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

The Long Term Care Market

The Long Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living examines the most important segments of the long term care business, each of which provide medical care and/or assistance with the activities of daily living (ADLs) on an ongoing basis. Kalorama’s 6th edition of this detailed report provides a size and projection for each market segment, including the following: overall U.S. long term care industry 2011–2020 (nursing home care, home care, hospice care, assisted living, total); U.S. nursing home industry, by sales, 2011–2020; leading companies in the U.S. nursing home industry, by sales and market shares, 2015; U.S. home health care industry, by sales, 2011-2020; leading companies in the U.S. home health care industry, by sales and market shares, 2015; U.S. opportunity for hospice care, by sales, 2011-2020; leading companies in the U.S. hospice market, by sales and market shares, 2015; U.S. opportunity for assisted living, by sales, 2011-2020; leading companies in the U.S. assisted living opportunity, by sales and market shares, 2015; long term care market sales by year, 2011, 2015, 2020; and long term care market revenues by major company, 2015 (nursing home care, home care, hospice care, assisted living, total).

For each of the sector of long term care market, this report provides: number of facilities/providers and growth trends, patient statistics, forms of payment and reimbursement levels, and issues and trends affecting the market. HCR Manor Care, Kindred Healthcare, Genesis Healthcare, Life Care Centers of America, Brookdale Senior Living, and other leading long term care concerns are included in the report’s competitive analysis.


