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<!DOCTYPE html> <html > <head> <meta charset="utf-8"> <meta rel="search" type="application/opensearchdescription+xml" href="/open_search.xml" title="Academia.edu"> <meta content="width=device-width, initial-scale=1" name="viewport"> <meta name="google-site-verification" content="bKJMBZA7E43xhDOopFZkssMMkBRjvYERV-NaN4R6mrs"> <meta name="csrf-param" content="authenticity_token" /> <meta name="csrf-token" content="zOWM3oNB/8WnVPpQhvxq16lx08MjLqRt3tgBWPB/1ejvbLphCdVlHRLWVeo2m2ZtaKEllm3TM3FclKHMfsu7bA==" /> <meta name="citation_title" content="Operating Profitability of For-Profit and Not-for-Profit Florida Community Hospitals During Medicare Policy Changes, 2000 to 2010" /> <meta name="citation_publication_date" content="2015" /> <meta name="citation_journal_title" content="INQUIRY: The Journal of Health Care Organization, Provision, and Financing" /> <meta name="citation_author" content="Barbara Langland-Orban" /> <meta name="citation_author" content="John T. Large" /> <meta name="citation_author" content="Alan M. Sear" /> <meta name="citation_author" content="Hanze Zhang" /> <meta name="citation_author" content="Nanhua Zhang" /> <meta name="citation_volume" content="52" /> <meta name="citation_firstpage" content="004695801560075" /> <meta name="citation_issn" content="0046-9580" /> <meta name="twitter:card" content="summary" /> <meta name="twitter:url" content="https://www.academia.edu/29837731/Operating_Profitability_of_For_Profit_and_Not_for_Profit_Florida_Community_Hospitals_During_Medicare_Policy_Changes_2000_to_2010" /> <meta name="twitter:title" content="Operating Profitability of For-Profit and Not-for-Profit Florida Community Hospitals During Medicare Policy Changes, 2000 to 2010" /> <meta name="twitter:description" content="Medicare Advantage was implemented in 2004 and the Recovery Audit Contractor (RAC) program was implemented in Florida during 2005. Both increase surveillance of medical necessity and deny payments for improper admissions. The purpose of the present" /> <meta name="twitter:image" content="http://a.academia-assets.com/images/twitter-card.jpeg" /> <meta property="fb:app_id" content="2369844204" /> <meta property="og:type" content="article" /> <meta property="og:url" content="https://www.academia.edu/29837731/Operating_Profitability_of_For_Profit_and_Not_for_Profit_Florida_Community_Hospitals_During_Medicare_Policy_Changes_2000_to_2010" /> <meta property="og:title" content="Operating Profitability of For-Profit and Not-for-Profit Florida Community Hospitals During Medicare Policy Changes, 2000 to 2010" /> <meta property="og:image" content="http://a.academia-assets.com/images/open-graph-icons/fb-paper.gif" /> <meta property="og:description" content="Medicare Advantage was implemented in 2004 and the Recovery Audit Contractor (RAC) program was implemented in Florida during 2005. Both increase surveillance of medical necessity and deny payments for improper admissions. The purpose of the present" /> <meta property="article:author" content="https://independent.academia.edu/NanhuaZhang" /> <meta name="description" content="Medicare Advantage was implemented in 2004 and the Recovery Audit Contractor (RAC) program was implemented in Florida during 2005. Both increase surveillance of medical necessity and deny payments for improper admissions. The purpose of the present" /> <title>(PDF) Operating Profitability of For-Profit and Not-for-Profit Florida Community Hospitals During Medicare Policy Changes, 2000 to 2010 | Nanhua Zhang - Academia.edu</title> <link rel="canonical" href="https://www.academia.edu/29837729/Operating_Profitability_of_For_Profit_and_Not_for_Profit_Florida_Community_Hospitals_During_Medicare_Policy_Changes_2000_to_2010" /> <script async src="https://www.googletagmanager.com/gtag/js?id=G-5VKX33P2DS"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-5VKX33P2DS', { cookie_domain: 'academia.edu', send_page_view: false, }); gtag('event', 'page_view', { 'controller': "single_work", 'action': "show", 'controller_action': 'single_work#show', 'logged_in': 'false', 'edge': 'unknown', // Send nil if there is no A/B test bucket, in case some records get logged // with missing data - that way we can distinguish between the two cases. // ab_test_bucket should be of the form <ab_test_name>:<bucket> 'ab_test_bucket': null, }) </script> <script> var $controller_name = 'single_work'; var $action_name = "show"; var $rails_env = 'production'; var $app_rev = 'b55351076b26328bd3ebb8c0edd1b35967bcfaed'; var $domain = 'academia.edu'; var $app_host = "academia.edu"; var $asset_host = "academia-assets.com"; var $start_time = new Date().getTime(); var $recaptcha_key = "6LdxlRMTAAAAADnu_zyLhLg0YF9uACwz78shpjJB"; var $recaptcha_invisible_key = "6Lf3KHUUAAAAACggoMpmGJdQDtiyrjVlvGJ6BbAj"; var $disableClientRecordHit = false; </script> <script> window.require = { config: function() { return function() {} } } </script> <script> window.Aedu = window.Aedu || {}; window.Aedu.hit_data = null; window.Aedu.serverRenderTime = new Date(1732750992000); window.Aedu.timeDifference = new Date().getTime() - 1732750992000; </script> <script type="application/ld+json">{"@context":"https://schema.org","@type":"ScholarlyArticle","abstract":"Medicare Advantage was implemented in 2004 and the Recovery Audit Contractor (RAC) program was implemented in Florida during 2005. Both increase surveillance of medical necessity and deny payments for improper admissions. The purpose of the present study was to determine their potential impact on for-profit (FP) and not-for-profit (NFP) hospital operating margins in Florida. FP hospitals were expected