Very High Risk

Private Equity Risk Score

  • Florida is among the top 10 states for the share of nursing homes controlled by private equity, as well as among the top 10 states for lowest average Medicare quality ratings at private equity-controlled nursing homes when compared to the state average.
  • Florida is among the top 10 states for the rate of growth in the share of single-family homes purchased by corporate investors over a five-year period.
  • Florida is among the top 10 states for the number of layoffs at private equity-controlled companies as a share of the state’s total private sector workforce.
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Private Equity Risks

Workers and Jobs

Risk Score: 51/100

  • Share of private sector workforce at private equity-controlled companies (Average 2018-2022) 8.6% 760,000 jobs
  • Change in the share of workforce controlled by private equity from 2018 to 2022 33.8%
  • Layoffs at private equity-controlled companies (2015-2022) 15,449
  • Employee deaths and hospitalizations at private equity-controlled companies (2018-2022) 53

Health Care

Risk Score: 76/100

  • Share of hospitals that are private equity-controlled 0.0%
  • Average Medicare patient survey rating of private equity-controlled acute care hospitals (1 = lowest, 5 = highest) NA
  • Rate of readmission after discharge from private equity-controlled acute care hospitals NA
  • Share of nursing homes that are private equity-controlled 15.2%
  • Average Medicare quality rating of private equity-controlled nursing homes (1 = lowest, 5 = highest) 2.0
  • Substantiated complaints per private equity-controlled nursing home (2019-2022) 6.1
  • Share of population in a metro area where single private equity firm controls over 30% market share of one or more physician specialties 63.7%


Risk Score: 69/100

  • Percentage of homes purchased by medium, large and mega investors (2018-2022) 8.5%
  • Change in share of homes purchased by medium, large and mega investors from 2018 to 2022 78.2%

Public Pensions

Risk Score: 73/100

  • Share of state pension assets invested in private equity 10.2%
  • Share of state pension assets covered by private equity fee disclosure (including carried interest) 0.0%
  • Share of state pension assets covered by responsible contractor policy 0.0%

Policy Solutions to Address Private Equity Risks

Workers and Jobs

  • Severance for mass layoffs: For mass layoffs, require 90 days advance notice and require employers to pay one week of severance pay for each year of employment
  • Bonding for unemployment insurance: Require private equity-controlled companies with high debt ratios to post a bond to the unemployment insurance system to cover unemployment insurance taxes in the event of a bankruptcy

Health Care

  • Review of health care mergers: Require notice, public review or approval process for hospital and other health care mergers
  • Medical debt collection: Regulate medical debt collection
  • Nursing home staffing: Require specific percentage of Medicaid or overall revenues in nursing homes to be spent on staffing costs for patient care
  • Hospital fees: Limit hospital facilities fees


  • Good cause evictions: Prohibit evictions of tenants for reasons other than specified causes, such as non-payment of rent
  • Rental cost caps: Cap annual rent increases statewide at inflation plus a small percentage or allow local jurisdictions to cap rent increases
  • Tenants' right to purchase: Give tenants of mobile home parks and multi-family housing advance notice of sales and first right of refusal to purchase
  • Landlord registry: Create a mandatory registry to identify beneficial ownership of all corporate landlords with multiple holdings

Public Pensions

  • Fee disclosure: Require disclosure of all fees paid to each private equity fund by state pension funds
  • Compliance with all state laws: Require signed affirmation from private equity fund managers that all of their portfolio companies comply with state labor laws, environmental laws and health codes