Foursquare Healthcare

What Foursquare Healthcare does

Foursquare Healthcare is a privately held, Texas-based operator of skilled nursing and rehabilitation facilities, founded in 1978 and headquartered in Rockwall, TX. The company manages a network of 14 supported facilities spanning West Texas (Midland, Odessa), North Texas (Wichita Falls, Burkburnett, Gainesville-adjacent markets), the DFW metroplex (Mesquite, Princeton, Farmersville, Dallas), and Central Texas (Gatesville, Whitney, Lubbock). Its portfolio targets two core patient populations: short-term rehabilitation guests transitioning from hospital stays back to independent living, and long-term residents requiring ongoing assistance with activities of daily living. Each facility operates under the company's "Four Tenets of Care" framework, combining skilled nursing, therapy, pharmacare, and a hospitality-focused care environment branded around Texas cultural themes — including original artwork, pet-friendly policies, and a nine-point "Code of Customer Service" displayed at each location.

The company's underlying operating model is service- and facility-based rather than technology-based. There are no proprietary software platforms, APIs, digital health products, or AI/ML capabilities documented. Clinical coordination relies on an interdisciplinary care team approach, supported by standard healthcare IT infrastructure. The company reports that rehabilitation recovery rates exceed Texas state averages, though no specific clinical metrics are publicly disclosed. Marketing and admissions are driven by hospital referral networks for post-acute patients, direct family inquiries, and community word-of-mouth within the smaller Texas cities the company serves.

Foursquare Healthcare's revenue model is reimbursement-driven and recurring in nature. Short-term rehabilitation services are billed primarily through Medicare (Part A skilled nursing benefit), while long-term residential care is funded through a mix of Medicaid, long-term care insurance, and private pay. The company does not publicly disclose pricing, occupancy, or financial metrics. No parent company, private equity sponsor, or institutional investor is identified in source data, and the firm operates independently with no disclosed M&A activity, funding rounds, or leadership transitions.

Name

Foursquare Healthcare

Legal name

Foursquare Healthcare

Website

https://foursquarehealthcare.com

Company type

Private

Founded year

1978

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Foursquare Healthcare is a privately held Texas operator of 14 skilled nursing and rehabilitation facilities founded in 1978, serving post-hospital rehabilitation patients and long-term care residents across smaller Texas communities from Midland to Wichita Falls to DFW through nursing, therapy, pharmacare, and hospitality services.

Ownership category

akta.pro rank

Product category

Skilled Nursing and Rehabilitation Services

NAICS

Nursing Care Facilities (Skilled Nursing Facilities) (6231), Nursing Care Facilities (Skilled Nursing Facilities) (62311), Nursing and Residential Care Facilities (623)

SIC

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

akta.pro primary industry

Short-Term Rehabilitation (Post-Acute) SNFs (HLADADAA)

akta.pro secondary industries

Long-Term Care Rehabilitation Centers (HLAFAFAD), Inpatient Rehabilitation Facilities (IRF) (HLAFAFAA)

Keywords

• Skilled nursing care
• Post-acute rehabilitation
• Long-term care
• Senior healthcare services
• Nursing facility management

Headquarters

HQ city

Rockwall

HQ country

United States

HQ region

North America

Offices14 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Supply Chain, Others

Revenue model

1. Skilled Nursing and Rehabilitation Services: Revenue generated from providing short-term rehabilitation and long-term skilled nursing care services. Services are billed through Medicare, Medicaid, and private insurance for eligible patients, with private pay options for long-term care residents.
2. Long-term Residential Care: Ongoing residential care services for seniors requiring assistance with daily living activities, funded through private pay, long-term care insurance, and government programs.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

Foursquare Healthcare operates a network of supported skilled nursing and rehabilitation facilities across Texas, delivering short-term post-hospital rehabilitation and long-term skilled nursing care. Services are organized around four foundational pillars — nursing, therapy, pharmacare, and hospitality — and combine interdisciplinary medical treatment with a distinctive Texas hospitality-oriented care environment. The company serves both short-term rehabilitation patients transitioning from hospital stays and long-term residents needing assistance with daily living activities, billed primarily through Medicare, Medicaid, private insurance, and private pay.

