on Sunday July 16, 2023 @02:52PM (#36750263)
> The gameplan is simple: lend your buddy the money to buy the business. Now you have a line to the person who has the most access to data about, if not control over, the direction of the business. Wherever it happens to go, you can be ahead of the market. Long if it's going to survive and grow; short if it's doomed. He's happy because the decision to be lenient or aggressive about repayment lies with his own contact - you.

But if the business is privately held (because the borrower used the loan to buy the business), then what market is the lender going long/short against in this hypothetical conspiracy? Other (public) businesses in the market? Potential investors when the PE firm sells and takes the business public?

Re:Who employs your doctor? Increasingly, a private equity firm by underlipton on Sunday July 16, 2023 @03:03PM (#36750358)
>Other (public) businesses in the market?

That. Or, you have been shorting the company for some time, because you know it has been targeted for demolition. A PE takeover is the signal that you no longer need to hedge those shorts; the company, loaded with the debt used to purchase it, will soon go bankrupt, and you will be absolved of closing your short positions, for all practical purposes.

This may not apply to the subject of the article (PE firms buying medical establishments), but it may speak to the character of their new strategy. Perhaps they won't kill this goose because they payer has endlessly deep pockets.

Re:Who employs your doctor? Increasingly, a private equity firm by fiprofessor on Sunday July 16, 2023 @03:17PM (#36750486)
> A PE takeover is the signal that you no longer need to hedge those shorts; the company, loaded with the debt used to purchase it, will soon go bankrupt, and you will be absolved of closing your short positions, for all practical purposes.

I think it's just the opposite: you'll be forced to close your short position when the PE company buys. When PE firms "take over" a public firm, they generally take it private, and the takeover involves buying all outstanding shares, typically at a premium over current share prices.

Re:Who employs your doctor? Increasingly, a private equity firm by underlipton on Sunday July 16, 2023 @04:37PM (#36751177)
I don't know if that's necessarily the case, in practice. Aside from the cases where a PE firm does keep the company public, there's at least one case where short-sellers weren't made to close out their positions when a company was taken private (Next Bridge Hydrocarbons, if you're curious).
Re:Who employs your doctor? Increasingly, a private equity firm by robertlagrant on Monday July 17, 2023 @05:45AM (#36755966)
How did that work? The company became privately owned, but somehow someone was still betting on the price of some public shares in that company? How's that possible?
Re:Who employs your doctor? Increasingly, a private equity firm by underlipton on Monday July 17, 2023 @02:02PM (#36761703)
IIRC, public trading was halted several days early due to an "extraordinary event." It was never restarted, CUSIP was removed a few days later. Short positions weren't closed and long positions are sitting in brokerage accounts.
Re:Who employs your doctor? Increasingly, a private equity firm by disgruntledphd2 on Sunday July 16, 2023 @01:55PM (#36749763)
Full disclosure, I don't work in finance, so I may be getting a bunch of this wrong.

> Why is private equity ending up with all these resources?

Because they have cash, mostly from pension funds and insurance companies.

> Who is selling to them and why?

The doctors running the practices, more generally they're rolling up companies in relatively dispersed industries where they believe they can make money.

In the best case, this is because replicating administration across many SMEs is much less efficient than centralising it. In the worst case, it's a way to buy them companies with the cash flows of the company themselves, and pay out fat dividends while gutting the actual business.

Why didn't this happen before?

Really low interest rates super-charged the amount of money that PE could borrow , and helped them raise money because insurance and persion funds needed to get above premium returns which were hard to find because of said really low interest rates.

Additionally, banks became much less likely to lend money since the 2008 crash (because of requirements around capital buffers) so PE was basically the only game in town.

Honestly though, I think the good times are over for PE, as most of the industry (and finance in general) has been cushioned by a low interest rate world, and as debt starts to cost real money we're gonna see a _lot_ of these bets unwind.

> When PE loads up a firm with supposedly unsustainable billions of debt, someone is on the other side of that transaction, lending the billions.

Banks. Again, these loans are assets, and assuming that the business continues as normal and interest rates don't rise, these were OK(ish) risks. More importantly they built a bunch of relationships with the PE people, so it wasn't about any one individual loan, but rather the constant amount of deal flow.

