OPERATOR ROLL-UP TRACKER

Who's consolidating

The largest operators of skilled-nursing, home-health, and hospice facilities, ranked by portfolio size — from CMS ownership filings, with REIT and private-equity flags. The roll-up radar for healthcare M&A and PE diligence. Pairs with the deal-signal feed.

200
Operators (5+ facilities)
13,183
Facilities under them
4
REIT-owned operators
#OperatorFacilitiesStatesTypes
1Pacs Holdings, LLCPE / investor24016SNF
2Hccf Management Group XI LLCPE / investor22619SNF
3Zac Properties XI LLCPE / investor17417SNF
4FC-Gen Operations Investment LLCPE / investor17117SNF
5Genesis Holdings LLCPE / investor16917SNF
6Sundance Rehabilitation Holdco IncPE / investor16317SNF
7Ghc Holdings LLCPE / investor12415SNF
8Saber Healthcare Holdings LLCPE / investor1155SNF
9Rosedale Family Investment Company, IncPE / investor945SNF
10Wilheim Family Investment Company, Inc.PE / investor935SNF
11Uhs-Pruitt Holdings, Inc.PE / investor774SNF
12Welltower IncREIT7213SNF
13Rsbrmk Holdings LLCPE / investor697SNF
14American Healthcare Reit IncREIT665SNF
15American Healthcare Reit Holdings LPREIT655SNF
16Trilogy Healthcare Holdings IncPE / investor655SNF
17Trilogy Opco LLCPE / investor645SNF
18Trilogy Real Estate Investment TrustPE / investor635SNF
19Trilogy Reit Holdings LLCPE / investor635SNF
20Developers Investment Company IncPE / investor6117SNF
21Peace Capital Holdings LLC (DE)PE / investor587SNF
22C.R. Stoltz Family Investment Company IncPE / investor565SNF
23Trilogy Holdings NT-Hci, LLCPE / investor483SNF
24Shh Holdings LLCPE / investor474SNF
25I. Rosedale Family Investment Company IncPE / investor465SNF
26Wwbv Holdings LLCPE / investor464SNF
27Sabrina 1818 Holdings LLCPE / investor459SNF
28Yazoma Holdings, LLCPE / investor441SNF
29Lion 26 Holdings LLCPE / investor449SNF
30Tryko Nexgen Holdings LLCPE / investor427SNF
31Shnz Holdings LLCPE / investor414SNF
32Lument Real Estate Capital LLCPE / investor409SNF
33Windward Health Partners LLCPE / investor405SNF

Source: CMS PECOS facility ownership (self-reported). Portfolio counts are Medicare-certified SNF/HHA/hospice facilities under a given organizational owner; a facility can have multiple owners (holding structures), so portfolios may overlap. REIT flags match a curated list of healthcare REITs; PE/investor flags are heuristic (holding/investment/capital signatures) — directional, not a definitive PE designation.