Table 1

Differences between large complex chains and other organizations in the care home sector

FeatureOtherLarge complex chains
Ownership layersSingle legal entity or direct ownership by parent companyMulti ownership through holding companies, subsidiaries, or intermediaries
Type of ultimate ownerIndividual owners, family-run businesses, small and medium enterprises, large companies not belonging to a groupOwnership or control by opaque investment vehicles such as PE firms, real estate trusts, or multinational holding companies
Geographic presenceOperates within a single countryUsually operates across multiple countries, often with subsidiaries in different jurisdictions
Presence in tax havensUnlikely or absentFrequently includes entities located in known tax havens or jurisdictions with limited transparency
Transparency and accountabilityHigh – Ownership and financial relationships are straightforwardLow – Complex arrangements hide final beneficiaries and financial flows
Internal financial flowsFew or no intercompany transactionsNumerous intra-group financial flows (e.g. leases, loans, royalties) that may reduce reported profits
Expense typesMostly necessary for operational functioning (e.g. staff, utilities, food)Mix of obligatory (necessary) and potentially discretionary (unnecessary) expenses (e.g. consulting fees, brand charges, asset leasing)
Potential for leakageLower – Direct cost-income matchHigher – Earnings may be extracted or hidden through intra-group arrangements
Governance and decision-makingDirect and centralizedFragmented, with decisions made across multiple entities and potentially in different legal jurisdictions
Source(s): Own elaboration

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