to be more adversely affected as admissions growth has been one strategy to improve stock performance, which is not a consideration at NFPs. This study analyzed Florida community hospitals from 2000 through 2010, assessing changes in pre-tax operating margin (PTOM). Florida Agency for Health Care Administration data were analyzed for 104 community hospitals (62 FPs and 42 NFPs). Academic, public, and small hospitals were excluded. A mixed-effects model was used to assess the association of RAC implementation, organizational and payer type variables, and ownership interaction effects on...","author":[{"@context":"https://schema.org","@type":"Person","name":"Nanhua Zhang"}],"contributor":[],"dateCreated":"2016-11-14","dateModified":"2016-11-14","datePublished":"2015-01-01","headline":"Operating Profitability of For-Profit and Not-for-Profit Florida Community Hospitals During Medicare Policy Changes, 2000 to 2010","inLanguage":"en","keywords":["Ownership","Humans","United States","Florida","Medicare","Public health systems and services research","Hospital Financial Management"],"locationCreated":null,"publication":"Inquiry : a journal of medical care organization, provision and 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Both increase surveillance of medical necessity and deny payments for improper admissions. The purpose of the present study was to determine their potential impact on for-profit (FP) and not-for-profit (NFP) hospital operating margins in Florida. FP hospitals were expected to be more adversely affected as admissions growth has been one strategy to improve stock performance, which is not a consideration at NFPs. This study analyzed Florida community hospitals from 2000 through 2010, assessing changes in pre-tax operating margin (PTOM). Florida Agency for Health Care Administration data were analyzed for 104 community hospitals (62 FPs and 42 NFPs). Academic, public, and small hospitals were excluded. A mixed-effects model was used to assess the association of RAC implementation, organizational and payer type variables, and ownership interaction effects on...","publication_date":"2015,,","publication_name":"Inquiry : a journal of medical care organization, provision and financing"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Operating Profitability of For-Profit and Not-for-Profit Florida Community Hospitals During Medicare Policy Changes, 2000 to 2010","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [33204261]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{"location":"swp-splash-paper-cover","attachmentId":50311811,"attachmentType":"pdf"}"><img alt="First page of “Operating Profitability of For-Profit and Not-for-Profit Florida Community Hospitals During Medicare Policy Changes, 2000 to 2010”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/50311811/mini_magick20220706-31855-zwr97h.png?1657141294" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/assets/single_work_splash/adobe.icon-574afd46eb6b03a77a153a647fb47e30546f9215c0ee6a25df597a779717f9ef.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Operating Profitability of For-Profit and Not-for-Profit Florida Community Hospitals During Medicare Policy Changes, 2000 to 2010</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="33204261" href="https://independent.academia.edu/NanhuaZhang"><img alt="Profile image of Nanhua Zhang" class="ds-work-card--author-avatar" src="//a.academia-assets.com/images/s65_no_pic.png" />Nanhua Zhang</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2015, Inquiry : a journal of medical care organization, provision and financing</p><div class="ds-work-card--work-metadata"><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">visibility</span><p class="ds2-5-body-sm" id="work-metadata-view-count">…</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">description</span><p class="ds2-5-body-sm">7 pages</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">link</span><p class="ds2-5-body-sm">1 file</p></div></div><script>(async () => { const workId = 29837731; const worksViewsPath = "/v0/works/views?subdomain_param=api&work_ids%5B%5D=29837731"; const getWorkViews = async (workId) => { const response = await fetch(worksViewsPath); if (!response.ok) { throw new Error('Failed to load work views'); } const data = await response.json(); return data.views[workId]; }; // Get the view count for the work - we send this immediately rather than waiting for // the DOM to load, so it can be available as soon as possible (but without holding up // the backend or other resource requests, because it's a bit expensive and not critical). const viewCount = await getWorkViews(workId); const updateViewCount = (viewCount) => { const viewCountNumber = Number(viewCount); if (!viewCountNumber) { throw new Error('Failed to parse view count'); } const commaizedViewCount = viewCountNumber.toLocaleString(); const viewCountBody = document.getElementById('work-metadata-view-count'); if (viewCountBody) { viewCountBody.textContent = `${commaizedViewCount} views`; } else { throw new Error('Failed to find work views element'); 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Both increase surveillance of medical necessity and deny payments for improper admissions. The purpose of the present study was to determine their potential impact on for-profit (FP) and not-for-profit (NFP) hospital operating margins in Florida. FP hospitals were expected to be more adversely affected as admissions growth has been one strategy to improve stock performance, which is not a consideration at NFPs. This study analyzed Florida community hospitals from 2000 through 2010, assessing changes in pre-tax operating margin (PTOM). Florida Agency for Health Care Administration data were analyzed for 104 community hospitals (62 FPs and 42 NFPs). Academic, public, and small hospitals were excluded. A mixed-effects model was used to assess the association of RAC implementation, organizational and payer type variables, and ownership interaction effects on...