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