Nursing Care Market in US - Industry Outlook and Forecast 2020-2025

Nursing Care Market in US - Industry Outlook and Forecast 2020-2025

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The US nursing care market is expected to grow at a CAGR of over 5% during the period 2019–2025.

The US nursing care market is expected to be driven by the rising incidences of chronic disorders, which can be attributed to an unhealthy and sedentary lifestyle. The prevalence of chronic diseases is likely to increase the number of people having disabilities over the coming years. According to the WHO, 60 to 85% of the population worldwide does not engage in activities, making physical inactivity the fourth leading risk factor for global mortality. This lifestyle is expected to increase in the future as more and more jobs require sitting in the office for a long time in the US.

Moreover, the share of the geriatric population in the US is also increasing at a rapid rate. It is expected that the geriatric population share will be more than 20% by 2030. Hence, the increase in a sedentary lifestyle, along with the growth in the elderly population, is expected to increase the demand for nursing services. The outbreak of the coronavirus provides a timely opportunity for the US nursing care market to address the surge in demand for nurses and to contain the outbreak. These nurses can help in coronavirus screening and improve the overall preparedness to counter the pandemic.

The following factors are likely to contribute to the growth of the US nursing care market during the forecast period:

  • Technological Development
  • Increase in Sedentary Lifestyles
  • Value-based Purchasing and Patient-Driven Payment Model
  • Geriatric Population and Chronic Diseases
The study considers the present scenario of the US nursing care market and its market dynamics for the period 2019−2025. It covers a detailed overview of several market growth enablers, restraints, and trends. The study offers both the demand and supply aspects of the market. It profiles and examines leading companies and other prominent ones operating in the market.


This research report includes a detailed segmentation by service type, expenditure, gender, and geography. The rise in the geriatric population, coupled with increasing chronic diseases and age-associated diseases, is expected to boost the hospice segment. Hospice programs generally are home-based; however, they sometimes provide services in freestanding facilities, in nursing homes, or within hospitals. Telemedicine is growing in the hospice industry, which is expected to boost the segment. The technology is trying to extend its services to outpatient settings to improve care coordination.

The demand for home healthcare is expected to rise as an increasing number of patients have been choosing to receive medical services at home for several health challenges, including rehabilitation and chronic disease management. The largest end-user of this facility is the elderly population as this age group faces several health challenges and has progressively opted for home services over nursing home care or inpatient facility at hospitals. Based on gender, the assisted living facility market is segmented into women and men. Women held the dominant share in 2018–2019, and the segment is expected to grow at a faster rate during the forecast period. Greater life expectancy of women, high savings, increased retirement savings, increased women employment opportunities, higher disability, and chronic health disorders rates are some of the major factors behind the dominance of female gender in assisted living facilities. The growing aging population, favorable reimbursement scenario with increasing needs, and rising prevalence of chronic diseases in the country will propel the need for skilled nursing facilities. Besides, the lower costs of skilled nursing facilities than hospitals will drive the market. However, factors such as the existence of specialized services such as assisted living facility, hospice, and home healthcare can hinder the market growth. Furthermore, the rise in utility and food costs, real estate taxes, and insurance could negatively affect the US nursing care market.

The increasing government support for the US nursing care market is expected to further fuel the market revenue. For instance, Medicare, in 2016, spent around $79 billion on skilled nursing facilities and home health services combined, which was over 20% of all long-term service and supported spending. This kind of support from the US government is expected to strengthen the US nursing care market further. Of the total Medicare long-term service and supports spending, 49% was paid to home health agencies, and 50% was paid to skilled nursing facilities. Hence, these types of support from federal agencies are likely to contribute to the segment growth during the forecast period. The growth in the private insurance market, coupled with increased funding received through philanthropic fund-raising organizations such as the United Way, is boosting the growth of the private expenditure segment. For instance, private health insurance comprises around 15% of total nursing care expenditures in 2019.

With longer lives, higher rates of disability and chronic health challenges, and lower incomes than men, on average, several women need long-term medical services, which is positively affecting the segment growth. Moreover, women are also the primary providers of long-term medical services, as the vast majority of both paid formal long-term medical workers and unpaid informal caregivers are women. The availability of female nurses allows more women to opt for these services. Also, women have a longer life expectancy than men, outliving men by about five years on average. Therefore, with the increasing age and growing disabilities among women, the need for a medical facility is expected to increase, thereby driving the segment growth.

