Private-equity raiders could be heading for a fall

The $33bn private-equity deal to buy Us hospitals group HCA is the biggest leveraged buyout in history. But will the private-equity industry fall victim to its own hubris?

Yet another record bites the dust. The $33bn private-equity deal to buy US hospitals group HCA is the biggest-ever leveraged buyout (LBO), beating Kohlberg Kravis Roberts' $31bn purchase of RJR Nabisco, which has been the yardstick for 17 years. The big question now is whether HCA can produce a decent return for its new owners KKR, Bain and Merrill Lynch or whether such an enormous deal is just more evidence of recklessness and hubris in the private-equity industry.

It certainly shouldn't be hard for the HCA deal to outperform RJR; that buyout made less than 1% a year over a decade for its investors, says Rob Cox on Breakingviews.com. And the buyers look to be getting HCA very cheaply, at just under eight times last year's operating earnings. If they can grow earnings by around a quarter, then refloat the firm in around three years at a favourable rating, they could roughly double their money. But trends in the US healthcare industry don't make that a sure thing, says The Economist: costs are rising and revenues will be subject to a squeeze if the government HCA's major customer ever manages to reform the healthcare system.

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