CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 01:31 UTC
Chains / OPTUM MANAGEMENT SOLUTIONS INC

OPTUM MANAGEMENT SOLUTIONS INC

Facilities
34
34 scored
% D/F
23.5%
8 facilities
Mean pctl position
71.9
blunt across peer groups
Certified beds
4,313
Low evidence
0

Grade mix

A 1B 7C 18D 7F 1
Grades are peer-group percentiles, so the grade mix is the comparable statistic. mean_percentile_position averages percentile positions across peer groups and should be read as a rough central tendency, not a score.

Ownership graph

Showing 34 of 34 facilities · 40 of 157 owner nodes · 480 of 667 current edges
CHARLES FRANKLIN LLC — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFHEMANT SHAH 2018 IRREVOCABLE TRUST — ownership — ADP OF THE SNFRAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership — ADP OF THE SNFSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLPAAR 108 LLC — ownership — ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — INDIRECT OWNERSHIP INTERESTPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — ADP OF THE SNFSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFCHARLES WESTLAND LLC — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLOM HOLDCO 2 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTOPTALIS LP INVESTORS 2 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFPAAR 108 LLC — ownership — ADP OF THE SNFSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership — ADP OF THE SNFHEMANT SHAH 2018 IRREVOCABLE TRUST — ownership — ADP OF THE SNFRAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTOM HOLDCO 2 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership — ADP OF THE SNFCHARLES WESTLAND LLC — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLOPTUM MANAGEMENT SOLUTIONS. INC — ownership — INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYSHARON, ROBERT — ownership — ADP OF THE SNFOPTALIS LP INVESTORS 2 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTCHARLES FRANKLIN LLC — ownership — ADP OF THE SNFOM HOLDCO 4 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTPAAR 108 LLC — ownership — ADP OF THE SNFCHARLES FRANKLIN LLC — ownership — ADP OF THE SNFRAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership — ADP OF THE SNFCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSNW LLC — ownership — 5% OR GREATER INDIRECT OWNERSHIP INTERESTOM NOTE HOLDCO 4 LLC — ownership — 5% OR GREATER INDIRECT OWNERSHIP INTERESTHEMANT SHAH 2018 IRREVOCABLE TRUST — ownership — ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership — ADP OF THE SNFCHARLES WESTLAND LLC — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFEAST WEST BANK — ownership — 5% OR GREATER SECURITY INTERESTSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership — ADP OF THE SNFPAAR 108 LLC — ownership — ADP OF THE SNFCHARLES FRANKLIN LLC — ownership — ADP OF THE SNFSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTHEMANT SHAH 2018 IRREVOCABLE TRUST — ownership — ADP OF THE SNFCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFOM HOLDCO 2 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership — ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFCHARLES WESTLAND LLC — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFSHARON, ROBERT — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLOPTALIS LP INVESTORS 2 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTRAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership — ADP OF THE SNFPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTCONNER, MARIANNE — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFOM HOLDCO 7 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTPAAR 108 LLC — ownership — ADP OF THE SNFOPTALIS LP INVESTORS 1, LLC — ownership — INDIRECT OWNERSHIP INTERESTCHARLES FRANKLIN LLC — ownership — INDIRECT OWNERSHIP INTERESTPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership — INDIRECT OWNERSHIP INTERESTRAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership — INDIRECT