Healthcare Insights
25 skilled nursing corporations ranked by net patient revenue
What is a skilled nursing facility?
Skilled nursing facilities (SNFs) play a vital role in the healthcare ecosystem. These organizations provide specialized medical care, rehabilitation services, long-term support, and more for patients and often serve as a bridge between hospital stays and home-based care.
Many of these long-term care facilities are operated by skilled nursing corporations, organizations that own or manage networks of skilled nursing facilities across multiple markets. These corporations may oversee clinical services, staffing, compliance, operations, and other duties across their portfolios of facilities, enabling them to deliver care at a broader scale.
Of the active SNF corporations in our database, we used LongTermCareView to compile a list showing the top 25 organizations ranked by net patient revenue (NPR). Net patient revenue is the amount of money generated from patient services from sources such as commercial insurance, Medicaid, and Medicare. It is a standard for measuring the financial performance of healthcare organizations.
| Rank | Definitive ID | Corporation name | State | Net patient revenue | Explore dataset |
|---|---|---|---|---|---|
| 1 | 581975 | The Ensign Group | CA | $ 4,752,733,859 | Explore |
| 2 | 849843 | Providence Administrative Consulting Services - PACS (AKA Providence Group) | UT | $ 4,613,700,297 | Explore |
| 3 | 582066 | Life Care Centers of America | TN | $ 2,390,144,550 | Explore |
| 4 | 582194 | Genesis HealthCare | PA | $ 2,368,099,432 | Explore |
| 5 | 865713 | Marquis Health Services | NJ | $ 1,508,521,149 | Explore |
| 6 | 582131 | Saber Healthcare Group | OH | $ 1,484,970,683 | Explore |
| 7 | 1001411 | My CompleteCare (AKA Complete Care Management) | NJ | $ 1,421,097,418 | Explore |
| 8 | 582145 | Trilogy Health Services LLC | KY | $ 1,408,385,371 | Explore |
| 9 | 833201 | Autumn Lake Healthcare | NJ | $ 1,147,949,352 | Explore |
| 10 | 582428 | Centers Health Care | NY | $ 1,132,319,159 | Explore |
| 11 | 581987 | LCS (AKA Life Care Services) | IA | $ 1,127,928,364 | Explore |
| 12 | 776997 | Legacy Healthcare | IL | $ 1,126,165,095 | Explore |
| 13 | 916939 | Brius Healthcare | CA | $ 1,093,671,408 | Explore |
| 14 | 582207 | PruittHealth | GA | $ 1,085,174,311 | Explore |
| 15 | 581976 | National HealthCare Corporation | TN | $ 1,085,101,866 | Explore |
| 16 | 902844 | Citadel Care Centers | NY | $ 1,070,121,480 | Explore |
| 17 | 581989 | Ciena Healthcare | MI | $ 1,065,256,772 | Explore |
| 18 | 865712 | CareRite Centers | NJ | $ 1,050,251,516 | Explore |
| 19 | 1067989 | Rockport Healthcare Services | CA | $ 997,514,734 | Explore |
| 20 | 581981 | American Senior Communities | IN | $ 966,658,019 | Explore |
| 21 | 585421 | Medical Facilities of America | VA | $ 949,778,615 | Explore |
| 22 | 1053324 | The Portopiccolo Group | NJ | $ 944,797,599 | Explore |
| 23 | 916803 | Creative Solutions In Healthcare | TX | $ 926,689,477 | Explore |
| 24 | 582396 | Hill Valley Healthcare (FKA the Landmark Group LLC) | NY | $ 882,536,548 | Explore |
| 25 | 1053632 | Prestige Healthcare Management | KY | $ 825,142,825 | Explore |
Fig 1. Data from LongTermCareView is sourced from the latest Medicare Cost Report release. Data is accurate as of March 2026.
Which skilled nursing corporations earned the highest NPR in 2025?
The Ensign Group, based in California, tops our list with about $4.7 billion in NPR in 2025. 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. Notably, The Ensign Group was involved in 21 M&A news stories tracked between 2019 and 2024.
The Utah-based Providence Administrative Consulting Services (PACS) is second on our list of the top skilled nursing corporations. It reported an NPR of about $4.6 billion. According to our data, there are more than 290 SNFs and 30 assisted living facilities in PACS’ network.
Third on our list is Life Care Centers of America. Based out of Tennessee, this corporation reported an NPR of about $2.4 billion. Within its network are about 200 SNFs and 40 assisted living facilities.
Collectively, the top 25 SNF corporations have more than $37 billion in net patient revenue as of 2025. The average NPR per SNF corporation is about $1.5 billion.
How many SNFs are there in the U.S.?
Definitive Healthcare tracks more than 16,700 active skilled nursing facilities, 1,917 of which are owned by corporations. The number of SNFs in each state varies greatly, as some states have more than 1,000 SNFs and other states have fewer than 30.
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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