Who Owns Florida's Nursing Homes, Home Health Agencies and Hospices
Every Medicare-certified facility in Florida, matched to the corporate family that actually controls it — not just the LLC on the licence. Rebuilt from CMS ownership filings each month.
Largest Operators in Florida
Ranked by facilities controlled across every legal entity in the corporate family. CMS lists these as separate companies; the family column shows how many.
| Corporate family | Facilities | SNF | Home health | Hospice | Legal entities |
|---|---|---|---|---|---|
| Sovereign Healthcare Holdings LLC | 31 | 31 | — | — | 4 |
| Centerwell Health Services Holding Corp | 29 | — | 29 | — | 10 |
| Life Care Centers of America, Inc. | 21 | 21 | — | — | 8 |
| Palm Garden Healthcare Holdings, LLC | 14 | 14 | — | — | 4 |
| Pinnacle Home Care Holdings LLC. | 12 | — | 12 | — | 1 |
| Summit Care Management LLC | 10 | 10 | — | — | 6 |
| Clear Choice Health Care LLC | 10 | 10 | — | — | 16 |
| Health at Home-Bhs, LLC | 10 | — | 10 | — | 20 |
| Ag Holdings, Inc. | 10 | 10 | — | — | 6 |
| Aegir Health Management LLC | 10 | 10 | — | — | 2 |
| 190 Ne 191st ST Miami Holdco LLC | 9 | 9 | — | — | 11 |
| TVG NP Homecare Acquisition, Inc. PE | 9 | — | 9 | — | 33 |
| LHC Health Care Group of Florida, LLC | 9 | — | 9 | — | 6 |
| Eleus Health Management LLC | 9 | 9 | — | — | 2 |
| Themis Health Management, LLC | 9 | 9 | — | — | 2 |
All 1,947 Owner Organisations in Florida
| facility | ccn | care_setting | owner_org | relationship | ownership_pct | association_date | corporate_family | confidence |
|---|---|---|---|---|---|---|---|---|
| ••••% | ||||||||
| ••••% | ||||||||
| ••••% |
Plus every recorded change of ownership with parties and dates. See a worked example of the file · full field list.
How Concentrated Is Florida Healthcare Ownership?
Of the 1,836 Medicare-certified nursing homes, home health agencies and hospices WhoOwnsCare tracks in Florida, 33% are resolved to multi-facility corporate families, and the five largest families alone are associated with 6% of the state’s facilities. The ranked view is on the largest operators in Florida page; how families are resolved from CMS filings is documented in the methodology.
Recent Nursing Home Ownership Changes
| Buyer | Seller | Effective |
|---|---|---|
| PINECREST SNF OPERATIONS LLC | PINECREST CONVALESCENT CENTER LLC | 2025-08-04 |
| GANDY OPCO LLC | GANDY FL OPCO LLC | 2025-07-01 |
| TARPON OPCO LLC | TARPON POINT FL OPCO LLC | 2025-05-01 |
| MARIANNA REHABILITATION CENTER, LLC | CITY OF MARIANNA OFFICE OF CITY CLERK | 2025-02-01 |
| LP SNF OPERATIONS LLC | MANORCARE HEALTH SERVICES, LLC | 2024-11-20 |
75 nursing home ownership changes have been recorded in Florida since January 2023. CMS's change-of-ownership file lags — recent quarters are incomplete and fill in over time, so treat the most recent months as a floor rather than a count.
Florida Ownership Intelligence
Largest Nursing Home Operators
Ranked by facilities actually controlled, not by legal entities filed.
Nursing Home Ownership
For-profit, nonprofit, private equity and REIT ownership across Florida.
Ownership Changes and CHOW
Recorded Medicare ownership transfers, with buyers and sellers attributed.
Nursing Home Acquisitions
Who is buying, who is selling, and which operators are expanding.
Distressed Facilities
Operational, regulatory, financial and corporate stress scoring.
Home Health Operators
Largest home health companies and their ownership in Florida.
Hospice Operators
Largest hospice companies and their ownership in Florida.
Florida Ownership Intelligence Summary
WhoOwnsCare covers 1,836 Medicare-certified providers in Florida (1084 home health agencies, 692 skilled nursing facilities, 60 hospices). 62.8% are resolved to an operating family; the five largest families hold 9.3% of resolved providers and the largest single family, Sovereign Healthcare Holdings LLC, operates 31 (2.69%).
State pages for the largest families: Sovereign Healthcare Holdings LLC in Florida; Centerwell Health Services Holding Corp in Florida; Life Care Centers of America, Inc. in Florida; Palm Garden Healthcare Holdings, LLC in Florida; Pinnacle Home Care Holdings LLC. in Florida; Summit Care Management LLC in Florida; Aegir Health Management LLC in Florida; Ag Holdings, Inc. in Florida; Clear Choice Health Care LLC in Florida; Health at Home-Bhs, LLC in Florida.
Concentration
675 distinct operating families are present. Herfindahl index (HHI) of resolved providers: 44.0 (below 1,500 is unconcentrated on the customary antitrust scale). Interpretation: Florida ownership is fragmented at the family level; limitation: shares are computed over resolved providers only.
Ownership Changes
Fastest-Growing and Contracting Operators
Most facilities acquired in the last 36 months: 190 Ne 191st ST Miami Holdco LLC (4); WP FL Holdco LLC (3); 24th Road Parent LLC (2); Aston Healthcare LLC (2); Aspire MGT LLC (1).
No recorded divestitures in the last 36 months.
Basis: recorded CMS SNF changes of ownership only; home health and hospice transfers are not covered by a public CHOW dataset.
Distress and Financial Reporting
Distress 2.0 bands across scored facilities: Low 474 Watch 167 High 29 Severe 3 Insufficient data 1163.
HCRIS financial metrics are available for 78% of eligible Florida facilities (1,427); among reporting facilities 68% reported a positive net result and the median facility result is positive.
Staffing and quality values are a single CMS snapshot (coverage: staffing 37%, star ratings 37%); trends require archived releases and are not derived.
Related Florida Research and Reports
- Largest operators in Florida
- Florida ownership changes
- Florida distressed facilities
- Florida acquisition intelligence
- Florida home health operators
- Florida hospice operators
- Get the state ownership intelligence report: Florida Ownership Dataset ($249)
Largest Corporate Families in Florida
- Sovereign Healthcare Holdings LLC — 31 facilities
- Centerwell Health Services Holding Corp — 29 facilities in Florida
- Life Care Centers of America, Inc. — 21 facilities in Florida
- Palm Garden Healthcare Holdings, LLC — 14 facilities
- Pinnacle Home Care Holdings LLC. — 12 facilities
- Summit Care Management LLC — 10 facilities
- Clear Choice Health Care LLC — 10 facilities
- Health at Home-Bhs, LLC — 10 facilities in Florida
- Ag Holdings, Inc. — 10 facilities
- Aegir Health Management LLC — 10 facilities
- 190 Ne 191st ST Miami Holdco LLC — 9 facilities
- TVG NP Homecare Acquisition, Inc. — 9 facilities in Florida