OWNERSHIP INTERESTCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFDILIPBHAI & KALAVATI PATEL FAMILY TRUST — ownership — INDIRECT OWNERSHIP INTERESTPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — INDIRECT OWNERSHIP INTERESTOM HOLDCO, LLC — ownership — ADP OF THE SNFOM HOLDCO, LLC — ownership — DIRECT OWNERSHIP INTERESTHEMANT SHAH 2018 IRREVOCABLE TRUST — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFEAST WEST BANK — ownership — 5% OR GREATER SECURITY INTERESTCONNER, MARIANNE — ownership — ADP OF THE SNFCHARLES WESTLAND LLC — ownership — ADP OF THE SNFPARKER, SETH — ownership — OPERATIONAL/MANAGERIAL CONTROLPARKER, SETH — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — INDIRECT OWNERSHIP INTERESTSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFPAAR 108 LLC — ownership — ADP OF THE SNFCHARLES FRANKLIN LLC — ownership — ADP OF THE SNFHEMANT SHAH 2018 IRREVOCABLE TRUST — ownership — ADP OF THE SNFRAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership — ADP OF THE SNFMERCHANTS BANK OF INDIANA — ownership — 5% OR GREATER MORTGAGE INTERESTOPTALIS LP INVESTORS 1, LLC — ownership — ADP OF THE SNFDILIPBHAI & KALAVATI PATEL FAMILY TRUST — ownership — INDIRECT OWNERSHIP INTERESTPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — ADP OF THE SNFOM HOLDCO, LLC — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership — ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFPARKER, SETH — ownership — OPERATIONAL/MANAGERIAL CONTROLPARKER, SETH — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — INDIRECT OWNERSHIP INTERESTEAST WEST BANK — ownership — 5% OR GREATER SECURITY INTERESTPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership — ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLOM HOLDCO 5 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTALIS LP INVESTORS 5 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFSHARON, ROBERT — ownership — MANAGING CONTROL - GOVERNING BODYPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYPAAR 108 LLC — ownership — ADP OF THE SNFMERCHANTS BANK OF INDIANA — ownership — 5% OR GREATER MORTGAGE INTERESTCHARLES FRANKLIN LLC — ownership — ADP OF THE SNFHEMANT SHAH 2018 IRREVOCABLE TRUST — ownership — ADP OF THE SNFRAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership — ADP OF THE SNFOPTALIS LP INVESTORS 1, LLC — ownership — ADP OF THE SNFOM HOLDCO, LLC — ownership — ADP OF THE SNFSHARON, ROBERT — ownership — ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFCHARLES WESTLAND LLC — ownership — ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFEAST WEST BANK — ownership — 5% OR GREATER SECURITY INTERESTIMAM, KHALED — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTIMAM, KHALED — ownership — OPERATIONAL/MANAGERIAL CONTROLCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSHAH, NAYANA — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFPATEL, PINAL — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLOM HOLDCO 5 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFPARKER, SETH — ownership — OPERATIONAL/MANAGERIAL CONTROLPARKER, SETH — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFSHARON, ROBERT — ownership — MANAGING CONTROL - GOVERNING BODYPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTCHARLES FRANKLIN LLC — ownership — ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership — ADP OF THE SNFOPTALIS LP INVESTORS 2 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTRAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership — ADP OF THE SNFPAAR 108 LLC — ownership — ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTOM HOLDCO 2 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — ADP OF THE SNFHEMANT SHAH 2018 IRREVOCABLE TRUST — ownership — ADP OF THE SNFSIENA LENDING GROUP LLC — ownership — 5% OR GREATER MORTGAGE INTERESTDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFCHARLES WESTLAND LLC — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFSHARON, ROBERT — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership — ADP OF THE SNFRATNARAJAH, GOKULAN — ownership — OPERATIONAL/MANAGERIAL CONTROLRATNARAJAH, GOKULAN — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSNW LLC — ownership 33% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFSHARON, ROBERT — ownership — MANAGING CONTROL - GOVERNING BODYSHARON, ROBERT — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTOM HOLDCO 3 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTOM HOLDCO 5 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTOPTALIS LP INVESTORS 5 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTCONNER, MARIANNE — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership — INDIRECT OWNERSHIP INTERESTOM HOLDCO 7 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTRAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership — INDIRECT OWNERSHIP INTERESTPAAR 108 LLC — ownership — INDIRECT OWNERSHIP INTERESTPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — INDIRECT OWNERSHIP INTERESTPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership — INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — CORPORATE DIRECTORSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLOM HOLDCO 7 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTOM HOLDCO 7 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLCONNER, MARIANNE — ownership — ADP OF THE SNFOM HOLDCO 5 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTALIS LP INVESTORS 5 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTPARKER, SETH — ownership — OPERATIONAL/MANAGERIAL CONTROLPARKER, SETH — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYSHARON, ROBERT — ownership — ADP OF THE SNFSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTALIS LP INVESTORS 5 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSHARON, ROBERT — ownership — MANAGING CONTROL - GOVERNING BODYPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYOM HOLDCO 5 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFPARKER, SETH — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLPATEL, RAJAN — ownership — CORPORATE DIRECTOROM HOLDCO 7 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTPARKER, SETH — ownership — OPERATIONAL/MANAGERIAL CONTROLOM HOLDCO 5 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSHARON, ROBERT — ownership — ADP OF THE SNFOPTALIS LP INVESTORS 5 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFPATEL, PINAL — ownership 50% — 5% OR GREATER DIRECT OWNERSHIP INTERESTCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSHAH, NAYANA — ownership — ADP OF THE SNFSHAH, NAYANA — ownership 50% — 5% OR GREATER DIRECT OWNERSHIP INTERESTSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFSHARON, ROBERT — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLPATEL, PINAL — ownership — ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFOM HOLDCO 5 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTPARKER, SETH — ownership — OPERATIONAL/MANAGERIAL CONTROLPARKER, SETH — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSHARON, ROBERT — ownership — MANAGING CONTROL - GOVERNING BODYCONNER, MARIANNE — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFOPTALIS LP INVESTORS 5 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — 5% OR GREATER DIRECT OWNERSHIP INTERESTOM HOLDCO 7 LLC — ownership — 5% OR GREATER DIRECT OWNERSHIP INTERESTCONNER, MARIANNE — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFOM HOLDCO 3 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTDUNN, CHARLES — ownership 33% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFRATNARAJAH, GOKULAN — ownership — OPERATIONAL/MANAGERIAL CONTROLRATNARAJAH, GOKULAN — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLSHARON, ROBERT — ownership — ADP OF THE SNFSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTSNW LLC — ownership 33% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFCHARLES FRANKLIN LLC — ownership — ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership — ADP OF THE SNFRAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFPAAR 108 LLC — ownership — ADP OF THE SNFSNW LLC — ownership — 5% OR GREATER INDIRECT OWNERSHIP INTERESTOM HOLDCO 4 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — ADP OF THE SNFOM NOTE HOLDCO 4 LLC — ownership — ADP OF THE SNFHEMANT SHAH 2018 IRREVOCABLE TRUST — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — 5% OR GREATER INDIRECT OWNERSHIP INTERESTDUNN, CHARLES — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFEAST WEST BANK — ownership — 5% OR GREATER MORTGAGE INTERESTPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYSHARON, ROBERT — ownership — ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership — ADP OF THE SNFCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTCHARLES FRANKLIN LLC — ownership — ADP OF THE SNFRAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership — ADP OF THE SNFPAAR 108 LLC — ownership — ADP OF THE SNFOM HOLDCO 2 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — ADP OF THE SNFSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTCHARLES WESTLAND LLC — ownership — ADP OF THE SNFHEMANT SHAH 2018 IRREVOCABLE TRUST — ownership — ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTALIS LP INVESTORS 2 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYSHARON, ROBERT — ownership — MANAGING CONTROL - GOVERNING BODYPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership — ADP OF THE SNFPINAL R PATEL REVOCABLE TRUST — ownership — 5% OR GREATER INDIRECT OWNERSHIP INTERESTPINAL R PATEL REVOCABLE TRUST — ownership — ADP OF THE SNFPINAL R PATEL 2017 IRRV TR UAD 6-14-17 — ownership — ADP OF THE SNFPAAR 108 LLC — ownership — ADP OF THE SNFRAJAN G PATEL REVOCABLE TRUST — ownership — 5% OR GREATER INDIRECT OWNERSHIP INTERESTRAJAN G PATEL REVOCABLE TRUST — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLPINAL R PATEL 2017 IRRV TR UAD 6-14-17 — ownership — 5% OR GREATER INDIRECT OWNERSHIP INTERESTPAAR 108-GR LLC — ownership — 5% OR GREATER INDIRECT OWNERSHIP INTERESTPAAR 108-GR LLC — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — CORPORATE DIRECTOROM HOLDCO 7 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLPATEL, RAJAN — ownership — CORPORATE OFFICERSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLCONNER, MARIANNE — ownership — ADP OF THE SNFOM HOLDCO 5 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTOPTALIS LP INVESTORS 5 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFSHARON, ROBERT — ownership — MANAGING CONTROL - GOVERNING BODYPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYCONNER, MARIANNE — ownership — ADP OF THE SNFSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTPINAL R PATEL REVOCABLE TRUST — ownership 25% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTPINAL R PATEL REVOCABLE TRUST — ownership — ADP OF THE SNFRAJAN G PATEL REVOCABLE TRUST — ownership 25% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTRAJAN G PATEL REVOCABLE TRUST — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLPINAL R PATEL 2017 IRRV TR UAD 6-14-17 — ownership 50% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTPINAL R PATEL 2017 IRRV TR UAD 6-14-17 — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — MANAGING CONTROL - GOVERNING BODYPAAR 108 LLC — ownership — ADP OF THE SNFPAAR 108-GR LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTPAAR 108-GR LLC — ownership — ADP OF THE SNFPAAR 108 LLC — ownership — ADP OF THE SNFOPTALIS LP INVESTORS 1, LLC — ownership — ADP OF THE SNFCHARLES FRANKLIN LLC — ownership — ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership — ADP OF THE SNFHEMANT SHAH 2018 IRREVOCABLE TRUST — ownership — ADP OF THE SNFRAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTMERCHANTS BANK OF INDIANA — ownership — 5% OR GREATER MORTGAGE INTERESTPINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership — ADP OF THE SNFOM HOLDCO, LLC — ownership — ADP OF THE SNFPINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership — ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFCHARLES WESTLAND LLC — ownership — ADP OF THE SNFDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFIMAM, KHALED — ownership — OPERATIONAL/MANAGERIAL CONTROLIMAM, KHALED — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLSHARON, ROBERT — ownership — OPERATIONAL/MANAGERIAL CONTROLEAST WEST BANK — ownership — 5% OR GREATER SECURITY INTERESTSIENA LENDING GROUP LLC — ownership — 5% OR GREATER SECURITY INTERESTOM HOLDCO 5 LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTOPTALIS LP INVESTORS 5 LLC — ownership 10% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTDUNN, CHARLES — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFCONNER, MARIANNE — ownership — ADP OF THE SNFSHAH, HEMANT — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFPARKER, SETH — ownership — OPERATIONAL/MANAGERIAL CONTROLPARKER, SETH — ownership — ADP OF THE SNFOPTUM MANAGEMENT SOLUTIONS. INC — ownership — OPERATIONAL/MANAGERIAL CONTROLOPTUM MANAGEMENT SOLUTIONS. INC — ownership — ADP OF THE SNFPATEL, RAJAN — ownership — OPERATIONAL/MANAGERIAL CONTROLSHARON, ROBERT — ownership — MANAGING CONTROL - GOVERNING BODYCLIFTONLARSONALLEN LLP — ownership — ADP OF THE SNFSCHLAUPITZ MADHAVAN — ownership — ADP OF THE SNFSNW LLC — ownership 30% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTOPTUM MANAGEMENT SOLUTION…chain · 34 facilitiesOptalis Health and Rehabilitation of Kingsford (MI snf) — score 98.1FOptalis Health and Rehabilitation…98.1Optalis Health and Rehabilitation of Troy (MI snf) — score 91.2DOptalis Health and Rehabilitation…91.2Optalis Health & Rehabilitation of Wyoming (MI snf) — score 90 — related-party real estate in cost reportDOptalis Health & Rehabilitation o…90.0POptalis Health & Rehabilitation at Kent-Crossing (MI snf) — score 88.5 — related-party real estate in cost reportDOptalis Health & Rehabilitation a…88.5POptalis Health and Rehabilitation of Three Rivers (MI snf) — score 87.9DOptalis Health and Rehabilitation…87.9The Lakeland Center (MI snf) — score 86.7 — related-party real estate in cost reportDThe Lakeland Center86.7POptalis Health & Rehabilitation of Whitehall (MI snf) — score 86.6 — related-party real estate in cost reportDOptalis Health & Rehabilitation o…86.6PWoodward Hills Health and Rehabilitation Center (MI snf) — score 86.6 — related-party real estate in cost reportDWoodward Hills Health and Rehabil…86.6PMILL RUN CARE CENTER (OH snf) — score 84.1CMILL RUN CARE CENTER84.1Optalis Health & Rehabilitation of Bloomfield Hill (MI snf) — score 83.2 — related-party real estate in cost reportCOptalis Health & Rehabilitation o…83.2POptalis Health & Rehabilitation of Muskegon (MI snf) — score 83 — related-party real estate in cost reportCOptalis Health & Rehabilitation o…83.0PGRAND THE (OH snf) — score 82.2CGRAND THE82.2Optalis Health and Rehabilitation of Dearborn Heig (MI snf) — score 81.3COptalis Health and Rehabilitation…81.3Optalis Health and Rehabilitation of Ann Arbor (MI snf) — score 79.9COptalis Health and Rehabilitation…79.9Optalis Health & Rehabilitation at Leonard (MI snf) — score 76.6 — related-party real estate in cost reportCOptalis Health & Rehabilitation a…76.6PNEW ALBANY CARE CENTER (OH snf) — score 76.5CNEW ALBANY CARE CENTER76.5Optalis Health and Rehabilitation of Allen Park (MI snf) — score 73.5COptalis Health and Rehabilitation…73.5CANAL WINCHESTER CARE CENTER (OH snf) — score 73.5CCANAL WINCHESTER CARE CENTER73.5Evergreen Health and Rehabilitation Center (MI snf) — score 73CEvergreen Health and Rehabilitati…73.0Greenfield Rehab and Nursing Center (MI snf) — score 72.5CGreenfield Rehab and Nursing Cent…72.5Shelby Health and Rehabilitation Center (MI snf) — score 72.5 — related-party real estate in cost reportCShelby Health and Rehabilitation …72.5PPICKAWAY MANOR CARE CENTER (OH snf) — score 71.5CPICKAWAY MANOR CARE CENTER71.5Optalis Health & Rehabilitation of Ionia (MI snf) — score 71.2 — related-party