Ziegler, LeadingAge Release Largest Nonprofit Senior Living Provider Rankings

Ziegler and LeadingAge have released the 16th edition of the LeadingAge Ziegler 200 (LZ 200) publication. The report details the nation’s 200 largest nonprofit senior living providers, as well as relevant business trends for the industry.

The report is developed annually through a partnership between Ziegler, one of the nation’s leading underwriters of financings for nonprofit senior living providers in the United States, and LeadingAge, the nation’s largest association of nonprofit aging service providers in the country. The report reflects the largest 200 providers of nonprofit multi-site organizations, 150 single-site campuses, and government-subsidized multi-site housing.

This year’s report showed that nonprofit senior living providers have grown primarily through expansion within existing campuses, as well as affiliations, mergers and acquisitions. Nearly 30 percent of the total number of units for all senior living systems in the LZ 200 are represented by the 10 largest providers:

  • National Senior Campuses, Catonsville, Maryland
  • Acts Retirement Services Inc., West Point, Pennsylvania
  • Presbyterian Homes and Services, Roseville, Minnesota
  • Ascension Senior Living, St. Louis
  • Trinity Health Senior Communities, Livonia, Michigan
  • Covenant Living Communities & Services, Skokie, Illinois
  • HumanGood, Pleasanton, California
  • Benedictine Health System, Duluth, Minnesota
  • Retirement Housing Foundation, Long Beach, California

The organizations range in size from 20,513 market-rate units (National Senior Campuses) to 402 market-rate units (South Carolina Baptist Ministries for the Aging). The 200 organizations represent a total of 1,555 market-rate communities, the largest proportion of which (45 percent) are continuing care retirement communities.

In the last 10 years, the average annual growth in total units was 2.8 percent. The majority of the unit increases are accounted for by expansions and growth through affiliation and acquisition.

To view the entire report, click here.