Sleep Labs in America: An Industry Analysis

Introduction: Study Scope & Methodology
- Glossary of sleep disorder terms
- List of major private & public sector information source used

Executive Overview of Major Findings
- Market definition and scope: mkt. segments included
- Scope of sleep deprivation in America: prevalence rates of insomnia, causes, no. of sleep disorders, description of most common sleep disorders, NSF vs.other polls.
- Nature of the field of sleep medicine and somnology: history/evolution of sleep labs, number, multiple-site chains, mkt. size 1997-2023 F
- Why drug companies play a major role in publicizing sleep disorders and creating demand for Rx sleeping pills, mkt. size 1997-2023 F
- Size and nature of the mattress & pillows market, new technologies, mkt size
- Obstructive sleep apnea market: why CPAP device potential is huge and largely untapped, mkt. size 1997-2023 F
- Major Market Trends: discussion of… sleep lab reimbursement and consolidation, home test market, decline of Rx sleep medications mkt. due to generics, growth of OTC meds, mattress mkt. technology and distributiondisruptions.
- Market Size & Growth, Market Segments: Total mkt. value, effect of recessions, 2007 performance, 2018 & 2023 forecasts

Tables:
- Total size of U.S. sleep market, by mkt. segment: 1995-2023 F, annual percent change
- Mattresses market: 1995-2023 F
- Pillows market: 1995-2023 F
- Sleep Labs/centers: 1995-2023 F
- Rx and OTC sleeping medications market: 1995-2023 F
- CPAP devices market: 1995-2023 F

The Sleep Labs Industry

Summary: Industry Nature & Structure
- What are sleep labs, how many?, evolution & nature of the field, polysomnograms test description, accredited vs. non-accredited centers
- Launching a new sleep lab – the process/key considerations, capital needed, choices for hospital or MD affiliations
- The effect of Medicare approval of home tests: discussion, type of devices
- What patients can expect at a sleep lab: type tests (PSGs, split night studies, MSLTs, CPAP titrations), role of sleep techs, follow-up
- How to find A sleep lab

Industry Size & Growth Outlook, Forecasts
-1995-2016 Estimates, 2018 Forecast, reasons for closures/consolidation, reimbursement issues, major problems labs face, long-termoutlook.
- 2014-2018 quarterly surveys of sleep lab metrics: patient volume, bed count (Needham & Co.)

Tables
- Sleep Labs revenues, no. of labs, annual % change: 1995-2023 F
- National projected sleep study volumes to 2024

Sleep Lab Technicians Salary Trends
- Descriptions of the major staff positions, training required (sleep tech, technologists)
- Findings of Sleep Review Magazine’s salary survey, average salary and ranges for: RPSGTs, sleep techs, respiratory therapists, sleep physicians, sleep center directors, supervisors, managers: by tenure, by day/night shift, by age(2015 vs. 2007)

Table
- Salary by job title, by region: - 6 staff positions.

Sleep Lab Operating Metrics:
Results of Past Marketdata U.S. Sleep Labs Survey
- Type of sleep lab (percent of total: hospital-based, practice-based, universitybased, independent / free-standing
- Average number of PSGs (sleep studies, CPAP titrations and MSLTs) performed in 2006, 2007
- Average number of beds operated and average days/nights per week operated
- Number of patients the sleep lab would be able to test/titrate per week if operating at 100% occupancy, 7 days/nights per week (average)
- List of Sleep centers’ biggest issues or problems
- Expected effect of March 14 decision by CMS to provide Medicare reimbursement for home sleep studies using portable devices to have on their lab’s future
- Average fees a sleep lab charges for: PSG sleep study, CPAP titration study, MSLT
- Reimbursement – avg. amount a sleep lab receives for: PSG sleep study, CPAP titration study, MSLT
- Percentage of a sleep lab’s total sleep diagnostic revenue that comes from: commercial insurance, Medicare/Medicaid, patients
- Average sleep lab’s diagnostic revenues in 2007
- Whether sleep labs have an affiliated company that provides PAP set-ups for their patients and generates sleep therapy revenues, number of PAP set-ups performed in: 2006, 2007
- Whether economic recessions affect a sleep lab’s business?
- Percentage of a sleep lab’s patient base that is male vs. female
- Age of a sleep lab’s most typical patient (% by age class)
- The contributing factors to a sleep lab patients’ sleep disorders (% by type: obesity, large neck size, nasal/airway obstructions, etc.)
- Percentage of sleep labs that treat these disorders: sleep apnea, insomnia, restless leg syndrome, narcolepsy, periodic limb movement
- Whether sleep labs collect outcome data

Competitor Profiles – The Major Sleep Lab Chains
(description and history of company, no. of labs operated, address, specialties, acquisitions, services, financials when available)
- SleepMed, Inc.
- Sleep Holdings
- Foundation Surgery Affiliates, LLC
- Novasom
- Nocturna Sleep Center

Reference Directory of Sleep-related Trade Groups, Experts, Journals
- List of sleep market national/regional trade associations, journals, consulting firms, brokerage analysts, other key contacts – address & phones, description of activities.
- Profiles of Michael J. Breus, Ph.D. and Duane M. Johnson, Ph.D.