Ownership, financing, and management strategies of the ten largest for-profit nursing home chains in the United States

International Journal of Health Services

Volumn 41, Issue 4, 2011, Pages 725-746

  Harrington, Charlene ^a   Hauser, Clarilee ^b   Olney, Brian ^b   Rosenau, Pauline ^b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

CORPORATE STRATEGY; DECADAL VARIATION; FINANCIAL SYSTEM; INTERNET; LAND MARKET; LIABILITY; OWNERSHIP;

UNITED STATES;

ARTICLE; ECONOMICS; FINANCIAL MANAGEMENT; HEALTH CARE FACILITY; HUMAN; MEDICARE; METHODOLOGY; NURSING HOME; ORGANIZATION AND MANAGEMENT; UNITED STATES;

CAPITAL FINANCING; HEALTH FACILITIES, PROPRIETARY; HUMANS; MEDICARE; NURSING HOMES; OWNERSHIP; UNITED STATES;

EID: 84855385134     PISSN: 00207314     EISSN: 15414469     Source Type: Journal    
DOI: 10.2190/HS.41.4.g     Document Type: Article

References (36)

1. Kaffenberger, K. R. Nursing home ownership: An historical analysis. J. Aging Soc. Policy 12(1):35-48, 2000
2. Kitchener, M., and Harrington, C. The U.S. long-term care field: A dialectic analysis of institution dynamics. J. Health Soc. Behav. 43(extra issue):87-101, 2004
3. American Health Care Association. Trends in Nursing Facility Characteristics Washington, DC, June 2009
4. Harrington, C., Carrillo, H., and Blank, B. W. Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2003-08. University of California, San Francisco, 2009. www.nccnhr.org
5. Banaszak-Holl, J., et al. The rise of human service chains: Antecedents to acquisitions and their effects on the quality of care in US nursing homes, 1991-1997. Managerial Decis. Econ. 23:261-282, 2002
6. Hartman, M., et al., and the National Health Expenditures Accounts Team. National health spending in 2007: Slower drug spending contributes to lowest rate of overall growth since 1998. Health Aff. (Millwood) 28(1):246-261, 2009
7. U.S. General Accounting Office. Nursing Homes: Aggregate Medicare Payments Are Adequate Despite Bankruptcies. Testimony before the Special Committee on Aging U.S. Senate. GAO/T-HEHS-00-192. Washington, DC, September 5, 2000
8. Stevenson, D., Grabowski, D., and Coots, L. Nursing Home Divestiture and Corporate Restructuring: Final Report. U.S. Assistant Secretary for Planning and Evaluation Washington, DC, December 2006
9. Fligstein, N. The Architecture of Markets: An Economic Sociology of Twenty-First Century Capitalist Societies. Princeton University Press, Princeton, NJ, 2001
10. U.S. General Accounting Office. Skilled Nursing Facilities: Medicare Payments Exceed Costs for Most but Not All Facilities. Report to Congressional Requestors GAO/HEHS-03-183. Washington, DC, December 2002
11. Stevenson, D., and Grabowski, D. Private equity investment and nursing home care Is it a big deal? Private equity investment and nursing home care Is it a big deal? Health Aff. (Millwood) 27(5):1399-1408, 2008
12. Diamond, S. F. Private equity and public good. Dissent Magazine, Winter 2008. www.dissentmagazine.org/article/?article=988 (accessed May 15, 2010).
13. U.S. General Accounting Office. Nursing Homes Quality: Prevalence of Serious Problems, While Declining, Reinforces Importance of Enhanced Oversight. Report to Congressional Requesters, GAO-03-561. Washington, DC, 2003
14. U.S. Government Accountability Office. Nursing Homes: Efforts to Strengthen Federal Enforcement Have Not Deterred Some Homes from Repeatedly Harming Residents. GAO-07-241. Washington, DC, 2007
15. U.S. Government Accountability Office. CMS's Specific Focus Facility Methodology Should Better Target the Most Poorly Performing Facilities Which Tend to Be Chain Affiliated and For-Profit. GAO-09-689. Washington, DC, August 2009
16. U.S. Government Accountability Office. Nursing Homes: Addressing the Factors Underlying Understatement of Serious Care Problems Requires Sustained CMS and State Commitment. GAO-10-70. Washington, DC, 2009
17. Comondore, V. R., et al. Quality of care in for-profit and not-for-profit nursing homes: Systematic review and meta-analysis. BMJ 339:b2732, 2009
18. Hillmer, M. P., et al. Nursing home profit status and quality of care: Is there any evidence of an association? Med. Care Res. Rev. 62(2):139-166, 2005
19. Harrington, C., et al. Does investor-ownership of nursing homes compromise the quality of care? Am. J. Public Health 91:1452-1455, 2001
20. O'Neill, C., et al. Quality of care in nursing homes: An analysis of the relationships among profit, quality, and ownership. Med. Care 41:1318-1330, 2003
21. U.S. Government Accountability Office. Nursing Homes: Complexity of Private Investment Purchases Demonstrates Need for CMS to Improve the Usability and Completeness of Ownership Data. GAO-10-710. Washington, DC, 2010
22. Johnson, C. E., et al. Predictors of lawsuit activity against nursing homes in Hillsborough county Florida. Health Care Manage. Rev. 29(2):150-158, 2004
23. Stevenson, D., Grabowski, D., and Bramson, J. Nursing Home Ownership Trends and Their Impact on Quality of Care. U.S. Assistant Secretary for Planning and Evaluation Washington, DC, August 2009
24. Kitchener, M., et al. Shareholder value and the performance of a large nursing home chain. Health Serv. Res. 43(3):1062-1084, 2008
25. LaPorte, M. Top 50 nursing facility chains: Weathering the storm. Provider Magazine June 2009, pp. 47-51. www.retirementconcepts.com
26. LaPorte, M. Top 50 nursing facility chains: Steady growth. Provider Magazine June 2008, pp. 39-43. www.providermagazine.com/archive-2008.htm (accessed June
27. Adler, S. The CLTC 50-plus. Contemp. Long Term Care, April 1999, pp. 36-48.
28. Vickery, K. 2003: A year of transition. Provider, June 2004, pp. 41-45.
29. Loepere, C. C., and ReedSmith, LLP. Request for exemption from certificate of need review notice of Manor Care, Inc. stock sale and internal reorganization. Letter to Paul Parker, Maryland Health Care Commission, Baltimore, August 13, 2007
30. Casson, J. E., and McMillen, J. Protecting nursing home companies: Limiting liability through corporate restructuring. J. Health Law 36(4):577-613, 2003
31. Medicare Payment Advisory Commission (MedPac). Report to Congress: Medicare Payment Policy. Washington, DC, March 2009
32. Zinn, J. S., et al. Doing better to do good: The impact of strategic adaptation on nursing home performance. Health Serv. Res. 42(3, Pt. I):1200-1218, 2007
33. U.S. Department of Health and Human Services, Office of the Inspector General. Questionable Billing by Skilled Nursing Facilities. OEI-02-09-00202. Washington DC, December 2010
34. Delaney, K. J. Strategic Bankruptcy: How Corporations and Creditors Use Chapter 11 to Their Advantage. University of California Press, Berkeley, 1992
35. Aon Global Risk Consulting. Long Term Care: 2008 General Liability and Professional Liability Actuarial Analysis. American Health Care Association Washington, DC, 2008. www.ahcancal.org/research-data/liability/Documents/2008
36. LiabilityActuarialAnalysis.pdf (accessed November 13, 2009).