| 1 | Codess Sociale Soc Coop Sociale | Italy | Padova | Via Giovanni Boccaccio 96 | Padova | 35128 | codess.***** | 1999 | $220,286,812 | 4,014 | N/A | N/A | IT03174760276 |
| 2 | Sereni Orizzonti 1 SPA | Italy | Udine | Via Vittorio Veneto 45 | Udine | 33100 | sereniorizzonti.***** | 1978 | $200,259,589 | 2,303 | N/A | N/A | IT02833470301 |
| 3 | Universiis Soc Coop Sociale | Italy | Tavagnacco | Via Andrea Palladio 66/a | Udine | 33010 | universiis.***** | 1993 | $111,568,330 | 2,955 | N/A | N/A | IT01818390302 |
| 4 | Coop Sociale Elleuno Scs | Italy | Casale Monferrato | Viale Ottavio Marchino 10 | Alessandria | 15033 | elleuno.***** | 1993 | $82,054,590 | 1,688 | N/A | N/A | IT01776240028 |
| 5 | Sana Soc Coop Sociale | Italy | Milano | Via Vittor Pisani 14 | Milano | 20124 | N/A | 2014 | $64,282,626 | 1,316 | N/A | N/A | IT08805500967 |
| 6 | Med Services Societa' Cooperativa Sociale | Italy | Voghera | Via Antonio Cagnoni 23 | Pavia | 27058 | medservices.***** | 1999 | $53,130,423 | 750 | N/A | N/A | IT01821480181 |
| 7 | La Villa SPA | Italy | Firenze | Via Benedetto Da Foiano 14 | Firenze | 50125 | lavillaspa.***** | 2005 | $44,399,274 | 1,346 | N/A | N/A | IT05548060481 |
| 8 | Villa Primule Gestioni SRL | Italy | Milano | Via Fabio Filzi 25/a | Milano | 20124 | N/A | 2013 | $43,370,702 | 744 | N/A | N/A | IT10986060019 |
| 9 | Socialcoop Consorzio Cooperative Sociali Soc Coop Sociale | Italy | Asti | Via Xx Settembre 126 | Asti | 14100 | socialcoop.***** | 1990 | $38,412,307 | 50 | N/A | N/A | IT01017410059 |
| 10 | Solidarieta' SRL | Italy | Borgo Virgilio | Via Mantova 6 | Mantova | 46034 | rsavillaazzurra.***** | 2008 | $28,851,884 | 383 | N/A | N/A | IT02245740200 |
| 11 | Zaffiro SRL | Italy | Milano | Via Melchiorre Gioia 121 | Milano | 20125 | N/A | 2017 | $28,541,638 | 374 | N/A | N/A | IT03125640304 |
| 12 | Karol SPA | Italy | Palermo | Via Giuseppe la Farina 11 | Palermo | 90141 | karolrsa.***** | 2011 | $26,521,082 | 220 | N/A | N/A | IT06065240829 |
| 13 | San Pio Soc Coop Sociale | Italy | Alba | Piazza Cristo Re 14 | Cuneo | 12051 | N/A | 2001 | $26,225,673 | 520 | N/A | N/A | IT01699760334 |
| 14 | Zaffiro Centrosud SRL | Italy | Milano | Via Melchiorre Gioia 121 | Milano | 20125 | gruppozaffiro.***** | 2009 | $25,748,594 | 403 | N/A | N/A | IT02577420306 |
| 15 | Azienda Speciale Comunale Cremona Solidale In Forma Abbreviato In Sigla A.C.S. | Italy | Cremona | Via Brescia 207 | Cremona | 26100 | portineriasolidale.***** | 1960 | $24,227,330 | 439 | N/A | N/A | IT01310740194 |
| 16 | Fondazione Eugenio Bravi | Italy | Salò | Via Trento 23/f | Brescia | 25087 | fondazioneugeniobravi.***** | 2004 | $21,278,214 | 162 | N/A | N/A | IT00697560985 |
| 17 | Fondazione Opera Diocesana Assistenza | Italy | Casale Monferrato | Via della Biblioteca 1 | Alessandria | 15033 | N/A | 2009 | $21,278,214 | 162 | N/A | N/A | IT00372090068 |
