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

RankSkilled nursing facilityDefinitive IDCityStateNet patient revenueExplore dataset
1The Ensign Group581975San Juan CapistranoCA$2,275,525,993 Explore
2Genesis HealthCare582194Kennett SquarePA$2,236,431,032 Explore
3Life Care Centers of America582066ClevelandTN$1,931,403,543 Explore
4ProMedica Senior Care (FKA HCR ManorCare)582043ToledoOH$1,712,391,493 Explore
5Consulate Health Care582195MaitlandFL$1,272,675,621 Explore
6Providence Administrative Consulting Services - PACS (AKA Providence Group)849843FarmingtonUT$1,184,527,375 Explore
7LCS (AKA Life Care Services)581987Des MoinesIA$1,180,025,721 Explore
8Centers Health Care582428BronxNY$1,008,478,575 Explore
9Brius Healthcare916939Los AngelesCA$964,916,920 Explore
10Trilogy Health Services LLC582145LouisvilleKY$935,915,635 Explore
11Signature HealthCARE970345LouisvilleKY$910,523,434 Explore
12Saber Healthcare Group582131Bedford HeightsOH$849,379,714 Explore
13Ciena Healthcare581989SouthfieldMI$840,245,978 Explore
14National HealthCare Corporation581976MurfreesboroTN$792,436,407 Explore
15Good Samaritan Society - National Campus582013Sioux FallsSD$761,886,918 Explore
16PruittHealth582207NorcrossGA$750,436,870 Explore
17SavaSeniorCare581973DunwoodyGA$725,681,186 Explore
18Complete Care Management1001411Toms RiverNJ$686,530,776 Explore
19CareRite Centers865712Englewood CliffsNJ$675,134,322 Explore
20American Senior Communities581981IndianapolisIN$672,253,775 Explore
21MediLodge Group582091WashingtonMI$651,983,379 Explore
22Autumn Lake Healthcare833201HowellNJ$645,027,024 Explore
23Infinity Healthcare Management833484HillsideIL$619,290,550 Explore
24Legacy Healthcare776997SkokieIL$582,937,917 Explore
25Athena Health Care Systems581995FarmingtonCT$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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Healthcare Insights are developed with healthcare commercial intelligence from the Definitive Healthcare platform. Want even more insights? Start a free trial now and get access to the latest healthcare commercial intelligence on hospitals, physicians and other healthcare providers.