Date of Conferral

4-30-2025

Date of Award

April 2025

Degree

Doctor of Business Administration (D.B.A.)

School

Business Administration

Advisor

Walter Mzccollum

Abstract

The frequency of nursing home closures in the Northeastern United States left owners and operators of nursing homes panicking. The elderly, and their families, are concerned about the delivery of care in their communities, while owners and operators are concerned about the negative financial impact this may cause on daily operations. The business problem is that some nursing home owners have a limited understanding of strategies to source revenue to improve the financial sustainability of their nursing homes. Grounded in a dynamic capabilities framework, this qualitative multiple-case study aimed to explore the strategies that some nursing home owners use to source revenue and increase the financial sustainability of nursing homes in the Northeastern United States. The participants were five nursing home owners in the Northeastern United States who had developed successful strategies to grow revenue in their organizations. Data were collected using semistructured interviews and a review of organizational documents. Through thematic analysis, three themes were identified: (1) major revenue sources, (2) strategies for growing revenue, and (3) strategies for ensuring regulatory compliance. A key recommendation is for business leaders to implement targeted marketing programs that attract short-term and privately paying residents, thereby improving revenue. The implications for positive social change include the potential for nursing home administrators to retain qualified staff and enhance the delivery of high-quality care for residents through more sustainable financial practices.

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