{
  "_chart_id": "top-chain-operators",
  "_study_slug": "private-equity-nursing-home-ownership-analysis",
  "_generated_at": "2026-05-08T06:17:44.164Z",
  "_source_authority": "Fonteum PE/REIT entity registry v1.0",
  "_snapshot_date": "2026-05-08",
  "rows": [
    {
      "chain": "The Ensign Group",
      "approx_facilities": 378,
      "affiliation": "Public"
    },
    {
      "chain": "Life Care Centers of America",
      "approx_facilities": 220,
      "affiliation": "Private/family"
    },
    {
      "chain": "Genesis Healthcare",
      "approx_facilities": 200,
      "affiliation": "Public"
    },
    {
      "chain": "ProMedica Senior Care",
      "approx_facilities": 150,
      "affiliation": "Nonprofit"
    },
    {
      "chain": "Saber Healthcare",
      "approx_facilities": 64,
      "affiliation": "PE-backed"
    },
    {
      "chain": "Trilogy Health Services",
      "approx_facilities": 100,
      "affiliation": "PE-backed"
    },
    {
      "chain": "Signature HealthCARE",
      "approx_facilities": 100,
      "affiliation": "PE-backed"
    },
    {
      "chain": "Consulate Health Care",
      "approx_facilities": 100,
      "affiliation": "PE-backed"
    }
  ]
}