Predicting Nursing Home Financial Distress Using the Altman Z-Score

This article uses a modified Altman Z-score to predict financial distress within the nursing home industry. The modified Altman Z-score model uses multiple discriminant analysis (MDA) to examine multiple financial ratios simultaneously to assess a firm’s financial distress. This study utilized data...

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Main Authors: Justin Lord PhD, Amy Landry PhD, Grant T. Savage PhD, Robert Weech-Maldonado PhD
Format: Article
Language:English
Published: SAGE Publishing 2020-07-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.1177/0046958020934946
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author Justin Lord PhD
Amy Landry PhD
Grant T. Savage PhD
Robert Weech-Maldonado PhD
author_facet Justin Lord PhD
Amy Landry PhD
Grant T. Savage PhD
Robert Weech-Maldonado PhD
author_sort Justin Lord PhD
collection DOAJ
description This article uses a modified Altman Z-score to predict financial distress within the nursing home industry. The modified Altman Z-score model uses multiple discriminant analysis (MDA) to examine multiple financial ratios simultaneously to assess a firm’s financial distress. This study utilized data from Medicare Cost Reports, LTCFocus, and the Area Resource File. Our sample consisted of 167 268 nursing home-year observations, or an average of 10 454 facilities per year, in the United States from 2000 through 2015. The independent financial variables, liquidity, profitability, efficiency, and net worth were entered stepwise into the MDA model. All of the financial variables, with the exception of net worth, significantly contributed to the discriminating power of the model. K-means clustering was used to classify the latent variable into 3 categorical groups: distressed, risk-of-financial distress, and healthy. These findings will provide policy makers and practitioners another tool to identify nursing homes that are at risk of financial distress.
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spelling doaj.art-5af5c580b7e34dcdb3baee72325d4dc82022-12-21T20:32:21ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432020-07-015710.1177/0046958020934946Predicting Nursing Home Financial Distress Using the Altman Z-ScoreJustin Lord PhD0Amy Landry PhD1Grant T. Savage PhD2Robert Weech-Maldonado PhD3Louisiana State University Shreveport, USAThe University of Alabama at Birmingham, USAThe University of Alabama at Birmingham, USAThe University of Alabama at Birmingham, USAThis article uses a modified Altman Z-score to predict financial distress within the nursing home industry. The modified Altman Z-score model uses multiple discriminant analysis (MDA) to examine multiple financial ratios simultaneously to assess a firm’s financial distress. This study utilized data from Medicare Cost Reports, LTCFocus, and the Area Resource File. Our sample consisted of 167 268 nursing home-year observations, or an average of 10 454 facilities per year, in the United States from 2000 through 2015. The independent financial variables, liquidity, profitability, efficiency, and net worth were entered stepwise into the MDA model. All of the financial variables, with the exception of net worth, significantly contributed to the discriminating power of the model. K-means clustering was used to classify the latent variable into 3 categorical groups: distressed, risk-of-financial distress, and healthy. These findings will provide policy makers and practitioners another tool to identify nursing homes that are at risk of financial distress.https://doi.org/10.1177/0046958020934946
spellingShingle Justin Lord PhD
Amy Landry PhD
Grant T. Savage PhD
Robert Weech-Maldonado PhD
Predicting Nursing Home Financial Distress Using the Altman Z-Score
Inquiry: The Journal of Health Care Organization, Provision, and Financing
title Predicting Nursing Home Financial Distress Using the Altman Z-Score
title_full Predicting Nursing Home Financial Distress Using the Altman Z-Score
title_fullStr Predicting Nursing Home Financial Distress Using the Altman Z-Score
title_full_unstemmed Predicting Nursing Home Financial Distress Using the Altman Z-Score
title_short Predicting Nursing Home Financial Distress Using the Altman Z-Score
title_sort predicting nursing home financial distress using the altman z score
url https://doi.org/10.1177/0046958020934946
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