Genesis HealthCare

What Genesis HealthCare does

Genesis HealthCare is one of the largest skilled nursing and senior living operators in the United States. Founded in 1985 and headquartered in Kennett Square, Pennsylvania, the company currently operates nearly 200 skilled nursing facilities and assisted/senior living communities across 17 states, encompassing approximately 25,000 beds, and serves post-acute, long-term, and assisted-living patient populations through a network of company-operated facilities. Its subsidiary Powerback Rehabilitation supplies contract rehabilitation therapy (physical, occupational, and speech therapy) to more than 1,500 third-party locations across 43 states and the District of Columbia, making it one of the largest contract rehabilitation operators in the country. Genesis also operates an accountable care organization, LTC ACO, that participates in the Medicare Shared Savings Program, and multiple affiliated facilities hold American Heart Association Heart Failure Center certification along with progressive AHCA/NCAL quality awards.

The company's service portfolio spans skilled nursing, transitional care, memory support, ventilator care, on-site dialysis, orthopedic rehabilitation, physician services, and respiratory therapy, delivered through a combination of direct facility operations and contract service agreements. Revenue is generated primarily through Medicare Part A skilled nursing facility reimbursement, state Medicaid programs, and private-pay residents, while Powerback generates professional services revenue under contracts with third-party facilities. The company markets through institutional channels — third-party quality rankings (U.S. News & World Report, Newsweek), AHCA/NCAL awards, hospital partnerships, and a direct corporate website and social presence — rather than consumer demand generation.

Genesis was taken private in 2007 by Formation Capital and JER Partners in a leveraged buyout valued at approximately $1.7 billion; a 2011 sale-leaseback of 147 properties for $2.4 billion removed the real estate base while adding long-term triple-net lease obligations. The company grew through acquisitions of Sun Healthcare Group (2012) and Skilled Healthcare Group (2015), peaking at over 500 facilities in 2016 before a multi-year contraction to approximately 175–200 facilities by 2025. It took a $100 million ReGen Healthcare investment in 2021 to avoid earlier bankruptcy, invested approximately $93 million for a 9.9% stake in Sabra Health Care REIT's operating company in early 2025, and filed for Chapter 11 in July 2025 with $708 million in secured debt and over $1.5 billion in unsecured debt. The bankruptcy sale process remains contested between NewGen Health ($1B), Genie 3 (creditor-backed stalking horse), and Olumie Capital ($1.3B).

Name

Genesis HealthCare

Legal name

Genesis Healthcare, Inc.

Website

https://genesishcc.com

Company type

Private

Founded year

1985

Operating status

Acquired

Headcount range

5,001–10,000 employees

Short description

Genesis HealthCare operates nearly 200 skilled nursing facilities and senior living communities across 17 states. Its Powerback Rehabilitation subsidiary provides contract therapy to 1,500+ locations in 43 states, with revenue sourced primarily from Medicare and Medicaid reimbursement.

Ownership category

akta.pro rank

Product category

Skilled Nursing & Post-Acute Care

NAICS

Nursing and Residential Care Facilities (623), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Nursing & Personal Care Facilities (8050), Services-Health Services (8000)

akta.pro primary industry

Long-Term Care Rehabilitation Centers (HLAFAFAD)

akta.pro secondary industries

Short-Term Dementia Respite & Transitional Memory Care Programs (HLADACAG), Care Transitions Management (Hospital/SNF-to-Home) (HSABAIAC)

Keywords

• Skilled nursing facilities
• Post-acute care services
• Rehabilitation therapy services
• Assisted living services
• Long-term care services

Headquarters

HQ city

Kennett Square

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Others, Technology or R&D, Marketing or Sales

Revenue model

1. Skilled Nursing Facility Operations: Revenue generated from operating skilled nursing facilities and assisted/senior living communities. Services are billed primarily through Medicare and Medicaid reimbursement, with private pay as a supplementary revenue source.
2. Contract Rehabilitation Therapy: Powerback Rehabilitation provides rehabilitation therapy services (physical, occupational, speech therapy) to Genesis facilities and over 1,500 external locations in 43 states and DC under contract. Revenue is generated through contract service agreements with healthcare facilities.
3. Respiratory Therapy Services: Specialized respiratory therapy services provided across Genesis facilities and potentially to third-party operators.
4. Accountable Care Organization (ACO): LTC ACO participates in the Medicare Shared Savings Program (MSSP), generating positive reconciliation and settlement payments through value-based care arrangements.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels5 records

Core offering

Genesis HealthCare operates skilled nursing facilities and assisted/senior living communities providing post-acute care, long-term care, transitional care, memory support, ventilator care, dialysis, and physician services. Through its Powerback Rehabilitation subsidiary, the company also provides contract physical, occupational, and speech therapy to over 1,500 affiliated and third-party sites across 43 states and the District of Columbia.

Product overview

Genesis HealthCare is a holding company operating a network of approximately 200 skilled nursing facilities and assisted/senior living communities across 17 states. The company provides a comprehensive suite of post-acute and long-term care services including skilled nursing, assisted living, memory support, transitional care, and rehabilitation therapy. The subsidiary Powerback Rehabilitation supplies contract rehabilitation therapy to over 1,500 locations. Key specialty services include ventilator care, dialysis, and American Heart Association-certified heart failure care. Additional services include respiratory therapy, physician services, and accountable care organization operations. The portfolio operates under the unified Genesis HealthCare brand while offering specialized sub-services like Progression Orthopedic Rehab and Memory Support programs.

