Private equity (PE) firms are increasingly holding portfolio companies for five or more years, according to the PitchBook 2024 US Annual PE Breakdown, which gives potential buyers more time to scrutinize operational weaknesses, potentially lowering enterprise value. This trend calls for a proactive approach to professionalizing operations from acquisition onward, facilitating a cohesive, integrated portfolio rather than a fragmented collection of assets.
By focusing on operational excellence and prioritizing risk management across human capital, operations and technology, PE leaders can drive profitable growth, resilience and exit-readiness. It requires an end-game mindset from the moment an acquisition is targeted. Leaders should start by asking: “Will this business run like a cohesive, integrated company or will it crumble under buyer scrutiny?”
Many PE acquisitions begin with companies in operational disarray. Foundational capabilities, particularly in human capital and technology, are often underemphasized early in the hold period, limiting long-term value creation. Recognizing common pitfalls and their operational characteristics is an important step toward creating a cohesive portfolio.
Addressing these gaps early is critical for unlocking full value at exit, with a focus on human capital, technology (including AI) and governance.
A successful value creation plan requires leadership that is strategic rather than merely functional. Therefore, a priority in professionalizing operations is conducting leadership assessments, ideally before the deal closes. Key steps include:
Technology should be viewed as a growth enabler and cost optimizer, especially during longer holds. PE leaders should:
Hospitals across the country are facing a sharp rise in claim denials from payors, straining already limited resources. In many cases, highly trained nurses are being pulled from patient care to draft appeals letters, and even then, many denials go unchallenged due to lack of capacity, resulting in significant revenue write-offs.
A large health care provider addressed this challenge through practical automation. By training an AI model to generate letters of appeal, the organization was able to significantly reduce its reliance on manual processing. This allowed a large percentage of the nursing staff previously dedicated to this task to be reallocated to more strategic initiatives.
The automation solution not only improved efficiency but also unlocked measurable financial benefits. It helped increase revenue recovery, accelerate cash flow and reduce the overall volume of denials. For this provider, a one-time implementation project is expected to yield approximately $200,000 in monthly savings—or $2.4 million annually—while also reducing the need to dedicate valuable nursing resources to a revenue cycle task.
As portfolio complexity increases, so does the need for strong governance. Without structure, even well-capitalized companies will drift. One RSM portfolio client was running 75 supposedly strategic projects, many off-budget and behind schedule. With support, the executive team whittled that down to 20 priority efforts aligned with EBITDA and growth targets. PE leaders can similarly reduce initiative clutter through effective governance, which includes:
Professionalizing a portfolio company involves targeted steps to transform a collection of assets into a scalable, sellable business. This includes placing the right leadership, implementing a technology stack that supports scale and establishing governance that balances discipline with agility. Applying this strategy throughout the hold period fosters sustainable, credible growth that withstands buyer diligence and maximizes exit multiples.
PE leaders are encouraged to engage experienced advisors in bringing frameworks, benchmarks and objectivity to leadership evaluation, technology planning and governance execution, as these fundamentals often determine the difference between premium exits and price adjustments. In many cases, this also means considering how to augment internal teams with external support to close capability gaps and accelerate progress toward value-creation goals.