The biggest U.S. nursing-home company said its operations are being pressured by fallout from the coronavirus pandemic, pointing to a sharp drop in occupancy and rising expenses that are rippling through the entire elder-care sector.

Genesis Healthcare Inc. said in an earnings call Wednesday that it had seen cases of Covid-19, the coronavirus illness, in 187 of its 361 facilities, largely concentrated in five Eastern states with heavy community spread of the virus.

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