Who Owns Ohio's Nursing Homes, Home Health Agencies and Hospices
Every Medicare-certified facility in Ohio, 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 Ohio
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 |
|---|---|---|---|---|---|
| Foundations Health Solutions, LLC | 65 | 65 | — | — | 4 |
| Trilogy Opco LLC PE REIT | 30 | 30 | — | — | 17 |
| BNV Dynasty LLC | 25 | 25 | — | — | 10 |
| PACS Group, Inc. | 24 | 24 | — | — | 11 |
| The Schroer Group, Inc. | 23 | 22 | 1 | — | 8 |
| Embassy Healthcare Holdings Inc PE | 23 | 23 | — | — | 13 |
| Otterbein Home | 22 | 19 | 1 | 2 | 7 |
| HCF, Inc | 21 | 16 | 4 | 1 | 22 |
| Laurel Health Care Company | 20 | 20 | — | — | 5 |
| Commonspirit Health | 18 | 13 | 5 | — | 17 |
| Ark Opco Group, LLC | 16 | 16 | — | — | 7 |
| Salo Inc | 14 | — | 10 | 4 | 1 |
| Continuing Healthcare Solutions Inc | 13 | 12 | — | 1 | 4 |
| Progressive Quality Care Inc | 11 | 11 | — | — | 2 |
| Majestic Management LLC | 11 | 11 | — | — | 10 |
All 1,590 Owner Organisations in Ohio
| 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 Ohio Healthcare Ownership?
Of the 1,808 Medicare-certified nursing homes, home health agencies and hospices WhoOwnsCare tracks in Ohio, 45% are resolved to multi-facility corporate families, and the five largest families alone are associated with 9% of the state’s facilities. The ranked view is on the largest operators in Ohio page; how families are resolved from CMS filings is documented in the methodology.
Recent Nursing Home Ownership Changes
| Buyer | Seller | Effective |
|---|---|---|
| EDITH LANE OF CINCINNATI LLC | MFF MOUNTAIN CREST LLC | 2025-06-30 |
| BLUE ASH HEALTH & REHAB LLC | BLUE ASH HEALTHCARE LLC | 2025-06-30 |
| HILLSBORO HEALTH AND REHAB LLC | LAUREL HEALTH CARE COMPANY OF HILLSBORO | 2025-06-30 |
| BARNESVILLE SNF HEALTHCARE LLC | EHCS BARNESVILLE PROPERTIES LLC | 2025-06-15 |
| FHS INNISWOOD, INC. | COLUMBUS COLONY FOR ELDERLY CARE, INC | 2024-12-31 |
65 nursing home ownership changes have been recorded in Ohio 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.
Ohio 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 Ohio.
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 Ohio.
Hospice Operators
Largest hospice companies and their ownership in Ohio.
Ohio Ownership Intelligence Summary
WhoOwnsCare covers 1,808 Medicare-certified providers in Ohio (918 skilled nursing facilities, 725 home health agencies, 165 hospices). 60.3% are resolved to an operating family; the five largest families hold 15.3% of resolved providers and the largest single family, Foundations Health Solutions, LLC, operates 65 (5.96%).
State pages for the largest families: Foundations Health Solutions, LLC in Ohio; Trilogy Opco LLC in Ohio; BNV Dynasty LLC in Ohio; PACS Group, Inc. in Ohio; The Schroer Group, Inc. in Ohio; Embassy Healthcare Holdings Inc in Ohio; Otterbein Home in Ohio; HCF, Inc in Ohio; Laurel Health Care Company in Ohio; Commonspirit Health in Ohio.
Concentration
410 distinct operating families are present. Herfindahl index (HHI) of resolved providers: 108.1 (below 1,500 is unconcentrated on the customary antitrust scale). Interpretation: Ohio 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: PACS Group, Inc. (14); Foundations Health Solutions, LLC (5); Majestic Management LLC (4); Lionstone Carnation Opco Holdings, LLC (3); Arcadia Care Management LLC (2).
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 508 Watch 279 High 98 Severe 30 Insufficient data 893.
HCRIS financial metrics are available for 66% of eligible Ohio facilities (1,193); among reporting facilities 58% reported a positive net result and the median facility result is positive.
Staffing and quality values are a single CMS snapshot (coverage: staffing 50%, star ratings 50%); trends require archived releases and are not derived.
Related Ohio Research and Reports
- Largest operators in Ohio
- Ohio ownership changes
- Ohio distressed facilities
- Ohio acquisition intelligence
- Ohio home health operators
- Ohio hospice operators
- Get the state ownership intelligence report: Ohio Ownership Dataset ($249)
Largest Corporate Families in Ohio
- Foundations Health Solutions, LLC — 65 facilities
- Trilogy Opco LLC — 30 facilities
- BNV Dynasty LLC — 25 facilities in Ohio
- PACS Group, Inc. — 24 facilities in Ohio
- The Schroer Group, Inc. — 23 facilities
- Embassy Healthcare Holdings Inc — 23 facilities in Ohio
- Otterbein Home — 22 facilities in Ohio
- HCF, Inc — 21 facilities in Ohio
- Laurel Health Care Company — 20 facilities
- Commonspirit Health — 18 facilities in Ohio
- Ark Opco Group, LLC — 16 facilities
- Salo Inc — 14 facilities in Ohio