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1 2013 Continuum Of Services Continues Meg La Porte No matter what the moniker seniors housing and care, long term care, long term and post-acute care, or aging services the Top companies are offering more consistent services. In fact, it may soon make more sense to call these annual rankings the Top Aging Services Companies, given that the majority of this year s largest nursing home companies offer a wide range of aging-like services to their customers. For example, all but two of this year s top offer both long term and post-acute care among their repertoire of services. The two companies that still offer traditional long-term nursing care are No., HMR Veterans Services, based in Anderson, S.C., and No. 39, Complete HealthCare Resources, of Dresher, Pa. Ubiquitous Dementia care which is fast becoming a field of services on its own since many states require separate licensure for such providers is offered by all but one of the Top this year. Assisted living is another sector of seniors housing that is becoming part of the landscape of services offered by nursing home providers: Just 10 of the Top do not have an assisted living component in their companies. Among the other services offered by this year s roundup are 39 companies outpatient rehab therapy services, 18 offering pharmacy in their facilities, 27 home care, and 38 hospice. Ventilator and dialysis care are offered by 19 of the Top companies, while the number of companies offering bariatric-related services is climbing steadily: Thirty-eight companies offer it this year, compared 23 last year and 20 the year before that. Top 10 Shuffle This year s Top 10 looks quite different from the preceding seven years or so, as Genesis Health- Care lands the No. 1 spot, having purchased Sun Healthcare Group (No. 7 in 2012) last year. The longtime top contender, HCR ManorCare, now takes over the No. 2 slot, while Life Care Centers of America maintains No. 3, as it has for several years. At No. 4 is Golden Living, which sank two spots from last year, while Kindred Healthcare fell one slot to No. 5 this year. SavaSeniorCare hung onto No. 6 again this year, while taking over the No. 7 spot this year is a newcomer to the Top 10: Consulate Health Care, based in Maitland, Fla. Slots No. 8 and 9 remain occupied by Extendicare Health Services and Evangelical Lutheran Good Samaritan Society, respectively. The No. 10 spot goes to a newcomer: Plano, Texas-based Preferred Care Partners. It pushed Ensign Group down two slots this year to No. 12. Skilled Healthcare Group jumped ahead of Ensign this year to land at No. 11. Two companies made their debuts this year to the Top : Fort Worth, Texas-based Creative Solutions in Healthcare and Saber Healthcare Group, based in Bedford Heights, Ohio, at Nos. 21 and 23, respectively. Provider s 2013 list of the Top Largest Nursing Facility Companies is ranked by bed count as of Dec. 31, In fact, it may soon make more sense to call these annual rankings the Top Aging Services Companies. June 2013 Provider 43

2 VA and Other 1. Genesis HealthCare Corp.* Kennett Square, PA 46, N/A 30 N/A N/A N/A N/A $4.6 x x x x x x x x x George Hager Jr. Billion 2. HCR ManorCare* Toledo, OH 38, N/A 29 N/A N/A N/A N/A N/A x x x x x x x x x x Paul Ormond 3. Life Care Centers of America* Cleveland, TN 31, N/A 28 N/A N/A N/A N/A N/A x x x x x Forrest Preston 4. Golden Living* Plano, TX 30, N/A 21 N/A N/A N/A N/A N/A x x x x x x x x x Neil Kurtz, MD 5. Kindred Healthcare Louisville, KY 27, N/A 27 N/A N/A N/A N/A N/A x x x x x x x Paul Diaz 6. SavaSeniorCare Atlanta, GA 22, N/A 19 N/A N/A N/A N/A N/A x x x x Tony Oglesby 7. Consulate Health Care* Maitland, FL 20, $1.7 x x x x x x x x Joseph Conte Billion care.com 8. Extendicare Health Services Milwaukee, WI 14, $1.3 x x x x x x x x x Timothy Lukenda Billion 9. Evangelical Lutheran Sioux Falls, SD 11, $956 x x x x x x x x x x Good Samaritan Society* Million David Horazdovsky 10. Preferred Care Partners Plano, TX 10, $602 x x x x x x x Management Group* Million Mike Gavin 11. Skilled Healthcare Group Foothill Ranch, CA 10, $872.6 x x x x x x x x x Boyd Hendrickson Million group.com 12. The Ensign Group Mission Viejo, CA 10, $824.7 x x x x x x x x x Christopher Christenson Million 13. National HealthCare Corp. Murfreesboro, TN 9, N/A x x x x x x x x x x Robert Adams 14. UHS Pruitt Corp.* Norcross, GA 9, N/A x x x x x x x x x x Neil Pruit Jr. Ranked by number of beds as of Dec. 31, U.S. operations only. Percentage may not add up to 100 due to rounding. 44 Provider providermagazine.com

