PRIVATE EQUITY OWNED
Gentiva
Includes Gentiva Health Services, Kindred at Home
hospice · Atlanta, GA
- PE Firm
- Clayton, Dubilier & Rice →
- Year Acquired
- 2022
A PE firm paid $2.8 billion for control of one of America's largest hospice providers — then paid $19.4 million to settle federal claims that, for a decade before the buyout, it billed Medicare for patients who didn't qualify.
The PE Playbook
- Clayton, Dubilier & Rice acquired a 60% stake in Humana's hospice and personal care divisions for $2.8 billion in August 2022, rebranding the operation as Gentiva
- Humana retained the remaining 40% — so both a health insurer and a PE firm profit from the same end-of-life care operation
- Operates 590+ locations across 38 states, making it one of the largest hospice providers in the country
- Paid $19.4 million in 2024 to settle DOJ False Claims Act allegations that the company enrolled patients in hospice who didn't meet eligibility requirements
Since the Acquisition
- Families trusting Gentiva with end-of-life care for loved ones may not realize a PE firm is making the financial decisions behind the scenes
- The False Claims Act settlement revealed patients were enrolled in hospice who shouldn't have been — meaning some people received palliative care instead of potentially curative treatment
- Hospice care is intensely personal and irreversible — getting the enrollment decision wrong has consequences no settlement check can undo
- With 590+ locations in 38 states, Gentiva's practices affect hundreds of thousands of families navigating the most difficult moments of their lives