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2016 Leadingage Ziegler 2016 LeadingAge Ziegler The nation’s 150 largest not-for-profit senior living— • Multi-sites • Government-subsidized housing multi-sites • Single campuses 2016 LeadingAge Ziegler The nation’s largest not-for-profit senior living— • Multi-sites • Government-subsidized housing multi-sites • Single campuses Raising the Bar As not-for-profit senior living providers, LeadingAge members take responsibility for raising the bar in our field. Ours is a public promise to be the trusted voice for aging—and an internal pledge to strive always to fulfill that commitment through innovation, excellence and transparency. LeadingAge offers programs and resources, such as this report, that are based on the latest senior living field-related research and knowledge, including valuable tools, information, education and support to help members honor their commitment. Produced by: The mission of LeadingAge is to be the Ziegler is one of the nation’s trusted voice for aging in America. Our leading underwriters of Ziegler 6,000+ members and partners include financing for not-for-profit nonprofit organizations representing the entire field of aging services, senior living providers. Ziegler offers creative, tailored solutions to its 38 state partners, hundreds of businesses, consumer groups, senior living clientele, including investment banking, financial risk foundations and research partners. LeadingAge is also a part of the management, merger and acquisition services, investment International Association of Homes and Services for the Ageing, management, seed capital, FHA/HUD, capital and strategic whose membership spans 30 countries. LeadingAge is a 501(c)(3) planning, sponsorship transitions, as well as senior living research, tax-exempt charitable organization focused on education, advocacy education and communication. and applied research. Daniel J. Hermann LeadingAge Senior Managing Director 2519 Connecticut Avenue, NW Head of Investment Banking Washington, DC 20008-1520 200 South Wacker Drive, Suite 2000 (202) 783-2242 Chicago, IL 60606-4614 www.LeadingAge.org (800) 366-8899 www.Ziegler.com LeadingAge Ziegler 150. The nation’s 150 largest not-for-profit multi-site senior living organizations. ISBN 1-930599-13-7 LeadingAge LeadingAge Appearance of an organization in this publication does not indicate endorsement or support of a particular organization, product or service by LeadingAge. Report Issued November 2016. ©2016 LeadingAge. All rights reserved. ©2016 Ziegler, a division of B. C. Ziegler and Company. All rights reserved. Table of Contents Welcome Letters ...........................................................................2-3 Accreditation ...................................................................................................... 45 LeadingAge Objective .........................................................................................4 Staffing ..............................................................................................................45 Affiliation ............................................................................................................45 Chapter 1 Affordable Housing ..............................................................................................46 Understanding the LeadingAge Ziegler 150 ..........................................5 Managed Units and Communities ...........................................................................46 Importance of Not-for-Profits ...................................................................................5 Assisted and Skilled Composition ...........................................................................46 The LZ 150 Development .......................................................................................6 Home and Community-Based Services (HCBS) ........................................................47 Technology .........................................................................................................47 Chapter 2 Joint Ventures .....................................................................................................47 Organizational Characteristics/Analysis of the Data ....................................................48 The Largest 150 ..............................................................................7 A Quantitative Listing ..............................................................................................7 Chapter 5 Methodology .........................................................................................................8 Growth and Change ......................................................................119 Key Findings .......................................................................................................10 Pace of Growth: The Largest 25 ..........................................................................119 Chapter 3 Aggregate Growth ..............................................................................................119 Future Growth Plans ...........................................................................................120 Rankings .......................................................................................11 Type of Growth: Expansion, New Communities, The LZ 150 Not-for-Profit Multi-Site Merger/Acquisition/Affiliation, Disposition ...............................................................120 Senior Living Organization Rankings .......................................................................11 Rate of Growth: Largest 10 .................................................................................121 Primary Rankings .................................................................................................14 Chapter 6 Chapter 4 Ziegler Additional Listings ........................................................................171 Analysis of the Data ........................................................................41 Single-Campus Senior Living Communities ............................................................171 Units ..................................................................................................................41 Large Individual Campuses ..................................................................................171 Communities .......................................................................................................42 Affordable Housing Providers ...............................................................................172 System Headquarters ...........................................................................................42 Systems by Total Market-Rate and Affordable Units .................................................172 Metropolitan Statistical Areas (MSAs) ......................................................................42 Additional Listings Charts ....................................................................................173 Classifications .....................................................................................................43 Corporate Name Changes .....................................................................................44 LZ 150 Charts .................................................................................191 Ratings ..............................................................................................................44 1 Revenues ...........................................................................................................44 Corporate Staff ....................................................................................................45 Welcome to the 13th edition of the LeadingAge Ziegler 150. We are pleased to collaborate once again with our friends at Ziegler, a LeadingAge Gold Partner, to bring you this eagerly anticipated annual report of the largest, most complex not-for-profit senior living organizations. Since Ziegler came to us with the idea for the 2004 first edition, this report has expanded its focus from the 100 largest multi-site providers to the 150 largest. Along the way, it has grown from 80 pages that first year to nearly 200 pages today as we have added new areas of inquiry and expanded to include the largest government-subsidized housing multi-sites and single campuses. From oldest to youngest, from largest to smallest, each of these organizations has unique characteristics and a compelling story to tell. These are stories of enlightened leadership; commitment to mission; accountability to consumers and community; and incubation of new service possibilities. Ziegler The rankings in this report are based on size. So while the LeadingAge Ziegler 150 is not meant to be a qualitative report, behind each of the nonprofits ranked in this publication, nevertheless, is a story of governance and leadership committed to strategic transformation and growth, and long-term success. To support these efforts, we invite all LeadingAge members to explore the myriad tools and resources on our website, LeadingAge.org, and to call on our expert staff for assistance whenever the need arises in your work. We are proud to be your national representative, and we are here for you. Katie Smith Sloan President and CEO LeadingAge LeadingAge LeadingAge 2 We are excited once again to be a part of the LeadingAge Ziegler publication, compiling data from the largest not-for-profit senior living providers in the country. As we continue to partner with LeadingAge on this publication, we strive to expand
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