Four Seasons Health Care

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Four Seasons Health Care
United Kingdom
Number of locations
440 Edit this on Wikidata

Four Seasons Health Care was founded in 1988 by Scottish entrepreneur, Robert Kilgour and is an independent British provider of health and social care services. It also owns The Huntercombe Group, a provider of inpatient mental healthcare and brain injury rehabilitation aswell as care home operator, brighterkind. Four Seasons, as it is today, was created both organically and by the buying out of smaller chains of care homes and rebranding them, as evidenced by the takeovers of Tamaris (formerly Quality Care Homes) and Bettercare and it is currently the second largest care home operator in the UK.


It opened its very first care home, Station Court in Kirkcaldy in Fife in Scotland in May 1989 and Four Seasons Health Care remained a small operator building up to just seven care homes in Scotland by 1997. The size and fortunes of the business were then dramatically changed with the appointment by Chief Executive Robert Kilgour of Hamilton Anstead as Joint Chief Executive, (Robert subsequently left the company in early 2000 - 101 homes - and made his final financial exit from the company in 2005). There followed a rapid expansion programme for the business which transformed it within seven years into the largest care home operator in the UK (it was subsequently overtaken). The business was attractive to many suitors and as a result it was sold for £775 million in 2004. Anstead ceased to be CEO in 2005.

The company was acquired for circa £1.5bn in 2006 by Three Delta LLP, the investment fund backed by the state of Qatar, and further expanded. The acquisition was funded by debt which was readily available in a market where investors saw rising property prices and continuing demand for care for the elderly, much of it paid for by the public sector. However, the company was unable to pay its debts and with a downturn in the property markets was unable to refinance and the owners walked away, losing their investment.

Peter Calveley was appointed CEO in 2007 and his senior management team were left to resolve debts of circa £1.5 billion as a result of borrowings by its owners to buy the homes.

The Group completed a financial restructuring in December 2009, with lenders – banks and other financial institutions – agreeing to swap about £780 million debt for equity in the business, so becoming its new shareholders. Maturity of the remaining debt was extended to September 2012. Four Seasons was then trading profitably with an EBITDA of over £100m pa. Under Calveley’s leadership the quality of care performance changed from below sector average, to having 89% of its homes rated as good or excellent by the Care Quality Commission.

Specialist care[edit]

This turnaround in quality helped to drive up occupancy to levels of circa 88%. Another factor in the Group’s performance was Calveley’s strategy of anticipating market changes in order to provide specialist care. Four Seasons has 80% nursing or high dependency beds and 20% residential in contrast to the sector average of 55% residential. It developed services for people who are physically frail or suffering from the onset of dementia, chronic neurological conditions, respite care, intermediate care and rehabilitation, terminal care. Because there are few readily available alternatives for high dependency care – such as care provision at home – the market for higher dependency care is more resilient than the market for residential care.


As of July 2011 the Group had achieved substantial expansion without new borrowings, by acquiring the operations of Care Principles with 17 hospitals and homes – nearly doubling the size of FSHC’s specialist care business and 1,000 additional care home places (c. 6% growth) through acquisitions over the preceding year from Craegmoor and Eton Square Healthcare. As of September 2011 the group was expected to acquire over 100 care homes from the collapsed provider Southern Cross, which would make it the largest provider in the UK.[1] These include 54 owned by Loyd's Property.[2]

In 2012 the company was bought by Terra Firma Capital Partners for £825 million. It has three divisions: brighterkind with 70 private pay-focused care homes; Four Seasons which has around 300 homes; and The Huntercombe Group with around 35 specialist mental health facilities and around 25,000 staff.

