Research finds that a majority of these services are offered by religiously affiliated organizations. For example, analysis conducted in 2016 by LeadingAge and Ziegler, a Chicago investment bank, revealed that 85% of nonprofit continuing care retirement communities were religiously affiliated, as shown in Figure 1.
This includes communities offering housing across the continuum of care from independent living to skilled nursing, and these nonprofit facilities comprise a vast majority of all retirement communities in the United States (80%). Religiously affiliated facilities also provide the greatest number of affordable housing units that serve low-income seniors. An analysis by MergerWatch and the ACLU showed that, in 2011, 14% of hospitals in the United States were religiously affiliated accounting for 17% of all hospital beds. Local service providers are the community agencies responsible for administering other programs, including nutrition assistance funded in part by the federal Administration for Community Living (ACL). According to the ACL, 7% percent of local service providers are faith based.
In a coordinated effort to permit discrimination, federal and state policymakers and activists are working to pass religious exemption laws that aim to give businesses, service and healthcare providers, government workers, and private citizens the wide-ranging right to discriminate against others, deny them needed services, and impose their own religious beliefs on others, so long as they cite the provider’s religious or moral belief as the reason for doing so.The report also notes that the Trump administration has given guidance giving service providers much more leeway to practice discrimination via religious exemptions and continue to receive federal funding.
Religiously affiliated organizations provide a large portion of elder services, so these growing state and federal litigation and legislation efforts allow these service providers to exempt themselves from state and federal nondiscrimination laws and to discriminate against LGBT elders.