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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.

Sunrise Senior Living, Inc. provides senior living services in the United States, Canada, the United Kingdom, and Germany. It offers independent living services, which include housing, meals, transportation, activities, and housekeeping, as well as licensed skilled nursing services for residents who require 24-hour skilled nursing care; and determination of the appropriate level of care and service for such resident. The company’s assisted living communities also offer a reminiscence neighborhood that provides specially designed accommodations, service, and care to support cognitively impaired residents, including residents with Alzheimer’s disease and other forms of memory loss. In addition, it provides medication management program, which includes the storage of medications, the distribution of medications as directed by the resident’s physician, and compliance monitoring. As of December 31, 2009, the company operated 384 communities, including 335 communities in the United States, 15 communities in Canada, 27 communities in the United Kingdom, and 7 communities in Germany, with a total unit capacity of 40,400 units. Sunrise Senior Living, Inc. was founded in 1981 and is headquartered in McLean, Virginia.

The Ensign Group, Inc. was founded in 1999 and is based in Mission Viejo, California. The Ensign Group, Inc., through its subsidiaries, provides nursing and rehabilitative care services in California, Arizona, Texas, Washington, Utah, Colorado, and Idaho. The company offers nursing and assisted living services; physical, occupational, and speech therapies; and other rehabilitative and healthcare services for long-term residents and short-stay rehabilitation patients. As of December 31, 2009, it owned or leased 77 facilities.

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