Top 10 skilled nursing facility corporations by net patient revenue

Skilled nursing facilities (SNFs) provide long-term care to our ever-aging population. They are instrumental in the delivery of cost-effective, quality care for the elderly segment of the U.S. population.

Definitive Healthcare's LongTermCareView database tracks nearly 2,000 skilled nursing facility corporations and more than 18,000 individual skilled nursing facilities. 

Here is a list of the top 10 largest skilled nursing facilities by net patient revenue (NPR):

10 SNF corporations with the highest net patient revenue

Rank	Skilled Nursing Facility	State	Net Patient Revenue
1	The Ensign Group	CA	$2,447,335,871
2	Genesis HealthCare	PA	$2,233,146,911
3	Life Care Centers of America	TN	$1,904,811,558
4	ProMedica Senior Care	OH	$1,723,108,830
5	LCS	IA	$1,261,239,256
6	Providence Administrative Consulting Services - PACS	UT	$1,201,873,419
7	Consulate Health Care	FL	$1,190,131,168
8	Centers Health Care	NY	$1,108,982,640
9	Trilogy Health Services LLC	KY	$1,000,292,198
10	Brius Healthcare	CA	$933,126,851

Fig. 1 Data is from the Definitive Healthcare LongTermCareView product. Data is accurate as of August 2022.

Which SNF corporation generated the most net patient revenue?

The Ensign Group has the most net patient revenue with $2,447,335,871. Next is Genesis HealthCare, with $2,233,146,911, followed by Life Care Centers of America, with $1,904,811,558.

Collectively, the top 10 SNF corporations have more than $15 billion in net patient revenue, with an average of $1,500,404,870.

How does a nursing home differ from a skilled nursing facility?

Long term skilled nursing facilities and nursing homes differ primarily in that SNFs are covered by Medicare (for a period of time), but nursing homes are not. Furthermore, skilled nursing care is intended to help patients undergoing rehabilitative or medical treatment, while nursing homes provide a permanent residence for elderly individuals needing 24/7 care.

How is net patient revenue calculated?

Net patient revenue represents the amount of money a healthcare organization collects from patient services. The following formula calculates NPR:

Net Patient Revenue = Total Patient Revenue – Patient Discounts

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