HCA wanted out. SSM spent six months on due diligence and walked away without making an offer. Then the state of Oklahoma intervened and paid 10% above the asking price.

This episode breaks down the OU Health transaction: how the purchase price increased by $75 million between court approval and closing, why Moody's downgraded the system to junk status, and how $1.5 billion in debt now rests on Oklahoma taxpayers.

The pattern isn't unique to Oklahoma. University of Michigan, Banner Health in Arizona, Vanderbilt in Tennessee. Public entities continue to acquire hospitals that private operators are desperate to sell.

The question nobody asks: If the smartest money in healthcare is selling, why is your government buying?

In this episode:

The HCA signal: what it means when for-profit operators exit a market
SSM's six-month due diligence and silent walkaway
The mysterious $75 million price increase with no documented court approval
How 340B and Medicaid supplemental payments became the new business model
Moody's B3 downgrade and what "junk status" actually costs
Why legislators are now talking about "bailing out" their own purchase
The national pattern: Michigan, Arizona, Tennessee, and beyond

When HCA loses money, shareholders bear the brunt of the loss. When OU Health loses money, you pay.

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