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


Attention: There is an updated edition available for this report.

As Kalorama publishes its second edition of this detailed report on the long term care industry and all of its segments, there is no decrease in demand or activity for everything from nursing homes, to home care, to hospices. The U.S. long care industry has experienced strong growth from 2002 through 2007 and this growth is expected to accelerate through the forecast period as the U.S. population continues to age and demand rises for long term care. Ongoing cost containment will continue to pressure both private and public managed care organizations, however, new premium-priced specialty services such as dementia care and upscale living options will create growth opportunities.

This Kalorama Information report The Long-Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living by analyst Alison Sahoo provides an in-depth examination of the market for long-term care today. The following segments are broken out in detail:

  • Nursing Homes
  • Assisted Living
  • Hospice
  • Home Care
For each of these segments 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
What population and demographic trends are driving long term care? What are the major players in long term care? Which segments of long term care show the most promise? What are the main pitfalls for new entrants? What strategies are companies using to overcome these challenges? These questions and more are tackled in this exhaustive survey.

As with all Kalorama Information reports, this report is created from a primary research effort. While secondary sources were researched, it is interviews with industry experts, interpreted and analyzed by an expert in the field, that provide the true insights.


  • Executive Summary
    • OVERALL MARKET SIZE
      • Table The Overall U.S. Long Term Care Market 2002-2012 (in $millions)
    • LONG TERM CARE
    • DEMOGRAPHICS
      • Geographic Concentrations
      • Activities of Daily Living
      • Chronic Illness
      • Income
    • QUALITY OF CARE
    • U.S. HEALTH EXPENDITURES
    • CONSUMER PREFERENCES AND LIFESTYLE ISSUES
    • FEES AND 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
    • SCOPE AND METHODOLOGY
  • Issues, and Trends
    • LONG TERM CARE
      • Nursing Homes
      • Home Care
      • Hospices
      • Assisted Living
    • DEMOGRAPHICS
      • U.S. Population
        • Table U.S. Resident Population, by Age, 2000, 2008* (In thousands)
        • Table Projected U.S. Resident Population, by Age, Selected Years, 2008 - 2030 (In thousands)
    • AGING OF THE POPULATION
      • Table U.S. Life Expectancy in Years, 2002-2012
      • Table U.S. Resident Population, by Sex and Age, 2008
      • Racial Trends
        • Table U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected Years, 2000 - 2025 (in thousands)
        • Table U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected Years, 2000 - 2025
        • Table Proportion of U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected Years, 2000 - 2025
      • Marital and Living Arrangements
        • Table Characteristics of U.S. Household Population of Persons 65 and Older, 2008
        • Table Marital Status of U.S. Residents Age 65 and Older, 2008 (In thousands)
        • Table Marital Status of U.S. Residents Age 65 and Older, 2008
      • Geographic Concentrations
        • Table U.S. Resident Population, by State and Age, 2008
        • Table Number of Nursing Homes in Top 15 States, 2003
      • Activities of Daily Living
        • Table Disability Prevalence by Age, 2000
      • Chronic Illness
        • Table Frequencies of Selected Diseases Among Older U.S. Persons, 2008 (thousands)
        • Table Frequencies of Selected Diseases Among Older U.S. Persons, 2008
      • Income
        • Table U.S. Median Income by Householder Age, 2006
        • Table U.S. Median Net Worth for Seniors, 2006
    • QUALITY OF CARE
      • Certification and Accreditation
    • U.S. HEALTH EXPENDITURES
      • Table National Health Expenditures, 2002 - 2007* (in Millions)
      • Table Per Capita National Health Expenditures, 2002 - 2007*
      • Table National Health Expenditures by Type, 2002 - 2007* (in Millions)
      • Table Funding Sources for Personal Health Expenditures, 2002 - 2007* (in Millions)
    • CONSUMER PREFERENCES AND LIFESTYLE ISSUES
      • The Elderly
      • Caregiver Issues
    • FEES AND PAYMENT
      • Medicare
      • Medicaid
      • Long Term Care Insurance
    • PREPARTING FOR FOR THE FUTURE
      • Staffing and Human Resources
      • Information and Education Initiatives
      • Building of New Facilities
  • Nursing Homes
    • DESCRIPTION OF FACILITIES
      • Services
      • Number of Facilities
        • Table Nursing Home Size Bed Capacity, 1973 - 2004
        • Table Nursing Home Size and Occupancy by Region, 2004
    • RESIDENT POPULATION
      • Demographic Data
      • Functional Data
      • Length of Stay
      • Insurance Coverage
    • ISSUES AND TRENDS
      • Quality of Care
