Several UCC-related older adult communities are among the 16th Edition of the LeadingAge Ziegler 200 (LZ 200) publication, released by Ziegler and LeadingAge during the last week of October. The report details the nation’s 200 largest not-for-profit 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 not-for-profit senior living providers in the United States, and LeadingAge, the nation’s largest association of nonprofit aging service providers in the country. The 2019 LZ 200 report reflects the largest 200 providers of not-for-profit multi-site organizations, 150 single-site campuses, and government-subsidized multi-site housing.

The LZ 200 is a ranking and analysis of the largest, most complex, not-for-profit senior living organizations across the country. This year’s report showed that not-for-profit 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.

The 10 largest not-for-profit multi-site senior living organizations include UCC-related Retirement Housing Foundation (10):

  1. National Senior Campuses – Catonsville, Md.
  2. The Evangelical Lutheran Good Samaritan Society – Sioux Falls, S.D.
  3. Acts Retirement Services, Inc. – West Point, Pa.
  4. Presbyterian Homes and Services – Roseville, Minn.
  5. Ascension Senior Living – St. Louis, Mo.
  6. Trinity Health Senior Communities – Livonia, Mich.
  7. Covenant Living Communities & Services – Skokie, Ill.
  8. HumanGood – Pleasanton, Calif.
  9. Benedictine Health System – Duluth, Minn.
  10. Retirement Housing Foundation – Long Beach, Calif.

Other CHHSM members in the 200 largest multi-site senior living communities include United Church Homes (57), Phoebe Ministries (72), United Church Homes and Services (91), UCC Homes (128), Cedar Community (132), Havenwood-Heritage Heights (165), and EHM Senior Solutions (175).

So what do we know about the largest 200 not-for-profit multi-site senior living organizations in the country? Below are some key takeaways from the report.

  • The 200 organizations represent a total of 1,555 market-rate communities, the largest proportion of which (45 percent) are Life Plan 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.
  • Minnesota and Pennsylvania have the largest proportion of market-rate communities as represented by the LZ 200 with 233 and 152,respectively.
  • When looking at the states with the highest proportion of LZ 200 headquarters, Pennsylvania ranks first with 29 organizations. This is followed by Ohio (16), New York (15), Minnesota (14), and Illinois and Michigan, each tied with 11 organization headquarters among the LZ 200.
  • Of all the organizations represented in the LZ 200, 82 percent are faith-based, 2.5 percent are fraternal, and 0.5 percent are military-affiliated.
  • Nearly half (42%) of the LZ 200 organizations provide Affordable Housing for seniors, either through units within a market-rate campus or via free-standing Affordable Housing properties.
  • Nearly 33 percent of the providers manage one or more senior living communities for another organization

In the listing of the 150 largest single-campus nonprofit communities, UCC-related CHHSM members include Beatitudes Campus (22), Horizon House (56), EdenHill Communities (96), Plymouth Place Senior Living (126), and Brewster Place (127).

The list of the 100 largest communities providing affordable housing units included five UCC-related CHHSM members:

Read the entire LZ200 report.