From Toys to Tumors: The Relentless Expansion of Private Equity’s Reach

THE PE REPORT

July 1, 2025

Introduction

Imagine you’re playing a high stakes monopoly game, where your favorite childhood toy store, your go-to home accessories retailer, and even your healthcare provider are dice rolls away from bankruptcy. Welcome to the relentless expansion of private equity (PE) investments. It’s a wild ride with ambitions that reach as far as from Toys “R” Us to medical centers, and it’s not without its casualties.

PE’s Toy Story: A Tale of Toys “R” Us

In 2005, Toys “R” Us was purchased by private equity firms Bain Capital, KKR & Co., and Vornado Realty Trust for about $6.6 billion. Pre-acquisition, Toys “R” Us was a profitable company with a substantial physical retail presence. However, with the onset of the deal, it was promptly saddled with astronomical debt, curtailing funds for innovation and expansion.

Fast forward to 2017. Facing a pile of debt hitting $5 billion, the toy retailer had no choice but to file Chapter 11 bankruptcy, shuttering all its US stores. In what can be only described as PE chicanery, the real losers here were the 30,000 employees left jobless and the toy suppliers left in limbo over unpaid bills.

Connecting the Dots: Financial Leverage and Sale-Leasebacks

So, what happened? Private equity firms structured the Toys “R” Us acquisition in a way where the company itself was responsible for the acquisition debt – a common technique known as a leveraged buyout. Furthermore, PE funds made use of sale-leaseback agreements, selling off real estate property owned by the firm only to lease it back, generating quick cash but further increasing the company’s financial obligations. On paper, it looked like judicious financial engineering; in reality, it was more akin to a ticking time bomb.

Not All Bed and Bath, Beyond Belief

Next on the PE roller coaster, let’s venture to Bed Bath & Beyond. Acquired by three private equity firms in 1992, the company went public later that year. Though initially it seemed the firm was doing well despite the PE involvement, storm clouds were gathering. In 2019, the company struggled to stay afloat, closing 60 stores and letting go of long-serving staff.

Of CEO Bonuses and Shareholder Woe

Amidst the turbulence, a recurring PE trope played out. High-placed executives continued to receive lavish bonuses, while shareholders bore the risk and employees paid the price. A common, if cruel, narrative that private equity seems to pen all too often.

From Toys and Towels to Tumors

Now, private equity firms are increasingly turning their sights towards healthcare, buying out medical practices at an alarming rate. Private equity-owned healthcare providers often prioritize profit over patient care, leading to increased costs, poor quality care, and profuse patient dissatisfaction.

Friendly Neighborhood Physician or PE Puppet?

With investments in healthcare services climbing, the line between your friendly neighborhood physician and a private equity puppet gets blurry. Observe TeamHealth, a medical staffing company owned by the Blackstone Group. It grabbed headlines in 2019 for its aggressive billing practices — another potential red flag signaling the hazards of PE invasion in the healthcare sector.

Final Reflections

The toy store, the home goods retailer, the local clinic—they share an unexpected commonality. All risk being upended by the unrelenting expansion of private equity’s reach. What’s the takeaway? The unchecked growth of PE—with its penchant for leveraged buyouts, financial engineering, and questionable business strategies—can lead to job losses, bankruptcies, and in the case of healthcare, a potential decline in the quality of patient care.

It’s high time we replaced blind faith in private equity with a clear-eyed scrutiny that recognizes the costs of this relentless expansion. Because, as history has shown us, when we allow PE firms to roll the dice, it’s not just businesses at stake; it’s people’s livelihoods and lives.

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