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Long Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living

Published by: Kalorama Information

Published: Jun. 1, 2010 - 200 Pages

TABLE OF CONTENTS
CHAPTER ONE: EXECUTIVE SUMMARY

U.S. Long Term Care Industry
Scope and Methodology
Overall Market Size
Long Term Care
Demographics
- Geographic Concentrations
- Activities of Daily Living
- Chronic Illness
- Income
Quality of Care
U.S. Health Expenditures
Consumer Preferenes and Lifestyle Issues
Fees and Payments
- Public Payments
- Long Term Care Insurance
Preparing for the Future
Nursing Homes
- Number of Facilities
- Resident Population
- Issues and Trends
- Market Size and Forecast
- Competitor Analysis
  Market Analysis
Home Care
- Number of Facilities
- Resident Population
- Issues and Trends
- Market Size and Forecast
- Competitor Analysis
- Market Analysis
Hospices
- Number of Facilities
- Resident Population
- Issues and Trends
- Market Size and Forecast
- Competitor Analysis
- Market Analysis
Assisted Living
- Number of Facilities
- Resident Population
- Issues and Trends
- Market Size and Forecast
- Competitor Analysis
- Market Analysis

CHAPTER TWO: LONG TERM CARE INDUSTRY, ISSUES, AND TRENDS

The U.S. Health Care Industry
Long Term Care
- Nursing Homes
- Home Care
- Hospices
- Assisted Living
Demographics
- U.S. Population
- Aging of the Population
- Racial Trends
- Marital and Living Arrangements
- Geographic Concentrations
- Activities of Daily Living
- Chronic Illness
- Income
Health Care Reform
Quality of Care
Certification and Accreditation
U.S. Health Expenditures
Consumer Preferences and Lifestyle Issues
The Elderly
Caregiver Issues
Fees and Payment
- Medicare
- Medicaid
- Long Term Care Insurance
- Numbers of Insured
- Cost of Coverage and Affordability
Effect of the Economy
The Managed Care Environment
Preparing For the Future
- Staffing and Human Resources
- Information and Education Initiatives
- Medicaid Reform
- Building of New Facilities

CHAPTER THREE: NURSING HOMES

Description of Facilities
Services
Number of Facilities
Resident Population
- Demographic Data
- Functional Data
- Length of Stay
- Insurance Coverage
Issues and Trends
- Medicare Reforms
- Health Care Reform
- Patient Dumping
- Quality of Care
- Federal Quality Improvement Initiatives
- State Quality Improvement Initiatives
- Legal Actions
Safety
Market Size and Forecast
- Cost of Care
- Size of the Market
Competitor Analysis
Market Analysis

CHAPTER FOUR: HOME CARE

Description of Facilities
- Services
- Number of Facilities
Resident Population
- Demographic Data
- Functional Data
- Insurance Coverage
Issues and Trends
- Medicare Reimbursement
- Medicaid Reimbursement
- Medicare and Medicaid Co-payments
- Health Care Reform
- State Service Reductions
- Improper Payments
- Quality of Care
- Disease Management
- Technology and Telemedicine
Market Size and Forecast
- Cost of Care
- Size of the Market
Competitor Analysis
Market Analysis

CHAPTER FIVE: HOSPICES

Description of Facilities
- Services
- Number of Facilities
Resident Population
- Demographic Data
- Functional Data
- Insurance Coverage
Issues and Trends
- Fraud and Abuse
- Hospice Reform Act
- Health Care Reform
- Proprietary Technologies
- Profitability
Market Size and Forecast
- Cost of Care
- Size of the Market
Competitor Analysis
Market Analysis

CHAPTER SIX: ASSISTED LIVING

Description of Facilities
Services
Number of Facilities
Resident Population
- Demographic Data
- Functional Data
- Length of Stay
- Insurance Coverage
Issues and Trends
- Health Care Reform
- Quality of Care
- Federal Quality Improvement Initiatives
- State Quality Improvement Initiatives
- Safety
- Mergers and Acquisitions
- Consumer Knowledge and Information
Market Size and Forecast
- Cost of Care
- Size of the Market
Competitor Analysis
Market Analysis

CHAPTER SEVEN: MARKET SUMMARY

Overview
Issues and Trends
Continuum of CareReimbursement and Regulatory Changes
Specialty Care
Market Size and Forecast

