This mostly for-profit industry is made up of investors and equity interests, including so called “related parties” who siphon off cash to make it appear as if the nursing home is losing money.

A recent study proves this point: Tunneling and Hidden Profits in Health Care, Ashvin Gandhi, Andrew Olenski, UCLA & NBER Lehigh University, March 4. Lack of transparency in where the hundreds of billions of taxpayer dollars are actually going is a monumental problem. But, that‘s an expose for another day, and the nursing home industry would prefer to keep that quiet.