Furthermore, more than 70% of people getting admitted to nursing facilities are women. Almost two-thirds of the paid home care users and unpaid care recipients are women. The demand is further expected to increase among women owing to their improved savings, increased employability, high literacy, the surge in divorce cases, and an increase in chronic diseases.

The male segment is comparatively smaller than the female segment. However, it is expected to rise as several men are getting admitted to nursing care facilities or taking medical services at their home. Also, some patients feel uncomfortable with female nurses caring, thereby increasing the demand for males. However, the demand among men is expected to remain stagnant compared to females.

Market Segmentation by Service Type
  • Hospice
  • Home Healthcare
  • Assisted Living Facility
  • Skilled Nursing Facility
Market Segmentation by Expenditure
  • Public
  • Private
Market Segmentation by Gender
  • Male
  • Female

The US nursing care market is in the growth stage, and it has achieved popularity and high penetration in developed countries such as the US. The market consists of a few major players, which include Brookdale Senior Living, Sunrise Senior Living, Diversicare, Amedisys, Kaiser Permanente, Ensign Group. The rapidly changing technological environment such as telemedicine could benefit both nursing care companies and patients. The present scenario is driving companies to change and refine their unique value proposition to achieve a strong market presence. Several trends will contribute to the growth of the senior living industry in the coming years. Due to demographic trends, and continuing medical healthcare advances, the senior population will continue to grow, which is expected to increase the demand for senior housing and healthcare services in future years.

Key Vendors
  • Brookdale Senior Living
  • Sunrise Senior Living
  • Diversicare
  • Amedisys
  • Kaiser Permanente
  • Ensign Group
Other Prominent Vendors
  • 24/7 Nursing Care
  • A-1 Nursing Care
  • AdventHealth
  • Affinity Living Group
  • All Ways Caring
  • Allamericancare
  • American House
  • Apple Home Healthcare
  • At Home Healthcare
  • At Home Nursing Care
  • Atria Senior Living
  • BAYADA Home Health Care
  • Bickford Senior Living
  • BrightStar Care
  • Bristol Hospice
  • Brotoloc North
  • Capital Senior Living
  • Century Park
  • Compassionate Nursing Services
  • Elmcroft Senior Living
  • Encompass Health
  • Enlivant
  • Erickson Living
  • Evangelical Community Hospital
  • Frontier Management
  • HCR ManorCare
  • Holiday Retirement
  • Hospice of Southern Illinois
  • Hospice of the Valley
  • Human Touch Home Health Care
  • LCS
  • Life Care Centers of America
  • Living Assistance Services
  • Nurse Care of North Carolina
  • Nurse Next Door
  • Pacifica Senior Living
  • Preferred Care
  • Premier Home Health Care Services
  • PruittHealth
  • Right at Home
  • Senior Lifestyle
  • Seasons Hospice & Palliative Care
  • Senior Care Centers
  • Trinity Health
  • Valeo Home Health & Hospice
  • Visiting Nurse Service of New York

The analysis of the US nursing care market provides sizing and growth opportunities for the period 2019–2025.
  • Offers sizing and growth prospects of the market for the forecast period 2020–2025.
  • Provides comprehensive insights on the latest industry trends, forecast, and growth drivers in the market.
  • Includes a detailed analysis of growth drivers, challenges, and investment opportunities.
  • Delivers a complete overview of segments and the regional outlook of the market.
  • Offers an exhaustive summary of the vendor landscape, competitive analysis, and key strategies to gain competitive advantage.

