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Who is the largest senior living company in the United States?

4 min read

Recent industry reports highlight the senior care landscape, with a few major operators dominating the market across the country. For families navigating their options, understanding the market leaders is a crucial first step. So, Who is the largest senior living company in the United States?

Quick Summary

Brookdale Senior Living is consistently identified as the largest senior living company in the United States, operating hundreds of communities across numerous states. Its extensive portfolio includes various care types, from independent living to skilled nursing.

Key Points

  • Brookdale is the Largest Operator: Brookdale Senior Living consistently ranks as the largest senior living company in the U.S., based on total units and number of communities.

  • Competitors Challenge Top Spot: The senior living market includes other large operators like Discovery Senior Living, LCS, and Atria, which frequently rank in the top five.

  • Size Measured by Units and Communities: Rankings for largest companies are primarily determined by the number of units and communities they manage across the country.

  • Largest Companies Offer Diverse Care: The major providers, including Brookdale, typically offer a wide range of services, such as independent living, assisted living, memory care, and CCRCs.

  • Size Doesn't Equal Quality: While large companies may offer stability and resources, it's essential to also research individual community quality, staff, and resident satisfaction before making a decision.

  • Industry Reports are Reliable Sources: Reputable sources like Argentum and ASHA provide authoritative reports on the senior living industry, confirming company rankings and market trends.

In This Article

The Industry Leader: Brookdale Senior Living

Brookdale Senior Living has long held the top position as the largest senior living operator in the United States, according to prominent industry rankings published by organizations like Lument and the American Seniors Housing Association (ASHA). With its headquarters in Brentwood, Tennessee, the company operates hundreds of communities and serves tens of thousands of residents nationwide. Its dominant market presence is often attributed to a wide geographic footprint and diverse service offerings.

Brookdale's communities provide a comprehensive range of care options to meet the evolving needs of seniors. Their services include:

  • Independent Living: For active, independent older adults.
  • Assisted Living: For residents needing help with daily activities like dressing and bathing.
  • Memory Care: Specialized programs, such as their Clare Bridge program, for those with Alzheimer's or dementia.
  • Continuing Care Retirement Communities (CCRCs): Campuses that offer multiple levels of care in one location.
  • Skilled Nursing: For more intensive medical care and short-term rehabilitation.
  • Home Health and Hospice: Extending care services beyond their physical communities.

The Competitive Landscape: Other Major Players

While Brookdale is the largest, the senior living market is highly competitive, with several other major companies making up the top tier of providers. These companies often specialize in different types of care or focus on specific geographic regions, and their rankings can shift based on acquisitions and growth strategies.

Notable Competitors

  • Discovery Senior Living: This company has seen rapid growth, moving up in recent rankings to challenge the top spot. It is known for its lifestyle-driven communities and focus on resort-style amenities.
  • LCS (Life Care Services): Another long-standing leader, LCS operates a significant number of communities, including a large portfolio of CCRCs and independent living facilities.
  • Atria Senior Living: Known for its growth through acquisition, including the rebranding of Holiday Retirement, Atria offers a wide array of assisted living and memory care services.
  • Erickson Senior Living: With a focus on a continuum of care model, Erickson Senior Living primarily offers independent living but includes other services within its campuses.

Comparison of Top Senior Living Companies

For families, comparing the services and scale of the largest providers can offer a better understanding of their options. Here is a brief look at some of the top senior living companies in the U.S. based on available data from industry reports.

Company Headquarters Primary Focus Notable Fact
Brookdale Senior Living Brentwood, TN All levels of care Largest operator by units and communities
Discovery Senior Living Bonita Springs, FL Lifestyle-driven communities Rapidly growing, with resort-style amenities
LCS Des Moines, IA Independent Living, CCRCs Major operator with diverse portfolio
Atria Senior Living Louisville, KY Assisted Living, Memory Care Strong growth fueled by recent acquisitions
Erickson Senior Living Baltimore, MD Independent Living, CCRCs Focuses on a continuum of care model

What Determines the 'Largest' Ranking?

When evaluating who is the largest senior living company, it is important to understand the criteria used for measurement. Industry reports typically use several key metrics to determine market leadership:

  • Total Units or Capacity: This is the most common metric, measuring the total number of living units across all the company's communities.
  • Number of Communities: Another important measure of size, this metric indicates the number of facilities a company operates.
  • Revenue: While less common for simple ranking, a company's financial performance provides insight into its market influence and stability.
  • Geographic Footprint: The number of states or regions in which a company operates is another indicator of its size and reach.

Why Does Company Size Matter?

For potential residents and their families, the size of a senior living company can be a significant factor. A larger company might offer advantages such as:

  • Extensive Resources: Large operators often have greater financial resources to invest in staff training, amenities, and technology.
  • Standardized Care: With a broad network, there can be a greater emphasis on standardized care protocols and quality controls.
  • Continuum of Care: Larger companies are more likely to offer multiple levels of care, allowing residents to age in place within the same company's network.
  • Market Stability: A large, established company may offer greater long-term stability than a smaller, independent operator.

However, it's crucial to remember that size does not always equate to quality. Factors like individual community management, staff-to-resident ratio, and resident satisfaction are just as, if not more, important when making a final decision. To find specific quality benchmarks, an excellent starting point is to consult independent industry resources and associations.

Argentum is a trade association that often publishes industry reports and offers valuable insights into the senior living market, including quality and best practices.

Conclusion: Navigating Your Senior Living Options

Brookdale Senior Living stands out as the largest senior living company in the United States, with a vast network of communities and a wide spectrum of care options. However, the best choice for you or your loved one depends on individual needs, preferences, and location. By researching the largest players and considering important factors beyond just size, you can make an informed decision that leads to a positive and healthy aging experience.

Frequently Asked Questions

Brookdale Senior Living, the largest company, offers a comprehensive range of services, including independent living, assisted living, memory care, continuing care retirement communities (CCRCs), and skilled nursing facilities.

No, while Brookdale is the largest operator, companies like Welltower are often cited as the largest owners of senior living properties. The distinction is between who manages the day-to-day operations and who holds the real estate assets.

Not necessarily. While larger companies may offer more resources and stability, the quality of care and resident experience can vary significantly from one community to another. It is important to evaluate a specific community, regardless of the parent company's size.

Senior living companies grow through a combination of building new communities and acquiring existing ones. For example, Atria Senior Living's ranking was boosted significantly by its acquisition of Holiday Retirement.

Authoritative industry reports are published by trade associations and real estate firms. Examples include the American Seniors Housing Association (ASHA) and firms like Lument, which analyze provider sizes and trends.

No, while the largest companies like Brookdale operate in a majority of states, they do not have a presence in every state. A company's geographic footprint is a key indicator of its size but not absolute coverage.

While the overall largest companies are for-profit, the non-profit sector has its own set of large providers. Research from organizations like LeadingAge can provide information on the largest non-profit senior living and care organizations.

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.