Medium Risk

Private Equity Risk Score

  • Idaho is among the top 10 states for the share of hospitals controlled by private equity.
  • Idaho is among the 10 states with the highest average rate of readmission after discharge at private equity-controlled acute care hospitals compared to the average for all hospitals in the state.
  • Idaho 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: 35/100

  • Share of private sector workforce at private equity-controlled companies (Average 2018-2022) 8.0% 61,000 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) 1,177
  • Employee deaths and hospitalizations at private equity-controlled companies (2018-2022) 5

Health Care

Risk Score: 33/100

  • Share of hospitals that are private equity-controlled 11.6%
  • Average Medicare patient survey rating of private equity-controlled acute care hospitals (1 = lowest, 5 = highest) 4.0
  • Rate of readmission after discharge from private equity-controlled acute care hospitals 13.7
  • Share of nursing homes that are private equity-controlled 0.0%
  • Average Medicare quality rating of private equity-controlled nursing homes (1 = lowest, 5 = highest) NA
  • Substantiated complaints per private equity-controlled nursing home (2019-2022) NA
  • Share of population in a metro area where single private equity firm controls over 30% market share of one or more physician specialties 7.3%


Risk Score: 42/100

  • Percentage of homes purchased by medium, large and mega investors (2018-2022) 10.6%
  • Change in share of homes purchased by medium, large and mega investors from 2018 to 2022 8.3%

Public Pensions

Risk Score: 70/100

  • Share of state pension assets invested in private equity 8.1%
  • 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