CHAPTER EIGHT: COMPANY PROFILES

Apria Healthcare Group Inc./ Blackstone Group
- History and Lines of Business
- Long-Term Care Business
- Financial Information
- Mergers and Acquisitions
- Corporate Strategies
Brookdale Senior Living
- History and Lines of Business
- Long-Term Care Business
- Financial Information
- Mergers and Acquisitions
- Corporate Strategies
Emeritus Corporation
- History and Lines of Business
- Long-Term Care Business
- Financial Information
- Mergers and Acquisitions
- Corporate Strategies
Extendicare, Inc.
- History and Lines of Business
- Long-Term Care Business
- Financial Information
- Mergers and Acquisitions
- Corporate Strategies
Genesis Healthcare
- History and Lines of Business
- Long-Term Care Business
- Financial Information
- Mergers and Acquisitions
- Corporate Strategies
Golden Living
- History and Lines of Business
- Long-Term Care Business
- Financial Information
- Mergers and Acquisitions
- Corporate Strategies
Manor Care, Inc.
- History and Lines of Business
- Long-Term Care Business
- Financial Information
- Mergers and Acquisitions
- Corporate Strategies
Sun Healthcare Group Inc.
- History and Lines of Business
- Long-Term Care Business
- Financial Information
- Mergers and Acquisitions
- Corporate Strategies
Sunrise Senior Living Inc.
- History and Lines of Business
- Long-Term Care Business
- Financial Information
- Mergers and Acquisitions
- Corporate Strategies

LIST OF EXHIBITS

CHAPTER ONE: EXECUTIVE SUMMARY

Table 1-1: The Overall U.S. Long Term Care Market, 2005-2015

CHAPTER TWO: INDUSTRY, ISSUES AND TRENDS

Table 2-1: Projected U.S. Resident Population, by Age, Selected Years, 2010 - 2030
Table 2-2: U.S. Expectation of Life at Birth, by Sex and Race, 2005
Table 2-3: U.S. Life Expectancy in Years, 2005-2015
Table 2-4: U.S. Resident Population, by Sex and Age, 2010
Table 2-5: U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected
Years, 2000 - 2025
Table 2-6: U.S. Resident Population, by Age, Hispanic Origin, and Race,
Selected Years, 2000 - 2025
Table 2-7: Proportion of U.S. Resident Population, by Age, Hispanic
Origin, and Race, Selected Years, 2000 - 2025
Table 2-8: Characteristics of U.S. Household Population of Persons 65 and Older, 2010
Table 2-9: Marital Status of U.S. Residents Age 65 and Older, 2010
Table 2-10: Marital Status of U.S. Residents Age 65 and Older, 2010
Figure 2-1: U.S. Senior Population in Top 10 States, 2010
Table 2-11: U.S. Resident Population, by State and Age, 2010
Table 2-12: Number of Nursing Home Residents by State, 2008
Table 2-13: Disability Prevalence by Age, 2010
Table 2-14: Frequencies of Selected Diseases Among Older U.S. Persons, 2010
Table 2-15: Frequencies of Selected Diseases Among Older U.S. Persons, 2010
Table 2-16: U.S. Median Income by Householder Age, 2008
Table 2-17: National Health Expenditures, 2004 - 2019
Table 2-18: Funding Sources for Home Health Care Spending, 2004 - 2019
Table 2-19: Funding Sources for Nursing Home Spending, 2004 - 2019

CHAPTER THREE: NURSING HOME INDUSTRY

Table 3-2: Primary Payment Sources for Nursing Home Residents, by State, 2008
Table 3-3: U.S. Nursing Home Deficiencies by State, 2008
Table 3-4: The U.S. Nursing Home Market, 2005-2015
Table 3-5: Leading Competitors in the U.S. Nursing Home Market, byRevenues and Market Shares, 2009

CHAPTER FOUR: HOME CARE INDUSTRY

Table 4-2: Sources of Payment for Home Health Care, 2006
Table 4-3: Medicare Fee-for-Service Home Health Outlays, Visits, Clients, Payment/Client, and Visits/Client, Calendar Years, 1996-2006
Table 4-4: The U.S. Home Health Care Market, 2005-2015
Table 4-5: Leading Competitors in the U.S. Home Health Care Market, by Revenues and Market Shares, 2009

