Evidence map›Paper›PMID 38756179›Full record

ArticleHealth affairs scholar2024

Nursing home finances associated with real estate investment trust and private equity investments.

Dunc Williams, Rahul Fernandez, David Stevenson, Mark Unruh, Robert Tyler Braun

Abstract read
In one paragraph

Article in Health affairs scholar, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dunc WilliamsDepartment of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, SC 29425-9620, United States.
Rahul FernandezPopulation Health Sciences, Division of Health Policy and Economics, Cornell University, New York, NY 10065, United States.
David StevensonDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, TN 37232, United States.
Mark UnruhPopulation Health Sciences, Division of Health Policy and Economics, Cornell University, New York, NY 10065, United States.ORCID https://orcid.org/0000-0002-9662-5659
Robert Tyler BraunPopulation Health Sciences, Division of Health Policy and Economics, Cornell University, New York, NY 10065, United States.ORCID https://orcid.org/0000-0001-6408-2656

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2021, real estate investment trusts (REITs) and private equity (PE) held investments in 1915 (16%) and 1569 (13%) US nursing homes (NHs), respectively. We created a database of REIT and PE investments in NHs, merged it with Medicare Cost Report data (2011-2019), and used a difference-in-differences approach within an event-study framework to compare NH spending and financial performance before and after REIT or PE investment to NHs that did not receive REIT or PE investment. REIT investments were associated with higher total wages (3%), total nursing wages (3%; both logged, per resident day [PRD]), and current ratio (81%). PE investments were associated with lower net patient service revenue (7%), total expenses (7%), and total wages (8%; all logged, PRD). The impact of REIT and PE investments in NHs may vary in different market conditions, as may occur in the current environment of low, falling NH profits, potentially higher minimum staffing requirements, and rising interest rates. Therefore, it is important for stakeholders to understand the impact of these large, growing investments on the financial performance of NHs.

Indexed as

healthcare financenursing homeprivate equityreal estate investment trust (REIT)

Identifiers

PMID38756179
PMCPMC11034530

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.