Read the prospectus. They do have a bunch of debt, but so does any company that requires a lot of infrastructure, ie aircraft, ground ambulances, tools and spare parts, etc. The debt is being serviced and this IPO will pay down part (but not all) of it. Less debt service = healthier balance sheet, and obviously they cleaned things up as much as possible before the IPO announcement to make things look bright and shiny for Wall Street. The most encouraging thing to me personally is that KKR will retain majority ownership, even after going public---so they can recoup some of their investment while also firming up the balance sheet and spreading a little of the risk. If they were selling more of their ownership I'd be more concerned that they were trying to cash out and run for the exits before the ceiling collapsed. I don't thing the stock will take off like a Tech IPO with huge multiples of their revenue or actual value, but I do think they're a healthy business in a growing arena---our population gets older and unhealthier every day unfortunately.