LZ 200 cover
LeadingAge Ziegler 200 2022 cover detail.

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 seventh consecutive year. The company oversees the development and operation of communities by Erickson Senior Living.

In fact, the top 10 organizations on the 2022 list remain unchanged from the 2021 list. This is the 19th year for the rankings.

The 200 organizations represented a total of 1,570 market-rate communities as of Dec. 31.

“In the last 10 years, the average annual growth in total units was 2.7%,” Cathy Owen, vice president of senior living research for Ziegler, wrote in a summary of the report published in the specialty investment bank’s e-newsletter. “The majority of the unit increases are accounted for by expansions (primarily independent living) and growth through affiliation and acquisition.”

Almost 30% of the total number of units for all long-term care systems in the LZ 200 are represented by the 10 largest providers, according to Owen. They are:

1. National Senior Campuses, Wellesley, MA

2. The 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. Covenant Living Communities & Services, Skokie, IL

8. Lifespace Communities, West Des Moines, IA

9. Trinity Health Senior Communities, Livonia, MI

10. Benedictine, Duluth, MN

The LZ 200 list counts total units, including independent living, assisted living and skilled nursing. The biggest proportion of communities on the list (43%) are life plan communities, also known as continuing care retirement communities. The largest operators of life plan communities on the list include the Good Samaritan (53 communities), Acts (26) and HumanGood (21).

The organizations with the overall biggest changes in the number of units from 2021 to 2022 were Glendale, CA-based Front Porch Communities and Services & Covia Communities, which gained 1,276 units since last year, and Middletown, PA-based Diakon Senior Living, which has 853 fewer units in 2022 compared with 2021. Front Porch went from being ranked No. 22 in 2021 to No. 13 in 2022. Diakon went from being ranked No. 33 in 2021 to No. 66 in 2022.

The largest organization providing independent living was National Senior Campuses; providing assisted living, Presbyterian Homes and Services; and providing skilled nursing, Good Samaritan.

An additional list of the country’s 150 biggest not-for-profit single-campus organizations was topped by Shell Point Retirement Community in Fort Myers, FL, and an additional list of multi-site providers ranked by total market-rate and affordable senior living units combined was topped by National Church Residences, Columbus, OH.

Thirty-one percent of LZ 200 organizations provide affordable senior housing.

Minnesota (221), Pennsylvania (159), South Dakota (141) and Michigan (108) were the states with the most market-rate communities on the LZ 200. Minnesota by far was the state with the most independent living communities and assisted living communities, with 52 and 76, respectively. Pennsylvania by far was the state with the most CCRCs, with 114.

Eighty percent  of the LZ 200 organizations are affiliated with a religious organization, with the predominant religions being Lutheran, Presbyterian and Catholic. Lutheran organizations represent the largest number of both systems (33) and total units (48,500). For number of systems, Presbyterian affiliation follows, with almost 41,000 units, and for number of systems, Methodist is No. 2, with 29 systems.

The complete report is available on Ziegler’s website.

For additional coverage of the LZ 200 report, see the McKnight’s Business Daily and McKnight’s Long-Term Care News.