1 Research Methodology
2 Research Objectives
3 Research Process
4 Scope & Coverage
4.1 Market Definition
4.1.1 Inclusions
4.1.2 Exclusions
4.2 Base Year
4.3 Scope Of The Study
4.4 Market Segmentation
4.4.1 Market Segmentation by Service Type
4.4.2 Market Segmentation by Expenditure
4.4.3 Market Segmentation by Gender
5 Report Assumptions & Caveats
5.1 Key Caveats
5.2 Currency Conversion
5.3 Market Derivation
6 Market at a Glance
7 Introduction
7.1 Overview
8 Market Opportunities & Trends
8.1 Technological Developments
8.2 Increasing Sedentary Lifestyle
8.3 Increasing Health Awareness
8.4 Value-Based Purchasing And Patient-Driven Payment Model
9 Market Growth Enablers
9.1 Increasing Geriatric Population & Chronic Diseases
9.2 Health Insurance Reforms
9.3 Changes In Social Patterns
9.4 Increasing Nurse Education
10 Market Restraints
10.1 Shortage of Nurses
10.2 Presence Of Stringent Government Regulations
11 Market Landscape
11.1 Market Overview
11.2 Market Size & Forecast 2019−2025
11.3 Five Forces Analysis
11.3.1 Threat Of New Entrants
11.3.2 Bargaining Power Of Suppliers
11.3.3 Bargaining Power Of Buyers
11.3.4 Threat Of Substitutes
11.3.5 Competitive Rivalry
12 Service Type
12.1 Market Snapshot & Growth Engine
12.2 Market Overview
12.3 Hospice Care
12.3.1 Market Size & Forecast
12.3.2 Market Size & Forecast by Gender
12.4 Home Health Care
12.4.1 Market Size & Forecast
12.4.2 Market Size & Forecast by Gender
12.5 Assisted Living Facility
12.5.1 Market Size & Forecast
12.5.2 Market Size & Forecast by Gender
12.6 Skilled Nursing Facility
12.6.1 Market Size & Forecast
12.6.2 Market Size & Forecast by Gender
13 Expenditure
13.1 Market Snapshot & Growth Engine
13.2 Market Overview
13.3 Public Expenditure
13.3.1 Market Size & Forecast
13.4 Private Expenditure
13.4.1 Market Size & Forecast
14 Gender
14.1 Market Snapshot & Growth Engine
14.2 Market Overview
14.3 Male
14.3.1 Market Size & Forecast
14.3.2 Market Size & Forecast By Service Type
14.4 Female
14.4.1 Market Size & Forecast
14.4.2 Market Size & Forecast By Service Type
15 Competitive Landscape
15.1 Competition Overview
15.2 Major Vendors
16 Key Company Profiles
16.1 Brookdale Senior Living
16.1.1 Business Overview
16.1.2 Key Strategies
16.1.3 Key Strengths
16.1.4 Key Opportunities
16.2 Sunrise Senior Living
16.2.1 Business Overview
16.2.2 Key Strategies
16.2.3 Key Strengths
16.2.4 Key Opportunities
16.3 Diversicare
16.3.1 Business Overview
16.3.2 Key Strategies
16.3.3 Key Strengths
16.3.4 Key Opportunities
16.4.1 Business Overview
16.4.2 Key Strategies
16.4.3 Key Strengths
16.4.4 Key Opportunities
16.5 Kaiser Permanente
16.5.1 Business Overview
16.5.2 Key Strategies
16.5.3 Key Strengths
16.5.4 Key Opportunities
16.6 Ensign Group
16.6.1 Business Overview
16.6.2 Key Strategies
16.6.3 Key Strengths
16.6.4 Key Opportunities
17 Other Prominent Vendors
17.1 24/7 Nursing Care
17.1.1 Business Overview
17.1.2 Key Strategies
17.1.3 Key Strength
17.2 A-1 Action Nursing Care
17.2.1 Business Overview
17.2.2 Key Strategy
17.2.3 Key Strengths
17.3 A-1 Nursing Care
17.3.1 Business overview
17.3.2 Key Strategy
17.3.3 Key Strength
17.4 Adventhealth
17.4.1 Business Overview
17.4.2 Key Strategies
17.4.3 Key Strength
17.5 Affinity Living Group
17.5.1 Business Overview
17.5.2 Key Strategies
17.5.3 Key Strengths
17.6 All Ways Caring
17.6.1 Business Overview
17.6.2 Key Strategies
17.6.3 Key Strengths
17.7 All American Care
17.7.1 Business Overview
17.7.2 Key Strategies
17.7.3 Key Strength
