Foundations Health LLC, Ohio’s largest skilled nursing facility operator, maintains a commanding presence in the state’s skilled nursing market with 57 facilities, according to the latest CMS data. The company was founded and is led by CEO Brian Colleran.
Market Leadership
Analysis of the most recent CMS data reveals Foundations Health as the dominant player in Ohio’s skilled nursing landscape, with nearly five dozen facilities exclusively within state borders. The company offers a range of services including post-hospital care, skilled nursing, inpatient rehabilitation, long-term care, memory care, and ventilator services.
Ownership Structure
Foundations Health maintains complete ownership of nearly all its facilities, with 56 of its 57 properties under full ownership. This ownership strategy gives the company maximum control over operations and strategic direction across its portfolio.
Regulatory Environment
Ohio’s $1.3 billion increase in Medicaid funding over two fiscal years, with significant allocations to quality incentive payments, rewards facilities demonstrating superior care metrics. Additionally, Ohio’s private room incentive program provides supplemental Medicaid funding for facilities converting to or constructing private rooms, encouraging infrastructure investments.
Investment Outlook
For investors and REITs monitoring the skilled nursing sector, Foundations Health’s dominant market position and high rate of full facility ownership present a stable investment profile in Ohio’s evolving regulatory landscape. The company is well-positioned to capitalize on Ohio’s expanded Quality Incentive Payment program, which now incorporates additional metrics including falls with major injury, antipsychotic medication use, and staffing levels.
