CHHSM Members Highlight Annual Ziegler LeadingAge LZ 200

The 21st Annual LZ200, the annual report of the largest, most complex nonprofit older adult living organizations, recently was released, and this year’s listings includes 17 CHHSM members.

The report is produced by LeadingAge — the United States’ largest association of not-for-profit aging service providers — and Ziegler — the leading U.S. underwriter of financing for nonprofit older adult providers, and a platinum sponsor of CHHSM’s Annual Gathering. The two organizations created the annual report after recognizing the need to examine and better understand nonprofit older adult communities.

“LeadingAge has been the ideal partner for this research initiative, and we look forward to seeing providers, industry professionals and key stakeholders take full advantage of the wealth of information this publication provides,” said Daniel J. Hermann, president and CEO and head of investment banking for Ziegler. “This year’s report highlighting the 200 largest not-for-profit providers, 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.”

All of the organizations listed in the LZ200 are LeadingAge members. According to the report, 77.6 percent of the top 200 are faith-based organizations, 20.3 percent have no affiliation, 2 percent are fraternal, and .2 percent are military. 

Of the faith-based organizations listed, Lutheran is the largest affiliation, with 35 systems and 48,641 units. The United Church of Christ has 7 systems, with 8,020 units.

In terms of affordable housing, 36 percent of the LZ 200 provide some affordable housing units.

The LZ 200 presents a “snapshot of the longstanding story of our members’ enlightened leadership, transformation, and good works,” said Katie Smith Sloan, president and CEO of LeadingAge. “By telling their stories, these organizations are engaged in shared learning, offering their experiences and strategies to the entire field. At the same time, they are helping to increase public understanding of the aging services and supports our sector provides.”

Among the key findings of this year’s report:

• They systems range from 21,871 units to 353 units.
• A variety of home-based services — including home health, home care, adult day care, continuing care at home (CCaH) programs or PACE (Program for All-Inclusive Care for the Elderly) programs — are offered by some 45 percent of the LZ 200. The CCH model has gained popularity, and is offered by around 16 percent of the LZ 200.
• Memory care units are becoming increasingly important, with 70 percent of the LZ 200 offering specialized memory care units.
• There is an increase in the use of technology, from documentation systems and records to robotics.
• Some 36 percent of LZ 200 organizations are engaged in a formal joint venture, usually with another provider, health system, or home health/home care agency.

Largest U.S. Not-for-Profit Multi-Site Senior Living organizations (ranked by total senior living units)

Largest U.S. Not-for-Profit Multi-Site Senior Living organizations (ranked by total independent living units)

Largest U.S. Not-for-Profit Multi-Site Senior Living organizations (ranked by total assisted living units)

Largest U.S. Not-for-Profit Multi-Site Senior Living organizations (ranked by total nursing care beds)

Multi-Site Senior Living Providers (ranked by total market-rate and affordable senior living units combined)

Managed Unit Communities: Providers that Manage (ranked by managed only units, 48 total organizations)

Managed Unit Communities: Providers that Manage (ranked by market-rate and managed only units)

Home and Community-Based Services (HCBS) (with $10 million+ in HCBS revenue, 89 total organizations)

Single-Campus Senior Living Communities

Largest Individual Campuses

Many not-for-profit providers rose from modest beginnings more than a century ago into vital community resources today, the report reads, including 50 organizations in the LZ 200 that were founded more than 100 years ago.

“The many CHHSM members that serve older adults on the LZ 200 is a testament not only to the variety of services they provide, but also to the care, commitment, and love shown by boards of directors, staff, and direct care workers of each CHHSM agency,” said Jamar Doyle, president and CEO of CHHSM. “All of our CHHSM organizations make a difference, not only in their own communities, but also in the wider CHHSM family. I am deeply grateful to be working with each of our CHHSM organizations.”

Read the LZ 200 Annual Report.