| 18 | Fondazione Paola Di Rosa Onlus | Italy | Brescia | Via Ottaviano Montini 37 | Brescia | 25133 | N/A | 1991 | $21,278,214 | 162 | N/A | N/A | IT03338720174 |
| 19 | Azienda Pubblica Di Servizi Alla Persona Istituto Maria Redditi - Alta Valdichiana Senese | Italy | Sinalunga | Via Costarella 214/a | Siena | 53048 | N/A | 1985 | $21,278,214 | 162 | N/A | N/A | IT00805470523 |
| 20 | La Cupolina Residenza Sanitaria Assistenziale SRL | Italy | Firenze | Via Mario de Bernardi 39 | Firenze | 50145 | lacupolinarsa.***** | 1994 | $19,743,024 | 169 | N/A | N/A | IT04555410481 |
| 21 | La Meridiana Soc Coop Sociale | Italy | Monza | Viale Cesare Battisti 86 | Monza E Brianza | 20900 | cooplameridiana.***** | 1986 | $19,108,180 | 290 | N/A | N/A | IT02322460961 |
| 22 | Coop Sociale Rieducazione Motoria Onlus | Italy | Milano | Via Trenno 41 | Milano | 20151 | N/A | 1985 | $18,918,520 | 318 | N/A | N/A | IT08029590158 |
| 23 | Icaro Consorzio Cooperative Sociali Soc Coop | Italy | San Prisco | Via Agostino Stellato Snc | Caserta | 81054 | consorzioicaro.***** | 1995 | $17,419,870 | 7 | N/A | N/A | IT02241260617 |
| 24 | Ge.s.a.c. Societa' Cooperativa Sociale | Italy | Cuneo | Via Roma 7 | Cuneo | 12100 | gesacacli.***** | 1990 | $17,072,815 | 531 | N/A | N/A | IT02185170046 |
| 25 | Mosaico Coop Sociale | Italy | Milano | Via Celeste Clericetti 42 | Milano | 20133 | N/A | 1998 | $16,682,312 | 358 | N/A | N/A | IT13411020152 |
| 26 | Il Gabbiano Soc Coop Sociale | Italy | Alessandria | Via Galileo Galilei 39 | Alessandria | 15121 | aziende.***** | 1983 | $15,502,551 | 442 | N/A | N/A | IT01135490066 |
| 27 | San Giuseppe Societa' Cooperativa Sociale Onlus | Italy | Como | Via Borgo Vico 6 | Como | 22100 | cooperativasangiuseppe.***** | 1993 | $14,897,980 | 306 | N/A | N/A | IT02082110137 |
| 28 | Soc Coop Sociale Il Faro | Italy | Asti | Corso Vittorio Alfieri 234 | Asti | 14100 | cooperativailfaro.***** | 1990 | $14,454,540 | 259 | N/A | N/A | IT01020300057 |
| 29 | San Giacomo SRL | Italy | Dizzasco | Via Roma Snc | Como | 22020 | ilfocolare.***** | 2002 | $13,288,497 | 262 | N/A | N/A | IT02644040137 |
| 30 | Residenze Quisisana SRL | Italy | Ostellato | Piazza Giorgio Bassani 1 | Ferrara | 44020 | residenzequisisana.***** | 2017 | $12,868,948 | 235 | N/A | N/A | IT02005110388 |
| 31 | San Giuseppe Moscati Soc Coop Sociale | Italy | Torino | Strada Val Salice 152 | Torino | 10131 | aziende.***** | 2011 | $12,451,951 | 231 | N/A | N/A | IT10616740014 |
| 32 | Casa Serena | Italy | Cilavegna | Viale Mario Pavesi 22 | Pavia | 27024 | casaserenarsa.***** | 2002 | $12,035,510 | 33 | N/A | N/A | IT01986290185 |
| 33 | Fondazione Opera Pia Antonio Emma Cerino Zegna Impresa Sociale | Italy | Biella | Via Battistero 4 | Biella | 13900 | N/A | 1983 | $11,941,030 | 254 | N/A | N/A | IT01633420029 |
