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Antecedents of hospital ownership conversions, mergers, and closures.

Publication ,  Journal Article
Sloan, FA; Ostermann, J; Conover, CJ
Published in: Inquiry : a journal of medical care organization, provision and financing
January 2003

This study assesses the determinants of conversions in hospital ownership from 1986 through 1996. To place such changes in context, we also analyze causes of hospital mergers and closures, which are often alternatives to hospital ownership conversion. A consistent result from our analysis is that an important antecedent of ownership conversions is a low profit margin. Conversions from private nonprofit or government ownership to for-profit status are preceded by chronically low margins and high debt-to-asset ratios. By contrast, conversions from for-profit ownership occur quickly following declines in margins. Many mergers seem motivated by a desire to increase market power--a consideration not evident for conversions.

Duke Scholars

Published In

Inquiry : a journal of medical care organization, provision and financing

DOI

EISSN

1945-7243

ISSN

0046-9580

Publication Date

January 2003

Volume

40

Issue

1

Start / End Page

39 / 56

Related Subject Headings

  • United States
  • Probability
  • Privatization
  • Ownership
  • Organizational Innovation
  • Models, Econometric
  • Income
  • Hospitals, Voluntary
  • Hospitals, Public
  • Hospitals, Proprietary
 

Citation

APA
Chicago
ICMJE
MLA
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Sloan, F. A., Ostermann, J., & Conover, C. J. (2003). Antecedents of hospital ownership conversions, mergers, and closures. Inquiry : A Journal of Medical Care Organization, Provision and Financing, 40(1), 39–56. https://doi.org/10.5034/inquiryjrnl_40.1.39
Sloan, Frank A., Jan Ostermann, and Christopher J. Conover. “Antecedents of hospital ownership conversions, mergers, and closures.Inquiry : A Journal of Medical Care Organization, Provision and Financing 40, no. 1 (January 2003): 39–56. https://doi.org/10.5034/inquiryjrnl_40.1.39.
Sloan FA, Ostermann J, Conover CJ. Antecedents of hospital ownership conversions, mergers, and closures. Inquiry : a journal of medical care organization, provision and financing. 2003 Jan;40(1):39–56.
Sloan, Frank A., et al. “Antecedents of hospital ownership conversions, mergers, and closures.Inquiry : A Journal of Medical Care Organization, Provision and Financing, vol. 40, no. 1, Jan. 2003, pp. 39–56. Epmc, doi:10.5034/inquiryjrnl_40.1.39.
Sloan FA, Ostermann J, Conover CJ. Antecedents of hospital ownership conversions, mergers, and closures. Inquiry : a journal of medical care organization, provision and financing. 2003 Jan;40(1):39–56.

Published In

Inquiry : a journal of medical care organization, provision and financing

DOI

EISSN

1945-7243

ISSN

0046-9580

Publication Date

January 2003

Volume

40

Issue

1

Start / End Page

39 / 56

Related Subject Headings

  • United States
  • Probability
  • Privatization
  • Ownership
  • Organizational Innovation
  • Models, Econometric
  • Income
  • Hospitals, Voluntary
  • Hospitals, Public
  • Hospitals, Proprietary