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But their financial circumstances were dramatically improved when, in 1909, the Metropolitan Life Insurance Company (MLI) established an insurance scheme for home nursing care for their policyholders.
First studied in 1928, this remained an unresolved policy dilemma in the United States.
In 1935, the creation of Old Age Assistance (Social Security) rebalanced the locus of care for the chronically ill.
In 1965, when Medicare coverage for hospital services was enacted, the task facing the Federal Government for the regulation of hospitals was relatively simple.
Careington was founded by two dentists in 1979.
March 1985: Community Health Systems is founded with the first purchase of a hospital in May 1985.
Genesis Health Ventures was established in 1985 with nine Centers and a management team that believed nursing homes should be proactive centers of health care, rather than centers focused solely on custodial care for the elderly.
The second hospital purchase took place soon thereafter in January 1986.
The second significant result of the failure to change regulations was the study conducted by the Institute of Medicine (IOM, 1986). Clearly, suspicion of any proposed Federal action made the use of a disinterested third party critical to the development of any regulation.
In 1987, the Nursing Home Act was introduced to begin defining different types of services and eventually a Residents’ Bill of Rights.
Omnibus Budget Reconciliation Act of 1987 and its implications for the medical director.[Clin Geriatr Med.
Nursing home reform: its legislative history and economic impact upon nursing homes.[Benefits Q. 1993] Emerzian AD, Stampp T. Benefits Q. 1993; 9(1):19-28.
June 1996: An affiliate of Forstmann Little & Co. acquires the company in a $1.1 billion leveraged buyout.
In 1999, the Federal government made drastic, unanticipated cuts to Medicare, which at that time funded virtually all the care for individuals admitted to Genesis Centers from hospitals.
June 2000: Community Health Systems, Inc. is taken public for the second time on the New York Stock Exchange trading under the symbol CYH with an initial offering price of $13 per share.
Genesis Health Ventures fought to stay solvent, but was forced to seek Chapter 11 protection in 2000.
In 2001, the company reorganized and reemerged as a stronger entity, retaining its focus on delivering high quality health care.
Genesis HealthCare was created in 2003 as a result of a spin-off from Genesis Health Ventures.
A 2004 study found that one in five (22.9 million) United States households were involved in caring for a person older than eighteen.
July 2007: Community Health Systems, Inc. completes the acquisition of Triad Hospitals, Inc. adding more than 50 hospitals and nearly doubling the size of the organization.
Karen Buhler-Wilkerson, “Care of the Chronically Ill at Home: An Unresolved Dilemma in Health Policy for the Unites States,” Milbank Quarterly, 85(4) (December 2007): 611-39.
In 2007, private equity investors Formation Capital and JER Partners assumed ownership of Genesis HealthCare, taking the Company private.
In 2011, Health Care REIT, Inc. (HCN), a health care real estate investment trust, acquired substantially all of Genesis' real estate assets.
January 2014: Community Health Systems, Inc. completes the acquisition of Health Management Associates, Inc., adding approximately 70 hospitals to the organization.
Genesis HealthCare announced that effective February 2, 2015, it completed its previously announced combination with Skilled Healthcare Group, Inc.
April 2016: On April 29, 2016, the organization formed a new, independent, publicly traded hospital company by spinning off a group of 38 hospitals and Quorum Health Resources, LLC, a leading hospital management and consulting firm.
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