Factor 1

Factor 2

Factor 3

Factor 4

Commonality

Bedconversion and downsizing

Diversification of medical and nursing care

Expansion in business scale

Expansion of income from non-insured medical care

(14) Conversion of beds to elder care facilities

0.701

0.225

0.028

−0.012

0.543

(12) Shifting businesses to fee-based homes for the elderly, service-added housing for the elderly

0.604

0.295

0.033

0.000

0.452

(11) Reduction in surplus beds

0.464

−0.020

0.116

0.019

0.229

(15) Sale of businesses or closing of hospitals

0.461

−0.079

0.072

0.055

0.227

(3) Promotion of combined management of medical and nursing care

0.131

0.845

0.151

0.154

0.778

(2) Better support function for in-home care

0.048

0.572

0.055

0.175

0.363

(13) Expansion through acquisition

0.168

0.069

0.793

0.131

0.678

(9) Expansion through new construction

0.078

0.116

0.652

0.152

0.468

(8) Expansion of revenues through specific medical expenses and non-insured services such as private practices

0.092

0.092

0.195

0.717

0.569

(5) Better preventive medical care through medical checkups, screenings, and brain checkups

−0.029

0.224

0.089

0.597

0.415

Cronbach’s α

0.643

0.696

0.711

0.623

Factor contribution

1.347

1.263

1.146

0.968

Aggregate contribution rate (%)

13.465

26.094

37.550

47.233