Re:Who employs your doctor? Increasingly, a private equity firm by civilized on Sunday July 16, 2023 @02:53PM (#36750267)
On the last point, interest rates aren't the only thing that matters to loans. The default rate also matters. If I borrow a billion dollars from you to pay myself and I have no good plan to pay you back, it doesn't matter how low interest rates are, you'll still be out a billion dollars.
Re:Who employs your doctor? Increasingly, a private equity firm by fencepost on Sunday July 16, 2023 @05:07PM (#36751405)
If the business is still viable with the debt load, the bank continues to get paid on the loan but whoever owns the company doesn't get much profit. There are plenty of businesses or there that exist but don't thrive or grow, the PE sucking of vitality just moves businesses that might have thrived into that category.
Re:Who employs your doctor? Increasingly, a private equity firm by polygamous_bat on Sunday July 16, 2023 @07:54PM (#36752591)
> If I borrow a billion dollars from you to pay myself and I have no good plan to pay you back, it doesn't matter how low interest rates are, you'll still be out a billion dollars.

In a hypothetical zero interest rate world I can keep paying you the $0 "interest" to not have to pay back the billion. Only when the interest rate goes up do we find out who actually had any intention to ever pay back the original.

Re:Who employs your doctor? Increasingly, a private equity firm by fiprofessor on Sunday July 16, 2023 @02:56PM (#36750300)
> Honestly though, I think the good times are over for PE, as most of the industry (and finance in general) has been cushioned by a low interest rate world, and as debt starts to cost real money we're gonna see a _lot_ of these bets unwind.

Maybe the current bets will unwind, but I'm not sure that means there won't be a good time era of another round of bets. After all, interest rates were very high in the 80s, and that was a heyday for PE, right?

Re:Who employs your doctor? Increasingly, a private equity firm by disgruntledphd2 on Sunday July 16, 2023 @03:04PM (#36750367)
Sure, but that the first day of PE, they had loads of massive conglomerates to strip. Those are all gone now, and the current management structures (except in tech) are hostile to insourcing so there's not as much fat to cut.

Like, definitely some PE firms will survive, but I'm willing to bet (not short though ;) ) that an awful lot of them will go belly-up/be unable to raise more funds in the next 5-10 years.

Re:Who employs your doctor? Increasingly, a private equity firm by multicast on Sunday July 16, 2023 @08:48PM (#36752894)
Big PE firms are now setting up new investment vehicles that specialize in funding big investments of other PE firms. PE firms are starting to invest more and more into equity with their own investors money, thus amount of investments shrink - get more expensive - and the capital needed rises. But I am not sure that this causes more PE firms to close shop on a large scale, but more likely resulting in less transactions being done overall.
Re:Who employs your doctor? Increasingly, a private equity firm by disgruntledphd2 on Monday July 17, 2023 @08:25AM (#36757387)
Yeah, that looks like an extend and pretend maneuver to me, at least.
Re:Who employs your doctor? Increasingly, a private equity firm by multicast on Sunday July 16, 2023 @08:43PM (#36752861)
> Why is private equity ending up with all these resources?

Most of the cash (50-90% - changed through time to time) comes from the banks - leverage, the investing commitments to the PE firm by e.g. pension funds and private invetors, take only a small portion of the equity. The leverage enables the high returns of PE funds, the high debt burden on the company incentivizes the PE firm additionally to make the bough company more efficient and profitable. But this has changed through the last few years. PE firms are starting investing more of their investors money, due to lack of banks providing big loans for big transactions.

Re:Who employs your doctor? Increasingly, a private equity firm by fakedang on Sunday July 16, 2023 @01:57PM (#36749781)
1.) PE is enabled by easy money. If you look at the PE industry, the entire sector was enabled initially through the rise of junk bonds in the 80s, bonds so "worthless" but cheap issued by high risk companies (everyone was issuing bonds back then) with high reward for the winners - kinda like VC as an investment. In recent history, it was the ZIRP and of late money-printing. Easy money with high returns always pulls out money from more conservative investments like government bonds or blue chip stocks, and into more risk-tolerant sectors like PE and VC.

2.) Underwriting banks issue the debt for the PEs. They get paid handily, both from the constant debt payments PE firms take out of cash flow and from repeat underwriting business as investment bankers for future deals. Banks have their own ways of disposing junk debt that fails, but usually PE debt doesn't fail - the only ones being shafted are the company employees and the company itself. The management of the company, the owners and shareholders of the company, and the PE firm itself all make out of it like bandits.