The underlying bond debt was bought by H/2 Capital Partners which has investments in senior living or similar nursing homes in the United States. Terra Firma has offered to give the company to them.[3]

Liquidity problems[edit]

In November 2015 the company planned to sell 14 care homes as going concerns, and "a portfolio of homes currently run by third party operators" to assist its liquidity problems, hoping to raise £60 million. It has £565 million worth of debt, with annual interest and rent obligations of about £110 million.[4] It later announced plans to close seven homes in Northern Ireland: Victoria Park and Stormont in Belfast; Antrim; Garvagh; Donaghcloney near Banbridge; Oakridge in Ballynahinch, County Down; Hamilton Court in Armagh.[5]

In December 2015 it was reported that the company had sold £20 million worth of properties to Monarch Alternative Capital, a US investment fund which claims to specialise in swooping on “distressed and bankrupt” companies.[6]

In April 2016 it reported a 39% drop in profits which was blamed on the cuts in the local government social care budget and the introduction of the UK living wage, although its average weekly care fees rose by 3.4 per cent. The company has net debt of £565 million, because Terra Firma borrowed heavily to fund the purchase in 2012. The business has to find annual interest payments of about £50 million. Earnings before interest, tax, debt and amortisation fell from £64.1 million in 2014 to £38.7 million in 2015. Its property portfolio has been revalued down by £224 million to £505 million and its credit rating has plummeted.[7]

In September 2017 the Daily Telegraph reported that a legal mistake meant that bondholders had inadvertently already been given ownership of 71 private patients care homes and hence could not use them as security to raise extra money. A High court hearing led by the a major bondholder -the US hedge fund H/2 Capital Partners -was scheduled for April or June 2018 but the firm was unlikely to be able to restructure before then.[8] The following month the company warned it couldn't meet a £26m payment due in December without restructuring and if this was delayed the bondholders could potentially seize its assets of 360 nursing homes. This would probably lead to an intervention by the Care Quality Commission (CQC). A restructuring was planned for November and Four Seasons' owners would add 24 care homes in exchange for reduced and delayed repayments of 175m of bonds maturing in 2020.[9] In December the company narrowly avoided collapse after the principle bondholder agreed to wait until February 2018 for a restructuring proposal. According to the Telegraph the cause of the Four Season's problem is a 90% reduction in the number of EU nurses and a cut in state funding.[10]

In October 2018 H/2 Capital Partners replaced the management and put the business up for sale.[11] In April 2019 the holding companies Elli Finance (UK) and Elli Investments were put into administration.[12]


  1. ^ Wachman, Richard (4 September 2011). "Four Seasons to take Southern Cross's mantle as biggest care homes operator". The Guardian. Retrieved 6 September 2011.
  2. ^ Southern Cross wins new rent reprieve worth £18m, This is Money, 4 September 2011
  3. ^ "Four Seasons Health Care gains breathing space". BBC News. 14 December 2017. Retrieved 26 December 2017.
  4. ^ "Four Seasons appoints advisors to sell assets worth £60m". Health Investor. 6 November 2015. Retrieved 12 November 2015.
  5. ^ "UK's biggest care home provider shuts loss-making homes". Guardian. 24 November 2015. Retrieved 24 November 2015.
  6. ^ "UK's biggest care home operator sells £20m of assets to US hedge fund". Independent. 27 December 2015. Retrieved 28 December 2015.
  7. ^ "Care home owner blames living wage for debt talks". The Times. 28 April 2016. Retrieved 3 May 2016.
  8. ^ Christopher Williams (2 September 2017). "Care homes giant under threat from debt row". Daily Telegraph. Retrieved 21 December 2017.
  9. ^ Christopher Williams (17 October 2017). "Debt-laden care homes giant Four Seasons makes survival appeal as interest deadline looms". Daily Telegraph. Retrieved 21 December 2017.
  10. ^ Christopher Williams (14 December 2017). "Care home giant Four Seasons avoids collapse with last-minute deal". Daily Telegraph. Retrieved 21 December 2017.
  11. ^ "US hedge fund puts Britain's biggest care home operator up for sale". Guardian. 29 October 2018. Retrieved 4 November 2018.
  12. ^ "Four Seasons Health Care goes into administration". BBC. 30 April 2019. Retrieved 1 May 2019.

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