| 34 | Villa Iris SRL | Italy | Pianezza | Via Cesare Pavese 12 | Torino | 10044 | casadicuravillairis.***** | 1981 | $11,276,157 | 119 | N/A | N/A | IT03880520014 |
| 35 | 3amilano SRL | Italy | Udine | Via Vittorio Veneto 45 | Udine | 33100 | N/A | 2017 | $11,017,790 | 50 | N/A | N/A | IT02905530305 |
| 36 | San Francesco Soc Coop Sociale | Italy | Nova Milanese | Via Prealpi 1/a | Monza E Brianza | 20834 | rsa-sanfrancesco.***** | 2001 | $10,911,622 | 24 | N/A | N/A | IT03343390963 |
| 37 | Impresa Sociosanitaria Veneto Orientale SRL | Italy | San Donà Di Piave | Via San Francesco 11 | Venezia | 30027 | cdrmonumento.***** | 2018 | $10,575,037 | 50 | N/A | N/A | IT04501470274 |
| 38 | Centro Riabilitativo Comunita' Terapeutica Il Gabbiano SRL | Italy | Milano | Via Cappuccini 4 | Milano | 20122 | N/A | 1988 | $9,972,623 | 111 | N/A | N/A | IT00933410094 |
| 39 | Cacciamatta SRL | Italy | Tavernola Bergamasca | Via San Rocco Snc | Bergamo | 24060 | cacciamatta.***** | 2008 | $9,933,350 | 50 | N/A | N/A | IT03492560168 |
| 40 | Gruppo San Michele SRL | Italy | Roma | Via Sicilia 137 | Roma | 00187 | N/A | 2012 | $9,601,708 | 340 | N/A | N/A | IT02687400305 |
| 41 | Residenza Primavera SRL | Italy | Albano Sant'Alessandro | Via Lega Lombarda 12 | Bergamo | 24061 | residenzaprimavera.***** | 2016 | $9,471,573 | 11 | N/A | N/A | IT04162770160 |
| 42 | Emme Due SPA | Italy | Sessa Aurunca | Via Ponte Aurunco 13 | Caserta | 81037 | aziende.***** | 1995 | $9,397,403 | 149 | N/A | N/A | IT02211090614 |
| 43 | Ideass SPA | Italy | Lecce | Via Guglielmo Oberdan 22 | Lecce | 73100 | N/A | 2000 | $8,728,896 | 152 | N/A | N/A | IT03415300759 |
| 44 | Abros Gestioni SRL | Italy | Torino | Via Parma 70 | Torino | 10153 | casadiriposovillaannamaria.***** | 1979 | $8,450,043 | 104 | N/A | N/A | IT02533230013 |
| 45 | Medical Sport Center SRL | Italy | Catanzaro | Via Dei Conti Ruffo 15 | Catanzaro | 88100 | medicalsportcenter.***** | 1991 | $8,329,296 | 172 | N/A | N/A | IT00939640793 |
| 46 | Villa Magli SRL | Italy | Prato | Via Bologna 164 Interno 14 | Prato | 59100 | villamagli.***** | 2002 | $8,303,579 | 142 | N/A | N/A | IT05240660489 |
| 47 | Luigi E Augusta Soc Coop Sociale | Italy | Ormelle | Via Negrisia 24/e | Treviso | 31024 | ulss.***** | 2013 | $8,176,195 | 111 | N/A | N/A | IT04600460267 |
| 48 | Consorzio Archimede Soc Coop Sociale In Sigla Consorzio Archimede SOC. Coop Sociale | Italy | Forlì | Via Andrea Dragoni 72 | Forlì-cesena | 47122 | coopcad.***** | 1994 | $8,086,519 | 7 | N/A | N/A | IT02322480407 |
| 49 | Comaco SPA | Italy | Ispra | Via Giacomo Leopardi 132 | Varese | 21027 | villafiammetta.***** | 1988 | $7,909,208 | 99 | N/A | N/A | IT02384260127 |
