| 1 | Bupa Finance PLC. | Unitedkingdom | Saint Giles | Bupa House, 15-19 Bloomsbury Way | London | WC1A 2BA | supa.***** | 1993 | $15,507,553,906 | 97,565 | N/A | N/A | 02779134 |
| 2 | 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 |
| 3 | 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 |
| 4 | 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 |
| 5 | 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 |
| 6 | Pacs Group, INC. | USA | Farmington | 262 N University Ave | Davis | 84025 | pacs.***** | 2013 | $3,111,492,000 | 40,000 | N/A | N/A | 7372254 |
| 7 | 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 |
| 8 | 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 |
| 9 | 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 |
| 10 | National Healthcare CORPORATION | USA | Murfreesboro | 100 E Vine St | Rutherford | 37130 | nhccare.***** | 1971 | $1,307,382,000 | 14,962 | N/A | N/A | 522057472 |
| 11 | Extendicare (canada) INC. | Canada | Markham | 103-3000 Steeles Ave E | Ontario | L3R 4T9 | extendicare.***** | 1979 | $1,229,868,000 | 18,000 | N/A | N/A | 8028737 |
| 12 | Clc Of Biloxi, LLC | USA | Biloxi | 2279 Atkinson Rd | Harrison | 39531 | pillarsbiloxi.***** | 2000 | $1,169,241,500 | 18 | N/A | N/A | 684264 |
| 13 | Barchester Healthcare Homes LIMITED | Unitedkingdom | Finsbury | Livingstone House | London | EC2A 1AS | barchestercareers.***** | 1993 | $1,069,649,385 | 16,126 | N/A | N/A | 02849519 |
| 14 | Extendicare INC | Canada | Markham | 400-3000 Steeles Ave E | Ontario | L3R 4T9 | extendicare.***** | 1968 | $1,045,155,704 | 23,700 | N/A | N/A | 7748248 |
| 15 | Conversant Capital LLC | USA | Summit | 25 Deforest Ave | Union | 07901 | conversantcap.***** | 2019 | $987,950,162 | 3,955 | N/A | N/A | N/A |
| 16 | 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 |
| 17 | Alerislife INC. | USA | Newton | 255 Washington St Ste 230 | Barnstable | 02458 | alerislife.***** | 2023 | $934,593,000 | 15,600 | N/A | N/A | D06461743 |
| 18 | American Retirement CORPORATION | USA | Brentwood | 111 Westwood Pl Ste 200 | Montgomery | 37027 | arclp.***** | 2006 | $897,787,001 | 10,400 | N/A | N/A | 000325434 |
| 19 | 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 |
| 20 | Bethesda Foundation INC | USA | Cincinnati | 619 Oak St | Hamilton | 45206 | trihealth.***** | 2011 | $853,365,646 | 36 | N/A | N/A | N/A |
| 21 | 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 |
| 22 | Forest Manor INC | USA | Covington | 71338 Highway 21 | St. Tammany | 70433 | forestmanorcovington.***** | 1965 | $801,723,300 | 130 | N/A | N/A | 26908870D |
| 23 | 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 |
| 24 | Mangal Anand Health Care LIMITED | India | Mumbai | 48, Sion Trombay Road | Maharashtra | 400071 | online.***** | 1992 | $763,591,102 | 34 | N/A | N/A | AABCM6539Q |
| 25 | Revera INC | Canada | Toronto | Bay-adelaide Centre 22 Adelaide St W Suite 2010 | Ontario | M5H 4E3 | reveraliving.***** | 1961 | $694,055,508 | 10,158 | N/A | N/A | 4327136 |
| 26 | Tertianum Romandie SA | Switzerland | Montreux | Avenue de Chillon 63 | Vaud | 1820 | N/A | 2006 | $643,600,300 | 4,900 | N/A | N/A | CHE-112.734.440 |
| 27 | Centerlight Healthcare, INC. | USA | Flushing | 13665 37th Ave | Queens | 11354 | centerlighthealthcare.***** | 1990 | $643,479,259 | 345 | N/A | N/A | 1485519 |
| 28 | Sunrise Senior Living, LLC | USA | Mclean | 7902 Westpark Dr | Fairfax County | 22102 | sunriseseniorliving.***** | 2023 | $639,587,549 | 217 | N/A | N/A | 541746596 |
| 29 | 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 |
| 30 | Ggnsc Holdings LLC | USA | Plano | 5220 Tennyson Pkwy Ste 400 | Collin | 75024 | goldenlivingcenters.***** | 2011 | $587,637,696 | 400 | N/A | N/A | N/A |
| 31 | Stichting Cordaan | Netherlands | Amsterdam | De Ruijterkade 7 | Noord-holland | 1013 AA | cordaan.***** | 2005 | $557,383,511 | 3,470 | N/A | N/A | 34229005 |
| 32 | 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 |
| 33 | 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 |
| 34 | 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 |
| 35 | Trinity Health | USA | Minot | 2305 37th Ave Sw | Ward | 58701 | trinityhealth.***** | 1922 | $489,238,231 | 2,600 | N/A | N/A | 412002771 |
| 36 | Signature Healthcare, LLC | USA | Louisville | 12201 Bluegrass Pkwy | Jefferson | 40299 | ltcrevolution.***** | 2007 | $488,946,281 | 4,037 | N/A | N/A | 4393621 |
| 37 | Magnolia Living Center | USA | Dunn | 201 N Ellis Ave | Harnett | 28334 | thelivingadvantage.***** | 1996 | $487,956,900 | 100 | N/A | N/A | N/A |
| 38 | Senevita AG | Switzerland | Muri Bei Bern | Worbstrasse 46 | Bern | 3074 | senevita.***** | 1989 | $485,374,664 | 4,300 | N/A | N/A | CHE-106.450.247 |
| 39 | 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 |
| 40 | 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 |
| 41 | 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 |
| 42 | 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 |
| 43 | 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 |
| 44 | Diversicare Healthcare Services, LLC | USA | Brentwood | 1621 Galleria Blvd | Montgomery | 37027 | dvcr.***** | 2021 | $442,895,031 | 4,800 | N/A | N/A | 2374275 |
| 45 | Clc Of Laurel, LLC | USA | Laurel | 1036 West Dr | Jones | 39440 | laurelwoodclc.***** | 2000 | $436,368,700 | 11 | N/A | N/A | 683159 |
| 46 | Vibra Healthcare, LLC | USA | Mechanicsburg | 4600 Lena Dr | Beaver | 17055 | vibrahealthcare.***** | 2004 | $434,593,708 | 4,000 | N/A | N/A | 3803342 |
| 47 | Fountain View Manor INC. | USA | Henryetta | 107 E Barclay St | Okmulgee | 74437 | fountainviewmanor.***** | 1967 | $425,292,400 | 94 | N/A | N/A | 1900207811 |
| 48 | Vencore INC | USA | Bartlesville | 1244 Woodland Loop | Washington | 74006 | heritagevillanursing.***** | 1984 | $423,650,000 | 85 | N/A | N/A | N/A |
| 49 | Stichting Laurens | Netherlands | Rotterdam | G.h. Betzweg 1 | Zuid-holland | 3068 AZ | buurtpas.***** | 1972 | $420,565,644 | 3,743 | N/A | N/A | 41126751 |
| 50 | 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 |