| 1 | Genesis Healthcare LLC | USA | Kennett Square | 101 E State St | Chester | 19348 | genesishcc.***** | 2025 | $7,964,511,894 | 80,000 | N/A | N/A | 3512506918 |
| 2 | Fc-Gen Operations Investment, LLC | USA | Kennett Square | 101 E State St | Chester | 19348 | N/A | 2025 | $7,964,511,894 | 92,164 | N/A | N/A | 4858002 |
| 3 | Houston Methodist ST. John Hospital | USA | Houston | 18300 Houston Methodist Dr | Harris | 77058 | cityseekr.***** | 2014 | $5,302,233,000 | 4 | N/A | N/A | 0801900270 |
| 4 | The Ensign Group INC | USA | San Juan Capistrano | 29222 Rancho Viejo Rd Ste 127 | Orange | 92675 | ensigngroup.***** | 1999 | $4,260,485,000 | 39,300 | N/A | N/A | 3024589 |
| 5 | Pacs Group, INC. | USA | Farmington | 262 N University Ave | Davis | 84025 | pacs.***** | 2013 | $3,111,492,000 | 40,000 | N/A | N/A | 7372254 |
| 6 | Sunlink Healthcare CORP. | USA | Atlanta | 900 Circle 75 Pkwy Se Ste 1300 | Fulton | 30339 | sunlinkhealthtech.***** | 2000 | $2,949,090,909 | 1,000 | N/A | N/A | 582546280 |
| 7 | Baptist Health | USA | Little Rock | 9601 Baptist Health Dr Ste 109 | Pulaski | 72205 | baptist-health.***** | 1965 | $2,096,600,000 | 7,000 | N/A | N/A | 100005483 |
| 8 | Providence Group, INC. | USA | Farmington | 262 N University Ave | Davis | 84025 | pacs.***** | 2012 | $1,681,383,196 | 20,000 | N/A | N/A | N/A |
| 9 | National Healthcare CORPORATION | USA | Murfreesboro | 100 E Vine St | Rutherford | 37130 | nhccare.***** | 1971 | $1,307,382,000 | 14,962 | N/A | N/A | 522057472 |
| 10 | Clc Of Biloxi, LLC | USA | Biloxi | 2279 Atkinson Rd | Harrison | 39531 | pillarsbiloxi.***** | 2000 | $1,169,241,500 | 18 | N/A | N/A | 684264 |
| 11 | Conversant Capital LLC | USA | Summit | 25 Deforest Ave | Union | 07901 | conversantcap.***** | 2019 | $987,950,162 | 3,955 | N/A | N/A | N/A |
| 12 | New Covenant Care Of California, INC. | USA | Walnut Creek | 2540 Camino Diablo Ste 100 | Contra Costa | 94597 | ptlacorp.***** | 1979 | $957,543,300 | 245 | N/A | N/A | 0927242 |
| 13 | Alerislife INC. | USA | Newton | 255 Washington St Ste 230 | Barnstable | 02458 | alerislife.***** | 2023 | $934,593,000 | 15,600 | N/A | N/A | D06461743 |
| 14 | American Retirement CORPORATION | USA | Brentwood | 111 Westwood Pl Ste 200 | Montgomery | 37027 | arclp.***** | 2006 | $897,787,001 | 10,400 | N/A | N/A | 000325434 |
| 15 | Mariner Health Of The Westbury Place | USA | Houston | 5201 S Willow Dr | Harris | 77035 | paradigmatwestbury.***** | 1980 | $867,820,600 | 92 | N/A | N/A | N/A |
| 16 | Bethesda Foundation INC | USA | Cincinnati | 619 Oak St | Hamilton | 45206 | trihealth.***** | 2011 | $853,365,646 | 36 | N/A | N/A | N/A |
| 17 | Presence Care Transformation CORPORATION | USA | Chicago | 200 S Wacker Dr | Cook | 60606 | N/A | 2011 | $825,160,573 | 10,000 | N/A | N/A | 53807984 |
