When Assisted Living Concepts (ALC) was spun off from the Canadian-based Extendicare and became a public company in November 2006, it began a policy of terminating its Medicaid contracts and requiring Medicaid beneficiaries to leave.  Between December 31, 2006 and September 30, 2007, occupancy rates at the company’s assisted living facilities fell from 86.4% to 78%.  On September 30, ALC had 26 more private-pay residents than at the start of the year, but 500 fewer Medicaid residents.  Some private-pay residents also moved out in response to the policy, surprising industry analysts.  Guy Boulton, “Private pay not paying off yet; Assisted Living Concepts’ stock, occupancy down,” Milwaukee Journal Sentinel (Feb. 23, 2008).