Description
The Long Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living
This Kalorama Information report, The Long Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living provides detailed market research on the U.S. long-term care market. This market complex and diverse industry evolves nearly every year, and influences other markets such as the sales of pharmaceuticals, devices and healthcare services. For seven editions, Kalorama has provided a look at who is leading, what the opportunity is and will be in four key areas of long term care.
The reason for the importance of the market will not surprise. As the demographics of the U.S. population change, so have the attitudes toward long-term care. The long-term care industry has met the challenges of the changing industry by diversifying offerings and increasing specialized care. The U.S. long care industry has experienced steady growth from 2016 through 2018 and this is expected to continue through the forecast period. Aging of the population will increase demand for all forms of long-term care, although ongoing cost containment will continue to pressure the industry. Baby boomers account for approximately 67 million individuals in the United States in 2018 and this enormous group will be making decisions about whether senior living is the right option for their aging loved ones and eventually for themselves.
The evolution and specialization of residential, community-based, and home health care services will continue. The aging of the population, rising rates of chronic disease, longer life expectancies, and advances in public health and medical technology will result in unprecedented numbers of people requiring long-term care services in the near future – even as a shortage of health care personnel is occurring. The health care industry must begin to work now to reduce the fragmentation that exists both in the continuum of long-term care services and in the system of payment for those services.
Industry participants must stay current on and attentive to data trends, be prepared to quickly expand current programs, and collaborate with other care providers within their communities, and thereby be ready to serve an even greater number of people by providing seamless care that is accessible, effective, efficient, and affordable.
Scope and Methodology
- 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 as well as residential living programs and facilities that do not generally provide care such as retirement communities and/or continuing care retirement communities (CCRCs). Also excluded are equipment and supplies used in home care such as wheelchairs, beds, diabetic supplies, etc., as well as medications.
The Long Term Care Opportunity
Sales estimates for each market segment represent U.S. revenues and are expressed in current U.S. dollars. Estimates are provided for the historic 2016 to 2018 period and forecasts are provided through 2023. 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.
Kalorama Information’s seventh edition of this detailed report on the long term care industry provides a size and forecast estimate for each of the critical segments noted above, including the following market information:
Overall U.S. Long Term Care Market 2015 – 2023 (Nursing Home Care, Home Care, Hospice Care, Assisted Living, Total)
U.S. Nursing Home Market, by Revenues, 2011 – 2020
Leading Competitors in the U.S. Nursing Home Market, by Revenues and Market Shares, 2018
U.S. Home Health Care Market, by Revenues, 2015-2023
Leading Competitors in the U.S. Home Health Care Market, by Revenues and Market Shares, 2018
U.S. Market for Hospice Care, by Revenues, 2015-2023
Leading Competitors in the U.S. Hospice Market, by Revenues and Market Shares, 2018
U.S. Market for Assisted Living, by Revenues, 2015-2023
Leading Competitors in the U.S. Assisted Living Market, by Revenues and Market Shares, 2018
Long Term Care Industry Revenues by Year, 2011, 2015, 2020
Long Term Care Industry Revenues by Major Player, 2018 (Nursing Home Care, Home Care, Hospice Care, Assisted Living, Total)
The U.S. health care industry continues to evolve in response to ongoing cost containment imperatives, aging of the population and relatively low rates of wellness within large segments of the general public (obese persons, diabetics, persons with addictions, etc.). This is leading to increased utilization of all forms of long-term care. For each of the segments of long term care, this report provides:
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.
Trend Analysis – Know Where the Market is Going
Kalorama report The report covers the following trends:
- Conditions of Participation
- Medicare Reimbursement
- Medicaid Reimbursement
- Medicare and Medicaid Co-payments
- Home and Community Based Services
- State Service Reductions
- Improper Payments
- Quality of Care
- Disease Management
- Staffing Issues
- Technology and Telemedicine
- Home Health Value-Based Purchasing
- Home Health Payment Reform
- Payment Rates
- The Continuum of Care
- Reimbursement and Regulatory Changes
- Specialty Care
- Competitive Bidding
- Mergers, Acquisitions and Divestitures
Competitive Analysis: Who is In the Market and Who is Winning?
This Kalorama Information report features a superior competitive analysis section. There are numerous companies in the long term care industry, but roughly 20 concerns stand out and are part of a profile in this report:
ALMOST FAMILY, INC/LHC GROUP
- Almost Family/LHC Group Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
- Company Financials
- Almost Family/LHC Group Revenue (2015-2018) ($ millions)
AMEDISYS, INC.
- Table 8-3: Amedisys Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
- Company Financials
- Amedisys Revenue (2015-2018) ($ millions)
APRIA HEALTHCARE GROUP, INC
- Apria Healthcare Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
ATRIA SENIOR LIVING
- Atria Senior Living Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
BROOKDALE SENIOR LIVING, INC.
- Brookdale Senior Living Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
- Company Financials
- Brookdale Senior Living Revenue (2015-2018) ($ millions)
CAPITAL SENIOR LIVING
- Capital Senior Living Corporate Summary 1
- Company Overview
- Long-term Care Business
- Mergers and Acquisitions
- Corporate Strategies
- Company Financials
- Capital Senior Living Revenue (2015-2018) ($ millions)
EXTENDICARE, INC
- Extendicare Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
- Company Financials
- Extendicare (2015-2018) ($ millions)
FIVE STAR SENIOR LIVING, INC
- Five Star Senior Living Corporate Summary
- Company Overview
- Long-Term Care Business
- Corporate Strategies
- Company Financials
- Five Star Senior Living Revenue (2015-2018) ($ millions)
GENESIS HEALTHCARE
- Genesis Healthcare Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
- Company Financials
- Genesis HealthCare Revenue (2015-2018) ($ millions)
GOLDEN LIVING CENTERS
- Golden Living Centers Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
- Company Financials
HCR MANOR CARE, INC
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
HOLIDAY RETIREMENT
- Holiday Retirement Corporate Summary
- Company Overview
- Long-Term Care Business
- Corporate Strategies
HOME INSTEAD, INC.
- Home Instead Corporate Summary
- Company Overview
- Long-Term Care Business
- Corporate Strategies
KINDRED HEALTHCARE, INC.
- Kindred Healthcare Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
- Company Financials
- Kindred Healthcare Revenue (2015-2018) ($ billions)
KINDRED AT HOME
- Kindred at Home Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
LIFE CARE CENTERS OF AMERICA
- Life Care Centers of America Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
- Company Financials
LIFE CARE SERVICES LLC
- Life Care Services Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
LINCARE HOLDINGS INC.
- Table 8-26: Lincare Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
SUNRISE SENIOR LIVING, INC
- Sunrise Senior Living Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
THE ENSIGN GROUP
- The Ensign Group Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
- Company Financials
- Ensign Group Revenue (2015-2018)
VISITING ANGELS LIVING ASSISTANCE SERVICES, INC
- Table 8-30: Visiting Angels Living Assistance Services Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
VITAS HEALTHCARE
VITAS Healthcare Corporate Summary
- Company Overview
- Long-Term Care Business
- Mergers and Acquisitions
- Corporate Strategies
- Company Financials
Vitas Revenue (2015-2018) ($ millions)
