A performance analysis of long-term acute-care hospitals owned by large, multistate investor-owned companies

Preethy Nayar, Xinliang Liu, Michael J. McCue

Research output: Contribution to journalArticle


This study provides a descriptive assessment of the operating performance of for-profit long-term acute-care hospitals owned by multistate, investor-owned companies (large FP LTCHs) compared with FP LTCHs owned by smaller FP companies (small FP LTCHs) and nonprofit LTCHs (NP LTCHs). The study used the Centers for Medicare & Medicaid Services cost report data for 290 LTCHs from 2010 through 2012 to compare the financial performance of large and small FP LTCHs and NP LTCHs. The study found that the median operating profit margin for large FP LTCHs was 8.06%, which was twice as high as that of the small FP LTCHs and NP LTCHs (4.78% and 2.80%, respectively). Larger size, serving a greater proportion of private pay and more complex patients and incurring lower operating expenses, including salary expenses, may account for the higher operating margin of the large FP LTCHs.

Original languageEnglish (US)
Pages (from-to)144-150
Number of pages7
JournalHealth Care Manager
Issue number2
Publication statusPublished - Apr 1 2016



  • financial performance
  • investor owned
  • long-term acute-care hospitals (LTCHs)
  • operating margin

ASJC Scopus subject areas

  • Leadership and Management
  • Health(social science)
  • Health Policy
  • Care Planning

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