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Five Star Quality Care, Inc. operates senior living communities, including independent living or congregate care communities, assisted living communities, and nursing facilities in the United States. Five Star Quality Care, Inc. provides independent living, assisted living, nursing and healthcare, physical therapy, occupational therapy, speech language pathology, onsite pharmacy, radiology, laboratory, telemetry, hemodialysis, and orthotics/prosthetics services. As of December 31, 2009, the company leased, owned, and operated 217 senior living communities with 22,905 living units, including 170 primarily independent and assisted living communities with 18,627 living units and 47 skilled nursing facilities with 4,278 units. Five Star Quality Care, Inc. also operated 5 institutional pharmacies, 2 rehabilitation hospitals, and 13 outpatient clinics. Five Star Quality Care, Inc. was founded in 2000 and is based in Newton, Massachusetts.

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.

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