real estate in cost reportCOptalis Health & Rehabilitation o…71.2PHopkins Rehabilitation and Care Center (OH snf) — score 71.1CHopkins Rehabilitation and Care C…71.1Optalis Health and Rehabilitation at St. Francis (MI snf) — score 65.8 — related-party real estate in cost reportCOptalis Health and Rehabilitation…65.8POptalis Health and Rehabilitation of Grand Rapids (MI snf) — score 60.4 — related-party real estate in cost reportCOptalis Health and Rehabilitation…60.4PRIVERVIEW (OH snf) — score 58.5BRIVERVIEW58.5MONTEREY CARE CENTER (OH snf) — score 58.5BMONTEREY CARE CENTER58.5Optalis Health and Rehabilitation of Canton (MI snf) — score 57.6BOptalis Health and Rehabilitation…57.6ShorePointe Nursing Center (MI snf) — score 57 — related-party real estate in cost reportBShorePointe Nursing Center57.0POptalis Health and Rehabilitation of Sterling Heig (MI snf) — score 51.7BOptalis Health and Rehabilitation…51.7ABBYSHIRE PLACE HEALTH AND REHABILITATION CENTER L (OH snf) — score 40.8BABBYSHIRE PLACE HEALTH AND REHABI…40.8Optalis Health and Rehabilitation of Grosse Pointe (MI snf) — score 34BOptalis Health and Rehabilitation…34.0WEST PARK CARE CENTER LLC (OH snf) — score 18.7AWEST PARK CARE CENTER LLC18.7OPTUM MANAGEMENT SOLUTIONS. INC — ownership on 33 shown-chain facilities ADP OF THE SNF; INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLOPTUM MANAGEMENT SOLUTIONS. I…ownership · 33 fac.PATEL, RAJAN — ownership on 33 shown-chain facilities CORPORATE DIRECTOR; CORPORATE OFFICER; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLPATEL, RAJANownership · 33 fac.SHARON, ROBERT — ownership on 31 shown-chain facilities ADP OF THE SNF; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLSHARON, ROBERTownership · 31 fac.CLIFTONLARSONALLEN LLP — ownership on 27 shown-chain facilities ADP OF THE SNFCLIFTONLARSONALLEN LLPownership · 27 fac.SCHLAUPITZ MADHAVAN — ownership on 26 shown-chain facilities ADP OF THE SNFSCHLAUPITZ MADHAVANownership · 26 fac.DUNN, CHARLES — ownership on 24 shown-chain facilities — up to 33% 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFDUNN, CHARLESownership · 24 fac. · ≤33%SHAH, HEMANT — ownership on 24 shown-chain facilities INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSHAH, HEMANTownership · 24 fac.CONNER, MARIANNE — ownership on 22 shown-chain facilities ADP OF THE SNFCONNER, MARIANNEownership · 22 fac.SNW LLC — ownership on 21 shown-chain facilities — up to 33% 5% OR GREATER INDIRECT OWNERSHIP INTERESTSNW LLCownership · 21 fac. · ≤33%SIENA LENDING GROUP LLC — ownership on 16 shown-chain facilities 5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTERESTSIENA LENDING GROUP LLCownership · 16 fac.PAAR 108 LLC — ownership on 14 shown-chain facilities ADP OF THE SNF; INDIRECT OWNERSHIP INTERESTPAAR 108 LLCownership · 14 fac.PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 — ownership on 13 shown-chain facilities 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF; INDIRECT OWNERSHIP INTERESTPINAL R. PATEL 2020 IRREVOCAB…ownership · 13 fac.PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL — ownership on 12 shown-chain facilities ADP OF THE SNF; INDIRECT OWNERSHIP INTERESTPINAL R. PATEL 2017 IRREVOCAB…ownership · 12 fac.PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL — ownership on 12 shown-chain facilities ADP OF THE SNF; INDIRECT OWNERSHIP INTERESTPINAL R. PATEL 2017 IRREVOCAB…ownership · 12 fac.RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 — ownership on 12 shown-chain facilities ADP OF THE SNF; INDIRECT OWNERSHIP INTERESTRAJAN G PATEL 2020 IRR FAM TR…ownership · 12 fac.CHARLES FRANKLIN LLC — ownership on 11 shown-chain facilities ADP OF THE SNF; INDIRECT OWNERSHIP INTERESTCHARLES FRANKLIN LLCownership · 11 fac.HEMANT SHAH 2018 IRREVOCABLE TRUST — ownership on 11 shown-chain facilities ADP OF THE SNFHEMANT SHAH 2018 IRREVOCABLE …ownership · 11 fac.CHARLES WESTLAND LLC — ownership on 9 shown-chain facilities ADP OF THE SNFCHARLES WESTLAND LLCownership · 9 fac.OM HOLDCO 5 LLC — ownership on 9 shown-chain facilities — up to 100% 5% OR GREATER DIRECT OWNERSHIP INTERESTOM HOLDCO 5 LLCownership · 9 fac. · ≤100%OPTALIS LP INVESTORS 5 LLC — ownership on 8 shown-chain facilities — up to 10% 5% OR GREATER INDIRECT OWNERSHIP INTERESTOPTALIS LP INVESTORS 5 LLCownership · 8 fac. · ≤10%OM HOLDCO 7 LLC — ownership on 7 shown-chain facilities — up to 100% 5% OR GREATER DIRECT OWNERSHIP INTERESTOM HOLDCO 7 LLCownership · 7 fac. · ≤100%PARKER, SETH — ownership on 7 shown-chain facilities ADP OF THE SNF; OPERATIONAL/MANAGERIAL CONTROLPARKER, SETHownership · 7 fac.EAST WEST BANK — ownership on 6 shown-chain facilities 5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTERESTEAST WEST BANKownership · 6 fac.OM HOLDCO 2 LLC — ownership on 5 shown-chain facilities — up to 100% 5% OR GREATER DIRECT OWNERSHIP INTERESTOM HOLDCO 2 LLCownership · 5 fac. · ≤100%OPTALIS LP INVESTORS 2 LLC — ownership on 5 shown-chain facilities — up to 10% 5% OR GREATER INDIRECT OWNERSHIP INTERESTOPTALIS LP INVESTORS 2 LLCownership · 5 fac. · ≤10%OM HOLDCO, LLC — ownership on 4 shown-chain facilities ADP OF THE SNF; DIRECT OWNERSHIP INTERESTOM HOLDCO, LLCownership · 4 fac.OPTALIS LP INVESTORS 1, LLC — ownership on 4 shown-chain facilities ADP OF THE SNF; INDIRECT OWNERSHIP INTERESTOPTALIS LP INVESTORS 1, LLCownership · 4 fac.MERCHANTS BANK OF INDIANA — ownership on 3 shown-chain facilities 5% OR GREATER MORTGAGE INTERESTMERCHANTS BANK OF INDIANAownership · 3 fac.DILIPBHAI & KALAVATI PATEL FAMILY TRUST — ownership on 2 shown-chain facilities INDIRECT OWNERSHIP INTERESTDILIPBHAI & KALAVATI PATEL FA…ownership · 2 fac.IMAM, KHALED — ownership on 2 shown-chain facilities ADP OF THE SNF; OPERATIONAL/MANAGERIAL CONTROLIMAM, KHALEDownership · 2 fac.OM HOLDCO 3 LLC — ownership on 2 shown-chain facilities — up to 100% 5% OR GREATER DIRECT OWNERSHIP INTERESTOM HOLDCO 3 LLCownership · 2 fac. · ≤100%OM HOLDCO 4 LLC — ownership on 2 shown-chain facilities — up to 100% 5% OR GREATER DIRECT OWNERSHIP INTERESTOM HOLDCO 4 LLCownership · 2 fac. · ≤100%OM NOTE HOLDCO 4 LLC — ownership on 2 shown-chain facilities 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFOM NOTE HOLDCO 4 LLCownership · 2 fac.PAAR 108-GR LLC — ownership on 2 shown-chain facilities — up to 100% 5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFPAAR 108-GR LLCownership · 2 fac. · ≤100%PATEL, PINAL — ownership on 2 shown-chain facilities — up to 50% 5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFPATEL, PINALownership · 2 fac. · ≤50%PINAL R PATEL 2017 IRRV TR UAD 6-14-17 — ownership on 2 shown-chain facilities — up to 50% 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFPINAL R PATEL 2017 IRRV TR UA…ownership · 2 fac. · ≤50%PINAL R PATEL REVOCABLE TRUST — ownership on 2 shown-chain facilities — up to 25% 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFPINAL R PATEL REVOCABLE TRUSTownership · 2 fac. · ≤25%RAJAN G PATEL REVOCABLE TRUST — ownership on 2 shown-chain facilities — up to 25% 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFRAJAN G PATEL REVOCABLE TRUSTownership · 2 fac. · ≤25%RATNARAJAH, GOKULAN — ownership on 2 shown-chain facilities ADP OF THE SNF; OPERATIONAL/MANAGERIAL CONTROLRATNARAJAH, GOKULANownership · 2 fac.SHAH, NAYANA — ownership on 2 shown-chain facilities — up to 50% 5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFSHAH, NAYANAownership · 2 fac. · ≤50%
registered ownership operator / lease / managerP related-party real estate in cost reportdrag to pan · scroll to zoom · click a facility for its dossier
Owner nodes group ownership edges by the exact registered owner name; the same person or company filed under two spellings appears as two nodes, because merging them would be an editorial claim the registry does not make. Facility and owner lists are capped; caps and totals travel together so a partial graph cannot pass as a complete one. Facilities are prioritized riskiest-first by composite score.