CHAPTER FIVE: HOSPICE INDUSTRY

Table 5-1: Number of Medicare-Certified Hospices by Auspice, 1990 - 2009
Table 5-2: Number of Medicare-certified Hospices and Program Payments, by State, 2006
Table 5-3: Mean Length of Hospice Stay, According to Disease Category
Table 5-4: Average Medicare Reimbursements for Hospice Care, FY 2010
Table 5-5: Medicare Hospice Outlays, Clients, and Days per Client, FY96-FY 2006
Table 5-6: The U.S. Market for Hospice Care, 2005-2015
Table 5-7: Leading Competitors in the U.S. Hospice Market, by Revenues and Market Shares, 2009

CHAPTER SIX: ASSISTED LIVING

Figure 6-1: Assisted Living Residents Requiring Assistance with Daily Living Activities
Table 6-1: The U.S. Market for Assisted Living, 2005-2015
Table 6-2: Leading Competitors in the U.S. Assisted Living Market, by Revenues and Market Shares, 2009

CHAPTER SEVEN: MARKET SUMMARY

Table 7-1: The Overall U.S. Long Term Care Market, 2005-2015
Table 7-2: Long Term Care Industry Revenues by Sector, Selected
Years 2005 - 2015
Figure 7-1: Long Term Care Industry Revenues by Sector, Selected
Years 2005 - 2015
Figure 7-2: Long Term Care Industry Revenues by Year

CHAPTER EIGHT: CORPORATE PROFILES

Table 8-1: Financial Performance for Emeritus Corp. 2007 - 2009
Table 8-2: Financial Performance for Extendicare 2007 - 2009
Table 8-3: Financial Performance for Sun Healthcare Corp., 2007 - 2009
Table 8-4: Financial Performance for Sunrise Senior Living, 2007 - 2009

Abstract

Kalorama Information publishes its third edition of this detailed report on the long term care industry at a time of growth but also change and concern for the long term care industry. The economy has challenged the business strategies of key players, while the recent healthcare legislation introduces changes that may affect revenues. These twin challenges are addressed in The Long-Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living The report provides an in-depth examination of the market for long-term care today. The following segments are broken out in detail: This report covers the most important segments of the long term care industry, each of which provide medical care and/or assistance with the activities of daily living (ADLs) on an ongoing basis:

Nursing care;
Home Care;
Hospice Care;
Assisted Living.

Excluded are markets that address temporary care needs such as physical or mental rehabilitation. Residential living programs and facilities that do not generally provide care such as retirement communities.

For each of the segments of long term care the report provides:

Market Size and Forecast
Number of Facilities/Providers and Growth Trends
Patient Statistics
Forms of Payment and Reimbursement Levels
Trends Affecting the Marketplace
Competitors and Competitive Analysis

Sales estimates for each market segment represent U.S. revenues and are expressed in current dollars. Estimates are provided for the historic 2005 to 2009 period and forecasts are provided through 2015.

As part of the report's analysis of the state of the industry, the report covers the Recent Healthcare Reform and its Impact on Nursing Homes and the Effects of the Economy Other issues and trends discussed in the report include:

Medicare & Health Care Reform
Patient Dumping
Quality of Care
Federal Quality Improvement Initiatives
State Quality Improvement Initiatives
Legal Actions
Safety
Aging of the Population
Marital and Living Arrangements
Geographic Concentrations
Certification and Accreditation
Fees and Payment
Long Term Care Insurance
Cost of Coverage and Affordability
Staffing and Human Resources
Building of New Facilities

Historical information for this report was gathered from a wide variety of published sources including company reports and filings, government documents, legal filings, trade journals, newspapers and business press, analysts’ reports and other sources. Interviews with company representatives were conducted to capture the perspectives from industry participants’ point of view and assess trends, and form the basis of the forecasting and competitive analysis.

As part of its coverage of the industry, the following long term care companies were profiled in this report:

Apria Healthcare Group Inc./ Blackstone Group
Brookdale Senior Living
Emeritus Corporation
Extendicare, Inc.
Genesis Healthcare
Golden Living
Manor Care, Inc.
Sun Healthcare Group Inc.
Sunrise Senior Living Inc.

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Long Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living

Table of Contents

Abstract

US: 800.298.5699

Int'l: +1.240.747.3093