Nursing Homes and Assisted Living

Published by: First Research, Inc.

Published: Apr. 25, 2011 - 10 Pages


Table of Contents

Industry Overview
Quarterly Industry Update
Business Challenges
Business Trends
Industry Opportunities
Call Preparation Questions
Financial Information
Industry Forecast
Web Links and Acronyms

Abstract

Brief Excerpt from Industry Overview Chapter:

The US nursing homes and assisted living industry includes about 75,000 establishments (single-location companies and branches of multi-location companies) with combined annual revenue of about $175 billion. Major companies include Manor Care, Sunrise Senior Living, Kindred Healthcare, Golden Horizons (owned by GGNSC Holdings), and SunBridge Healthcare (subsidiary of Sun Healthcare Group).

COMPETITIVE LANDSCAPE

Demand for nursing care is linked to the demographics of the US population. The profitability of individual nursing facilities depends on efficient operations, as revenue per patient is largely controlled by the big government insurance programs, Medicare, and Medicaid. Large companies have some economies of scale in administration and purchasing, but small operators can compete effectively by offering better service. The industry is labor-intensive: annual revenue per worker is about $55,000.

PRODUCTS, OPERATIONS & TECHNOLOGY

The industry includes skilled nursing facilities for recovery from acute or chronic medical conditions (more than 60 percent of revenues), mental health and substance abuse facilities (about 9 percent of revenues), and various types of independent living, community care, and assisted living arrangements.

Skilled nursing facilities make up around 30 percent of the total number of nursing and residential care facilities; assisted and independent living facilities around 65 percent. The remaining establishments include residential mental health centers, community care centers, and inpatient substance abuse centers. Large firms may operate hundreds of domestic and foreign nursing facilities, either company-owned or leased.

Nursing homes typically care for patients recovering from major medical procedures and older...

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