Bruce Beardsley
Bruce Beardsley is CEO of National Senior Campuses

When specialty investment bank Ziegler released the top 10 largest not-for-profit multi-site senior living organizations on the 2020 LeadingAge Ziegler 200 list on Friday, four companies kept their same positions, five others stayed in the top 10 but changed positions, and one company was replaced compared with 2019.

National Senior Campuses, the Evangelical Lutheran Good Samaritan Society, Acts Retirement-Life Communities and Trinity Health Senior Communities remained in the same spots as 2019 — No. 1, 2, 3 and 6, respectively. NSC governs continuing care retirement communities via a business relationship with Erickson Living; Erickson develops and manages the communities.

Ascension Living moved up a spot to No. 4 on the 2020 list, switching places with Presbyterian Homes and Services compared with 2019. Additionally, HumanGood moved up a spot to No. 7, trading places with Covenant Living Communities and Services compared with last year. The Benedictine Health System (new name: Benedictine) fell one spot to No. 10 on the 2020 list.

Lifespace Communities joined the 2020 top 10 at No. 9, and the Retirement Housing Foundation, No. 10 last year, fell out of the top 10 for 2020.

The rankings are based on provider-shared data as of Dec. 31, 2019.

The 10 largest not-for-profit multi-site senior living organizations for 2020, according to the LeadingAge Ziegler 200:

  1. National Senior Campuses, Catonsville, MD
  2. The Evangelical Lutheran Good Samaritan Society, Sioux Falls, SD
  3. Acts Retirement-Life Communities, Fort Washington, PA
  4. Ascension Living, St. Louis, MO
  5. Presbyterian Homes and Services, Roseville, MN
  6. Trinity Health Senior Communities, Livonia, MI
  7. HumanGood, Pleasanton, CA
  8. Covenant Living Communities and Services, Skokie, IL
  9. Lifespace Communities, West Des Moines, IA
  10. Benedictine Health System, Duluth, MN

As was the case last year, not-for-profit senior living providers primarily have grown this year through expansion within existing campuses as well as affiliations, mergers and acquisitions, Cathy Owen, Ziegler’s vice president of senior living research, wrote in the Ziegler Z-News e-newsletter issued Friday. Also like last year, almost 30% of the total number of units for all senior living systems in the LZ 200 are represented by the 10 largest providers in 2020, she said.

The full 2020 LeadingAge Ziegler 200 list will be released within “the next several weeks,” according to Owen. Additional lists in the publication will detail the 150 largest U.S. not-for-profit single-site providers as well as the 100 largest U.S. affordable housing providers.