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Nursing home ownership in the United States
WhoOwnsCare resolves the ownership of 5,805 Medicare-certified nursing homes into 412 multi-entity corporate families. Coverage is currently California, Texas, Florida, Ohio, Illinois, Pennsylvania and New York — these are not national totals.
77% of nursing homes in these states are for-profit corporations or partnerships, and 413 have a property owner that is a different organisation from the operator.
Largest nursing home companies
| Operator | Nursing homes | States | Legal entities |
|---|---|---|---|
| PACS Group, Inc. | 155 | 3 | 11 |
| Rockport Administrative Services, LLC | 75 | 1 | 13 |
| The Ensign Group Inc | 72 | 4 | 10 |
| Foundations Health Solutions, LLC | 65 | 1 | 4 |
| BNV Dynasty LLC | 62 | 2 | 10 |
| Regency Integrated Health Services LLC | 57 | 1 | 16 |
| Honor X Enterprises, LLC | 47 | 1 | 5 |
| Legacy Healthcare Financial Services LLC | 39 | 1 | 7 |
| Embassy Healthcare Holdings Inc | 35 | 2 | 13 |
| Life Care Centers of America, Inc. | 34 | 4 | 8 |
| Cambridge Healthcare Services LLC | 33 | 1 | 19 |
| Priority Care Group LLC | 32 | 3 | 40 |
| Sovereign Healthcare Holdings LLC | 31 | 1 | 4 |
| Trilogy Opco LLC | 30 | 1 | 17 |
| Life Generations Healthcare, LLC | 26 | 1 | 2 |
Who owns nursing homes?
| Ownership type | Facilities | Share |
|---|---|---|
| For profit - Limited Liability company | 2,227 | 37.9% |
| For profit - Corporation | 1,861 | 31.7% |
| Non profit - Corporation | 804 | 13.7% |
| For profit - Individual | 273 | 4.6% |
| Government - Hospital district | 248 | 4.2% |
| For profit - Partnership | 182 | 3.1% |
| Non profit - Church related | 85 | 1.4% |
| Non profit - Other | 79 | 1.3% |
| Government - County | 64 | 1.1% |
| Government - State | 38 | 0.6% |
| Government - City/county | 5 | 0.1% |
| Government - City | 5 | 0.1% |
| Government - Federal | 4 | 0.1% |
For-profit corporate ownership
Most nursing homes in these states are for-profit and most are held through layered legal entities: an operating company holding the licence, a property company holding the building, and often a management company between them. Each files separately with CMS, which is why a group of 60 buildings can appear in the raw data as 60 unrelated companies.
Nonprofit and government ownership
Nonprofit systems and public hospital districts hold a meaningful minority. In Texas specifically, county hospital districts hold the licence on hundreds of nursing facilities that private companies operate day to day under the state's Medicaid supplemental-payment programme — an ownership structure that is invisible unless the operator and the owner of record are separated.
Private equity and REIT ownership
See private equity ownership of nursing homes and REIT and property ownership. Property ownership is not operating control, and the two are reported separately throughout this site.
Nursing home ownership by state
| State | Explore |
|---|---|
| Texas | Texas nursing home ownership |
| California | California nursing home ownership |
| Illinois | Illinois nursing home ownership |
| Ohio | Ohio nursing home ownership |
| Florida | Florida nursing home ownership |
| Pennsylvania | Pennsylvania nursing home ownership |
| New York | New York nursing home ownership |
Common questions
Who owns the most nursing homes?
Across covered states the largest resolved operator is PACS Group, Inc., with 155 nursing homes.
Are nursing homes privately owned?
Most are. Across these seven states 77% are for-profit corporations, partnerships or individually held businesses.
How do I find out who owns a nursing home?
CMS publishes ownership filings for every Medicare-certified provider. This guide explains how to read them, and why the answer is rarely a single company name.