The Efficiency of Nursing Home Chains and the Implications of Non-profit Status

Randy Anderson, Danielle Lewis and James Webb

Journal of Real Estate Portfolio Management, 1999, vol. 5, issue 3, 235-245

Abstract: Executive Summary: In this article, we estimate X-efficiency levels in the nursing home industry and investigate the impact of their profit status and chain affiliation on performance. Using a Bayesian stochastic frontier approach and a nation-wide data set, we find that nursing homes are relatively cost inefficient. We also find strong evidence that chain affiliations and nonprofit status reduce a firm's operational cost efficiency. Finding that chain-affiliated homes are less cost efficient than independent homes casts concerns on the industry in light of the recent growth in chain affiliations.

Date: 1999
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Persistent link: https://EconPapers.repec.org/RePEc:taf:repmxx:v:5:y:1999:i:3:p:235-245

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DOI: 10.1080/10835547.1999.12089586

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