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

REIT-owned operators

All types Skilled nursing Home health HospiceREIT / PE only

#	Operator	Facilities	States	Types
1	Pacs Group, Inc.	241	16	SNF
2	Pacs Holdings, LLCPE / investor	240	16	SNF
3	Hccf Management Group XI LLCPE / investor	226	19	SNF
4	The Ensign Group Inc	208	17	SNF
5	Life Care Centers OF America, Inc.	194	26	SNF
6	Gen Operations II LLC	183	18	SNF
7	Gen Operations I LLC	182	18	SNF
8	Genesis Healthcare LLC	181	18	SNF
9	Genesis Healthcare Inc	180	18	SNF
10	Sun Healthcare Group Inc	174	16	SNF
11	Zac Properties XI LLCPE / investor	174	17	SNF
12	FC-Gen Operations Investment LLCPE / investor	171	17	SNF
13	Providence Group NH, LLC	171	15	SNF
14	Genesis Holdings LLCPE / investor	169	17	SNF
15	Sundance Rehabilitation Holdco IncPE / investor	163	17	SNF
16	Cibc Bank Usa	136	22	SNF
17	Ghc Holdings LLCPE / investor	124	15	SNF
18	Saber Healthcare Holdings LLCPE / investor	115	5	SNF
19	Wiw Dynasty LLC	114	5	SNF
20	Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020	114	5	SNF
21	Bnv Dynasty LLC	114	5	SNF
22	Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)	114	5	SNF
23	Ronald S Wilheim 2012 Spousal Trust	96	5	SNF
24	West Wharton County Hospital District	95	1	SNF
25	I. Rosedale Irrevocable Trust	95	5	SNF
26	S.L. Rosedale Irrevocable Trust	95	5	SNF
27	C.R. Stoltz Irrevocable Trust	95	5	SNF
28	Rosedale Family Investment Company, IncPE / investor	94	5	SNF
29	R.S. Wilheim Irrevocable Trust	94	5	SNF
30	Wilheim Family Investment Company, Inc.PE / investor	93	5	SNF
31	Rrw, LLC	93	5	SNF
32	Sanford	89	11	SNF
33	American Senior Communities LLC	89	1	SNF
34	The Evangelical Lutheran Good Samaritan Society	87	8	SNF
35	United Health Services Inc	87	4	SNF
36	J Paige Pruitt Trust	85	4	SNF
37	Shg Management LLC	84	5	SNF
38	Gpn Fam TR UA 04282008	83	3	SNF
39	Lisa P Hamby Trust	83	4	SNF
40	Saber Governance LLC	82	5	SNF
41	Neil L Pruitt JR Trust	82	4	SNF
42	Forvis Mazars Llp	81	13	SNF
43	Providence Group Inc	79	7	SNF
44	Doros Generation Trust U/A/D 1/3/12	78	3	SNF
45	Uhs-Pruitt Holdings, Inc.PE / investor	77	4	SNF
46	Winnie-Stowell Hospital District	75	1	SNF
47	Craig Flashner 2007 Trust	75	4	SNF
48	B&Y Trust	75	4	SNF
49	Welltower IncREIT	72	13	SNF
50	Prestige Administrative Services, LLC	72	4	SNF
51	Cody Healthcare S Corp	72	4	SNF
52	Vanguard Group Inc	71	12	SNF
53	B&Y Healthcare S Corp	71	4	SNF
54	The Health And Hospital Corporation OF Marion County	70	1	SNF
55	Blackrock Inc	70	12	SNF
56	Rockport Administrative Services, LLC	70	1	SNF
57	Rsbrmk Holdings LLCPE / investor	69	7	SNF
58	Nfr 2020 Irrv TR	69	7	SNF
59	Reliant Pro Rehab LLC	69	10	SNF
60	Uak 2020 Irrv TR	68	7	SNF
61	Marquis Limited LLC	68	8	SNF
62	Legacy Healthcare Financial Services LLC	67	3	SNF
63	Wheaten LLC	67	6	SNF
64	American Healthcare Reit IncREIT	66	5	SNF
65	American Healthcare Reit Holdings LPREIT	65	5	SNF
66	Trilogy Healthcare Holdings IncPE / investor	65	5	SNF
67	Zanziper Family Trust	65	6	SNF
68	GAHC4 Trilogy JV LLC	64	5	SNF
69	Trilogy Opco LLCPE / investor	64	5	SNF
70	Nhc-OP LP	64	7	SNF
71	GAHC3 Trilogy JV LLC	64	5	SNF
72	Jjla LLC	64	5	SNF
73	Sms 2021 Trust	64	7	SNF
74	Trilogy Real Estate Investment TrustPE / investor	63	5	SNF
75	Trilogy Investors LLC	63	5	SNF

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.