| NICHOLAS LARSEN I | ANCORA HOME HEALTH & HOSPICE, LLC CCN 021500 | hospice | — | 25% |
| NICHOLAS LARSEN I | ANCORA HOME HEALTH & HOSPICE, LLC CCN 021500 | hospice | — | 25% |
| NICHOLAS LARSEN I | ANCORA HOME HEALTH & HOSPICE, LLC CCN 021500 | hospice | — | 25% |
| NICHOLAS LARSEN I | ANCORA HOME HEALTH & HOSPICE, LLC CCN 021500 | hospice | — | 25% |
| NICHOLAS LARSEN I | MAPLE SPRINGS OF WASILLA CCN 025038 | snf | — | — |
| NICHOLAS LARSEN I | MAPLE SPRINGS OF WASILLA CCN 025038 | snf | — | 100% |
| NICHOLAS LARSEN I | MAPLE SPRINGS OF PALMER CCN 025039 | snf | — | — |
| NICHOLAS LARSEN I | MAPLE SPRINGS OF PALMER CCN 025039 | snf | — | 100% |
| NICHOLAS LARSEN I | ANCORA HOME HEALTH CCN 027008 | hha | — | 25% |
| NICHOLAS LARSEN I | ANCORA HOME HEALTH CCN 027008 | hha | — | 25% |
| NICHOLAS LARSEN I | ANCORA HOME HEALTH CCN 027008 | hha | — | 25% |
| NICHOLAS LARSEN I | AEGIS HOSPICE, INC CCN 031613 | hospice | — | 38% |
| NICHOLAS LARSEN I | AEGIS HOSPICE, INC CCN 031613 | hospice | — | — |
| NICHOLAS LARSEN I | AEGIS HOSPICE, INC CCN 031613 | hospice | — | 38% |
| NICHOLAS LARSEN I | AEGIS HOSPICE, INC CCN 031613 | hospice | — | — |
| NICHOLAS LARSEN I | AEGIS HOME HEALTH CCN 037422 | hha | — | 38% |
| NICHOLAS LARSEN I | AEGIS HOME HEALTH CCN 037422 | hha | — | 38% |
| NICHOLAS LARSEN I | AEGIS HOME HEALTH CCN 037422 | hha | — | 38% |
| NICHOLAS LARSEN I | AEGIS HOME HEALTH CCN 037422 | hha | — | 38% |
| NICHOLAS LARSEN I | AEGIS NEBRASKA LLC CCN 281560 | hospice | — | 32% |
| NICHOLAS LARSEN I | AEGIS NEBRASKA LLC CCN 287805 | hha | — | 32% |
| NICHOLAS LARSEN I | MSM BRIGHAM CITY CCN 465165 | snf | — | — |
| NICHOLAS LARSEN I | MSM BRIGHAM CITY CCN 465165 | snf | — | 100% |
| NICHOLAS LARSEN I | MAPLE SPRINGS OF NORTH LOGAN CCN 465186 | snf | — | 33% |
| NICHOLAS LARSEN I | MAPLE SPRINGS OF NORTH LOGAN CCN 465186 | snf | — | — |
| NICHOLAS LARSEN I | MAPLE SPRINGS OF NORTH LOGAN CCN 465186 | snf | — | 33% |
| NICHOLAS LARSEN I | MAPLE SPRINGS OF NORTH LOGAN CCN 465186 | snf | — | 100% |