</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--work-card","attachmentId":50311811,"attachmentType":"pdf","workUrl":"https://www.academia.edu/29837731/Operating_Profitability_of_For_Profit_and_Not_for_Profit_Florida_Community_Hospitals_During_Medicare_Policy_Changes_2000_to_2010"}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--work-card","attachmentId":50311811,"attachmentType":"pdf","workUrl":"https://www.academia.edu/29837731/Operating_Profitability_of_For_Profit_and_Not_for_Profit_Florida_Community_Hospitals_During_Medicare_Policy_Changes_2000_to_2010"}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div></div><div data-auto_select="false" data-client_id="331998490334-rsn3chp12mbkiqhl6e7lu2q0mlbu0f1b" data-doc_id="50311811" data-landing_url="https://www.academia.edu/29837731/Operating_Profitability_of_For_Profit_and_Not_for_Profit_Florida_Community_Hospitals_During_Medicare_Policy_Changes_2000_to_2010" data-login_uri="https://www.academia.edu/registrations/google_one_tap" data-moment_callback="onGoogleOneTapEvent" id="g_id_onload"></div><div class="ds-top-related-works--grid-container"><div class="ds-related-content--container ds-top-related-works--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="0" data-entity-id="97476966" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/97476966/The_Influence_of_Ownership_on_Hospital_Financial_Performance_Strategies">The Influence of Ownership on Hospital Financial Performance Strategies</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="258960164" href="https://independent.academia.edu/RanjaniKrishnan2">Ranjani Krishnan</a></div><p class="ds-related-work--metadata ds2-5-body-xs">SSRN Electronic Journal, 2003</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The Influence of Ownership on Hospital Financial Performance Strategies","attachmentId":99087907,"attachmentType":"pdf","work_url":"https://www.academia.edu/97476966/The_Influence_of_Ownership_on_Hospital_Financial_Performance_Strategies","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/97476966/The_Influence_of_Ownership_on_Hospital_Financial_Performance_Strategies"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="26665443" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/26665443/Hospital_financial_performance_in_the_United_States_of_America_a_follow_up_study">Hospital financial performance in the United States of America: a follow-up study</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="1260824" href="https://independent.academia.edu/MZYounis">M Z Younis</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Eastern Mediterranean health journal = La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ, 2006</p><p class="ds-related-work--abstract ds2-5-body-sm">To clarify and validate the factors that influence hospital profitability in the United States of America, we used a cross-sectional design to examine data for 1998. 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We found no evidence that existing physician-owned hospitals stopped accepting Medicare to avoid the ACA restrictions, although some investors adopted a seemingly unsuccessful strategy of not accepting Medicare at physician-ow...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The Affordable Care Act's Effects On The Formation, Expansion, And Operation Of Physician-Owned Hospitals","attachmentId":67928452,"attachmentType":"pdf","work_url":"https://www.academia.edu/49617904/The_Affordable_Care_Acts_Effects_On_The_Formation_Expansion_And_Operation_Of_Physician_Owned_Hospitals","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline 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Medicine, 1985</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The proprietary hospital industry: A financial analysis 1972–1982","attachmentId":66493492,"attachmentType":"pdf","work_url":"https://www.academia.edu/47361557/The_proprietary_hospital_industry_A_financial_analysis_1972_1982","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/47361557/The_proprietary_hospital_industry_A_financial_analysis_1972_1982"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="68542384" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/68542384/The_Impact_of_Health_Care_Reform_on_Capital_Acquisition_for_Hospitals">The Impact of Health Care Reform on Capital Acquisition for Hospitals</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="50628623" href="https://independent.academia.edu/CarolynCarroll1">Carolyn Carroll</a></div><p class="ds-related-work--metadata ds2-5-body-xs">The Financial Review, 1997</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The Impact of Health Care Reform on Capital Acquisition for Hospitals","attachmentId":78981250,"attachmentType":"pdf","work_url":"https://www.academia.edu/68542384/The_Impact_of_Health_Care_Reform_on_Capital_Acquisition_for_Hospitals","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/68542384/The_Impact_of_Health_Care_Reform_on_Capital_Acquisition_for_Hospitals"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="21873389" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/21873389/Investor_Owned_And_Not_For_Profit_Hospitals_Addressing_Some_Issues">Investor-Owned And Not-For-Profit Hospitals: Addressing Some