When it was founded in Hefei, China, in 2001, Jiujiu Xiyanghong Group (JX) started as a single private nursing home with fifty beds. Over its eighteen-year history, JX had maintained rapid growth; as of 2019 the company had 1,531 elderly people living in its facilities, and Xie Qiong estimated that elders residing at JX represented 36 per cent of all 4,205 people living in Hefei eldercare institutions. However, the Hefei eldercare market was witnessing rapid expansion from the entry of Chinese and foreign companies, state-owned enterprises, and investment funds. The founder wondered how JX should manage this situation.

When it was founded in Hefei, China, in 2001, Jiujiu Xiyanghong Group (JX) started as a single private nursing home with fifty beds. Over its eighteen-year history, JX had maintained rapid growth; as of 2019 the company had 1,531 elderly people living in its facilities, and Xie Qiong estimated that elders residing at JX represented 36 per cent of all 4,205 people living in Hefei eldercare institutions. However, the Hefei eldercare market was witnessing rapid expansion from the entry of Chinese and foreign companies, state-owned enterprises, and investment funds. The founder wondered how JX should manage this situation.