This article is available as part of your SHN+ membership. Senior living operators have a sizable opportunity with middle-market models, but many are still reluctant to implement them due to financial challenges and the push to maximize rates. However, organizations like Marion, Ohio-based United Church Homes have successfully developed middle-market models that provide affordable rates for residents. By offering three tiers based on income and partnering with real estate developers to control costs, UCH has been able to create a successful middle-market strategy. Additionally, payment sources like PACE and value-based care are helping to alleviate the financial burden on residents and open up opportunities for more middle-market senior living communities in the future.