Board Dossier

David M. Dill

Chairman and CEO, Lifepoint Health · FAH Chair · Apollo Global Management

High
$9.2M Apollo management fees extracted annually
$25.3M Golden parachute paid at Apollo acquisition
7 Legally binding promises broken at Ottumwa Regional
$5.6B Apollo acquisition price (2018)
01 ORGANIZATION

Role and Organization

Lifepoint Health is owned 97% by Apollo Global Management, which acquired the company in 2018 for $5.6 billion.

Metric Value
Hospitals~60 community campuses
Rehab/Behavioral70+ hospitals
Sites300+ across 25 states
Employees~55,000
Est. Revenue>$8B
PE OwnerApollo Global Management (97%)
Acquisition Year2018
Acquisition Price$5.6B
FAH Board SinceAt least 2018
FAH Chair2020, 2026
02 FEE EXTRACTION

Apollo Fee Extraction

Apollo pays itself $9.2 million annually in management fees from Lifepoint’s revenue and charges a 1% transaction fee on every acquisition.

Mechanism Amount Description
Annual management fees $9.2M/year Paid by Lifepoint to Apollo for advisory services
2018 buyout fee $55M One-time fee at acquisition
Transaction fee 1% of deal value Charged on every Lifepoint acquisition
Cross-fund sale profit ~$325M carry Apollo sold Lifepoint from Fund VIII to Fund IX (2021)
03 SENATE INVESTIGATION

Senate Investigation

A bipartisan Senate Budget Committee investigation found that Lifepoint and Apollo failed to fulfill seven legally binding promises made at Ottumwa Regional Health Center in Iowa.

“Apollo refused to provide the Senate Budget Committee with specific data on management fees and profit splits from ScionHealth.”

— Senate Budget Committee, Profits Over Patients, January 2025

Seven Broken Promises

Promise Outcome
Growth Admissions fell 29%, surgeries fell 44%, ER visits fell 22% (2010–2023)
Physician recruitment Failed to meet $7.5M commitment; neurology and psychiatry access eliminated
Capital expenditures $7.6M shortfall in routine capital spending (2015–2020)
Charity care Significant decline despite commitments
Patient satisfaction ORHC ranked 6th worst recommendation rate in the nation (33%)
Resident rotation Never established; waived in 2024 amendment
Substance abuse treatment Never established; modified in 2024 amendment

Patient Safety Incident

A nurse practitioner sexually assaulted 9 incapacitated female patients at Ottumwa Regional between 2021 and 2022. The Senate report linked this directly to underinvestment and inadequate staffing under Apollo ownership.

Source: Senate Budget Committee, January 2025

04 COMPENSATION

Compensation and Governance

Dill received a $25.3 million golden parachute at the 2018 Apollo acquisition. Shareholders voted against the package. The merger closed anyway.

Detail Value
Golden parachute (2018 acquisition)$25.3M
Shareholder advisory voteVoted against compensation package
Current compensationUndisclosed (private company)

External Board Seats

R1 RCM; AHA Health Systems Committee

05 QUALITY

Quality

Multiple Lifepoint hospitals saw CMS Star Rating declines under Apollo ownership.

Hospital Prior Rating Current Rating
Central Carolina Hospital 3 stars 1 star
Frye Regional Medical Center 3 stars 1 star
06 SCIONHEALTH SPINOFF

ScionHealth Spinoff

In December 2021, Apollo spun off ScionHealth from Lifepoint, loading the debt-heavy LTAC assets into a separate entity.

Year Event
2021 Kindred Healthcare acquired; ScionHealth created with 61 LTAC hospitals and 18 community hospitals
2025 ScionHealth receives Moody’s Caa2 / limited default designation
2025 ScionHealth closes 3 hospitals, lays off 300+ workers
March 2026 Lifepoint signs agreement to re-acquire 8 ScionHealth hospitals

Sources