| 18 | Forest Manor INC | USA | Covington | 71338 Highway 21 | St. Tammany | 70433 | forestmanorcovington.***** | 1965 | $801,723,300 | 130 | N/A | N/A | 26908870D |
| 19 | Johns Hopkins Bayview Medical Center, INC. | USA | Baltimore | 4940 Eastern Ave | Baltimore City | 21224 | hopkinsmedicine.***** | 1986 | $800,765,000 | 3,300 | N/A | N/A | D01708395 |
| 20 | Centerlight Healthcare, INC. | USA | Flushing | 13665 37th Ave | Queens | 11354 | centerlighthealthcare.***** | 1990 | $643,479,259 | 345 | N/A | N/A | 1485519 |
| 21 | Sunrise Senior Living, LLC | USA | Mclean | 7902 Westpark Dr | Fairfax County | 22102 | sunriseseniorliving.***** | 2023 | $639,587,549 | 217 | N/A | N/A | 541746596 |
| 22 | Genesis Eldercare National Centers, LLC | USA | Kennett Square | 101 E State St | Chester | 19348 | genesishcc.***** | 2003 | $629,428,041 | 35,000 | N/A | N/A | L21000113758 |
| 23 | Ggnsc Holdings LLC | USA | Plano | 5220 Tennyson Pkwy Ste 400 | Collin | 75024 | goldenlivingcenters.***** | 2011 | $587,637,696 | 400 | N/A | N/A | N/A |
| 24 | Mariner Health Care, INC. | USA | Atlanta | 3060 Mercer University Dr Ste 200 | Fulton | 30341 | marinerhealthcare.***** | 1977 | $510,236,483 | 35,000 | N/A | N/A | 0839324 |
| 25 | Covenant Care, LLC | USA | Aliso Viejo | 120 Vantis Dr Ste 200 | Orange | 92656 | covenantcare.***** | 1994 | $505,856,532 | 5,000 | N/A | N/A | 1739662 |
| 26 | Knollwood Manor Genesis Eldercare | USA | Gambrills | 1221 Waugh Chapel Rd | Anne Arundel | 21054 | N/A | 1994 | $505,199,500 | 84 | N/A | N/A | N/A |
| 27 | Trinity Health | USA | Minot | 2305 37th Ave Sw | Ward | 58701 | trinityhealth.***** | 1922 | $489,238,231 | 2,600 | N/A | N/A | 412002771 |
| 28 | Signature Healthcare, LLC | USA | Louisville | 12201 Bluegrass Pkwy | Jefferson | 40299 | ltcrevolution.***** | 2007 | $488,946,281 | 4,037 | N/A | N/A | 4393621 |
| 29 | Magnolia Living Center | USA | Dunn | 201 N Ellis Ave | Harnett | 28334 | thelivingadvantage.***** | 1996 | $487,956,900 | 100 | N/A | N/A | N/A |
| 30 | Belle Fourche Regional Sr Care | USA | Belle Fourche | 2200 13th Ave | Butte | 57717 | regionalhealth.***** | N/A | $482,526,300 | 3 | N/A | N/A | UB938689 |
| 31 | Senior Management Services Of Estates At Fort Worth INC | USA | Fort Worth | 201 Sycamore School Rd | Tarrant | 76134 | estateshealthcare.***** | 2004 | $478,735,400 | 25 | N/A | N/A | 0800297520 |
| 32 | Saber Healthcare Group, L.L.C. | USA | Beachwood | 23700 Commerce Park | Cuyahoga | 44122 | saberhealth.***** | 2001 | $473,303,513 | 11,000 | N/A | N/A | 1267748 |
| 33 | Care One, LLC | USA | Fort Lee | 173 Bridge Plz N | Bergen | 07024 | care-one.***** | 1998 | $452,890,422 | 6,000 | N/A | N/A | 2890873 |
