The Myth of the “Low Margin:” A Rebuttal to the Nursing Home Industry’s Accounting Firm
By: Dave Kingsley I. Introduction The widespread belief that nursing home companies operate on a “low margin” is one of […]
Current issue, Nursing Home Chains
Artificial Intelligence, Financialized Information, Opinion, Previous Issues
**OPINION BULLETIN: WHO OWNS SCIENTIFIC KNOWLEDGE?**
From the Editor Elsevier’s lawsuit against Meta is not about copyright. It is about power — specifically, whether a private
Archive, Previous Issues
The Ensign Group: Cash Flow, Governance, and the Structural Economy of Understaffing
CHIP BULLETIN #7 May 30, 2026 Connecting Finance & Ethical Medical Care The Ensign Group, the largest nursing home corporation
Nursing Home Chains, Previous Issues, Real Estate
Case Study – Sandia Ridge Center
Why this Case Study? In Bulletin # 2, we identified the largest property owners in the U.S. nursing home system
Financialized Information, Medicaid, Previous Issues
Medicaid Myths Part I: The Nursing Home Industry’s “Low Net” Claim Tested with Linear Regression Models
Bulletin #6 – May 11, 2026 The Financial Hardship Narrative The nursing home industry’s powerful lobby claims that high
Previous Issues, Tax Codes & Added Value
The Tax Code as a Profit Engine: Trusts and the Hidden Value Added to Nursing Home Revenue
Bulletin #5 March 28, 2026 In This Bulletin: We begin a new CHIP series tracing how capital actually moves
Nursing Home Chains, Previous Issues
Top 10 Nursing Home Chains
NOTES & INSIGHTS These ten chains represent in various unique ways much of the past quarter century of the