        • Table Leading Nursing Home Deficiencies
        • Table U.S. Nursing Home Deficiencies by State
      • Safety
      • Budget Cuts
      • Patient Dumping
      • Resident-Oriented Care
    • MARKET SIZE AND FORECAST
      • Cost of Care
      • Size of the Market
        • Table The U.S. Nursing Home Market 2002-2012
        • Table Nursing Home Care Expenditures, Distribution by Payment Source, 2002-2007*
    • COMPETITOR ANALYSIS
      • Table Leading Competitors in the U.S. Nursing Home Market, by Revenues and Market Shares, 2007
    • MARKET ANALYSIS
  • Home Care
    • DESCRIPTION OF FACILITIES
      • Services
        • Table Comparison of Hospital, Nursing and Home Health Care Medicare Charges, 2004 - 2006
      • Number of Facilities
        • Table Number of Medicare-Certified Home Care Agencies, 1980 - 2007*
    • RESIDENT POPULATION
      • Demographic Data
        • Table Spending on Home Health Care Services by Region, 2007
        • Table Living Arrangements of Home Health Care Recipients, 2007
      • Functional Data
      • Insurance Coverage
    • ISSUES AND TRENDS
      • Medicare Reimbursement
        • Table Medicare Fee-for-Service Home Health Outlays, Visits, Clients, Payment/Client, and Visits/Client, Calendar Years 1997-2007*
      • Medicaid Reimbursement
      • Medicare and Medicaid Co-Payments
      • Quality
      • Disease Management
      • Fraud
      • Mergers and Acquisitions
      • Technology and Telemedicine
    • MARKET SIZE AND FORECAST
      • Cost of Care
      • Size of the Market
        • Table The U.S. Home Health Care Market, 2002-2012
        • Table Home Health Care Expenditures, Distribution by Payment Source, 2002-2007*
    • COMPETITOR ANALYSIS
      • Table Leading Competitors in the U.S. Home Health Care Market, by Revenues and Market Shares, 2007
    • MARKET ANALYSIS
  • Hospices
    • DESCRIPTION OF FACILITIES
      • Services
      • Number of Facilities
        • Table Type of Agency, FY 2005
    • RESIDENT POPULATION
      • Demographic Data
        • Table Usage of Hospice Services by Age, 2006 vs. 2005
        • Table Usage of Hospice Services by Race, 2006 vs. 2005
        • Table Usage of Hospice Services by Primary Diagnosis, 2006 vs. 2005
      • Functional Data
      • Insurance Coverage
        • Table Percentage of Patients Served by Payer, 2006 vs. 2005
        • Table Average Medicare Reimbursements for Hospice Care, FY 2008
        • Table Medicare Hospice Outlays, Clients, and Days per Client, FY 1994-FY 2007
    • ISSUES AND TRENDS
      • Fraud
      • Quality Issues and Patient Abuse
      • Telemedicine
      • Profitability
      • Extended Lifespans
      • Rising Length of Stay
        • Table Average Length of Stay in Hospice by State, 2006
      • *Return of Reimbursements
      • Budget Cuts
    • MARKET SIZE AND FORECAST
      • Cost of Care
      • Size of the Market
        • Table The U.S. Market for Hospice Care, 2002-2012
    • COMPETITOR ANALYSIS
      • Table Leading Competitors in the U.S. Hospice Market, by Revenues and Market Shares, 2007
    • MARKET ANALYSIS
  • Assisted Living
    • DESCRIPTION OF FACILITIES
      • Services
      • Number of Facilities
    • RESIDENT POPULATION
      • Demographic Data
      • Functional Data
        • Table Percentage of Assisted Living Residents Requiring Assistance with Daily Living Activities (Independent, Need Some Help, Dependent)
      • Length of Stay
      • Insurance Coverage
    • ISSUES AND TRENDS
      • Quality of Care
      • Mergers and Acquisitions
    • MARKET SIZE AND FORECAST
      • Cost of Care
      • Size of the Market
        • Table The U.S. Market for Assisted Living, 2002-2012
    • COMPETITOR ANALYSIS
      • Table Leading Competitors in the U.S. Assisted Living Market, by Revenues and Market Shares, 2007
    • MARKET ANALYSIS
  • Market Summary
    • OVERVIEW
    • ISSUES AND TRENDS
      • Continuum of Care
      • Reimbursement and Regulatory Changes
      • Specialty Care
    • MARKET SIZE AND FORECAST
      • Table The U.S. Long Term Care Market by Segment, 2002
      • Table The Overall U.S. Long Term Care Market , 2002-2012 ($millions)
      • Table The U.S. Long Term Care Market by Segment, 2007
      • Table The U.S. Long Term Care Market by Segment, 2012
  • Company Profiles
    • APRIA HELATHCARE GROUP,INC.
      • Table Financial Performance for Apria 2005 - 2007
    • BEVERLY ENTERPRISES,INC.
    • BROOKDALE SENIOR LIVING
      • Table Financial Performance for Beverly Enterprises 2005 - 2007
    • EMERITUS CORPORATION
      • Table Financial Performance for Emeritus Corp. 2005 - 2007
    • EXTENDICARE,INC.
      • Table Financial Performance for Extendicare 2005 - 2007
    • MANOR CARE,INC. (HCR Manor Care)
      • Table Financial Performance for Manor Care 2005 - 2007*
    • SAVA SENIOR CARE INC.
    • SUN HEALTHCARE GROUP INC.
      • Table Financial Performance for Sun Healthcare Corp. 2005 - 2007
    • SUNRISE SENIOR LIVING,INC.
      • Table Financial Performance for Sunrise Senior Living 2004 - 2006

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