22nd Annual LeadingAge Ziegler 200 Report
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Ziegler and LeadingAge are pleased to bring you the 22nd Annual LeadingAge Ziegler 200 (LZ 200) report. The report is a ranking and analysis of the nation’s 200 largest not-for-profit senior living organizations across the country as of December 31, 2024. This year’s report represents more than 300,000 market-rate units and nearly 1,600 market-rate communities across the country. The report also highlights the largest single-site providers, the largest providers of Affordable Housing for seniors and the providers who are providing sizeable management services to other senior living & care communities.
Consistent with the last several years, the 2025 LZ 200 listing shows that not-for-profit senior living providers have grown primarily through community expansions from existing campuses as well as affiliation and acquisition activity. 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.
- National Senior Communities – Washington, DC
- The Evangelical Lutheran Good Samaritan Society – Sioux Falls, SD
- Acts Retirement Services, Inc. – Fort Washington, PA
- Presbyterian Homes and Services – Roseville, MN
- Ascension Living – St. Louis, MO
- HumanGood – Pleasanton, CA
- Covenant Living Communities & Services – Skokie, IL
- Lifespace Communities – Dallas, TX
- Trinity Health Senior Communities – Livonia, MI
- Benedictine – Duluth, MN