LeadingAge and Ziegler have released their 15th annual LZ Top 200 report, and several Council for Health and Human Service Ministries members are on the list. Released annually, the list is comprised of the largest multi-care older adult communities in the United States.
According to this year’s report:
“The LeadingAge Ziegler 200 (“LZ 200”) began when two organizations recognized the need to examine and better understand the not-for-profit senior living sector: LeadingAge, the nation’s largest association of not-for-profit aging service providers in the country, and Ziegler, one of the nation’s leading underwriters of financing for not-for-profit senior living providers. … By sharing this current data, our goal is to illustrate the size of the not-for-profit segment of the senior living sector. We hope this will better raise awareness of the characteristics and overall trends of growing systems. Through this data, we also hope to further the understanding and delivery of successful senior living. … The LZ 200 lists not-for-profit multi-site organizations based on the total number of senior living units (excluding government-subsidized [affordable] units) that each system owns and operates. The Primary Ranking is by size — based on total units — carrying no qualitative value judgment. Size does not connote quality, value, or financial strength.”
The list is also accompanied by a brief analysis of trends. Again quoting the report, among the key finds are:
- An understanding of size: The systems range from 19,645 units to 390 units.
- Information on unit mix: The 10 largest providers of senior living represent nearly 30 percent of the total number of units for all systems in LZ 200.
- An appreciation of the rate of growth: In the last 10 years, the average annual growth rate in total units is 2.7 percent, with independent living and assisted living growth each year, but a decline in the number of nursing care beds. Memory care units are becoming an increasingly important component of the annual unit counts, with 60 percent of the LZ 200 offering specialized memory care units.
- Home and community-based services: Growth is also taking place in the form of home-based services, such as home health, home care, adult-day care, continuing care at home (CCaH) programs, and PACE (Program for All-Inclusive Care for the Elderly). Of the LZ 200, approximately 45% offer some type of home and community-based services to non-residents. This year, the CCaH model, is now offered by slightly more than 12 percent of the LZ 200 (2 percent less than last year).