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Over the seasons of your life, your needs change. With more than 15,000 people in its care at more than 400 facilities, Four Seasons Health Care is one of the largest care home (nursing home) operators in the UK. The company runs nursing homes with specialized care for dementia, end of life care, and palliative care. Its Huntercombe division operates specialized health care centers which provide services to persons with neurodisabilities, brain injuries, mental health disorders, and addictions. To reduce its debts, Four Seasons Health Care has given its lenders significant equity stakes; Royal Bank of Scotland's stake accounts for some 40% of company shares.

Genesis HealthCare is owned by a group of private equity investors from Formation Capital and the private equity arm of real estate investment firm J. E. Roberts. Genesis HealthCare Corporation cares for people when care is what counts. The company operates about 200 assisted living and skilled nursing facilities in more than a dozen states throughout the eastern US. Its facilities have some 25,000 beds total. Genesis HealthCare's rehabilitation division provides speech, physical, and occupational therapy services through contracts with health care providers. The company also offers respiratory therapy, adult day care, Alzheimer's care, dialysis, and home and hospice care.

Golden State Health Centers, Inc. was established in 1968. Golden State Health Centers operates a network of long-term care facilities that serve southern California's elderly. Golden State Health Centers company's facilities include skilled nursing homes and assisted-living centers in the greater Los Angeles area. In addition to living and nursing care, Golden State Health Centers also provide psychiatric treatment, wound and respiratory care, physical therapy, and rehabilitation services. Golden State Health Centers also has facilities that provide mental health services for younger patients, and it operates a center specializing in care for patients with Alzheimer's disease.

Horizon Bay Management operates a spread of senior housing communities in the US. Operating as Horizon Bay Retirement Living, the company manages independent- and assisted-living residential facilities, primarily targeting the higher-end market. It operates about 80 senior housing communities, which are located in 15 primarily southern and midwestern states and have a total of about 14,000 living units. The company's LiveWell! program, which promotes health and well-being among residents, offers educational classes and activities. Chartwell Seniors Housing REIT, a real estate investment trust that owns most of Horizon's managed properties, owns a controlling stake in Horizon Bay, which was founded in 2001.

Kindred Healthcare, Inc. operates as a FORTUNE 500 healthcare services company in the United States. It operates in three divisions: Hospital, Health Services, and Rehabilitation. The Hospital division operates long-term acute care hospitals that provide services to medically complex patients, including the critically ill, suffering from multiple organ system failures, primarily the cardiovascular, pulmonary, kidney, gastro-intestinal, and skin systems. The Health Services division operates nursing and rehabilitation centers, which provide short stay patients and long stay residents with a range of medical, nursing, rehabilitative, pharmacy, and routine services, including daily dietary, social, and recreational services. It also provides specialized programs for residents suffering from Alzheimer’s disease and other dementias through its reflections units. The Rehabilitation division offers physical and occupational therapies and speech pathology services under the Peoplefirst Rehabilitation name to residents and patients of nursing centers, acute and long-term acute care hospitals, outpatient clinics, home health agencies, assisted living facilities, school districts, and hospice providers. It also offers specialized care programs that address neurologic, orthopedic, cardiac, and pulmonary recovery, as well as medical needs, such as wound care, pain management, and cognitive retraining. As of December 31, 2009, the company operated 83 long-term acute care hospitals with 6,580 licensed beds in 24 states; and 222 nursing and rehabilitation centers with 27,523 licensed beds in 27 states. Kindred Healthcare was founded in 1998 and is headquartered in Louisville, Kentucky.

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