2025 LeadingAge Ziegler 200 Publication Release

This document is a report detailing the 22nd Edition of the LeadingAge Ziegler 200 (LZ 200) publication, which identifies the 200 largest not-for-profit senior living providers in the United States. The report is produced annually through a collaboration between Ziegler and LeadingAge. It outlines significant business trends within the senior living industry, noting that the largest providers have expanded primarily through affiliations and acquisitions. The report includes a ranking of the largest multi-site organizations and single-site campuses, as well as data on market-rate units and community types. Key findings indicate that the largest 200 organizations represent a total of 1,611 market-rate communities, with a notable portion being Life Plan Communities. The report also highlights the geographical distribution of these organizations, their debt ratings, and the proportion of faith-based providers. The publication serves as a resource for industry professionals and stakeholders interested in the senior living sector.