group of people sitting on two couches, talking

(Credit: Morsa Images / Getty Plus)

Wellesley Hills, MA-based National Senior Campuses has retained the top spot on the LeadingAge Ziegler 200 list of largest not-for-profit multi-site senior living and care providers for the sixth straight year, with the largest 25 organizations representing a similar list of providers compared with previous years. The company oversees the development and operation of communities by Erickson Senior Living.

Specialty investment bank Ziegler offered a preview of the 2021 list on Friday.

Across all companies on the 2021 LZ 200 list, in the past 10 years, the average annual growth in total units was 2.6%, wrote Cathy Owen, the specialty bank’s vice president of senior living research, in the latest Ziegler Z-News e-newsletter. The majority of unit increases came through expansion and growth through affiliation and acquisition, she said.

The Evangelical Lutheran Good Samaritan Society, which retained its No. 2 spot, held the No. 1 spot for the first 12 years of the report’s publication before being edged out by National Senior Campuses. Springpoint Senior Living in New Jersey rounds out the largest 25 providers with a total of 2,534 units. 

The report, released annually in partnership with LeadingAge, details the largest 200 providers of not-for-profit multi-site senior living and care organizations, the largest 150 single-site campuses, and largest not-for-profit sponsors of government-subsidized multi-site housing. It also contains information about industry business trends.

This year’s top 200 class ranges in size from the 21,313 units at National Senior Campuses to 366 units at Bethesda in Minnesota. The 200 organizations on the list represent a total of 1,600 communities, with the largest proportion (42%) being life plan communities.

The 10 largest not-for-profit multi-site senior living organizations for 2021, according to the LZ 200:

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

Approximately one-third (33%) of the organizations on the list provide affordable senior housing. Almost 30% of the providers listed manage one or more senior living communities for another organization. 

Pennsylvania is home to five of the largest 25 organizations, whereas California and Minnesota are tied for second in 2021, with three top 200 organizations among the largest 25. 

Minnesota and Pennsylvania have the largest proportion of communities on the list, with 222 and 155, respectively. States housing the highest number of organization headquarters include Pennsylvania (27), Ohio (16), New York (15), Minnesota (13) Michigan (12) and California (10).

Of all of the organizations represented in the LZ 200, almost 83% are faith-based, 2.4% are fraternal, and 0.5% are affiliated with the military.

The complete report will be available this week on Ziegler’s website.