Changes in hospital financial performance and quality of care after real estate investment trust acquisition: quasi-experimental difference-in-differences study
REIT acquisitions were not associated with changes in most financial or quality of care measures. REIT acquired hospitals were, however, at greater risk of closure and bankruptcy. These findings highlight the need for regulatory oversight of REIT acquisitions of hospitals.
Authors
- Eric Boyang Yu
- Tarun Ramesh
- Jessica Phelan (ORCID: https://orcid.org/0000-0001-7008-7744)
- Endel John Orav (ORCID: https://orcid.org/0000-0002-8886-7252)
- Joseph Dov Bruch (ORCID: https://orcid.org/0000-0003-0458-2899)
- Thomas C. Tsai (ORCID: https://orcid.org/0000-0002-9183-016X)
- Jie Zheng (ORCID: https://orcid.org/0000-0002-9086-3760)
Institutions
- Brigham and Women's Hospital (US)
- Harvard University (US)
- Chicago Department of Public Health (US)
- University of Chicago (US)
- Massachusetts General Hospital (US)
- American College of Surgeons (US)
Publication Details
- Journal
- BMJ
- Published
- 2025-12-18
- DOI
- https://doi.org/10.1136/bmj-2025-086226
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Harvard University
- Harvard Catalyst
- National Institutes of Health
- National Center for Advancing Translational Sciences