The 10 Largest Nursing Home Companies In The United States
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The largest nursing home company in the U.S. is Genesis HealthCare, with a revenue of $5.7 Billion and 68,700 employees.
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As of 2026, the US nursing home industry has a market size of $146.9 billion.
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US nursing homes employ over 1.6 million people.
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The US nursing home market is projected to grow at a CAGR of 3.32% through 2030.
As the population ages, the necessity for quality nursing home services continues to rise. With approximately 16.5% of the American population classified as senior citizens, there is an increasing demand for reliable and well-equipped living facilities. This need contributes to a significant industry that generates billions of dollars annually, reflecting the evolving landscape of healthcare and elder care.
DETAILED LIST OF THE 10 LARGEST NURSING HOME COMPANIES
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Genesis HealthCare. Kennett Square, PA
2022 Annual Revenue: $5.70 billion
Number of Employees: 68,700Genesis HealthCare was founded in 1985 and has grown substantially since its inception. The company operates over 500 skilled nursing centers and assisted living facilities across more than half of the United States, providing rehabilitation services in approximately 1,700 locations. Their acquisition-based growth strategy has solidified their status as one of the largest nursing home companies in the nation.
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Life Care Centers of America. Cleveland, TN
2022 Annual Revenue: $4.30 billion
Number of Employees: 40,000Life Care Centers of America focuses on providing high-quality care with a mission to be the preferred facility within the communities they serve. They offer various living circumstances across 200 facilities, catering to independent living, assisted living, rehabilitation, and specialized care for Alzheimer’s and dementia patients.
Despite facing legal challenges in the past, Life Care remains a leader in the industry.
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Ensign Group. Mission Viejo, CA
2022 Annual Revenue: $3.025 Billion
Number of Employees: 25,900Founded in 2000, Ensign Group has swiftly grown to provide nursing and rehabilitation care across 82 facilities. Their managed locations accommodate a significant number of assisted and independent living residents, primarily in the western U.S.
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2022 Annual Revenue: $3.00 billion
Number of Employees: 55,000HCR ManorCare offers a wide range of services including rehabilitation, nursing homes, assisted living facilities, outpatient rehab clinics, and hospice care. Their extensive reach across the U.S. makes them a significant player in the market.
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Brookdale Senior Living. Brentwood, TN
2022 Annual Revenue: $2.825 billion
Number of Employees: 58,400Established in 1978, Brookdale Senior Living has grown to manage over 700 communities across the U.S. Despite recent legal challenges, they continue to provide quality services to a large number of residents.
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2022 Annual Revenue: $2.20 Billion
Number of Employees: 23,000SavaSeniorCare aims to deliver comprehensive healthcare, with specialties in nursing assistance, memory care, and rehabilitation services. They operate facilities across 23 states.
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Five Star Senior Living. Newton, MA
2022 Annual Revenue: $1.1 Billion
Number of Employees: 19,000Founded in 2001, Five Star Senior Living has grown to encompass a variety of senior living communities, utilizing acquisitions to expand its reach across 32 states.
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Holiday Retirement. Winter Park, FL
2022 Annual Revenue: $1.1 billion
Number of Employees: 3,618With a unique business model focused on independent living for seniors, Holiday Retirement operates 240 communities, managing approximately 25,000 residents without on-site medical staff.
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Atria Senior Living. Louisville, KY
2022 Annual Revenue: $778.5 million
Number of Employees: 9,327Atria Senior Living focuses on suburban clientele and operates facilities equipped to handle dementia patients, serving over 18,000 residents across the U.S. and parts of Canada.
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2022 Annual Revenue: $681.5 Million
Number of Employees: 34,300Golden Living has a rich history of nearly 60 years, providing care for both the elderly and rehabilitation patients. Their substantial operations contribute to their ranking among the largest nursing home companies in the country.
Nursing Home Statistics FAQ
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How many Americans live in nursing homes?
About 1.4 million Americans live in nursing homes. Additionally, over 810,000 Americans reside in assisted living facilities, which offer less intensive care. Many residents transition from assisted living to nursing homes as their needs increase. California leads in nursing home residents, followed by Texas and New York.
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How many nursing homes are there in the U.S.?
There are approximately 26,514 nursing homes in the U.S. This figure represents a 2% increase from the previous year, aligning with the ongoing growth trend in nursing home facilities.
Of these, nearly 70% are for-profit, while 23.5% are nonprofit, and 7.2% are government-operated.
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What is the average lifespan in a nursing home?
The average lifespan in a nursing home is 2.2 years. This varies by individual, with women typically requiring longer-term care. Around 20% of people aged 65 will need long-term care for over five years.
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What percentage of Americans over 65 live in nursing homes?
4% of Americans over 65 live in nursing homes. Among those, the majority are aged 85 or older. Notably, 16.5% of long-term nursing home residents are under 65.
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How big is the U.S. nursing home industry?
The U.S. nursing home industry is valued at $146.9 billion. The market has experienced solid growth, with expectations for continued expansion as the aging population increases the demand for care services.
Author
Sky Ariella is a professional freelance writer, originally from New York. She has been featured on websites and online magazines covering topics in career, travel, and lifestyle. She received her BA in psychology from Hunter College.