| 34 | Senior Care Centers, LLC | USA | Dallas | 14841 Dallas Pkwy Ste 440 | Dallas | 75254 | senior-care-centers.***** | 2009 | $447,446,341 | 11,000 | N/A | N/A | 4626117 |
| 35 | Diversicare Healthcare Services, LLC | USA | Brentwood | 1621 Galleria Blvd | Montgomery | 37027 | dvcr.***** | 2021 | $442,895,031 | 4,800 | N/A | N/A | 2374275 |
| 36 | Clc Of Laurel, LLC | USA | Laurel | 1036 West Dr | Jones | 39440 | laurelwoodclc.***** | 2000 | $436,368,700 | 11 | N/A | N/A | 683159 |
| 37 | Vibra Healthcare, LLC | USA | Mechanicsburg | 4600 Lena Dr | Beaver | 17055 | vibrahealthcare.***** | 2004 | $434,593,708 | 4,000 | N/A | N/A | 3803342 |
| 38 | Fountain View Manor INC. | USA | Henryetta | 107 E Barclay St | Okmulgee | 74437 | fountainviewmanor.***** | 1967 | $425,292,400 | 94 | N/A | N/A | 1900207811 |
| 39 | Vencore INC | USA | Bartlesville | 1244 Woodland Loop | Washington | 74006 | heritagevillanursing.***** | 1984 | $423,650,000 | 85 | N/A | N/A | N/A |
| 40 | Champlain Valley Physicians Hospital Medical Center | USA | Plattsburgh | 75 Beekman St | Clinton | 12901 | uvmhealth.***** | 1985 | $419,002,256 | 1,430 | N/A | N/A | 29737 |
| 41 | Marion Nursing Center INC | USA | Marion | 2770 S Highway 501 | Marion | 29571 | N/A | 1995 | $407,004,300 | 85 | N/A | N/A | F240837 |
| 42 | The Alden Group LTD | USA | Chicago | 4200 W Peterson Ave Ste 142 | Cook | 60646 | thealdennetwork.***** | 1980 | $402,738,103 | 4,000 | N/A | N/A | 52060559 |
| 43 | Foundation Health, LLC | USA | Fairbanks | 1510 19th Ave | Fairbanks North Star | 99701 | foundationhealth.***** | 2016 | $401,226,904 | 1,328 | N/A | N/A | 10038313 |
| 44 | Post Acute Medical, LLC | USA | Enola | 1828 Good Hope Rd Ste 102 | Cumberland | 17025 | postacutemedical.***** | 2006 | $397,669,917 | 5,000 | N/A | N/A | 651293677 |
| 45 | Prestige Care, INC. | USA | Vancouver | 7700 Ne Parkway Dr Ste 300 | Clark | 98662 | prestigecare.***** | 1985 | $381,629,331 | 3,000 | N/A | N/A | 601436259 |
| 46 | Doylestown Hospital Health And Wellness Center, INC. | USA | Doylestown | 595 W State St | Bucks | 18901 | doylestownhealth.***** | 1753 | $376,758,107 | 2,853 | N/A | N/A | 231352174 |
| 47 | Manor Care, INC. | USA | Toledo | 333 N Summit St | Lucas | 43604 | heartland-manorcare.***** | 2018 | $374,448,607 | 1,500 | N/A | N/A | H62792 |
| 48 | Lighthouse Hospice | USA | Cherry Hill | 200 Lake Dr E Ste 205 | Camden | 08002 | lighthousehospice.***** | 2004 | $373,814,981 | 22 | N/A | N/A | N/A |
| 49 | Covenant Care California, LLC | USA | Aliso Viejo | 120 Vantis Dr Ste 200 | Orange | 92656 | covenantcare.***** | 1994 | $361,670,120 | 4,500 | N/A | N/A | 200610910027 |
| 50 | Summerville Management, LLC | USA | San Ramon | 3000 Executive Pkwy Ste 530 | Contra Costa | 94583 | summerhillhomes.***** | 2005 | $345,302,693 | 4,000 | N/A | N/A | 680470051 |
