International Journal of Clinical Case Reports and Reviews Copy rights@ Ecler Jaqua et.al.
Auctores Publishing – Volume 9(2)-171 www.auctoresonline.org
ISSN: 2690-4861 Page 1 of 2
Markups and Contribution Margins of Nursing Homes
Ecler Jaqua MD
1
*, Terry Jaqua PhD, MBA
2
1
Trident University International – Business Administration Department, USA.
2
Trident University International – Health Sciences Department, USA.
*Corresponding Author: Ecler Jaqua, Trident University International – Business Administration Department, USA.
Received Date: September 03, 2021 | Accepted Date: September 22, 2021 | Published Date: September 30,
2021
Citation: E Jaqua, T Jaqua. (2021). Markups and Contribution Margins of Nursing Homes. International Journal of Clinical Case Reports and
Reviews. 8(4); DOI:10.31579/2690-4861/171
Copyright: © 2021 Ecler Jaqua, This is an open-access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Markups and profit margins are different accounting terms that analyze similar transactions and use the
same inputs but show additional information. The two use costs and revenues as in their calculations. The
critical difference is that while profit margins refer to sales less the cost of goods sold, markups refer to
the amount that needs to be added to the cost of goods to get to the final selling price. Understanding these
two terms ensures that price setting is done correctly. Too low or high price setting may cause lost profits
or sales. Also, with time, the price setting of a firm impacts its market share. This research paper discusses
markups and contribution margins of nursing homes.
Keywords: Nursing Homes; markups; Rehabilitation services; medical care
Industry Description
Nursing homes are also known as skilled nursing facilities. They offer
various personal and health care services. The services in a nursing home
focus more on medical care. The multiple services in these facilities
include 24-hour supervision, nursing care, constant assistance with daily
activities, and providing three meals a day. Rehabilitation services are
also available. Such include speech, occupational, and physical therapy.
Some people opt to stay at a skilled nursing facility after their discharge
from the hospital (Yang et al., 2021). They go home after their recovery.
However, many nursing home residents choose to live there permanently.
Many have ongoing mental or physical conditions requiring constant
supervision and care.
A skilled nursing facility has the best care for older adults.
They offer custodial care, giving help getting out of bed, assisting
individuals with bathing, feeding, and dressing. Also, they provide high
levels of medical care. A licensed physician is supervising the patients.
Some medical professionals are always on the premises. Other medical
professionals, including physical or occupational therapists, are available
(Yang et al., 2021). Due to the aging population, many individuals are
faced with the prospect of moving their older family members into
convalescent or a nursing home. It is a decision that may arrive suddenly
following hospitalization. Such decisions come as it becomes more
challenging to meet the aging family member's needs.
The Margins and Markups on Services in Nursing
Homes
The nursing home in the United States is both For-profit and
non-profit facilities. For-profit facilities are operated and run by
businesses and corporations, and shareholders control them. Such
facilities prioritize shareholders and put the needs of their residents
second. The conflict of interest reduces the quality of care offered to
residents. In addition, there is the pressure of keeping the staffing levels.
On the other hand, non-profit facilities prioritize residents' quality of care
since they have no responsibility to the shareholders. Such tend to higher-
quality and more staff.
There are also fewer bedsores, lower restraints, and
government-cited deficiencies. The majority of nursing homes in the
United States (about 70%) are for-profit, and this trend continues to grow.
It means that their prime role is profit maximization. The expenses and
revenues of a nursing home are linked to its value strategy. The highest
value is created when a nursing home delivers quality care and sets low
prices (Yang et al., 2021). At face value, the strategy may appear to be at
odds with the goal of profit maximization; thus, it may lead to low
profitability.
A low price-setting would seem to depress the facility's total
revenues. But the low price and high-quality care attract more residents,
the revenues and profits are expected to increase. On the side of expenses,
uncertainty exists due to the high quality- low price strategy. The
uncertainty is whether the high quality is more costly to produce than the
low quality of care. In case the high quality is expensive, then there is
likely to be pressure on profits. However, if patient safety errors and
Open Access
Short Communication
International Journal of Clinical Case Reports and Reviews
Ecler Jaqua *
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