Skip to main content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.


The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Changes in Ownership of Hospital and Skilled Nursing Facilities: An Analysis of Newly-Released CMS Data

Publication Date
Pete Welch, Joel Ruhter, Arielle Bosworth, Nancy De Lew, Benjamin D. Sommers

This report analyzes newly-released data from CMS that provides information on changes in ownership among hospitals and skilled nursing facilities (SNFs), based on information reported to CMS through the Provider Enrollment, Chain, and Ownership System (PECOS). Analyses of this dataset demonstrate 347 changes in ownership among hospitals and more than 3000 among skilled nursing facilities between 2016 and 2021, with wide variation across states. Ownership changes were more common in medium and larger hospitals (compared to small hospitals), hospitals with low profit margins (compared to more profitable hospitals), and long-term care hospitals. Future research can link this new dataset to other sources of information to support policymaking and research on consolidation, health care quality, and health care costs.