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Who Owns New York's Nursing Homes, Home Health Agencies and Hospices

Every Medicare-certified facility in New York, matched to the corporate family that actually controls it — not just the LLC on the licence. Rebuilt from CMS ownership filings each month.

Facilities
734
Medicare-certified, New York
Nursing homes
601
Skilled nursing
Home health
94
Certified agencies
Hospices
39
Certified hospices
Owner organisations
427
Distinct entities on file
Ownership changes
13
Nursing homes, since 2023

Largest Operators in New York

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 familyFacilitiesSNF Home healthHospiceLegal entities
Trinity Health Corporation87—15
Excelsior Care Group77——1
State of New York Comptrollers Office77——3
Northwell Healthcare Inc62223
Vestra Spv1 LLC66——2
New York City Health and Hospitals Corporation651—1
Allure Care Management LLC66——2
Catholic Health Care Systems65—11
Absolut Facilities Management, LLC55——2
Centerwell Health Services Holding Corp4—4—10
Isaac E Goldbrenner Estate44——1
Emm Healthcare Group LLC44——1
L Woerner Inc TR Under HCR Employee Stock Ownership Plan4—4—2
TLC Health Care Services LLC3—3—3
United Helpers Management Company Inc321—5

All 427 Owner Organisations in New York

New York Ownership Dataset: columns delivered
facilityccncare_settingowner_orgrelationshipownership_pctassociation_datecorporate_familyconfidence
••••%
••••%
••••%

Plus every recorded change of ownership with parties and dates. See a worked example of the file · full field list.

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How Concentrated Is New York Healthcare Ownership?

Of the 734 Medicare-certified nursing homes, home health agencies and hospices WhoOwnsCare tracks in New York, 18% are resolved to multi-facility corporate families, and the five largest families alone are associated with 5% of the state’s facilities. The ranked view is on the largest operators in New York page; how families are resolved from CMS filings is documented in the methodology.

Recent Nursing Home Ownership Changes

BuyerSellerEffective
HILAIRE CARE NETWORK LLCHILAIRE FARM SKILLED LIVING & REHABILITATION CENTER, LLC2024-06-01
FAIRPORT SNF LLCFAIRPORT BAPTIST HOMES2024-05-17
OPTIMA CARE BRENTWOOD LLCMARIA REGINA RESIDENCE INC2024-05-09
TUPPER LAKE CENTER LLCADIRONDACK MEDICAL CENTER2024-02-01
VILLAGE ACQUISITION I LLCVILLAGE CENTER FOR CARE2023-08-31

13 nursing home ownership changes have been recorded in New York 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.

New York 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 New York.

Ownership Changes and CHOW

Recorded Medicare ownership transfers, with buyers and sellers attributed.

Distressed Facilities

Operational, regulatory, financial and corporate stress scoring.

Home Health Operators

Largest home health companies and their ownership in New York.

Hospice Operators

Largest hospice companies and their ownership in New York.

New York Ownership Intelligence Summary

WhoOwnsCare covers 734 Medicare-certified providers in New York (601 skilled nursing facilities, 94 home health agencies, 39 hospices). 33.5% are resolved to an operating family; the five largest families hold 13.8% of resolved providers and the largest single family, Trinity Health Corporation, operates 8 (3.25%).

Largest operating families in New York (facilities; current CMS enrollment)
Largest operating families in New York
Categoryfacilities
Trinity Health Corporation8
Excelsior Care Group7
State of New York Comptrollers Office7
Northwell Healthcare Inc6
Catholic Health Care Systems6
New York City Health and Hospitals Corporation6
Vestra Spv1 LLC6
Allure Care Management LLC6
Absolut Facilities Management, LLC5
Isaac E Goldbrenner Estate4

Source: CMS PECOS enrollment, 2026-07; WhoOwnsCare family resolution

State pages for the largest families: Trinity Health Corporation in New York; Excelsior Care Group in New York; State of New York Comptrollers Office in New York; Northwell Healthcare Inc in New York; Catholic Health Care Systems in New York; New York City Health and Hospitals Corporation in New York; Vestra Spv1 LLC in New York; Allure Care Management LLC in New York; Absolut Facilities Management, LLC in New York; Isaac E Goldbrenner Estate in New York.

Concentration

155 distinct operating families are present. Herfindahl index (HHI) of resolved providers: 112.0 (below 1,500 is unconcentrated on the customary antitrust scale). Interpretation: New York ownership is fragmented at the family level; limitation: shares are computed over resolved providers only.

Ownership Changes

Recorded nursing home ownership changes in New York by year (events; 2021 to the 2026-07-17 CHOW file vintage; the latest year may be incomplete)
Recorded nursing home ownership changes in New York by year
Categoryevents
20213
20223
20239
20244

Source: CMS SNF CHOW dataset

Fastest-Growing and Contracting Operators

Most facilities acquired in the last 36 months: Emm Healthcare Group 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 396 Watch 119 High 23 Severe 4 Insufficient data 192.

HCRIS financial metrics are available for 79% of eligible New York facilities (577); among reporting facilities 58% reported a positive net result and the median facility result is near break-even.

Staffing and quality values are a single CMS snapshot (coverage: staffing 74%, star ratings 74%); trends require archived releases and are not derived.

Related New York Research and Reports

Largest Corporate Families in New York

All operators · All markets

Sources for this page
Skilled Nursing Facility Enrollments — CMS file SNF_Enrollments_2026.07.31.csv, published 2026-08-17, retrieved 2026-08-20. Original file
Home Health Agency Enrollments — CMS file HHA_Enrollments_2026.07.17.csv, published 2026-07-27, retrieved 2026-08-20. Original file
Hospice Enrollments — CMS file Hospice_Enrollments_2026.07.17.csv, published 2026-07-27, retrieved 2026-08-20. Original file
Skilled Nursing Facility All Owners — CMS file SNF_All_Owners_2026.07.31.csv, published 2026-08-17, retrieved 2026-08-20. Original file
Home Health Agency All Owners — CMS file HHA_All_Owners_2026.07.17.csv, published 2026-08-19, retrieved 2026-08-20. Original file
Hospice All Owners — CMS file Hospice_All_Owners_2026.07.17.csv, published 2026-08-19, retrieved 2026-08-20. Original file
Skilled Nursing Facility Change of Ownership — CMS file SNF_CHOW_2026.07.17.csv, published 2026-07-27, retrieved 2026-08-20. Original file