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At 9:48 a.m., he then walked up to the driver’s side door of a car, aimed the rifle at a 30-year-old woman, and demanded she get out and give him her valuables, police said. The woman, who was not physically injured, complied, but he didn’t take the car, he just walked away.

As an example of the profits some homes make, state regulators cited one unnamed large for-profit group that made almost $18 million from homes that had high Medicaid populations and understaffing, compared with a $1 million loss at homes that had more private payers and proper staffing. In other words, regulators said, the current payment model rewards understaffing.

The man, 49, also was taken to the University of Chicago with gunshot wounds to the head and neck, according to police, and he was pronounced dead at 9:28 p.m., according to the medical examiner’s office. Preliminary information from the medical examiner’s office listed the man as 48.