LeadingAge And Ziegler Release Annual LZ 200 Report on Not-for-Profit Senior Living Providers
The 23rd annual LeadingAge Ziegler (LZ 200) report, released by nonprofit aging services association LeadingAge and senior living finance firm Ziegler, ranks the largest not-for-profit senior living organizations in the U.S. as of December 31, 2025. The report highlights growth trends driven primarily through campus expansions, affiliations, and acquisitions among these providers. The top ten providers account for nearly 30% of all units across more than 1,650 communities nationwide, representing over 300,000 market-rate senior living units. Over the past decade, total unit growth has averaged 2.7% annually since 2015, with independent and assisted living units increasing each year while nursing care beds have declined. Both LeadingAge CEO Katie Smith Sloan and Ziegler President Dan Hermann emphasized that the report provides valuable insights into industry trends and helps guide future sector development for not-for-profit providers. The LZ 200 has expanded from its original format to reflect growing interest in senior living services.
Topics: aging_services market_trends nonprofit senior_living