| 51 | Remedi Seniorcare Holding CORPORATION | USA | Towson | 1 Olympic Pl Ste 600 | Baltimore County | 21204 | remedirx.***** | 2024 | $335,890,039 | 515 | N/A | N/A | D07414873 |
| 52 | Provident Resources Group INC. | USA | Baton Rouge | 5565 Bankers Ave | East Baton Rouge | 70808 | provident.***** | 1999 | $321,606,429 | 100 | N/A | N/A | K937822 |
| 53 | Volunteers Of America National Services | USA | Eden Prairie | 7485 Office Ridge Cir | Hennepin | 55344 | voahealthservices.***** | 1982 | $319,227,000 | 3,000 | N/A | N/A | U-745 |
| 54 | Sonida Senior Living, INC. | USA | Dallas | 14755 Preston Rd Ste 800 | Dallas | 75254 | sonidaseniorliving.***** | 1990 | $304,326,000 | 3,955 | N/A | N/A | 2677185 |
| 55 | Pipeline Health System, LLC | USA | El Segundo | 898 N Pacific Coast Hwy Ste 700 | Los Angeles | 90245 | pipelinehealth.***** | 2018 | $301,139,864 | 2,450 | N/A | N/A | 7192557 |
| 56 | Lutheran Senior Services | USA | Saint Louis | 1150 Hanley Industrial Ct | St. Louis City | 63144 | lssaginganswers.***** | 1985 | $295,309,733 | 6,856 | N/A | N/A | B00002278 |
| 57 | Alden Management Services, INC. | USA | Chicago | 4200 W Peterson Ave Ste 140 | Cook | 60646 | thealdennetwork.***** | 1977 | $273,699,511 | 4,000 | N/A | N/A | 53640885 |
| 58 | Hilo Benioff Medical Center Foundation | USA | Hilo | 1190 Waianuenue Ave | Hawaii | 96720 | hilomedicalcenter.***** | 2008 | $263,616,386 | 1,310 | N/A | N/A | 990323155 |
| 59 | Skilled Healthcare, LLC | USA | Kennett Square | 101 E State St | Chester | 19348 | genesishcc.***** | 2015 | $259,609,163 | 345 | N/A | N/A | 200084014 |
| 60 | Raritan Management CORPORATION | USA | Perth Amboy | 530 New Brunswick Ave | Middlesex | 08861 | rbmc.***** | 1978 | $243,171,445 | 29 | N/A | N/A | 221494442 |
| 61 | Care Initiatives | USA | West Des Moines | 1611 West Lakes Pkwy | Polk | 50266 | careinitiatives.***** | 1988 | $237,982,008 | 4,763 | N/A | N/A | 0107761101 |
| 62 | Commcare CORPORATION | USA | New Orleans | 2755 Pan American Life Center | Orleans | 70130 | N/A | 1984 | $225,335,780 | 1,500 | N/A | N/A | 724817 |
| 63 | Opco Holdings, LLC | USA | Farmington | 262 N University Ave | Davis | 84025 | pacs.***** | 2013 | $223,942,112 | 1,449 | N/A | N/A | N/A |
| 64 | NHC/OP, L.P. | USA | Murfreesboro | 100 E Vine St | Rutherford | 37130 | nhccare.***** | 1997 | $223,217,490 | 3,000 | N/A | N/A | 2834281 |
| 65 | Noland Health Services, INC. | USA | Birmingham | 600 Corporate Pkwy Ste 100 | Jefferson | 35242 | nolandhealth.***** | 2001 | $216,723,565 | 1,100 | N/A | N/A | 630308739 |
| 66 | Peterson Sid Memorial Hospital | USA | Kerrville | 551 Hill Country Dr | Kerr | 78028 | petersonhealth.***** | 1949 | $213,272,098 | 796 | N/A | N/A | 0110424801 |