17.8 American House
17.8.1 Business Overview
17.8.2 Key Strategies
17.8.3 Key Strength
17.9 Apple Home Healthcare
17.9.1 Business Over
17.9.2 Key Strategy
17.9.3 Key Strength
17.10 At Home Healthcare
17.10.1 Business Overview
17.10.2 Key Strategies
17.10.3 Key Strengths
17.11 At Home Nursing Care
17.11.1 Business Overview
17.11.2 Key Strategies
17.11.3 Key Strength
17.12 Atria Senior Living
17.12.1 Business Overview
17.12.2 Key Strategies
17.12.3 Key Strength
17.13 Bayada Home Health Care
17.13.1 Business Overview
17.13.2 Key Strategies
17.13.3 Key Strengths
17.14 Bickford Senior Living
17.14.1 Business Overview
17.14.2 Key Strategy
17.14.3 Key Strength
17.15 Brightstar Care
17.15.1 Business Overview
17.15.2 Key Strategy
17.15.3 Key Strength
17.16 Bristol Hospice
17.16.1 Business Overview
17.16.2 Key Strategy
17.16.3 Key Strengths
17.17 Brotoloc North
17.17.1 Business Overview
17.17.2 Key Strategy
17.17.3 Key Strength
17.18 Capital Senior Living
17.18.1 Business Overview
17.18.2 Key Strategies
17.18.3 Key Strength
17.19 Century Park
17.19.1 Business Overview
17.19.2 Key Strategy
17.19.3 Key Strength
17.20 Compassionate Nursing Services
17.20.1 Business Overview
17.20.2 Key Strategy
17.20.3 Key Strengths
17.21 Elmcroft Senior Living
17.21.1 Business Overview
17.21.2 Key Strategy
17.21.3 Key Strength
17.22 Encompass Health
17.22.1 Business Overview
17.22.2 Key Strategy
17.22.3 Key Strength
17.23 Enlivant
17.23.1 Business Overview
17.23.2 Key Strategy
17.23.3 Key Strengths
17.24 Erickson Living
17.24.1 Business Overview
17.24.2 Key Strategy
17.24.3 Key Strengths
17.25 Evangelical Community Hospital
17.25.1 Business Overview
17.25.2 Key Strategy
17.25.3 Key Strengths
17.26 Frontier Management
17.26.1 Business Overview
17.26.2 Key Strategy
17.26.3 Key Strength
17.27 HCR Manorcare
17.27.1 Business Overview
17.27.2 Key Strategy
17.27.3 Key Strengths
17.28 Holiday Retirement
17.28.1 Business Overview
17.28.2 Key Strategy
17.28.3 Key Strengths
17.29 Hospice Of Southern Illinois
17.29.1 Business Overview
17.29.2 Key Strategies
17.29.3 Key Strengths
17.30 Hospice Of The Valley
17.30.1 Business Overview
17.30.2 Key Strategies
17.30.3 Key Strength
17.31 Human Touch Home Health Care
17.31.1 Business Overview
17.31.2 Key Strategy
17.31.3 Key Strength
17.32 LCS
17.32.1 Business Overview
17.32.2 Key Strategies
17.32.3 Key Strength
17.33 Life Care Centers of America
17.33.1 Business Overview
17.33.2 Key Strategy
17.33.3 Key Strength
17.34 Living Assistance Services
17.34.1 Business Overview
17.34.2 Key Strategy
17.34.3 Key Strengths
17.35 Nurse Care Of North Carolina
17.35.1 Business Overview
17.35.2 Key Strategies
17.35.3 Key Strength
17.36 Nurse Next Door
17.36.1 Business Overview
17.36.2 Key Strategy
17.36.3 Key Strengths
17.37 Pacifica Senior Living
17.37.1 Business Overview
17.37.2 Key Strategy
17.37.3 Key Strength
17.38 Preferred Care
17.38.1 Business Overview
17.38.2 Key Strategy
17.38.3 Key Strength
17.39 Premier Home Health Care Services
17.39.1 Business Overview
17.39.2 Key Strategy
17.39.3 Key Strengths
17.40 Pruitthealth
17.40.1 Business Overview
17.40.2 Key Strategies
17.40.3 Key Strength
17.41 Right At Home
17.41.1 Business Overview
17.41.2 Key Strategies
17.41.3 Key Strengths
17.42 Senior Lifestyle
17.42.1 Business Overview
17.42.2 Key Strategies
17.42.3 Key Strength
17.43 Seasons Hospice & Palliative Care
17.43.1 Business Overview
17.43.2 Key Strategies
17.43.3 Key Strengths
17.44 Senior Care Centers