  • Executive Summary
    • U.S. LONGTERM CARE INDUSTRY
    • SCOPEAND METHODOLOGY
    • OVERALL MARKET SIZE
      • Table The Overall U.S. Long Term Care Market 2011 – 2020 (In $millions)
    • LONGTERM CARE
    • DEMOGRAPHICS
      • Geographic Concentrations
      • Activities of Daily Living
      • Chronic Illness
      • Income
    • QUALITYOFCARE
    • CONSUMER PREFERENCES AND LIFESTYLE ISSUES
    • FEESAND PAYMENT
      • 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
  • Long Term Care Industry, Issues and Trends
    • THE U.S. HEALTH CARE INDUSTRY
    • LONGTERM CARE
      • Nursing Homes
      • Home Care
      • Hospices
      • Assisted Living
    • DEMOGRAPHICS
      • U.S. Population
        • Table Projected U.S. Resident Population, by Age, Selected Years, 2015-2050 (in thousands)
      • Aging of the Population
        • Table U.S. Expectation of Life at Birth, by Sex and Race, 2015
        • Table U.S. Life Expectancy Projections in Years, 2015 – 2060
        • Table U.S. Resident Population, by Gender and Age, 2013 (In thousands)
      • Racial Trends
      • Obesity
        • Table U.S. Resident Elderly Population, by Age, Hispanic Origin, and Race, Selected Years, 2012, 2030, 2050 (In thousands)
        • Table U.S. Resident Elderly Population, by Age, Hispanic Origin, and Race, Selected Years, Percent (%), 2012, 2030, 2050
      • Marital and Living Arrangements
        • Table Characteristics of U.S. Household Population of Persons 65 and Older, 2013
        • Table Marital Status of U.S. Residents Age 65 and Older, 2013 (In thousands)
        • Table Marital Status of U.S. Residents Age 65 and Older, by Percent, 2013
      • Geographic Concentrations
        • Table U.S. Resident Population, by State and Age, 2013
      • Activities of Daily Living
        • Table Estimated Number of Nursing Home Residents by State, 2013
        • Table Disability Prevalence by Age, 2013
      • Chronic Illness
        • Table Frequencies of Selected Diseases among Older U.S. Persons, 2013 (In thousands)
        • Table Frequencies of Selected Diseases among Older U.S. Persons, by Percent, 2013
      • Addiction
      • Mental Illness
      • Income
        • Table U.S. Median Income by Householder Age, 2014
    • HEALTH CARE REFORM
    • QUALITYOFCARE
      • Certification and Accreditation
    • U.S. HEALTH EXPENDITURES
      • Table Funding Sources for National Health Expenditures, 2011 – 2020*
      • Table Funding Sources for Home Health Care Spending, 2011 – 2020*
      • Table Funding Sources for Nursing Home Spending, 2011 – 2020*
    • CONSUMER PREFERENCESAND LIFESTYLE ISSUES
      • The Elderly
      • Caregiver Issues
    • FEES AND PAYMENT
      • Medicare
      • Medicaid
      • Long Term Care Insurance
      • Numbers of Insured
      • Effect of the Economy
        • Table Selected State Budget Shortfalls in Fiscal 2015
    • THE MANAGED CARE ENVIRONMENT
    • PREPARINGFOR THE FUTURE
      • Staffing and Human Resources
      • Information and Education Initiatives
      • Medicaid Reform
      • Building of New Facilities
      • Information Technology
  • Nursing Homes
    • DESCRIPTION OF FACILITIES
      • Services
      • Number of Facilities
    • RESIDENT POPULATION
      • Demographic Data
      • Functional Data
      • Length of Stay
      • Insurance Coverage
        • Table Primary Payment Sources for Nursing Home Residents, by State, 2013
    • ISSUESAND TRENDS
      • Reimbursement Cuts
      • Health Care Reform
      • Patient Dumping
      • Quality of Care
        • Table U.S. Nursing Home Deficiencies by State, 2012
      • Safety
    • MARKETSIZEAND FORECAST
      • Cost of Care
      • Size of the Market
        • Table The U.S. Nursing Home Market, by Revenues, 2011 – 2020
    • COMPETITORANALYSIS
      • Table Leading Competitors in the U.S. Nursing Home Market, by Revenues and Market Shares, 2015
    • MARKETANALYSIS
  • Home Care
    • DESCRIPTION OF FACILITIES
      • Services
      • Number of Facilities
    • RESIDENT POPULATION
      • Demographic Data
      • Functional Data
        • Table Medicare Home Care Patients and Visits, by State, 2011
      • Insurance Coverage
    • ISSUESAND TRENDS
      • Medicare Reimbursement
        • Table Medicare Fee-for-Service Home Health Outlays, Visits, Clients, Payment/Client, and Visits/Client, Calendar Years 1996-2011
      • Medicaid Reimbursement
      • Medicare and Medicaid Co-payments
      • Home and Community Based Services
      • State Service Reductions
      • Improper Payments
      • Quality of Care
      • Disease Management
      • Caregiver Burnout
      • Technology and Telemedicine
    • MARKETSIZEAND FORECAST
      • Cost of Care
      • Size of the Market
        • Table The U.S. Home Health Care Market, by Revenues, 2011-2020
    • COMPETITORANALYSIS
      • Table Leading Competitors in the U.S. Home Health Care Market, by Revenues and Market Shares, 2015
    • MARKETANALYSIS
  • Hospices
    • DESCRIPTION OF FACILITIES
      • Services
      • Number of Facilities
    • RESIDENT POPULATION
      • Demographic Data
        • Table Number of Medicare-certified Hospices and Program Payments, by State, 2010
      • Functional Data
        • Table Mean Length of Hospice Stay, According to Disease Category
      • Insurance Coverage and Hospice Profitability
        • Table Average Medicare Reimbursements for Hospice Care, FY 2015
    • ISSUESAND TRENDS
      • Fraud and Abuse
      • Health Care Reform
      • Proprietary Technologies
      • Profitability
    • MARKETSIZEAND FORECAST
      • Cost of Care
      • Size of the Market
        • Table The U.S. Market for Hospice Care, by Revenues, 2011-2020
    • COMPETITORANALYSIS
      • Table Leading Competitors in the U.S. Hospice Market, by Revenues and Market Shares, 2015
    • MARKETANALYSIS
  • Assisted Living
    • DESCRIPTION OF FACILITIES
      • Services
      • Number of Facilities
    • RESIDENT POPULATION
      • Demographic Data
      • Functional Data
      • Length of Stay
      • Insurance Coverage
    • ISSUESAND TRENDS
      • Health Care Reform
      • Quality of Care
      • Mergers and Acquisitions
      • Consumer Knowledge and Information
    • MARKETSIZEAND FORECAST
      • Cost of Care
      • Size of the Market
        • Table The U.S. Market for Assisted Living, by Revenues, 2011-2020
    • COMPETITORANALYSIS
      • Table Leading Competitors in the U.S. Assisted Living Market, by Revenues and Market Shares, 2015
    • MARKETANALYSIS
  • Market Summary
    • OVERVIEW
    • ISSUESAND TRENDS
      • Continuum of Care
      • Reimbursement and Regulatory Changes
      • Specialty Care
      • Competitive Bidding
      • Mergers, Acquisitions and Divestitures
    • MARKETSIZEAND FORECAST
      • Table The Overall U.S. Long Term Care Market, 2011 – 2020 (In $millions)
      • Table Long Term Care Industry Revenues by Sector, Selected Years, 2011 - 2020
    • COMPETITORANALYSIS
      • Table Long Term Care Industry Revenues by Major Player, 2015 (In $millions)
  • Profiles
    • AMEDISYS, INC.
      • History and Lines of Business
      • Long-Term Care Business
      • Financial Information
      • Mergers and Acquisitions
      • Corporate Strategies
    • AMERICAN HOME PATIENT
      • History and Lines of Business
      • Financial Information
      • Mergers and Acquisitions
      • Corporate Strategies
    • APRIA HEALTHCARE GROUP INC/ BLACKSTONE GROUP
      • History and Lines of Business
      • Long-Term Care Business
      • Financial Information
      • Mergers and Acquisitions
      • Corporate Strategies
    • ATRIA SENIOR LIVING
      • 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
    • 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
    • GENTIVA HEALTH SERVICES (now part of KINDRED AT HOME)
      • 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
    • HCR MANOR CARE, INC.
      • History and Lines of Business
      • Long-Term Care Business
      • Financial Information
      • Mergers and Acquisitions
      • Corporate Strategies
    • KINDRED HEALTHCARE, INC.
      • History and Lines of Business
      • Long-Term Care Business
      • Financial Information
      • Mergers and Acquisitions
      • Corporate Strategies
    • LIFE CARE CENTERS OF AMERICA
      • History and Lines of Business
      • Long-Term Care Business
      • Financial Information
      • Mergers and Acquisitions
      • Corporate Strategies
    • LINCARE
      • 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
    • VITAS HEALTHCARE
      • History and Lines of Business
      • Long-Term Care Business
      • Financial Information
      • Mergers and Acquisitions
      • Corporate Strategies

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