| 67 | Hudson River Opco, LLC | USA | Farmington | 262 N University Ave | Davis | 84025 | pacs.***** | 2018 | $206,276,942 | 690 | N/A | N/A | N/A |
| 68 | Epsilon Health Care Properties, LLC | USA | Atlanta | 1040 Crown Pointe Pkwy Ste 600 | Fulton | 30338 | N/A | 2004 | $206,164,087 | 2,532 | N/A | N/A | L04000012319 |
| 69 | Providence Subcute Rehabilitation Center | USA | Lake Providence | 5976 Highway 65 N | East Carroll | 71254 | N/A | 1997 | $194,033,800 | 80 | N/A | N/A | 639137 |
| 70 | S&F Management Company, LLC | USA | Los Angeles | 1901 Avenue of the Stars Ste 1060 | Los Angeles | 90067 | N/A | 2006 | $191,784,884 | 6,000 | N/A | N/A | 200609410223 |
| 71 | California Opco, LLC | USA | San Marcos | 100 E San Marcos Blvd Ste 200 | San Diego | 92069 | N/A | 2014 | $189,541,380 | 1,207 | N/A | N/A | 5573783 |
| 72 | Madonna Rehabilitation Hospital | USA | Lincoln | 5401 South St | Lancaster | 68506 | madonna.***** | 1966 | $184,828,703 | 1,400 | N/A | N/A | 1263928 |
| 73 | Rush Oak Park Hospital, INC. | USA | Oak Park | 520 S Maple Ave | Cook | 60304 | roph.***** | 1990 | $184,308,966 | 706 | N/A | N/A | 09874321 |
| 74 | Ahmc Garfield Medical Center LP | USA | Monterey Park | 525 N Garfield Ave | Los Angeles | 91754 | garfieldmedicalcenter.***** | 2004 | $182,950,845 | 150 | N/A | N/A | 200421800029 |
| 75 | Cuyuna Range Hospital, INC. | USA | Crosby | 320 E Main St | Crow Wing | 56441 | cuyunamed.***** | 1957 | $179,682,328 | 900 | N/A | N/A | C-79 -DNP |
| 76 | United Methodist Retirement Communities, INC. | USA | Chelsea | 805 W Middle St | Washtenaw | 48118 | umrc.***** | 1906 | $179,258,786 | 430 | N/A | N/A | 800880757 |
| 77 | Miami Jewish Health Systems, INC. | USA | Miami | 5200 Ne 2nd Ave | Miami-dade | 33137 | miamijewishhealthsystems.***** | 1945 | $178,795,632 | 1,100 | N/A | N/A | 727539 |
| 78 | Southern Assisted Living, LLC | USA | Milwaukee | 6737 W Washington St Ste 2300 | Milwaukee | 53214 | N/A | 2006 | $172,651,346 | 2,000 | N/A | N/A | 561925771 |
| 79 | Jewish Home Lifecare | USA | New York City | 120 W 106th St | New York | 10025 | jewishhome.***** | 1984 | $171,805,909 | 4,713 | N/A | N/A | 940878 |
| 80 | Heritage Enterprises, INC. | USA | Bloomington | 115 W Jefferson St Ste 401 | Mclean | 61701 | heritageofcare.***** | 1960 | $171,804,119 | 2,500 | N/A | N/A | 55829918 |
| 81 | Solaris Foundation, INC. | USA | Bonita Springs | 9520 Bonita Beach Rd Se | Lee | 34135 | solarisrehab.***** | 2012 | $167,821,825 | 3,000 | N/A | N/A | N12000006392 |
| 82 | Ecumen | USA | Saint Paul | 3530 Lexington Ave N | Ramsey | 55126 | ecumen.***** | 1863 | $164,500,404 | 3,400 | N/A | N/A | 437-NP |
| 83 | Solaris Healthcare Properties LLC | USA | Bonita Springs | 9520 Bonita Beach Rd Se | Lee | 34135 | N/A | 2015 | $164,474,266 | 315 | N/A | N/A | L15000166757 |