17.44.1 Business Overview
17.44.2 Key Strategy
17.44.3 Key Strengths
17.45 Trinity Health
17.45.1 Business Overview
17.45.2 Key Strategies
17.45.3 Key Strengths
17.46 Valeo Home Health & Hospice
17.46.1 Business Overview
17.46.2 Key Strategy
17.46.3 Key Strength
17.47 Visiting Nurse Service Of New York
17.47.1 Business Overview
17.47.2 Key Strategy
17.47.3 Key Strengths
17.48 Vitas
17.48.1 Business Overview
17.48.2 Key Strategy
17.48.3 Key Strengths
18 Report Summary
18.1 Key Takeaways
18.2 Strategic Recommendations
19 Quantitative Summary
19.1 Service Type
19.1.1 US Market
19.1.2 Hospice Care
19.1.3 Home Health Care
19.1.4 Assisted Living Facility
19.1.5 Skilled Nursing Facility
19.2 Expenditure
19.2.1 US Market
19.3 Gender
19.3.1 US Market
19.3.2 Male
19.3.3 Female
20 Appendix
20.1 Abbreviations
List of Exhibits
Exhibit 1 Segmentation of Nursing Care Market in US
Exhibit 2 Market Size Calculation Approach 2019
Exhibit 3 Number of Certified Nursing Facilities in US by State 2018
Exhibit 4 GDP of US 2015−2019 ($ billion)
Exhibit 5 US National Health Expenditure as Percentage of GDP 2013−2017
Exhibit 6 Impact of Technological Development
Exhibit 7 Impact of Increasing Sedentary Lifestyle
Exhibit 8 Adult Physical Inactivity Prevalence in US by State 2018
Exhibit 9 Sedentary Lifestyle: Key Facts
Exhibit 10 Impact of Increasing Health Awareness
Exhibit 11 Percentage of US Millennials who Felt Informed about their Health 2016−2018
Exhibit 12 Impact of Value-based Purchasing & Patient-Driven Payment Model
Exhibit 13 Impact of Increasing Geriatric Population & Chronic Diseases
Exhibit 14 US Demography by Population Group 2015 (million)
Exhibit 15 Geriatric Population in 2018 for Selected US States (in million)
Exhibit 16 Share of Geriatric Population in the Total US Population from 2000−2030
Exhibit 17 Percentage of US Nationals Aged 65 Years and Older with Selected Chronic Health Conditions 2018
Exhibit 18 Distribution of Alzheimer's Disease Patients in US as of 2019 by Age Group
Exhibit 19 Impact of Health Insurance Reforms
Exhibit 20 Health Insurance Status Distribution of the Total US Population in 2018
Exhibit 21 Number of US Nationals Getting Insured Under ACA in US: An Overview (million)
Exhibit 22 Impact of Changes in Social Patterns
Exhibit 23 Employment Rate of Women in US 2012−2018
Exhibit 24 Civilian Female Labor Force in US 2015−2019 (million)
Exhibit 25 Impact of Increasing Nurse Education
Exhibit 26 Impact of Shortage of Nurses
Exhibit 27 Nurse Demand vs. Nurse Supply 2012 & 2025 (in thousands)
Exhibit 28 Impact of Presence of Stringent Government Regulations
Exhibit 29 US: Nursing Care Market 2019−2025 ($ billion)
Exhibit 30 Total Enterprise Value of Top US Home Care or Hospice Service Providers as of July 2019 ($ million)
Exhibit 31 Five Forces Analysis 2019
Exhibit 32 Incremental Growth by Service Type 2019 & 2025
Exhibit 33 US: Nursing Care by Service Type: An Overview
Exhibit 34 US: Nursing Care Market by Service Type 2019 & 2025 (% share)
Exhibit 35 Distribution of US Hospice Care Patients based on Length of Stay 2018
Exhibit 36 A Few Leading Hospice Care Providers in US
Exhibit 37 Hospice Care Market in US 2019-2025 ($ billion)
Exhibit 38 Home Health Care Market in US by 2019−2025 ($ billion)
Exhibit 39 Types of Home Health Care
Exhibit 40 Home Health Care Expenditure in US 2015−2019 ($ billion)
Exhibit 41 List of Some Home Healthcare Service Providers in US
