Royal Health

What Royal Health does

Royal Health Group is a family-owned regional operator of senior care services headquartered in Buzzards Bay, Massachusetts, founded in 1997 by Jim Mamary (President/CEO), who has roughly 40 years of experience in the senior care sector. The company owns and operates 12 skilled nursing and rehabilitation facilities across eastern New England, spanning Cape Cod (Buzzards Bay, Falmouth, Cotuit, North Falmouth), the South Coast (Fairhaven), the South Shore (Braintree, Norwell), Boston North and West (North Reading, Lawrence, Wayland), and Rhode Island (Middletown, Westerly). Its customer base is primarily elderly individuals needing long-term residential care, short-term post-acute rehabilitation, hospice services, and home health support, with families and discharge planners as secondary decision-making customers.

The core service offering is 24/7 skilled nursing, supported by rehabilitation programs using advanced clinical equipment including the Myomo cuff, Omnicycle neuro/ortho/cardio system, VitalStim dysphagia therapy, electrical stimulation (TENS, interferential, Russian), diathermy, and ultrasound. Additional programs include cardiac care management, nutritional care, activity enrichment, and hospice services delivered via a partnership with Trinity Hospice. The company differentiates via the Russian Sunrise Immersion Program at Royal Braintree, a culturally specialized offering with Russian-speaking staff, dietary accommodations, and programming that grew from 27 beds in 2008 to 64 beds. Royal at Home, a home health agency on Cape Cod, extends the care continuum into the patient's residence. Technology stack centers on clinical rehabilitation hardware and standard EMR workflows; no AI/ML or proprietary software platform is documented.

Royal Health Group generates revenue by billing Medicare, Medicaid, private insurance, and private pay for skilled nursing, rehabilitation, long-term care, and home health services. Patient acquisition is direct-to-consumer (phone admissions line 855.275.3286, online forms, community outreach) supplemented by referral channels from hospitals (South Shore Hospital, Beth Israel Deaconess/Milton, Boston hospitals), healthcare providers, and family word-of-mouth. The company is privately held by the Mamary family with no disclosed institutional investors, no public funding rounds, and operates as a regional consolidator having acquired two Rhode Island facilities in 2016.

Name

Royal Health

Legal name

Royal Health Group

Website

https://royalhealthgroup.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Royal Health Group is a family-owned regional operator of 12 skilled nursing and rehabilitation facilities across Massachusetts and Rhode Island, founded in 1997, providing long-term care, short-term rehabilitation, hospice, and home health services to elderly patients.

Ownership category

akta.pro rank

Product category

Skilled Nursing and Rehabilitation Services

NAICS

Nursing Care Facilities (Skilled Nursing Facilities) (623110), Home Health Care Services (621610), Nursing and Residential Care Facilities (623)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Long-Term Care Nursing Homes (Custodial LTC) (HLADADAB)

Keywords

• Skilled nursing services
• Long-term care
• Rehabilitation services
• Senior care facilities
• Home health services

Headquarters

HQ city

Buzzards Bay

HQ country

United States

HQ region

North America

Offices12 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Services Revenue: Royal Health Group generates revenue through providing skilled nursing care, rehabilitation services, long-term care, and short-term care to residents. Services are billed through Medicare, Medicaid, and private insurance plans. The company also accepts private pay patients.
2. Royal at Home Services: Home care services including companionship, homemaking, transportation, personal care, skilled nursing, and geriatric needs assessment provided to seniors in their homes or supplemental basis for those in facilities.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

Royal Health Group operates a network of 12 skilled nursing and rehabilitation facilities across Massachusetts and Rhode Island, providing 24/7 long-term care, short-term post-hospital rehabilitation, hospice services, and specialized programs for seniors. The company also operates Royal at Home, a home health agency offering companionship, personal care, transportation, and skilled nursing services in patients' homes. Care is billed primarily through Medicare, Medicaid, and private insurance plans, with private pay options available.

