{
  "_chart_id": "ownership-transparency-gap",
  "_study_slug": "private-equity-nursing-home-ownership-analysis",
  "_generated_at": "2026-05-08T06:17:44.153Z",
  "_source_authority": "Health Affairs (Chen/Grabowski/Konetzka, March 2024)",
  "_source_url": "https://doi.org/10.1377/hlthaff.2023.01110",
  "_snapshot_date": "2026-05-08",
  "rows": [
    {
      "label": "Top-10 chain ownership_pct missing",
      "pct_missing_or_invisible": 82.4,
      "citation": "Health Affairs Vol. 43 No. 3 (March 2024)"
    },
    {
      "label": "All-facility ownership_pct missing",
      "pct_missing_or_invisible": 55.21,
      "citation": "Health Affairs Vol. 43 No. 3 (March 2024)"
    },
    {
      "label": "PE investments invisible to CMS (67% gap)",
      "pct_missing_or_invisible": 67,
      "citation": "Health Affairs vs Irving Levin / S&P Capital IQ; only 33% of PE deals appear in CMS"
    },
    {
      "label": "REIT investments invisible to CMS (>83% gap)",
      "pct_missing_or_invisible": 83,
      "citation": "Health Affairs vs Irving Levin / S&P Capital IQ; <17% of REIT investments appear"
    }
  ]
}