11/26/2025

Examining Structural Pressures in Long-Term Care

A recent Nonprofit Quarterly analysis highlights longstanding systemic challenges across long-term care, including the widening divide between well-resourced organizations and those operating with thin margins, particularly providers serving large numbers of Medicaid-funded residents. The piece points to persistent workforce instability, rising operating costs and the influence of complex financial arrangements across the sector as contributors to uneven performance and ongoing strain. It also reflects the shared understanding that the current system leaves many older adults, workers and providers without the stability they need. The full analysis is available through Nonprofit Quarterly’s feature on long-term care and economic justice.