Product overview

Royal Health is a family-owned regional provider of long-term care services operating 12 skilled nursing and rehabilitation facilities across Massachusetts and Rhode Island. The company offers a unified platform of care services centered around skilled nursing facilities that provide 24/7 nursing care, short-term rehabilitation, long-term care, and hospice services. Core offerings include Rehabilitation Services (PT, OT, speech therapy with advanced technology like Myomo and VitalStim), Royal at Home (home health agency), Cardiac Care Management, Nutritional Care with restaurant-style dining, Activity Enrichment programs, and the specialized Russian "Sunshine" Immersion Program for Russian-speaking residents. The company also operates employee development programs including paid CNA courses and career ladder initiatives. Services are provided across multiple facilities in New England, with a focus on personalized, resident-centered care.

Differentiator

Problem solved

Functional benefit

Products and services

• Royal Health Skilled Nursing Facilities A network of 12 skilled nursing and rehabilitation centers providing long-term residential care, short-term rehabilitation, 24/7 nursing care, hospice services, and specialized medical care for seniors across Massachusetts and Rhode Island.
• Rehabilitation Services Comprehensive rehabilitation program including physical therapy (PT), occupational therapy (OT), speech therapy, and specialized treatments using technology such as Myomo cuff, Omnicycle, electrical stimulation, diathermy, VitalStim, and ultrasound for wound healing, pain management, and fall prevention.
• Royal at Home

Quantifiable outcome

• 25% increase in schedule-to-scan rates for radiology practices
• +1 more outcomes

Named customers2 records

Segments6 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature8 records

Partnerships

Three partnerships are on record, tiered minor and core.

• CVS PharmacyminorStrategic or Co-development Partner · 1 December 2020CVS conducted COVID-19 vaccination clinics at Royal Health facilities across Massachusetts, administering first and second doses to residents and staff in December 2020 through January 2021.
• Walgreens PharmacyminorStrategic or Co-development Partner · 1 December 2020Walgreens conducted COVID-19 vaccination clinics at Royal Health Forest Farm facility in Rhode Island.
• Trinity HospicecoreStrategic or Co-development PartnerRoyal Health partners with Trinity Hospice for end-of-life care services across their facilities. Trinity provides specialized hospice care including nurses, doctors, social workers, and clergy support for patients with advanced, end-stage illness.

Scale indicators6 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• The Ensign Group: Operates a large portfolio of skilled nursing and rehabilitative care facilities across the U.S. with a focus on operational quality and clinical outcomes — closely comparable to Royal Health's SNF/rehab core business, though at national scale.
• PACS Group: Post-IPO operator of skilled nursing facilities with a regional-cluster strategy and focus on operational excellence — directly comparable to Royal Health's regional SNF roll-up model in core service lines.
• National HealthCare Corporation (NHC): Operates skilled nursing facilities, assisted living, home health, and hospice — closely mirrors Royal Health's integrated care continuum across SNF, rehab, home health, and hospice services.
• Genesis HealthCare: One of the largest U.S. operators of skilled nursing and assisted/senior living facilities with rehabilitation services; comparable to Royal Health's SNF core business model though at national scale.
• Amedisys: National home health and hospice provider — directly comparable to Royal at Home, the home health arm of Royal Health, in service line and customer overlap.
• LHC Group: Home health, hospice, and post-acute care services provider — directly comparable to Royal at Home and to the post-acute transition flow that drives Royal Health's short-stay rehab census.
• BAYADA Home Health Care: Large multi-state home health provider serving adult, senior, and pediatric populations — directly comparable to Royal at Home in service mix, including personal care and skilled nursing delivered at home.
• Saber Healthcare Group: Multi-state skilled nursing and rehabilitation provider with short-term rehab and long-term care — comparable to Royal Health in core SNF/rehab services and in serving post-acute hospital discharge populations.

Broad incumbents

• Brookdale Senior Living: Largest U.S. senior living operator across independent living, assisted living, and memory care; overlaps with Royal Health's elder care continuum though weighted toward lower-acuity residential rather than skilled nursing.
• ProMedica / HCR ManorCare legacy operators: Regional SNF and post-acute operators in the Midwest/Northeast providing skilled nursing, rehabilitation, and home health — comparable to Royal Health's service lines though at larger institutional scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/TheRoyalHealthGroup
• LinkedInlinkedin.com/company/royal-health-group

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries1 record

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 Royal Health