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Skilled Healthcare Group, Inc., through its subsidiaries, operates skilled nursing facilities, assisted living facilities, hospices, and a rehabilitation therapy business. Its skilled nursing facilities provide specialty care, such as chemotherapy, enteral/parenteral nutrition, tracheotomy care, and ventilator care, as well as offers various services, including room and board, special nutritional programs, social services, recreational activities, and related healthcare and other services. These skilled nursing facilities include Express Recovery, a unit that provides skilled nursing care and rehabilitation therapy for patients recovering from conditions, such as joint replacement surgery, and cardiac and respiratory ailments. Skilled Healthcare Group company’s assisted living facilities provide residential accommodations, activities, meals, security, housekeeping, and assistance in the activities of daily living to seniors who are independent or who require some support, but not the level of nursing care provided in a skilled nursing facility. Skilled Healthcare Group also offers ancillary services, such as physical, occupational, and speech therapy, as well as rehabilitation therapy service to third-party skilled nursing operators. In addition, Skilled Healthcare Group offers hospice services comprising palliative and clinical care, education, and counseling with a focus on the physical, spiritual, and psychosocial needs of terminally ill individuals and their families. As of December 31, 2009, it owned or leased 78 skilled nursing facilities and 22 assisted living facilities, together comprising 10,954 licensed beds in California, Texas, Iowa, Kansas, Missouri, Nevada, and New Mexico. Skilled Healthcare Group has a joint venture with APS Acquisition, LLC. that operates a pharmacy in Austin, Texas. Skilled Healthcare Group is based in Foothill Ranch, California.

Southern Cross Healthcare Group is the largest nursing home provider in the UK. The company operates some 700 nursing and residential care homes with beds totaling approximately 37,000. Southern Cross Healthcare offers a range of services, including senior living, specialty nursing, rehabilitation, and long-term and intermediate care for people with physical and learning disabilities. The health care provider operates homes in England, Scotland, and Wales under the Active Care Partnerships, Ashbourne Senior Living, and Southern Cross brands.

Founded in 1959 by Grace Sprenger, Sprenger Health Care is owned and operated by members of the Sprenger family. Sprenger Enterprises (dba Sprenger Health Care Centers) provides senior Buckeye Staters with a range of housing and care options that include nursing, assisted living, and independent living homes. Scattered throughout northeastern Ohio, Sprenger Health Care operates more than a dozen centers providing services that include physical, occupational, and speech therapy, as well as psychiatric support, respite and hospice care. The centers also administer specialized treatment for patients suffering from Alzheimer's disease and dementia.

St. Francis Health Services of Morris was founded in 1984. St. Francis Health Services of Morris is a not-for-profit provider of long term care, assisted living, home health care, and transportation services for more than 800 people with developmental and mental disabilities. The organization operates eight nursing homes, three assisted-living facilities, and two home health care agencies in Minnesota.

Sun Healthcare Group, Inc., together with its subsidiaries, provides nursing, rehabilitative, and related specialty healthcare services to nursing home patients in the United States. The company operates in three segments: Inpatient Services, Rehabilitation Therapy Services, and Medical Staffing Services. The Inpatient Services segment operates skilled nursing centers, which offer daily nursing, therapeutic rehabilitation, social services, housekeeping, nutrition, and administrative services; independent living centers that provide security, housekeeping, nutrition, and limited laundry services; and mental health centers, which offer a range of inpatient and outpatient behavioral health services for adults and children. This segment also provides hospice services comprising palliative care, social, pain management, and spiritual counseling services for individuals facing end of life issues. As of December 31, 2009, the Inpatient Services segment operated 205 healthcare centers consisting of 183 skilled nursing centers, 14 assisted living and independent living centers, and 8 mental health centers in 25 states with 23,205 licensed beds. The Rehabilitation Therapy Services segment offers various rehabilitation therapy services, including speech pathology, physical therapy, and occupational therapy services. As of December 31, 2009, this segment provided rehabilitation therapy services to 464 centers comprising 337 operated by nonaffiliated parties and 127 operated by affiliates. The Medical Staffing Services segment offers temporary medical staffing services, such as licensed therapists skilled in the areas of physical, occupational, and speech therapy; nurses; pharmacists; pharmacist technicians and medical imaging technicians; physicians; and related medical personnel. As of December 31, 2009, this segment had 30 branch offices. Sun Healthcare Group, Inc. was founded in 1989 and is based in Irvine, California.

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