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Chain reaction: an exploratory study of nursing home bankruptcy in California

Kitchener, Martin James, O'Neill, Ciaran and Harrington, Charlene 2005. Chain reaction: an exploratory study of nursing home bankruptcy in California. Journal of Aging & Social Policy 17 (4) , pp. 19-35. 10.1300/J031v17n04_02

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Abstract

This paper reports on an exploratory study of nursing home bankruptcy. From state and industry data regarding nearly 1,000 California facilities, it was possible to identify 155 homes in five chains (multi-facility organizations) that were operating in bankruptcy in 2000. When compared with facilities in non-bankrupt chains, while the bankrupt chain facilities had significantly worse financial liquidity, higher administrative costs, and higher payables to related parties, they also had more Medicare residents, fewer Medicaid residents, better solvency, and were located in less competitive county markets and in areas with higher Medicaid reimbursement rates. These findings indicate that, rather than facility characteristics and local market factors, strategic decisions taken at the corporate (chain) level are the major determinants of nursing facility bankruptcy status.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Business (Including Economics)
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HD Industries. Land use. Labor
H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
R Medicine > RA Public aspects of medicine
R Medicine > RT Nursing
Uncontrolled Keywords: Homes and hostels; Insolvency; California
Publisher: Taylor & Francis
ISSN: 0895-9420
Last Modified: 04 Jun 2017 04:25
URI: http://orca.cf.ac.uk/id/eprint/38847

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