About the CHIP Bulletin
Most Americans taxpayers may not realize they send more than $100 billion annually to nursing homes through Medicare and Medicaid. And most of it disappears into a maze of corporate structures designed to be invisible.
Consequently, residents are tended to by inadequate staff, workers are underpaid, and families kept in the dark. The companies collecting the money — many of them private equity firms with no background in healthcare — walk away with returns that are the envy of Wall Street.
This is not an accident. It is a system. And it has been hiding in plain sight for decades.

What CHIP Does
The CHIP Statistical & Financial Bulletin exists to pull back the curtain to expose that system.
Each issue translates raw federal data — cost reports, ownership filings, staffing records, related-party disclosures — into plain English that anyone can read, cite, and use. We follow the money from the federal treasury through the corporate layers to the bedside. We show what the numbers reveal for the people living and working inside these facilities.
Our readers include legislative staff who need citable evidence, journalists chasing ownership structures, advocates building reform campaigns, researchers tracking industry patterns, and families trying to understand why the facility that promised to care for their mother is chronically short-staffed.
If you have ever wondered why a nursing home that profits from public money can legally hide who actually owns it, the CHIP Bulletin is where you start looking for answers.
Why This Matters Now
The nursing home industry has spent decades constructing barriers to public scrutiny — complex corporate hierarchies, related-party transactions, and financial reporting designed to obscure rather than inform. Federal agencies collect the underlying data but rarely make it accessible in any form a non-specialist can use.
CHIP fills that gap. We do not accept that technical complexity is a legitimate means to keep taxpayer-funded vital services out of public view. Transparency is not a luxury. It is a democratic obligation — and in long-term care, it is quite literally a matter of life and death.
Contact us at chipcenterus@gmail.com
