2025 List of the Largest Senior Living & Senior Care Companies

According to the National Investment Center for Seniors Housing & Care (NIC), there are more than 30,600 senior living communities across the United States, serving about 2 million older adults as of 2024. With the U.S. Census projecting that 81 million Americans will be aged 65 or older by 2040, the senior living and senior care industry is expanding rapidly.

The Senior Living Industry in 2025

The U.S. senior care market is vast and growing, supported by three main drivers:

• Demographics → 10,000 Baby Boomers turn 65 every day.
• Longevity → The average U.S. life expectancy in 2025 is 79.1 years.
• Healthcare Needs → Nearly 70% of adults over 65 will need long-term care at some point.

According to Argentum (2024), the U.S. senior living industry supports over 1.6 million jobs and contributes more than $475 billion annually to the economy.

Largest Senior Living Companies in 2025

Below is the top 10 list of the largest senior living providers in the U.S., ranked by the number of units (apartments/rooms) they operate.

1. Brookdale Senior Living

• Headquarters: Brentwood, Tennessee
• Units: ~55,500
• Communities: 670+
• Specialties: Assisted living, memory care, independent living, skilled nursing
• 2025 Update: Brookdale remains the largest senior living provider in the U.S., though its footprint has stabilized after years of downsizing.

2. LCS (Life Care Services)

• Headquarters: Des Moines, Iowa
• Units: ~42,000
• Communities: 140+
• Specialties: CCRCs, assisted living, independent living
• Notable Fact: LCS dominates in continuing care retirement communities, offering full-service aging-in-place.

3. Holiday by Atria (formerly Holiday Retirement)

• Headquarters: Louisville, Kentucky
• Units: ~36,000
• Communities: 240+
• Specialties: Independent living
• 2025 Highlight: Strong comeback post-pandemic as a popular option for active seniors.

4. Atria Senior Living

• Headquarters: Louisville, Kentucky
• Units: ~32,000
• Communities: 340+
• Specialties: Assisted living, memory care, lifestyle-focused housing
• Growth Strategy: Partnerships with real estate investment trusts (REITs).

5. Five Star Senior Living (Owned by AlerisLife)

• Headquarters: Newton, Massachusetts
• Units: ~25,000
• Communities: 120+
• Specialties: Assisted living, memory care, rehabilitation
• Note: Streamlined operations in 2024 to focus on core care models.

6. Erickson Senior Living

• Headquarters: Catonsville, Maryland
• Units: ~24,000
• Communities: 20+ large-scale campuses
• Specialties: CCRCs, independent living with extensive amenities
• Highlight: Known for luxury-style retirement campuses.

7. National HealthCare Corporation (NHC)

• Headquarters: Murfreesboro, Tennessee
• Units: ~20,000
• Communities: 75+
• Specialties: Skilled nursing, rehabilitation, assisted living
• Unique Factor: Strong focus on post-acute care.

8. Sunrise Senior Living

• Headquarters: McLean, Virginia
• Units: ~19,500
• Communities: 250+
• Specialties: Assisted living, memory care
• Reputation: Premium, hospitality-style senior living.

9. Trilogy Health Services

• Headquarters: Louisville, Kentucky
• Units: ~18,000
• Communities: 130+
• Specialties: Skilled nursing, rehabilitation, assisted living
• 2025 Trend: Expanding across Midwest states.

10. Brightview Senior Living

• Headquarters: Baltimore, Maryland
• Units: ~9,500
• Communities: 50+
• Specialties: Assisted living, independent living, memory care
• Differentiator: Strong focus on lifestyle programming.

Learn More: Humana Medicare Transportation Coverage & Benefits

Largest Nursing Home & Skilled Nursing Operators in 2025

While senior living focuses more on lifestyle and independence, nursing homes serve residents needing 24/7 skilled medical care.

Top providers by beds in 2025:

1. Genesis HealthCare → 34,000+ beds
2. CommuniCare Health Services → 27,000+ beds
3. Ensign Group → 25,000+ beds
4. ProMedica Senior Care (formerly HCR ManorCare) → 23,000+ beds
5. Consulate Health Care → 18,000+ beds

Global Context: Senior Living Leaders Outside the U.S.

• Japan: ORIX Living and Benesse Holdings lead in aging societies.
• UK: Barchester Healthcare and HC-One operate thousands of units.
• Canada: Chartwell Retirement Residences is the largest provider.

Key Market Trends in 2025

1. AI & Technology in Care → Predictive health monitoring, smart rooms.
2. Home-Based Senior Care → More seniors opting for hybrid models.
3. Luxury Retirement Communities → Rising demand for resort-style living.
4. Staffing Challenges → Ongoing caregiver shortages.
5. Private Equity Investment → Continued REIT and investor activity.

Final Thought

The 2025 senior living landscape is dominated by a few major players—Brookdale, LCS, Atria, and Erickson—yet regional operators and specialized care providers are shaping the future, too. With America’s aging population skyrocketing, the demand for diverse housing and care options will only intensify.

If you’re tracking this industry—whether as an investor, family member, or senior care professional—knowing who the leaders are in 2025 can help you make informed decisions.

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