| 50 | Zzeta SRL | Italy | Udine | Viale Giovanni Paolo Ii 15/4 | Udine | 33100 | N/A | 2016 | $7,892,929 | 102 | N/A | N/A | IT02841480300 |
| 51 | Pensionato Convitto Madre Saveria Cabrini SRL | Italy | Pontremoli | Viale Cabrini 4 | Massa-carrara | 54027 | pensionemadrecabrini.***** | 1988 | $7,806,718 | 4 | N/A | N/A | IT00514430453 |
| 52 | Cenacolo Cristo Re SRL | Italy | Biancavilla | Strada Provinciale 80 | Catania | 95033 | centroriabilitativocalaciura.***** | 1985 | $7,623,552 | 105 | N/A | N/A | IT02173180874 |
| 53 | Azienda Speciale Di Servizi Di Casalpusterlengo | Italy | Casalpusterlengo | Viale Alexander Fleming 2 | Lodi | 26841 | assc.***** | 1969 | $7,623,240 | 60 | N/A | N/A | IT11824270158 |
| 54 | Belgeca SRL | Italy | Roma | Via Orazio 3 | Roma | 00193 | N/A | 2002 | $7,600,708 | 90 | N/A | N/A | IT07067071006 |
| 55 | Relaxxi SRL | Italy | Noale | Via de Pol 20 | Venezia | 30033 | relaxxi.***** | 2009 | $7,360,449 | 106 | N/A | N/A | IT04436200283 |
| 56 | Consorzio Gruppo Villa Argento Residenze Sanitarie Integrate Soc Coop Sociale Impresa Soci | Italy | Parma | Via Colorno 63 | Parma | 43122 | digilan.***** | 2017 | $7,224,750 | 129 | N/A | N/A | IT04124870710 |
| 57 | Av Vittuone SRL | Italy | Vittuone | Via Milano 53 | Milano | 20009 | aziende.***** | 2007 | $7,063,845 | 93 | N/A | N/A | IT05944080968 |
| 58 | Residenza Borromea SRL | Italy | Mediglia | Via Buonarroti An. V. Carducci | Milano | 20076 | N/A | 2001 | $7,009,435 | 11 | N/A | N/A | IT13426660158 |
| 59 | La Residence SRL | Italy | Ficarolo | Via Castello 55 | Rovigo | 45036 | casadiriposolaresidence.***** | 2006 | $6,822,555 | 100 | N/A | N/A | IT01705340386 |
| 60 | Zzeta Martignacco SRL | Italy | Milano | Via Melchiorre Gioia 121 | Milano | 20125 | N/A | 2019 | $6,814,600 | 75 | N/A | N/A | IT02972210302 |
| 61 | Penta Servizi SRL | Italy | Azzano Decimo | Viale Xxv Aprile 42 | Pordenone | 33082 | aspsolidarieta.***** | 2019 | $6,785,126 | 316 | N/A | N/A | IT01874330937 |
| 62 | Azienda Speciale Multiservizi Vigevano | Italy | Vigevano | Via Bramante 4 | Pavia | 27029 | asmv.***** | 2002 | $6,733,555 | 50 | N/A | N/A | IT01968970184 |
| 63 | Genesi Impresa Sociale Soc Coop Sociale Onlus | Italy | Rodengo Saiano | Via Biline 74/76 | Brescia | 25050 | tlcolosio.***** | 1998 | $6,667,576 | 165 | N/A | N/A | IT03480310170 |
| 64 | Kura SRL | Italy | Alessandria | Via Don Giovanni Rizzante 100 | Alessandria | 15122 | isenior.***** | 2023 | $6,612,611 | 116 | N/A | N/A | IT02735600062 |
| 65 | Solidarietas SRL | Italy | Novara | Viale Roma 34/b | Novara | 28100 | orpeaitalia.***** | 1989 | $6,597,660 | 133 | N/A | N/A | IT01315250033 |
| 66 | Gruppo Villa Azzurra SRL | Italy | Roma | Via Pietro Cossa 41 | Roma | 00193 | N/A | 2025 | $6,567,350 | 50 | N/A | N/A | IT17938091000 |
