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Largest nursing home companies in Illinois

There are 650 Medicare-certified nursing homes in Illinois. The ten largest operators control 210 of them — 32% of the state.

This ranking counts what each company actually controls. CMS files list operators as separate legal entities, so a group running 43 buildings can appear as 7 unrelated companies. The rankings you find elsewhere count the paperwork; this one counts the buildings.

RankCompanyIllinois nursing homesLegal entities CMS listsType
1Legacy Healthcare Financial Services LLC437Operator
2Aperion Care Inc3511Operator
3The Alden Group, Ltd.256Operator
4Arcadia Care Management LLC225Operator
5Light Man LLC1913Operator
6WLC Management Firm LLC181Operator
7Israel Family Investment Trust1718Operator
8Tlco Holdings LLC1612Operator
9Mn1 Management Corp155Operator
10MTJ Holdings LLC153Operator

Illinois nursing home chains and corporations, explained

People search for Illinois nursing home companies in a dozen ways — largest nursing homes, top nursing home chains, nursing home corporations, biggest nursing home groups. They are all asking the same thing: who is actually behind the sign on the building. The answer is in CMS ownership filings, which are public, free, and almost unreadable in raw form.

How this is calculated

Every Medicare-certified nursing home files its owners with CMS. We take those filings, group entities whose facility portfolios overlap into a single corporate family, and count distinct facilities. Entities appearing only as lenders or mortgage holders are excluded — a bank holding paper on a building does not operate it. Full method on the methodology page.

Every nursing home operator in Illinois

All Illinois nursing homes with their full ownership chain, every legal entity, ownership percentages, association dates and change-of-ownership history. CSV and PDF.

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Common questions

How many nursing homes are there in Illinois?

650 Medicare-certified nursing homes, per CMS enrollment files.

Who is the largest nursing home operator in Illinois?

LEGACY HEALTHCARE FINANCIAL SERVICES LLC, with 43 Illinois nursing homes across 7 separate legal entities on file with CMS.

Why do nursing home companies show up under many different names?

Operators commonly file a separate legal entity per facility, plus separate property, management and therapy companies. CMS records each one individually and nothing in the file links them.

Sources for this page
Skilled Nursing Facility All Owners — CMS file SNF_All_Owners_2026.07.31.csv, published 2026-08-17, retrieved 2026-08-20. Original file
Home Health Agency All Owners — CMS file HHA_All_Owners_2026.07.17.csv, published 2026-08-19, retrieved 2026-08-20. Original file
Hospice All Owners — CMS file Hospice_All_Owners_2026.07.17.csv, published 2026-08-19, retrieved 2026-08-20. Original file
Skilled Nursing Facility Enrollments — CMS file SNF_Enrollments_2026.07.31.csv, published 2026-08-17, retrieved 2026-08-20. Original file
Home Health Agency Enrollments — CMS file HHA_Enrollments_2026.07.17.csv, published 2026-07-27, retrieved 2026-08-20. Original file
Hospice Enrollments — CMS file Hospice_Enrollments_2026.07.17.csv, published 2026-07-27, retrieved 2026-08-20. Original file