Public company. Will face significant pressure to deliver shareholder value. Work with private equity firms, $5.8B in debt... you're going to see much more cutting and organizational changes. Shouldn't be a surprise when things just drop, especially now that they're public. Almost guaranteed more layoffs to come, leaner operations, will sell off units that they deem not essential/core to their long term business. Makes no sense to stay and watch if you're fearful. Get out if you can before you get hit with the hammer. Next few years will be bumpy.
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Trust me. The org will last a few years :). It just will be turbulent and kind of s—y inside. When the pressure is applied, some companies do really well and others falter. Change Healthcare (and historically McKesson products) have some very well embedded products within health systems and payers that are not going away. Guaranteed revenue year by year. The problem for them will be growth and shareholder pressure. In other words, if the mgmt can't figure it out, then they'll feel the same heat that their employees had to face during the IPO prep. Regardless of if the mgmt leaves or is fired, the company will stay.
I don't think Change can last "next few years". With huge amount debt put by McKesson and fewer and fewer clients, it will be amazing they can stay in business for that long.