ong-term care (LTC) homes have become the epicentre of the coronavirus disease 2019 (COVID-19) pandemic in Canada, with residents of these care homes accounting for more than 80% of the country's deaths. 1-3 Residents of LTC homes are at high risk of contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), owing to their congregate living arrangements and exposure to staff with asymptomatic or presymptomatic SARS-CoV-2 infection. 4-6 These residents are also at high risk of morbidity and mortality from COVID-19, as most are older adults with frailty and multimorbidity. 7 There is widespread concern that despite these predisposing risks, LTC homes were both underprepared and underequipped to protect their residents, and questions have arisen as to whether forprofit LTC homes have had worse COVID-19 outcomes. 8,9 In Ontario, Canada's most populous province, all residents of LTC homes receive personal and nursing care as well as subsidized accommodation under a publicly funded LTC program. Regardless of this governmental funding, individual LTC homes can be owned and operated by for-profit, nonprofit or municipal (public) entities. 10 Several observational studies suggest that for-profit LTC homes tend to deliver inferior care across a variety of outcome and process measures. 11,12 These include lower levels and quality of RESEARCH VULNERABLE POPULATIONS