Differentiator

Problem solved

Functional benefit

Brands

• Powerback Rehabilitation: The company's rehabilitation therapy brand that conducts daily therapy and wellness sessions in approximately 1,500 sites, including all Genesis HealthCare facilities.

Products and services

• Skilled Nursing Facilities Post-acute and long-term skilled nursing care delivered through approximately 200 Genesis-affiliated skilled nursing facilities across 17 states, with roughly 25,000 beds company-wide. Patients are predominantly admitted directly from the hospital for short-term recovery, while long-term residents receive ongoing skilled nursing support.
• Assisted and Senior Living Communities Residential assisted living, independent living, and senior living communities operated by Genesis HealthCare for elderly individuals requiring varying levels of daily support.
• Transitional Care Transitional Care Units providing a bridge between hospital and home, with care dedicated to speeding recovery and returning patients home quickly.
• Memory Support Specialized Alzheimer's and dementia care delivered within Genesis skilled nursing and assisted living settings, supporting residents with cognitive impairments and their families.
• ShortStay Services Short-term care services providing patients with skilled care in a family-oriented environment as a bridge between hospital and home.
• Powerback Rehabilitation Rehabilitation therapy services delivered by Powerback Rehabilitation, a wholly-owned Genesis subsidiary providing full-time and part-time physical, occupational, and speech therapy across all Genesis facilities and over 1,500 third-party locations in 43 states and the District of Columbia. The majority of patients are admitted directly from the hospital.
• Progression Orthopedic Rehab Specialized orthopedic rehabilitation units applying an integrated, holistic approach to accelerate recovery following joint replacement surgery or joint injury.
• Ventilator Care Specialized ventilator care services for residents requiring respiratory support, delivered within skilled nursing facilities.
• Dialysis Care On-site dialysis services for residents requiring kidney disease management within Genesis skilled nursing facilities.
• Respiratory Therapy Specialized respiratory therapy services provided through Genesis subsidiaries to facilities, including over 1,500 third-party locations in 43 states and the District of Columbia.
• Physician Services Physician services delivered through Genesis physician subsidiaries (led by CMO Dr. Richard A. Feifer, MD, MPH, FACP) to support patient care across skilled nursing and senior living facilities.
• Accountable Care (LTC ACO) LTC ACO provides value-based care coordination and population health management under the Medicare Shared Savings Program (MSSP), generating positive reconciliation and settlement payments for Genesis HealthCare.
• American Heart Association Heart Failure Certified Care AHA-certified heart failure program in Genesis skilled nursing facilities, with designated program champions, interprofessional committees, specialized weekly interdisciplinary rounding, heart failure-specific patient education, and monitoring protocols.

Quantifiable outcome

• 11 Genesis-affiliated skilled nursing facilities named to U.S. News & World Report's Best Nursing Homes list for 2026
• +4 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Three partnerships are on record, tiered key operational partner, pending buyer and clinical partnership.

• Healthcare Services Group, Inc.key operational partnerStrategic or Co-development Partner · 23 April 2026Healthcare Services Group, Inc. (HCSG) provides housekeeping and food management services to Genesis HealthCare facilities. HCSG reported serving Genesis facilities during its Q1 2026 earnings call, noting continuation of services without disruption during the Genesis bankruptcy process. The relationship reflects an ongoing service contract for operational support.
• NewGen Healthpending buyerOthers · 21 January 2026Genesis Health received court approval to sell its 175 nursing homes to NewGen Health for approximately $1 billion as part of the Chapter 11 bankruptcy restructuring process. The sale was subsequently subject to a restarted auction after the original process was rejected by a bankruptcy judge.
• UNM Health Systemclinical partnershipStrategic or Co-development Partner · 1 October 2025UNM Health System partnered with Genesis HealthCare to reduce hospital readmissions, representing a clinical partnership focused on care coordination and post-acute care transitions.

Scale indicators6 records

Recent moves11 records

Expansion highlights5 records

Broad incumbents

• Encompass Health: Operates the largest network of inpatient rehabilitation hospitals in the U.S., overlapping with Genesis's Powerback Rehabilitation on post-acute physical, occupational, and speech therapy services.
• Select Medical Holdings: Operates critical illness recovery hospitals, rehabilitation hospitals, and outpatient rehabilitation clinics — comparable to Genesis on the rehabilitation therapy services delivered through Powerback.

Direct peers

• PACS Group: A post-IPO skilled nursing operator serving Medicare/Medicaid populations across multiple states with a similar facility plus contract therapy model — directly comparable to Genesis's SNF operations.
• The Ensign Group: Operates a large portfolio of skilled nursing and senior living facilities across the U.S. with an affiliated rehabilitation therapy operation, making it the closest public-market comparable to Genesis's combined SNF + rehab model.
• National HealthCare Corporation: Operates skilled nursing facilities, assisted living, and home health programs across the southeastern U.S., competing with Genesis in post-acute and long-term care delivery to Medicare/Medicaid populations.
• Brookdale Senior Living: Operates one of the largest senior living platforms in the U.S. with assisted living, memory care, and continuing care retirement communities — directly comparable to Genesis's assisted/senior living operations.

Emerging players

• Amedisys: A leading provider of home health and hospice services in the U.S., targeting the same post-acute patient population with a different site of care — overlapping with Genesis's post-acute discharge pathway.

Others

• Sabra Health Care REIT: A healthcare REIT that has historically been a major landlord to Genesis through sale-leaseback arrangements and into which Genesis invested $93M for a 9.9% stake — directly economically linked to Genesis's real estate footprint.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/Myskillednursingcare
• LinkedInlinkedin.com/company/genesis-healthcare

Compliance9 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Subsidiaries1 record

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A2 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Genesis HealthCare