Scholarlink

<p>How nearby hospitals adjust financially after a neighboring closure may depend on ownership incentives, yet existing research has not examined this variation by ownership type. Using publicly available cost report data from the National Academy for State Health Policy Hospital Cost Tool for short-term hospitals from 2011 through 2022, we compare hospitals with exactly two neighbors within sixty miles that experienced a neighboring closure to those retaining two neighbors, ensuring comparable baseline market structure. For-profit hospitals show the largest post-closure increases in Charge-to-cost, though pre-closure trends make this pattern suggestive, while the for-profit Net-profit-margin gain is the best-identified result and is comparable in size to the non-profit gain. Governmental hospitals show changes indistinguishable from zero, motivating ownership-differentiated policy responses.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

When a Neighbor Closes: Ownership and Hospital Profits

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月23日

查看全文
  • Salpy Kanimian,
  • Shishir Shakya

摘要

How nearby hospitals adjust financially after a neighboring closure may depend on ownership incentives, yet existing research has not examined this variation by ownership type. Using publicly available cost report data from the National Academy for State Health Policy Hospital Cost Tool for short-term hospitals from 2011 through 2022, we compare hospitals with exactly two neighbors within sixty miles that experienced a neighboring closure to those retaining two neighbors, ensuring comparable baseline market structure. For-profit hospitals show the largest post-closure increases in Charge-to-cost, though pre-closure trends make this pattern suggestive, while the for-profit Net-profit-margin gain is the best-identified result and is comparable in size to the non-profit gain. Governmental hospitals show changes indistinguishable from zero, motivating ownership-differentiated policy responses.