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Lead, follow — or let others eat your lunch

  • Apr 9, 2026
  • Meaghan Puglisi
  • 2-min Read

McKnights Senior Living Editorial Director, John O’Connor, has shared his opinion again on Lifespark’s vocal perspective on the future opportunity within senior living…and we agree with his piece, the time is now!

In his editorial piece, John says “there’s sometimes a moment at industry events when an uncomfortable reckoning breaks loose.

At the NIC Spring Conference session titled “Senior Housing’s Long Overdue Moment in Healthcare,” Joel Theisen, Lifespark CEO, delivered one such moment. Not theatrically, but with a clarity that made the room lean in.

For decades, senior living has defined itself as hospitality, not healthcare — a distinction that was comforting, safe, and a buffer from a system many preferred to let others manage. But that buffer is shrinking.

Residents don’t live in categories. Their housing and healthcare are intertwined, financially and functionally. Theisen, who built Lifespark around that reality, put it bluntly: Many senior living operators now find themselves doing most of the work but only capturing part of the reward. Instead, it’s flowing to hospitals, physician groups and accountable care organizations that are more than willing to step in.

So, what’s a senior living operator to do?

There’s no single path forward. Operators can build capabilities, partner with experienced organizations, or ease into value-based care models. But they absolutely must make a choice. Opting to sit on the sidelines is effectively leaving the table to others, surrendering influence, control and revenue.

That’s the subtext Theisen hammered home: start somewhere, find the right partners and move. Complaints about reimbursement or staffing margins carry little weight if hesitation allows someone else to claim the advantage.

By the time the session moved on, the language softened again: strategy, alignment, opportunity. But the sharper point lingered. It’s no longer theoretical whether senior living should integrate healthcare someday. That day is here. And operators must decide whether they’ll shape the future — or watch someone else eat their lunch.

Here’s the full editorial piece…

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