Who Owns Illinois's Nursing Homes, Home Health Agencies and Hospices
Every Medicare-certified facility in Illinois, 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 Illinois
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 |
|---|---|---|---|---|---|
| Legacy Healthcare Financial Services LLC | 39 | 39 | — | — | 7 |
| The Alden Group, Ltd. | 25 | 25 | — | — | 6 |
| Arcadia Care Management LLC | 22 | 22 | — | — | 5 |
| Aperion Care Inc | 20 | 20 | — | — | 11 |
| Light Man LLC | 19 | 19 | — | — | 13 |
| WLC Management Firm LLC | 18 | 18 | — | — | 1 |
| Gubin Enterprises Limited Partnership | 15 | 15 | — | — | 2 |
| Mn1 Management Corp | 15 | 15 | — | — | 5 |
| Stonewall HCG LLC | 14 | 14 | — | — | 7 |
| Tlco Holdings LLC | 14 | 14 | — | — | 12 |
| Aliya Operations Holdings LLC | 13 | 13 | — | — | 8 |
| Osf Healthcare Ministries | 13 | — | 7 | 6 | 2 |
| Tutera Investments, LLC | 13 | 13 | — | — | 14 |
| Goldwater Care Management LLC | 11 | 11 | — | — | 2 |
| Israel Family Investment Trust | 11 | 11 | — | — | 18 |
All 1,265 Owner Organisations in Illinois
| 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 Illinois Healthcare Ownership?
Of the 1,311 Medicare-certified nursing homes, home health agencies and hospices WhoOwnsCare tracks in Illinois, 40% are resolved to multi-facility corporate families, and the five largest families alone are associated with 10% of the state’s facilities. The ranked view is on the largest operators in Illinois page; how families are resolved from CMS filings is documented in the methodology.
Recent Nursing Home Ownership Changes
| Buyer | Seller | Effective |
|---|---|---|
| GREENUP REHAB AND NURSING LLC | CUMBERLAND HCO LLC | 2026-01-01 |
| CHARLESTON REHAB AND NURSING LLC | CHARLESTON HCO, LLC | 2026-01-01 |
| EVERCARE OF BREESE LLC | CARING FIRST INC. | 2025-06-11 |
| RIVAYA CARE OF DES PLAINES LLC | ZAHAV OF DES PLAINES LLC | 2025-05-01 |
| SHEBOYGAN SNF OPERATIONS, LLC | SUNNY RIDGE OPERATIONS LLC | 2025-04-24 |
153 nursing home ownership changes have been recorded in Illinois 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.
Illinois 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 Illinois.
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 Illinois.
Hospice Operators
Largest hospice companies and their ownership in Illinois.
Illinois Ownership Intelligence Summary
WhoOwnsCare covers 1,311 Medicare-certified providers in Illinois (650 skilled nursing facilities, 508 home health agencies, 153 hospices). 59.0% are resolved to an operating family; the five largest families hold 16.1% of resolved providers and the largest single family, Legacy Healthcare Financial Services LLC, operates 39 (5.04%).
State pages for the largest families: Legacy Healthcare Financial Services LLC in Illinois; The Alden Group, Ltd. in Illinois; Arcadia Care Management LLC in Illinois; Aperion Care Inc in Illinois; Light Man LLC in Illinois; WLC Management Firm LLC in Illinois; Mn1 Management Corp in Illinois; Gubin Enterprises Limited Partnership in Illinois; Tlco Holdings LLC in Illinois; Stonewall HCG LLC in Illinois.
Concentration
349 distinct operating families are present. Herfindahl index (HHI) of resolved providers: 111.1 (below 1,500 is unconcentrated on the customary antitrust scale). Interpretation: Illinois 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: Arcadia Care Management LLC (12); Tlco Holdings LLC (8); Goldwater Care Management LLC (7); Aliya Operations Holdings LLC (7); Eu SNF Holdings LLC (7).
Most facilities divested in the last 36 months: Presence Senior Services Chicagoland (2); Residential Alternatives of Illinois Inc (1).
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 139 Watch 304 High 144 Severe 52 Insufficient data 672.
HCRIS financial metrics are available for 83% of eligible Illinois facilities (1,088); among reporting facilities 59% reported a positive net result and the median facility result is positive.
Staffing and quality values are a single CMS snapshot (coverage: staffing 49%, star ratings 49%); trends require archived releases and are not derived.
Related Illinois Research and Reports
- Largest operators in Illinois
- Illinois ownership changes
- Illinois distressed facilities
- Illinois acquisition intelligence
- Illinois home health operators
- Illinois hospice operators
- Get the state ownership intelligence report: Illinois Ownership Dataset ($249)
Largest Corporate Families in Illinois
- Legacy Healthcare Financial Services LLC — 39 facilities
- The Alden Group, Ltd. — 25 facilities
- Arcadia Care Management LLC — 22 facilities in Illinois
- Aperion Care Inc — 20 facilities
- Light Man LLC — 19 facilities
- WLC Management Firm LLC — 18 facilities
- Gubin Enterprises Limited Partnership — 15 facilities
- Mn1 Management Corp — 15 facilities
- Stonewall HCG LLC — 14 facilities
- Tlco Holdings LLC — 14 facilities
- Aliya Operations Holdings LLC — 13 facilities
- Osf Healthcare Ministries — 13 facilities