| 84 | Commcare CORPORATION | USA | Mandeville | 950 W Causeway Approach Ste C | St. Tammany | 70471 | brhealthcarecenter.***** | 1984 | $162,765,378 | 4,750 | N/A | N/A | 34133416N |
| 85 | Summit Care LLC | USA | Kennett Square | 101 E State St | Chester | 19348 | N/A | 2025 | $160,891,155 | 500 | N/A | N/A | N/A |
| 86 | Tx Snf Holdings LLC | USA | Jackson | 338 Whitesville Rd | Camden | 08527 | N/A | 2025 | $157,604,348 | 40 | N/A | N/A | 10104785 |
| 87 | Wesley Health System LLC | USA | Hattiesburg | 5001 Hardy St | Forrest | 39402 | merithealthwesley.***** | 1997 | $157,156,750 | 1,590 | N/A | N/A | 2770969 |
| 88 | Hebrew Rehabilitation Center For Aged, INC. | USA | Boston | 1200 Centre St | Suffolk | 02131 | hebrewseniorlife.***** | 1903 | $156,052,931 | 2,500 | N/A | N/A | 042104298 |
| 89 | Odyssey Healthcare, INC. | USA | Irving | 7801 Mesquite Bend Dr Ste 105 | Dallas | 75063 | odyssey-healthcare.***** | 1995 | $150,516,179 | 6,207 | N/A | N/A | 2538098 |
| 90 | Genesis Health System | USA | Silvis | 1455 Hospital Rd | Rock Island | 61282 | wellspireliving.***** | 1991 | $149,676,915 | 75 | N/A | N/A | 55302006 |
| 91 | Hcr Manorcare, INC. | USA | Toledo | 333 N Summit St | Lucas | 43604 | heartland-manorcare.***** | 2018 | $140,981,323 | 350 | N/A | N/A | 4166959 |
| 92 | Center In Homewood Retirement | USA | Williamsport | 16107 Elliott Pkwy | Washington | 21795 | homewood.***** | N/A | $139,387,202 | 6 | N/A | N/A | N/A |
| 93 | Life Care Centers Of America, INC. | USA | Cleveland | 3570 Keith St Nw | Bradley | 37312 | lcca.***** | 1975 | $139,206,267 | 40,000 | N/A | N/A | 000018476 |
| 94 | Covenant Living West | USA | Skokie | 5700 Old Orchard Rd Ste 100 | Cook | 60077 | covliving.***** | 1975 | $136,714,805 | 825 | N/A | N/A | 0760501 |
| 95 | Marquis Companies I, INC. | USA | Portland | 725 Se 202nd Ave | Multnomah | 97233 | marquiscompanies.***** | 1989 | $133,458,086 | 1,015 | N/A | N/A | 24044281 |
| 96 | Hcf Management, INC. | USA | Lima | 1100 Shawnee Rd | Allen | 45805 | hcfinc.***** | 1968 | $129,722,246 | 3,100 | N/A | N/A | 341032496 |
| 97 | Ascentria Care Alliance, INC. | USA | Worcester | 11 Shattuck St | Worcester | 01605 | ascentria.***** | 1972 | $126,322,106 | 1,000 | N/A | N/A | 042496563 |
| 98 | Presbyterian Manors, INC. | USA | Wichita | 2414 N Woodlawn Blvd | Sedgwick | 67220 | presbyterianmanors.***** | 1948 | $122,775,377 | 345 | N/A | N/A | 0257519 |
| 99 | Hebrew Home For Aged Disabled | USA | San Francisco | 302 Silver Ave | San Francisco | 94112 | sfcjl.***** | 1889 | $121,943,698 | 800 | N/A | N/A | 0018730 |
| 100 | Florida Pace Centers, INC. | USA | Miami | 5200 Ne 2nd Ave | Miami-dade | 33137 | pacecenter.***** | 2000 | $121,068,234 | 14 | N/A | N/A | N00000003730 |