By setting

1
SettingFacilitiesGrade mixMean pctl
snf34
71.9

By state

2
StateFacilitiesD/F count
MI248
OH100

Facilities

34
FacilityGradeScoreSettingStateCityBeds
Optalis Health and Rehabilitation of KingsfordF98.1snfMIKingsford107
Optalis Health and Rehabilitation of TroyD91.2snfMITroy160
Optalis Health & Rehabilitation of WyomingD90.0snfMIWyoming92
Optalis Health & Rehabilitation at Kent-CrossingD88.5snfMIGrand Rapids182
Optalis Health and Rehabilitation of Three RiversD87.9snfMIThree Rivers100
The Lakeland CenterD86.7snfMISouthfield91
Optalis Health & Rehabilitation of WhitehallD86.6snfMIWhitehall125
Woodward Hills Health and Rehabilitation CenterD86.6snfMIBloomfield Hills190
MILL RUN CARE CENTERC84.1snfOHHILLIARD66
Optalis Health & Rehabilitation of Bloomfield HillC83.2snfMIBloomfield Hills159
Optalis Health & Rehabilitation of MuskegonC83.0snfMIMuskegon107
GRAND THEC82.2snfOHDUBLIN128
Optalis Health and Rehabilitation of Dearborn HeigC81.3snfMIDearborn Heights124
Optalis Health and Rehabilitation of Ann ArborC79.9snfMIAnn Arbor180
Optalis Health & Rehabilitation at LeonardC76.6snfMIGrand Rapids69
NEW ALBANY CARE CENTERC76.5snfOHCOLUMBUS67
Optalis Health and Rehabilitation of Allen ParkC73.5snfMIAllen Park163
CANAL WINCHESTER CARE CENTERC73.5snfOHCANAL WINCHESTER124
Evergreen Health and Rehabilitation CenterC73.0snfMISouthfield172
Greenfield Rehab and Nursing CenterC72.5snfMIRoyal Oak105
Shelby Health and Rehabilitation CenterC72.5snfMIShelby Township212
PICKAWAY MANOR CARE CENTERC71.5snfOHCIRCLEVILLE99
Optalis Health & Rehabilitation of IoniaC71.2snfMIIonia107
Hopkins Rehabilitation and Care CenterC71.1snfOHMIDDLEBURG HEIGHTS90
Optalis Health and Rehabilitation at St. FrancisC65.8snfMISaginaw94
Optalis Health and Rehabilitation of Grand RapidsC60.4snfMIGrand Rapids120
RIVERVIEWB58.5snfOHCOLUMBUS145
MONTEREY CARE CENTERB58.5snfOHGROVE CITY148
Optalis Health and Rehabilitation of CantonB57.6snfMICanton150
ShorePointe Nursing CenterB57.0snfMISt. Clair Shores200
Optalis Health and Rehabilitation of Sterling HeigB51.7snfMISterling Heights163
ABBYSHIRE PLACE HEALTH AND REHABILITATION CENTER LB40.8snfOHBIDWELL95
Optalis Health and Rehabilitation of Grosse PointeB34.0snfMIGrosse Pointe Woods80
WEST PARK CARE CENTER LLCA18.7snfOHCOLUMBUS99