After the Rite Aid Collapse, Who’s Next? Regional Pharmacies Brace for PE Takeovers

THE PE REPORT

June 30, 2025

A Round of Pharmacy Roulette: The Rite Aid Debacle

The game of private equity monopoly often leaves a string of defeated players in its wake, and the healthcare sector is not immune. We last saw this play out in the distressing collapse of Rite Aid pharmacy, where revenue-cutting reforms, sinking shares, and relentless downsizing painted a worrying picture. The target of a failed merger attempt by Walgreens Boots Alliance and later private equity firm Albertsons, Rite Aid served as a warning siren to regional pharmacies nationwide.

Rite Aid: The (Mis)Handling of a Pharmacy Giant

When Walgreens Boots Alliance set its sights on Rite Aid in 2015, it seemed like a promising opportunity — that is until the Federal Trade Commission (FTC) stepped in, citing prospects of potential antitrust violations. Settling for a partial acquisition of Rite Aid stores instead, Walgreens left the remaining stores in a precarious financial situation.

Enter Albertsons Companies, the grocery titan turned wannabe pharmacy heavyweight, who attempted to scoop up the remaining stores in 2018. Their proposed “merger of equals”, however, was a textbook private equity farce. Financial details revealed outrageous dividend payouts for Albertsons insiders, coupled with pay cuts and closures for Rite Aid stores. It didn’t get past the sharp-eyed shareholders, who mounted a robust defense, forcing Albertsons to back down.

What Was Left of Rite Aid?

The aftermath didn’t pretty up. Shortly after the failed merger, Rite Aid’s CEO was ousted, shares plummeted to an all-time low, and downsizing began in earnest. Jobs slashed, stores vanishing, all while private equity bigwigs escaped relatively unscathed. It was a comprehensive masterclass in how not to engineer a private equity buyout.

So, Who’s Next?

What happened to Rite Aid was a disaster, but it also set a worrying trend. The private equity industry, always on the lookout for vulnerable targets ripe for “restructuring”, is now eyeing smaller, regional pharmacies.

The vultures are circling, and these regional players are right in their crosshairs. With vulnerable balance sheets, fewer resources to ward off private equity advances, and a lack of strong governmental oversight post-pandemic, they could very well be next on the chopping block.

Private Equity’s Insatiable Appetite

It seems there is no sector that private equity won’t delve into, given the opportunity. From retail to healthcare, nothing is exempt. The methodology remains the same: aggressive cost-cutting, layoffs, store closures — all in the name of enhancing shareholder value. The human cost, the community impact, the long-term damage isn’t part of the calculation.

Today, it’s regional pharmacies on the frontline. Who knows where the private equity scavengers will feast next? The only certainties in this saga are the uncertainty for workers and communities, and the reliable profits for private equity players.

Where’s the Takeaway Here?

The Rite Aid case and potential knock-on effects for regional pharmacies are stark reminders of the potential dangers of private equity involvement. The math might make sense on Wall Street spreadsheets, but on Main Street, these equations lead to job losses, reduced services, and community disruption. It’s all raising critical questions about the role and regulation of private equity in sectors that directly impact public health and local economies.

Last Thought

We ought to take a hard, unsentimental look at private equity’s role in the economy. It’s not about demonizing the industry, but acknowledging its track record, understanding the consequences, and recognizing when the risks outweigh any supposed benefits. That is, after all, the very essence of clear-eyed business judgement.

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