Benchmarks, market maps, and method notes written from the same records that power the modules.
A national benchmark of implied hourly rates, annual stipends, and reported hours, built from Medicare hospital cost reports rather than survey panels.
What malpractice coverage actually costs, by specialty and state, drawn from real carrier rate filings rather than survey ranges. The national picture, the full ladders, and how to check your own quote.
The median skilled-nursing facility runs a 9% EBITDAR margin and a breakeven operating line. From 12,000-plus Medicare cost reports: what SNFs earn, how wide the spread runs, and what moves it.
The number on a malpractice quote means nothing until you read the limits, basis, and territory behind it. How to read a quote and compare it to the filed benchmark for your state and specialty.
Average daily census is the patients a hospice serves on an average day. In a per-diem business, ADC is most of the revenue line, which is why it is the first number a hospice buyer asks for.
The same $30,000 stipend is $250 an hour at 120 hours and $75 at 400. Three steps to find your implied rate and compare it to your specialty's median.
OB/GYN is the most expensive specialty to insure, at about $59,392 nationally and ranging from $18k to $155k by state. The filed rates, why obstetrics tops the table, and how to check your own number.
Revenue per visit is the number a home health operator watches most, even though Medicare no longer pays by the visit. What it is, why visit mix moves it, and how to read it.
Anesthesiology directorships post a $200/hr median and the operating room $217/hr, both well above the $175 national median. What the cost-report data shows, and how to use it.
The two largest home health operators are owned by health insurers. The biggest agencies by footprint, the payer and PE ownership behind them, and what buyers are actually paying for.
The largest skilled-nursing operator runs about 2.4% of US beds, and a third of operators run one building. The biggest chains by footprint, the fragmentation behind the roll-up thesis, and how to read private equity honestly.
The 10x swing in malpractice premiums across states is legal, not medical. How non-economic damage caps, patient compensation funds, and the verdict climate shape the filed rates, with the exceptions that prove the rule.
The median home health agency runs a 7% margin and the one at the 25th percentile runs a negative one. What agencies earn, why the downside is so wide, and who is consolidating the sector anyway.
"The rate is market" answers only one of the two questions a directorship has to survive. How appraisers and compliance teams generally separate the pricing test from the purpose test.
The largest hospice operator runs about 1.5% of the market, and more than 330 deals have closed since 2019 at a median 10x EBITDA. Who is consolidating hospice, what they are paying, and why.
A tail closes the gap a claims-made policy leaves when you go, and it commonly costs about twice your annual premium in one payment. What tail coverage is, what it runs, and how to avoid overpaying.
The median hospice runs a 10.2% EBITDA margin, the highest in post-acute, and keeps most of it. What hospices earn, why an asset-light per-diem model runs richer, and the payer and cap dynamics that govern it.
The same $40,000 stipend can sit above the market's 90th percentile or below its 10th, depending on hours. The defensible method benchmarks the rate, not the dollars.
Skilled-nursing occupancy is patient-days over available bed-days. Why the denominator makes reported rates vary, and the three adjustments that make occupancy comparable across facilities.
Claims-made and occurrence are the two malpractice policy forms, and the choice shapes both your annual premium and what you owe when you leave. How each works, and why the benchmark uses mature claims-made.
EBITDAR is EBITDA with rent added back. Why lease-heavy post-acute operators are measured on it, a worked example from the median SNF, and how to use it in a benchmark.
Everyone sizes a directorship's time commitment off the hospital. In the cost-report filings, bed count explains about 3% of the variation in director hours.
The same specialty, doing the same work, can cost eight to fourteen times more depending on the state. The filed rates behind the swing, and what drives it.
The average skilled-nursing bed traded near $83,800 in 2024, but a per-bed rule of thumb hides the real inputs. How buyers normalize EBITDAR, read revenue per day and occupancy, and build a defensible comp set.
Malpractice premiums run nearly ten times higher in the most expensive state than the cheapest. The full 2026 ranking of all 51 jurisdictions, from filed carrier rates, and what drives the gap.
Median skilled-nursing occupancy is 83.8% nationally, but it runs from 62% in Oklahoma to 95% in North Dakota. Texas has the most SNFs and one of the lowest occupancies. What the state spread signals for a deal.