25 skilled nursing corporations ranked by net patient revenue

Skilled nursing facilities (SNFs) provide crucial care and support to an aging U.S. population. Even as the government has incentivized a shift to home care—and patients show a preference to receive services like physical therapy and palliative care at home—rising vaccination rates among the elderly are boosting SNF occupancy and revenue.

Definitive Healthcare tracks 16,949 active skilled nursing facilities, 6,219 of which are owned by corporations. Of the 1,785 active SNF corporations in our database, we’ve compiled a list showing the top 25 organizations by net patient revenue (NPR).

Read on to see the 25 highest-earning SNF corporations in 2021.

Top 25 skilled nursing corporations by net patient revenue

Rank Skilled Nursing Facility Definitive ID City State Net Patient Revenue
1 The Ensign Group 581975 San Juan Capistrano CA $2,275,525,993
2 Genesis HealthCare 582194 Kennett Square PA $2,236,431,032
3 Life Care Centers of America 582066 Cleveland TN $1,931,403,543
4 ProMedica Senior Care (FKA HCR ManorCare) 582043 Toledo OH $1,712,391,493
5 Consulate Health Care 582195 Maitland FL $1,272,675,621
6 Providence Administrative Consulting Services - PACS (AKA Providence Group) 849843 Farmington UT $1,184,527,375
7 LCS (AKA Life Care Services) 581987 Des Moines IA $1,180,025,721
8 Centers Health Care 582428 Bronx NY $1,008,478,575
9 Brius Healthcare 916939 Los Angeles CA $964,916,920
10 Trilogy Health Services LLC 582145 Louisville KY $935,915,635
11 Signature HealthCARE 970345 Louisville KY $910,523,434
12 Saber Healthcare Group 582131 Bedford Heights OH $849,379,714
13 Ciena Healthcare 581989 Southfield MI $840,245,978
14 National HealthCare Corporation 581976 Murfreesboro TN $792,436,407
15 Good Samaritan Society - National Campus 582013 Sioux Falls SD $761,886,918
16 PruittHealth 582207 Norcross GA $750,436,870
17 SavaSeniorCare 581973 Dunwoody GA $725,681,186
18 Complete Care Management 1001411 Toms River NJ $686,530,776
19 CareRite Centers 865712 Englewood Cliffs NJ $675,134,322
20 American Senior Communities 581981 Indianapolis IN $672,253,775
21 MediLodge Group 582091 Washington MI $651,983,379
22 Autumn Lake Healthcare 833201 Howell NJ $645,027,024
23 Infinity Healthcare Management 833484 Hillside IL $619,290,550
24 Legacy Healthcare 776997 Skokie IL $582,937,917
25 Athena Health Care Systems 581995 Farmington CT $568,962,939

Fig 1. Data from the Definitive Healthcare LongTermCareView product, sourced from the Centers for Medicare and Medicaid (CMS) 2021 Standard Analytical Files. Data are accurate as of July 2022.

Which skilled nursing corporations earned the highest NPR in 2021?

The Ensign Group, based in California, tops our list with $2.27 billion in NPR in 2021. This corporation has been a major part of the massive wave of merger and acquisition (M&A) activity seen across the SNF space over the past few years, with 27 M&A news stories tracked between 2017 and 2021. Their considerable revenue likely reflects their aggressive deal-making.

Pennsylvania-based Genesis HealthCare is second on our list, with $2.23 billion in NPR. This is a drop from their 2020 performance, when they led among SNF corporations with $3.78 billion in NPR.

Third on our list is Life Care Centers of America from Cleveland, Tennessee, with $1.93 billion in NPR in 2021. Coincidentally, they also came in third in our 2020 NPR rankings.

What is a skilled nursing facility?

A skilled nursing facility is a type of long-term care facility that provides rehabilitation services to senior patients and those with life-limiting disabilities. SNFs employ a range of healthcare professionals to provide physical, speech and occupational therapy services, among a variety of other medical support services.

How do skilled nursing facilities differ from assisted living facilities?

SNFs tend to offer more intensive medical care than assisted living facilities and are usually a temporary measure for patients who require post-discharge care following an inpatient hospital stay. These facilities aim to help patients recover until they’re well enough to return home.

Under Medicare, patients are covered for up to 100 days in an SNF. Private insurance usually also covers care for short-term inpatient stays at an SNF. 

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