The middle market represents one of the fastest-growing and most underserved segments in senior housing. As millions of middle-income older adults approach the age when they may need housing and care, the industry faces a growing challenge: delivering quality options at a price these households can reasonably sustain.
This case study explores Mainstay’s approach to serving the middle market through a vertically integrated model that brings together investment, development, construction, and operations. With a focus on secondary and tertiary markets across the Southeast, Mainstay demonstrates how affordability can be engineered across real estate, operations, care delivery, and capital without sacrificing quality.
Learn how Mainstay approaches middle-market senior housing through:
- Integrating investment, development, construction, and operations within one platform
- Targeting middle-income seniors in secondary and tertiary markets
- Controlling acquisition and development costs to support more attainable resident pricing
- Using regional clustering to strengthen staffing, referrals, and operating scale
- Reinvesting in existing communities acquired below replacement cost
- Aligning capital, care delivery, and local operations for long-term sustainability
Explore the case study to learn how Mainstay is making the middle-market model work across real estate, operations, and capital.
Mainstay Case Study 2026 Final