Issues</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="43109505" href="https://duke.academia.edu/FrankSloan">Frank Sloan</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Health Affairs, 1983</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Investor-Owned And Not-For-Profit Hospitals: Addressing Some Issues","attachmentId":42613255,"attachmentType":"pdf","work_url":"https://www.academia.edu/21873389/Investor_Owned_And_Not_For_Profit_Hospitals_Addressing_Some_Issues","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/21873389/Investor_Owned_And_Not_For_Profit_Hospitals_Addressing_Some_Issues"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="115647633" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/115647633/The_financial_performance_of_diversified_hospital_subsidiaries">The financial performance of diversified hospital subsidiaries</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="69586050" href="https://independent.academia.edu/DAunno">Thomas D'Aunno</a></div><p class="ds-related-work--metadata ds2-5-body-xs">PubMed, 1993</p><p class="ds-related-work--abstract ds2-5-body-sm">Despite its proliferation, we know relatively little about the impact of hospital restructuring to offer new services. This exploratory study examines the relationship between types of services offered and financial performance among separately incorporated subsidiaries of acute care hospitals. We draw data from the subsidiaries of all hospital firms operating in one state (Virginia) that requires reporting by all such firms. Results from multiple regression analyses of 1987 data indicate that units that existed longer, produced health care or related products, or were nonprofit subsidiaries of nonprofit firms tended to be more profitable than the other subsidiaries.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The financial performance of diversified hospital subsidiaries","attachmentId":111996689,"attachmentType":"pdf","work_url":"https://www.academia.edu/115647633/The_financial_performance_of_diversified_hospital_subsidiaries","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/115647633/The_financial_performance_of_diversified_hospital_subsidiaries"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="31776146" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/31776146/Hospital_conversions_margins_and_the_provision_of_uncompensated_care">Hospital conversions, margins, and the provision of uncompensated care</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="43718243" href="https://independent.academia.edu/CurtisFlorence1">Curtis Florence</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Health Affairs, 2000</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Hospital conversions, margins, and the provision of uncompensated care","attachmentId":52079199,"attachmentType":"pdf","work_url":"https://www.academia.edu/31776146/Hospital_conversions_margins_and_the_provision_of_uncompensated_care","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/31776146/Hospital_conversions_margins_and_the_provision_of_uncompensated_care"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":50311811,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":50311811,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_50311811" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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Revisions Policymakers should view the growth in these hospitals as a signal that the hospital payment system is out of balance</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="37738526" href="https://independent.academia.edu/StephenZuckerman">Stephen Zuckerman</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2000</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Perspective Physician-Owned Specialty Hospitals: A Market Signal For Medicare Payment Revisions Policymakers should view the growth in these hospitals as a signal that the hospital payment system is out of 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class="ds-related-work--metadata ds2-5-body-xs">Inquiry, 2003</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Antecedents of Hospital Ownership Conversions, Mergers, and Closures","attachmentId":42613227,"attachmentType":"pdf","work_url":"https://www.academia.edu/21873354/Antecedents_of_Hospital_Ownership_Conversions_Mergers_and_Closures","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/21873354/Antecedents_of_Hospital_Ownership_Conversions_Mergers_and_Closures"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" 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data-entity-id="1458210" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/1458210/The_relationship_between_the_Balanced_Budget_Act_BBA_and_hospital_profitability">The relationship between the Balanced Budget Act (BBA) and hospital profitability</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="1260824" href="https://independent.academia.edu/MZYounis">M Z Younis</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Health Care Finance, 2006</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The relationship between the Balanced Budget Act (BBA) and hospital profitability","attachmentId":11355202,"attachmentType":"pdf","work_url":"https://www.academia.edu/1458210/The_relationship_between_the_Balanced_Budget_Act_BBA_and_hospital_profitability","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/1458210/The_relationship_between_the_Balanced_Budget_Act_BBA_and_hospital_profitability"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="16" data-entity-id="54929292" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md 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