| 67 | Gheras SRL | Italy | Torino | Via Enrico Cialdini 19 | Torino | 10138 | N/A | 2024 | $6,567,350 | 50 | N/A | N/A | IT13162040011 |
| 68 | Rosa Del Marganai SRL | Italy | Roma | Via Di Val Cannuta 247 | Roma | 00166 | N/A | 2025 | $6,567,350 | 50 | N/A | N/A | IT18051261008 |
| 69 | Azienda Pubblica Di Servizi Alla Persona Citta' Di Siena | Italy | Siena | Via Campansi 18 | Siena | 53100 | asp.***** | 2006 | $6,567,350 | 140 | N/A | N/A | IT01170590523 |
| 70 | 3sg - Azienda Speciale Servizi Socio Sanitari Di Gallarate | Italy | Gallarate | Via Padre Igino Lega 54 | Varese | 21013 | 3sg.***** | 1999 | $6,513,294 | 266 | N/A | N/A | IT02544420124 |
| 71 | Consorzio Casa Serena Soc Coop Sociale | Italy | Torino | Corso Lombardia 115 | Torino | 10151 | casaserenatorino.***** | 2009 | $6,486,259 | 7 | N/A | N/A | IT10193190013 |
| 72 | Nuova Vita Coop Sociale | Italy | Camposampiero | Via Straelle San Pietro 12/g | Padova | 35012 | nuovavita.***** | 1997 | $6,407,755 | 170 | N/A | N/A | IT03282380280 |
| 73 | Consorzio Cooperativo Sociale Kedos | Italy | Bologna | Via Paolo Bovi Campeggi 2/4 E | Bologna | 40131 | N/A | 2011 | $6,327,762 | 7 | N/A | N/A | IT03131021200 |
| 74 | Cascina Grangia SRL | Italy | Torino | Strada San Vincenzo 49 | Torino | 10131 | N/A | 2011 | $6,297,744 | 50 | N/A | N/A | IT10535550015 |
| 75 | Rifredi Insieme Societa' Cooperativa Sociale | Italy | Firenze | Via Don Giulio Facibeni 13 | Firenze | 50141 | aziende.***** | 2006 | $6,278,399 | 154 | N/A | N/A | IT05663940483 |
| 76 | Smeralda Rsa Di Padru SRL | Italy | Padru | Via Antonio Vivaldi Snc | Sassari | 07020 | korian.***** | 2007 | $6,245,998 | 50 | N/A | N/A | IT02208900205 |
| 77 | Argentum SRL | Italy | Caresanablot | Via Vercelli 23/a | Vercelli | 13030 | N/A | 2023 | $6,216,288 | 77 | N/A | N/A | IT02770060024 |
| 78 | Aie SRL | Italy | Catanzaro | Via Dei Conti Ruffo 15 | Catanzaro | 88100 | N/A | 2006 | $6,199,789 | 102 | N/A | N/A | IT06647451001 |
| 79 | Senior Residence SRL | Italy | Torino | Via Giovanni Servais 80 | Torino | 10146 | seniorresidence.***** | 1989 | $6,104,499 | 7 | N/A | N/A | IT06745420015 |
| 80 | Viscontea Life SRL | Italy | Milano | Via Cernaia 11 | Milano | 20121 | N/A | 2007 | $6,055,602 | 71 | N/A | N/A | IT05627570962 |
| 81 | Azienda Speciale Del Comune Di Monticello Brianza Casa Di Riposo Monticello | Italy | Monticello Brianza | Via Giuseppe Sirtori 1 | Lecco | 23876 | casadiriposomonticello.***** | 2005 | $5,973,945 | 99 | N/A | N/A | IT02934280138 |
| 82 | Le Betulle SRL | Italy | Verona | Via Giovanni Cotta 4 | Verona | 37131 | lebetulle.***** | 1995 | $5,966,080 | 20 | N/A | N/A | IT02640790230 |
| 83 | Mondo Service Soc Coop Sociale | Italy | Nova Milanese | Via Prealpi 1/a | Monza E Brianza | 20834 | rsasanfrancesco.***** | 2001 | $5,943,195 | 164 | N/A | N/A | IT03343420968 |
