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


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

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.


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 3-1: Nursing Home Numbers and Occupancy Rates by State, 2008
  • 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 4-1: Home Care Patients and Visits, by State, 2006
  • 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

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