Exhibit 42 Selected US States with High Annual Costs of Assisted Living Facilities 2019 ($ thousand)
Exhibit 43 Top 10 Not-for-Profit Senior Living Organizations in US by Number of Assisted Living Units 2018
Exhibit 44 Assisted Living Facility Market in US 2019−2025 ($ billion)
Exhibit 45 Median Occupancy Percentage of US Skilled Nursing Facility Beds 2014−2018
Exhibit 46 Skilled Nursing Facility Market in US 2019−2025 ($ billion)
Exhibit 47 Incremental Growth by Expenditure 2019 & 2025
Exhibit 48 US: Nursing Care by Expenditure: An Overview
Exhibit 49 US: Nursing Care Market by Expenditure 2019 & 2025 (% share)
Exhibit 50 Spending for Nursing Care in US in 2018 by Payer ($ billion)
Exhibit 51 Percentage of People Covered by Medicare in US from 2012−2018
Exhibit 52 Nursing Care Market in US by Public Expenditure 2019−2025 ($ billion)
Exhibit 53 Concerns on Affordability of Healthcare among US Patients as of 2019
Exhibit 54 Nursing Care Market in US by Private Expenditure 2019−2025 ($ billion)
Exhibit 55 Percentage of US Residents in Nursing Homes by Age and Gender 2019
Exhibit 56 Incremental Growth by Gender 2019 & 2025
Exhibit 57 US: Nursing Care by Expenditure: An Overview
Exhibit 58 US: Nursing Care Market by Gender 2019 & 2025 (% share)
Exhibit 59 Male Nursing Care Market in US 2029−2025 ($ billion)
Exhibit 60 Percentage of US Citizens Aged 65 Years & Older with Selected Chronic Health Conditions in 2013 & 2014
Exhibit 61 Average Retirement & Annual Savings Account Balances in US by Gender ($)
Exhibit 62 Female Nursing Care Market in US 2019−2025 ($ billion)
Exhibit 63 Gender Distribution of US Nursing Assistants in Nursing Homes 2019
Exhibit 64 US Citizens Aged 65 Years and Above with Selected Chronic Health Conditions in 2013 & 2014 by Gender
Exhibit 65 Distribution of US Hospice Patients by Gender 2018
Exhibit 66 Percentage of US Residents in Nursing Homes by Age and Gender 2019
List of Tables
Table 1 Key Caveats
Table 2 Currency Conversion 2013−2019
Table 3 Most Common Types of Nursing Jobs
Table 4 5 Major Types of Nursing Care Delivery System
Table 5 Biggest Technological Advancements for Healthcare in the Last Decade
Table 6 Vacancy Rate of Registered Nurses in US Hospitals from 2015−2019
Table 7 Hospice Care Market in US: Gender Segmentation 2019−2025 ($ billion)
Table 8 A Few Leading Providers of Home Healthcare in US
Table 9 Home Health Care Market in US: Gender Segmentation 2019−2025 ($ billion)
Table 10 Assisted Living Facility Market in US: Gender Segmentation 2019−2025 ($ billion)
Table 11 Skilled Nursing Facility Market in US: Gender Segmentation 2019−2025 ($ billion)
Table 12 Male Nursing Care Market in US: Service Type 2019−2025 ($ billion)
Table 13 Female Nursing Care Market in US: Service Type 2019−2025 ($ billion)
Table 14 Nursing Care Market in US by Service Type 2019−2025 ($ billion)
Table 15 Hospice Care Market in US by Gender 2019−2025 ($ billion)
Table 16 Home Health Care Market in US by Gender 2019−2025 ($ billion)
Table 17 Assisted Living Facility Market in US by Gender 2019−2025 ($ billion)
Table 18 Skilled Nursing Facility Market in US by Gender 2019−2025 ($ billion)
Table 19 Nursing Care Market in US by Expenditure 2019−2025 ($ billion)
Table 20 Nursing Care Market in US by Gender 2019−2025 ($ billion)
Table 21 Male Nursing Care Market in US by Service Type 2019−2025 ($ billion)
Table 22 Female Nursing Care Market in US by Service Type 2019−2025 ($ billion)

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