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Nearly 30% of all senior living system units are operated by the 10 largest provider organizations. Senior living provider organizations have grown primarily through expansion of their existing campuses. The largest provider organization is National Senior Campuses, headquartered in Catonsville, Maryland, based on its total number of independent living units, assisted living units, and nursing care beds. Acts Retirement Services had the greatest increase in units between 2018 to December 2019, up 966 more units. The Evangelical Lutheran Good Samaritan Society in Sioux Falls, South Dakota, had the greatest decrease in units, with a drop of 1,050 units between . . .

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