Nowadays, the traditional bread and butter of PE, such as leveraged buyouts, are mostly gone, with most of the returns coming from other avenues such as Real Estate (like buying up homes in Western cities), Emerging Markets and more passive investments in family/practitioner-owned businesses, like the Healthcare space.

Re:Who employs your doctor? Increasingly, a private equity firm by eaenki on Monday July 17, 2023 @09:28PM (#36766602)
how is “emerging markets” even a sector? it’s not like you can call PE buying a bond in India.

so what does that even mean? do you mean that they are doing traditional LBOs in emerging markets?

Re:Who employs your doctor? Increasingly, a private equity firm by fakedang on Tuesday July 18, 2023 @03:31AM (#36769058)
So emerging market investing is quite different from normal developed market investing, simply because each dollar goes for a lot more in an emerging market.

To give an example, the RJR Nabisco takeover cost KKR north of $30B in the 80s. Massively leveraged takeover that ended up flopping so hard because of the amount of debt that KKR loaded up Nabisco with. But if a PE firm were to seek a similar Emerging Market equivalent opportunity, say Ulker Biskuvi in Turkey, it would only cost it $500 million. The PE firm does not need to load the company with debt - they can simply cut costs in the company, increase cash flow and make pay from that, eventually listing/selling off the asset on the local market (on the other hand, a Nabisco relisting would have been a nightmare for banks).

A similar thing is happening in India currently - Blackstone is buying up commercial real estate by the boatload in India. Expensive for local PE firms, but relatively much cheaper for Blackstone compared to buying stuff in Europe for instance.

Re:Who employs your doctor? Increasingly, a private equity firm by chewz on Sunday July 16, 2023 @02:28PM (#36750064)
1) NIRP and search for yield

2) Older doctors, stomatologists etc... Running an individual practice is a challenge, requires constant investment and learning and at some point in life there is an incentive of larger cash out.

And why? Because as West deindustrialized potenial for profit lays in high-value services. Instead of an aluminium smelter you purchase 100 of orthodontist practices. After purchase you cut on costs, raise prices and the investment pays out rather quickly....

Re:Who employs your doctor? Increasingly, a private equity firm by amelius on Sunday July 16, 2023 @03:01PM (#36750339)
> Why is private equity ending up with all these resources? Who is selling to them and why? Why didn't this happen before? It's not like PE is new.

Exploiting financial loopholes is like hacking. We see more hacking these days because more people depend on these systems, and more exploits are found.

Note: "hacking" can be defined as using a system in a way it was not intended to be used. Hacking is also punishable by law. PE firms and the like should not get away simply because they are following the law, as they are abusing the law in the same way as hackers abuse computer systems.

Re:Who employs your doctor? Increasingly, a private equity firm by everybodyknows on Sunday July 16, 2023 @03:21PM (#36750513)
> ... someone is on the other side of that transaction, lending the billions. Who does that and why? Are they perpetual suckers, unaware of the decades of experience we have doing this?

I listened to a podcast interview with a financial professional who advises public pension fund boards. What he said in all but words was that, yes, the political appointees who actually vote on decisions are perpetual suckers.

Re:Who employs your doctor? Increasingly, a private equity firm by ahzhou on Sunday July 16, 2023 @04:06PM (#36750908)
Pensions are very rarely lenders. They may invest in lenders but tend to look at historical performance.

Political appointees are not the ones making investment decisions. At most they are setting very broad themes. For example, political appointees are the ones that say all investments must be carbon-neutral.

Re:Who employs your doctor? Increasingly, a private equity firm by pessimizer on Sunday July 16, 2023 @05:24PM (#36751538)
> Political appointees are not the ones making investment decisions.

Political appointees are making investment decisions by choosing the people who make investment decisions.

Re:Who employs your doctor? Increasingly, a private equity firm by ahzhou on Sunday July 16, 2023 @03:23PM (#36750525)
> Why is private equity ending up with all these resources? Who is selling to them and why? Why didn't this happen before? It's not like PE is new.

PE as an investment strategy was pioneered by KKR in the 60's, beginning with the acquisition of family-owned businesses facing succession issues. The strategy exists because there's really poor liquidity for private companies. If you're a founder who wants to sell your stake, you either:

    1. Sell to a strategic buyer

    2. Sell to an individual

    3. IPO

    4. Sell to PE
The first three options may not be always viable at a given point in time (aka illiquidity). Strategic buyers aren't always looking to buy, an individual may not have enough capital, and IPOs place a huge amount of reporting burden on a company. PE is the only reasonable exit option for a huge swath of private companies. Take a hypothetical family-owned supermarket chain with 10 locations across 3 cities in the midwest. All the kids are terrible successors. Who's going to buy it?