| 84 | Consorzio Rosa Dei Venti Soc Coop Sociale | Italy | Ravenna | Via Alfredo Oriani 8 | Ravenna | 48121 | solcoravenna.***** | 2016 | $5,881,608 | 7 | N/A | N/A | IT02559210394 |
| 85 | Il Melo Onlus Soc Coop Sociale | Italy | Gallarate | Via Magenta 3 | Varese | 21013 | melo.***** | 1980 | $5,857,649 | 181 | N/A | N/A | IT01564890125 |
| 86 | T.e.a.r. SRL | Italy | Pontecorvo | Via Farnete 5 | Frosinone | 03037 | casadicuramadonnadellegrazie.***** | 1994 | $5,828,287 | 127 | N/A | N/A | IT01882210600 |
| 87 | Valbelluna Servizi SRL | Italy | Mel | Quartiere Europa 5 | Belluno | 32026 | N/A | 2004 | $5,787,472 | 223 | N/A | N/A | IT00995760253 |
| 88 | RO.E MAR. SRL | Italy | Genova | Piazza del Portello 6/2 | Genova | 16124 | N/A | 1984 | $5,742,273 | 50 | N/A | N/A | IT01566070064 |
| 89 | Gli Annali SRL | Italy | Cineto Romano | Via Degli Annali 8 | Roma | 00020 | aiutoanziani.***** | 2000 | $5,698,728 | 72 | N/A | N/A | IT06054921009 |
| 90 | Residenza Sanitaria Integrata Fondazione C.R. Tortona SRL E In Forma Abbreviato Residenza | Italy | Tortona | Corso Leoniero 6 | Alessandria | 15057 | ildivisionismo.***** | 2001 | $5,656,079 | 50 | N/A | N/A | IT01947640064 |
| 91 | Saninvest Group SRL | Italy | Forlì | Piazzale Delfina Cima 1 | Forlì-cesena | 47121 | residenzasanitariaalparco.***** | 1998 | $5,626,027 | 96 | N/A | N/A | IT02608640401 |
| 92 | Veneto Rsa SRL | Italy | Milano | Via Vittor Pisani 14 | Milano | 20124 | N/A | 2014 | $5,624,440 | 50 | N/A | N/A | IT08538020960 |
| 93 | Villa Flora SRL | Italy | Cormano | Via Leonardo Da Vinci 60 | Milano | 20032 | areasenior.***** | 1995 | $5,531,179 | 7 | N/A | N/A | IT11463140159 |
| 94 | Madre Teresa SRL | Italy | Oria | Contrada San Cosimo | Brindisi | 72024 | N/A | 2004 | $5,520,709 | 91 | N/A | N/A | IT02075210746 |
| 95 | Comunita Educante - Soc Coop Sociale | Italy | Trieste | Via Italo Svevo 32/34 | Trieste | 34145 | casaemmausts.***** | 1980 | $5,512,585 | 116 | N/A | N/A | IT00503580326 |
| 96 | Svolta SRL | Italy | Napoli | Viale Antonio Gramsci 17/b | Napoli | 80122 | N/A | 2018 | $5,505,745 | 99 | N/A | N/A | IT08961481218 |
| 97 | Fi.d.es. Medica SRL | Italy | Genova | Piazza del Portello 6/2 | Genova | 16124 | gruppofides.***** | 1980 | $5,388,960 | 50 | N/A | N/A | IT01166430106 |
| 98 | Villa Chiara SRL | Italy | Dorno | Via Scaldasole 15 | Pavia | 27020 | N/A | 2002 | $5,249,505 | 53 | N/A | N/A | IT01952080180 |
| 99 | Centro Dell' Anziano SRL | Italy | Lentate Sul Seveso | Piazza San Vito 3/33 | Monza E Brianza | 20823 | villa-cenacolo.***** | 1987 | $5,187,244 | 84 | N/A | N/A | IT00920220969 |
| 100 | Centro Residenziale Anziani Domus Aurea SRL | Italy | Castelforte | Loc. Petrete, Via S.sebastiano Snc | Latina | 04021 | cradomusaurea.***** | 2001 | $5,102,503 | 39 | N/A | N/A | IT02030520593 |