3 VA and Other 15. Signature HealthCARE* Louisville, KY 8, N/A N/A N/A N/A $694 x x x x x x E. Joseph Steier III Million 16. American Senior Indianapolis, IN 8, $605 x x x x x x x Communities* Million James Burkhart communities.com 17. Daybreak Venture* Denton, TX 7, $255 x x x x x x Michael Rich Million 18. Petersen Health Care Peoria, IL 7, $365 x x x x x x x x x x Mark Petersen Million 19. Covenant Care* Alisa Viejo, CA 5, $517 x x x x x x x Robert Levin Million 20. Five Star Quality Care Newton, MA 5, N/A 10 N/A N/A N/A N/A $880 x x x x x x x Bruce Mackey Jr. Million 21. Creative Solutions Fort Worth, TX 5, $230 x x x x x x x x In Healthcare* Million Gary Blake inhealthcare.com 22. Advocat Brentwood, TN 5, N/A $308 x x x x x William Council III Million ment.com 23. Saber Healthcare Group* Bedford Heights, OH 5, $365 x x x x x x x x George Repchick Million 24. Trilogy Health Services* Louisville, KY 5, $565.5 x x x x x x x x x x Randall Bufford Million 25. The Alden Group*# Chicago, IL 4, $349.8 x x x x x x x x x x Floyd Schlossberg Million 26. LCS* Des Moines, IA 4, N/A N/A N/A N/A N/A x x x x x x x x Edward Kenny PART-TIME? FULL-TIME THE AFFORDABLE CARE ACT Managing Employee Hours is More Critical Now Than Ever. Find Out Why & Get Best Practices OnShift Staff Scheduling & Labor Management Software June 2013 Provider 45

4 VA and Other 27. Nexion Health* Sykesville, MD 4, N/A 3 N/A N/A N/A N/A $2 x x x x x Francis Kirley Million 28. EmpRes Healthcare Group* Vancouver, WA 4, $265.5 x x x x x x Dale Patterson Million 29. Athena Health Care Systems* Farmington, CT 4, $320 x x x x x x x Lawrence Santilli Million 30. Brookdale Senior Living Brentwood, TN 4, $2.4 x x x x x x x x x x Andrew Smith Billion 31. Ciena Healthcare Southfield, MI 4, N/A N/A x x x x x x x and Regency Healthcare* Mohammad Qazi 32. Stonegate Senior Living* Lewisville, TX 3, $245.2 x x x x x x x x x John Taylor Million 33. Revera Nursing & Rehab* Meriden, CT 3, N/A N/A N/A N/A N/A x x x x x x x x x Donna Kelsey com 34. Benedictine Health System Duluth, MN 3, $241.3 x x x x x x x x x Dale Thompson Million 35. Care Initiatives West Des Moines, IA 3, $163.5 x x x x x x x x x Miles King Million 36. Welcov Healthcare,* Edina, MN 3, $86.8 x x x x x x x x formerly Mission Healthcare Million Thomas Boerboom 37. Prestige Care* Vancouver, WA 3, $180 x x x x x x x x x x Harold Delamarter Million 38. Miller s Health Systems* Warsaw, IN 3, N/A N/A x x x x x x x x x Patrick Boyle manor.com Be Inspired at the AHCA/NCAL 64th Annual Convention & Expo October 6-9, 2013 Phoenix, Arizona Early bird registration continues through July 19. Register Today! 46 Provider providermagazine.com

5 VA and Other 39. Complete HealthCare Dresher, PA 2, $242.5 x x x x x x x Resources* Million Michael D Arcangelo resources.com 40. Avante Group* Hollywood, FL 2, $188.8 x x x x x x x x Kevin Murphy Million 41. Greystone Healthcare Tampa, FL 2, $232.1 x x x x x x x Management Corp. Million Constance Bessler 42. Vetter Health Services* Omaha, NE 2, $174 x x x x x x x x Jack Vetter Million com 43. ABCM Corp.* Hampton, IA 2, $124.1 x x x x x x x x x Richard Allbee Million 44. MediLodge Group Washington, MI 2, $185.9 x x x x x x x x Gail Clarkson Million 45. Health Dimensions Group* Minneapolis, MN 2, $126.7 x x x x x x x x x Craig Abbott Million group.com 46. Vivage Quality Lakewood, CO 2, $100 x x x x x x x x Health Partners* Million 47. FutureCare Health and Pasadena, MD 1,9 12 N/A 1 N/A N/A N/A N/A N/A x x x x x Managment Corp.* Gary Attman 48. Medicalodges* Coffeyville, KS 1, $97.3 x x x x x x x Garen Cox Million 49. Benchmark Healthcare* Chesterfield, MO 1, $74.9 x x x x x x x John Sells Million healthcare.net. American HealthCare Roanoke, VA 1, N/A N/A N/A N/A N/A x x x x x Tommy East How old is your facility s survey guide and reference manual? Be sure to stay current, and order the Long Term Care Survey manual today. Available at June 2013 Provider 47

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