    1. A strategic buyer, such as Walmart, may not be interested right now.

    2. An individual probably doesn't have enough enough money to buy the whole thing

    3. An IPO saddles the business with reporting requirements that simply don't make sense for a supermarket with only 10 locations
People sell to PE because it's often the only way to exit. Almost all bootstrapped companies belong in this category. At the end of the day, PE funds are simply groups of professional investors that specialize in buying out companies. If they are poor investors or poor operators, they will tank the company. If they are good investors and good operators, they will sell the firm for a profit in the future.

--------

> When PE loads up a firm with supposedly unsustainable billions of debt, someone is on the other side of that transaction, lending the billions. Who does that and why? Are they perpetual suckers, unaware of the decades of experience we have doing this?

Many people offer debt, from private credit funds such as Golub Capital to bank syndicates. The best lenders are not suckers and the best PE funds rarely default. Oftentimes, the PE fund itself is collateral. PE funds that regularly default will have a difficult time finding a lender.

People also misunderstand the purpose of debt. It's simple math:

You want to buy a company for $100M. You can buy the entire thing with cash and sell it again after it doubles in 5 years, netting yourself $100M, giving you a 1x return.

Alternatively, you can pay $20M and borrow $80M at a 10% interest rate (simple interest for ease of calculation). When you sell it for $200M in 5 years, you net $200M - $20M - $80M * 0.1 * 5 = $140M, giving you a 7x return.

Obviously, you've also increased the risk - your business must be capable of paying off an extra $8M a year in interest.

Re:Who employs your doctor? Increasingly, a private equity firm by jameshart on Sunday July 16, 2023 @04:06PM (#36750901)
> someone is on the other side of that transaction, lending the billions. Who does that and why? Are they perpetual suckers, unaware of the decades of experience we have doing this?

The lenders in a PE buyout are securing that loan on the assets of the purchased company. Real estate, brand names, IP, capital equipment. Their worst case scenario is that stuff all gets sold off and they get paid back from the firesale proceeds.

Re:Who employs your doctor? Increasingly, a private equity firm by s1artibartfast on Sunday July 16, 2023 @06:05PM (#36751877)
If that's the case then there are no losers left holding a loss, what seems to be the problem?

That's just a group of people buying a company and selling it off the assets for a profit.

Re:Who employs your doctor? Increasingly, a private equity firm by AlexandrB on Sunday July 16, 2023 @08:08PM (#36752675)
The losers are the customers and employees of the company. When we talk about company efficiency, we generally mean ROI. But an inefficient company may be inefficient because it's providing surplus value to either its employees or its customers. When such a company is bought by PE and sold for parts, customers/employers are forced to deal with more "efficient" companies that are better at "capturing value".

If you zoom out a bit stuff like this is, I think, why modern products tend towards increasing monetization, selling of data, rental instead of ownership, etc. You either treat your customer like garbage, or you get bought by PE and replaced by someone who does.

Re:Who employs your doctor? Increasingly, a private equity firm by IG_Semmelweiss on Sunday July 16, 2023 @05:05PM (#36751394)
1 - why didnt this happen before? Thwre was never this much of money created in the system, and Capital was never this cheap.

2 - its usually employees, and sometimes even customers, who are non equity shareholders but long term beneficiaries of the health of the company. Workers usually are not organized well enough to repel a a saavy PE firm. But careful, in some cases, PE may be liberating a firm being sucked dry from low-productivity workers or richly paid pensioners. Its hard to know which is which unless you are diving into the details.

PE is not wrong, just like unions are not wrong, but what matters is what is their management style. Parasite, or builder?

Re:Who employs your doctor? Increasingly, a private equity firm by ComputerGuru on Sunday July 16, 2023 @08:15PM (#36752719)
> When PE loads up a firm with supposedly unsustainable billions of debt, someone is on the other side of that transaction, lending the billions. Who does that and why? Are they perpetual suckers, unaware of the decades of experience we have doing this?

In at least some of the cases, the answer is absolute corruption with PE paying the other party “on the side” to sign off on a deal only a sucker would agree to.

