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.
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, those with life-limiting disabilities, and hospital patients recovering from surgeries. SNFs employ a range of healthcare professionals to provide physical, speech, and occupational therapy services, among various other medical support services.
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.
Read on to see the 25 highest-earning SNF corporations.
| Rank | Skilled nursing facility | State | Definitive ID | Net patient revenue | Explore dataset |
|---|---|---|---|---|---|
| 1 | The Ensign Group | CA | 581975 | $3,350,136,023 | Explore |
| 2 | Genesis HealthCare | PA | 582194 | $2,633,675,400 | Explore |
| 3 | Providence Administrative Consulting Services - PACS (AKA Providence Group) | UT | 849843 | $2,590,864,259 | Explore |
| 4 | Life Care Centers of America | TN | 582066 | $1,953,175,516 | Explore |
| 5 | LCS (AKA Life Care Services) | IA | 581987 | $1,423,211,645 | Explore |
| 6 | Centers Health Care | NY | 582428 | $1,153,824,257 | Explore |
| 7 | Trilogy Health Services LLC | KY | 582145 | $1,153,002,872 | Explore |
| 8 | Saber Healthcare Group | OH | 582131 | $1,105,630,423 | Explore |
| 9 | Complete Care Management | NJ | 1001411 | $1,058,410,053 | Explore |
| 10 | Marquis Health Services | NJ | 865713 | $1,010,611,384 | Explore |
| 11 | The Portopiccolo Group | NJ | 1053324 | $906,139,423 | Explore |
| 12 | Ciena Healthcare | MI | 581989 | $901,428,080 | Explore |
| 13 | Autumn Lake Healthcare | NJ | 833201 | $873,563,404 | Explore |
| 14 | Citadel Care Centers | NY | 902844 | $864,499,668 | Explore |
| 15 | PruittHealth | GA | 582207 | $850,793,497 | Explore |
| 16 | CareRite Centers | NJ | 865712 | $846,951,974 | Explore |
| 17 | Legacy Healthcare | IL | 776997 | $805,719,482 | Explore |
| 18 | Brius Healthcare | CA | 916939 | $784,546,163 | Explore |
| 19 | National HealthCare Corporation | TN | 581976 | $777,534,424 | Explore |
| 20 | Infinity Healthcare Management | IL | 833484 | $707,432,210 | Explore |
| 21 | American Senior Communities | IN | 581981 | $696,138,469 | Explore |
| 22 | Good Samaritan Society - National Campus (AKA the Evangelical Lutheran Good Samaritan Society) | SD | 582013 | $686,632,141 | Explore |
| 23 | Creative Solutions In Healthcare | TX | 916803 | $673,848,944 | Explore |
| 24 | Prestige Healthcare Management | KY | 1053632 | $647,656,448 | Explore |
| 25 | Medical Facilities of America | VA | 585421 | $643,992,725 | Explore |
Fig 1. Data from LongTermCareView is sourced from the October 2023 Medicare Cost Report release. Data is accurate as of March 2024.
Which skilled nursing corporations earned the highest NPR in 2023?
The Ensign Group, based in California, tops our list with about $3.35 billion in NPR in 2023. 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. Their considerable revenue may translate into aggressive deal-making.
Pennsylvania-based Genesis HealthCare is second on our list of top skilled nursing corporations, with $2.23 billion in NPR. Based on its facility profile in LongTermCareView, Genesis HealthCare has 241 skilled nursing facilities and 29 assisted living facilities within its network.
Third on our list is Providence Administrative Consulting Services (PACS). Based out of Utah, this corporation had a net patient revenue of approximately $2.59 billion in 2023. According to our data, there are 168 SNFs and seven assisted living facilities within PACS’ network.
Collectively, the top 25 SNF corporations have more than $29 billion in net patient revenue as of 2023. The average NPR per SNF corporation is about $70 million.
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. The overall average of SNFs per state is 367.
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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