Product overview

Foursquare Healthcare is a healthcare management organization operating a network of 13 supported skilled nursing and rehabilitation facilities across Texas. The company provides a unified portfolio of post-hospital rehabilitation and long-term care services, organized around four foundational pillars: nursing, therapy, pharmacare, and hospitality. The network spans locations from Midland to Wichita Falls to DFW, offering short-term rehabilitation with recovery rates higher than state averages, as well as long-term care with enhanced quality of life focus. Each facility operates under a localized model that combines medical expertise with Texas hospitality traditions, featuring individualized interdisciplinary care plans designed to help patients return home as quickly as possible.

Differentiator

Problem solved

Functional benefit

Brands

• Ashton Medical Lodge: Skilled nursing and rehabilitation facility located in Midland, TX
• Cheyenne Medical Lodge
• Hillside Medical Lodge
• Lexington Medical Lodge
• Madison Medical Resort
• Midland Medical Lodge
• Princeton Medical Lodge
• Senior Care Health & Rehabilitation
• Sheridan Medical Lodge
• The Traymore at Park Cities
• Farmersville Health & Rehabilitation
• Whitney Nursing and Rehabilitation
• Crown Point Health Suites

Products and services

• Ashton Medical Lodge

Quantifiable outcome

• Recovery rates for short-term rehabilitation patients are higher than Texas state averages

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators4 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• Genesis HealthCare: One of the largest U.S. skilled nursing operators with facilities across multiple states and a mix of short-term rehabilitation and long-term care. Comparable in core SNF service lines, patient acuity profile, and reliance on government payers.
• PACS Group: Operates a large network of skilled nursing facilities and assisted living communities with a regional clustering strategy. Directly comparable as a growing multi-state SNF operator pursuing operational scale and clinical outcomes.
• National HealthCare Corporation: Operates skilled nursing facilities, assisted living, home health, and hospice across the Southeast and Midwest. Comparable as a multi-service senior care provider with SNF as its core offering and Medicare/Medicaid payer mix.
• The Ensign Group: Largest U.S. operator of skilled nursing and post-acute care facilities with a focus on local market leadership across multiple states. Directly comparable as a multi-facility SNF/rehabilitation operator serving post-acute and long-term care populations.

Broad incumbents

• Select Medical Holdings: Operates specialty hospitals (including inpatient rehab), outpatient rehabilitation clinics, and concentrated care programs. Comparable in post-acute rehabilitation and therapy services, though with a more diversified care setting portfolio.
• The Pennant Group: Operates home health, hospice, and senior living services across the Western U.S. with an operations-led local-clustering model. Comparable as a senior care provider pursuing local-market density, though more weighted to home-based services.
• Brookdale Senior Living: Largest U.S. senior living operator offering independent living, assisted living, memory care, and continuing care. Comparable in serving aging populations requiring daily living assistance, though predominantly in assisted living rather than skilled nursing.
• Encompass Health: Nation's largest owner and operator of inpatient rehabilitation hospitals focused on post-acute recovery. Comparable in rehabilitation services and post-acute patient flow, though at the higher-acuity IRF end of the post-acute continuum.
• Amedisys: Major U.S. provider of home health and hospice services with significant Medicare exposure. Comparable as a post-acute care provider serving recovering and aging populations, though anchored in home-based rather than facility-based care.

Regional players

• Sonida Senior Living: Operates senior living communities across multiple states with a focus on independent and assisted living. Comparable in serving aging populations with daily living assistance needs, though it does not operate skilled nursing facilities.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/foursquare-healthcare

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Foursquare Healthcare