See for example this piece of investigative journalism into Medical Properties Trust and just how many red flags and obvious bribes were involved (not to mention potential murder to cover up their misdeeds!!): https://prospect.org/health/2023-05-23-quackonomics-medical-...

Re:Who employs your doctor? Increasingly, a private equity firm by multicast on Sunday July 16, 2023 @08:31PM (#36752810)
Wrong. Banks who provided billions in loans to PE firms for decades, are now getting more cautious. But not because they fear of a failed investment, but certain investors of the bank do and that means problem for the bank. The Banks actually don't care what happens to the company being bought. An investment bank which provides a loan never sits on its debt. They are bundled into financial products like CDO, CLO etc and sold to institutional and wealthy private investors. This bought the rise to a new ''era'' recently, where PE firms set up special investment funds to fund big acquisitions of other PE firms. The reason being the current situation of the financial markets and the general negative mood in the markets.

Example with a retailer from the UK, which turned costly for the investment bank: https://www.youtube.com/watch?v=DKYKT4pvYYA&pp=ygUTZnQuY29tI...

Re:Who employs your doctor? Increasingly, a private equity firm by ComputerGuru on Sunday July 16, 2023 @09:14PM (#36753034)
I wasn’t referring to the banks but the owners (or rather, the controllers) of the businesses that can obtain cash against the value of their property/assets or from the value of their business. These aren’t always individual loans in the hundreds of millions of dollars; the debt can be accrued piecemeal.

(I’m also not talking in general but rather about certain specific cases/forms.)

Re:Who employs your doctor? Increasingly, a private equity firm by multicast on Monday July 17, 2023 @05:35PM (#36764426)
In a high interest rate and pessimistic market environment, raising funds for a stumbling business is not easy at all. PE firms are specialized in such risky investments, thus the option of a buyout from a PE firm is the best thing that can happen to an owner. Its the owners own free will to sell or getting the hard way and try to save his business.
Re:Who employs your doctor? Increasingly, a private equity firm by civilized on Sunday July 16, 2023 @10:19PM (#36753350)
The comment above completely fails to address the parent's claim. The parent claimed outright corruption in some cases, and cited an article which extensively documents such outright corruption.

"Wrong" is applicable to this reply rather than the original post.

Re:Who employs your doctor? Increasingly, a private equity firm by multicast on Monday July 17, 2023 @05:17PM (#36764251)
Again, wrong. The original post completely fails in its argumentation. As I stated above the investment banks providing the loans are not 'perpetual suckers'. They know what they are doing. If PE financing were such a bad game nobody would provide loans in the first place. An industry achieving good returns for decades does simply not need to bribe capital providers. Bribing high ranking decision making bankers is the most ridiculous thing I've ever heard, this is not an governmental official. Claiming overall corruption as a fact and linking to one article (which isn't even about the capital providers for PE firms - the overall point of the original post) is simply irrelevant.
Re:Who employs your doctor? Increasingly, a private equity firm by boppo1 on Sunday July 16, 2023 @10:44PM (#36753498)
>1. Why is private equity ending up with all these resources? Who is selling to them and why? Why didn't this happen before? It's not like PE is new.

Centrally planned benchmark interest rates below market equilibrium took capital away from activities that produced value today and handed it to people who promised unrealistically optimistic future growth. Central planning doesn't work.

People have gone from criticising the FOMC to openly mocking it. Google 'transitory meme'.

Re:Who employs your doctor? Increasingly, a private equity firm by silencethendang on Monday July 17, 2023 @10:52AM (#36758980)
For #2 - I'm not a PE insider, but I'm pretty aware of a lot of corporate dynamics in big tech, which increasingly seems like it's indistinguishable from any other corporate sector. I think we have a habit of thinking of companies/firms as individual actors deciding what's in their best interest, when in reality it's basically an oligarchy of either C-suite execs or boards of directors determining what's going to happen to the rest of the company. If these people want to get rich quick, and I'm guessing they do, since this is probably the end game for 99% of them, then private equity is their answer. They likely don't really care about the employees or the future of the company as an end in itself, just a means to enrich themselves, and so if PE presents this opportunity without those strings attached (i.e. by splitting the dividend recapitalization or the real estate leasebacks with the execs in the form of 'bonuses') the execs/boards will likely take it.

TL;DR - PE can't exist in its current form without extreme power/ownership imbalances within the firms they take over and run into the ground. This has probably been increasing over time, hence why PE has been getting worse over time.