Table of Contents
ONE: EXECUTIVE SUMMARY
Scope and Methodology
The U.S. Health Care Market
The Emergence of Urgent Care Clinics
TWO: INTRODUCTION
The U.S. Health Care System Today
Overview
The Need for Alternatives
High Cost of Care
Inconsistent Quality of Care
Delays to Treatment
Insufficient Focus on Wellness and Prevention
Health Care Reform
Retail Clinics
Urgent Care Clinics
Business Model
Growth Drivers
Challenges
THREE: OUT OF POCKET EXPENDITURE SPENDING ANALYSIS
Types of Expenditures
Insurance Co-Payments
Direct Payments
Premiums and Plan Fees
Payment Methods
Cash or Check
Credit Cards
Loans and Lines of Credit
Flexible Spending Accounts
Health Savings Accounts
Amount Financed
Non-Elective Procedures and Prescription Drugs
Consumers Who Pay Out-Of-Pocket
The Uninsured and Underinsured
Medicaid Recipients
The Disabled
Senior Citizens
The Mentally Ill
The Obese
Persons with Alcohol and Drug Addictions
Persons with Chronic Conditions
FOUR: OUT OF POCKET EXPENDITURE US FORECAST
Trends
Out-of-Pocket Expenditure Growth Drivers
Out-of-Pocket Expenditure Growth Constraints
Forecasts
Expenditures by Type
Payment Methods
Amount Financed
Types of Expenses Financed
Consumers Who Pay Out-of-Pocket
FIVE: UNITED STATES URGENT CARE CLINIC MARKET ANALYSIS
The Industry
Urgent Care Center Sales Forecasts
Urgent Care Sales by Type of Visit
Competition with Physicians, Retail Clinics and Emergency Rooms
Urgent Care Center Franchises
Competitive Positions of Key Players
SIX: MARKET SHARE ANALYSIS
Point of Care Tests
The Industry
Competitive Positions of Key Players
Urgent Care Center Sales Forecasts
Diabetes POC Testing
HIV POC Testing
Influenza POC Testing
Pregnancy/Ovulation POC Testing
Drugs of Abuse POC Testing
Clinical Chemistry and Immunoassays
Clinical Chemistry
Lipids/Cholesterol
Urinalysis
Immunoassays
The Industry
Competitive Positions of Key Players
Urgent Care Center Sales Forecasts
Vaccines
The Industry
Competitive Positions of Key Players
Urgent Care Center Sales Forecasts
Imaging Equipment
X-Ray Equipment
Computer Tomography (CT) Equipment
Ultrasound
The Industry
Competitive Positions of Key Players
Urgent Care Center Sales Forecasts
Prescription Drugs
The Industry
Competitive Positions of Key Players
Urgent Care Center Sales Forecasts
SEVEN: URGENT CARE CENTER TRENDS
Health Care Reform
2016 Presidential Election
Public Awareness
Multilingual Services
Labor Shortages
EIGHT: COMPANY PROFILES
American Family Care
History and Lines of Business
Financial Information
Urgent Care Centers
Aurora Urgent Care
History and Lines of Business
Financial Information
Urgent Care Centers
Bellin Health
History and Lines of Business
Financial Information
Urgent Care Centers
CareNow
History and Lines of Business
Financial Information
Urgent Care Centers
CareSpot
History and Lines of Business
Financial Information
Urgent Care Centers
Concentra
History and Lines of Business
Financial Information
Urgent Care Centers
Dignity Health Care
History and Lines of Business
Financial Information
Urgent Care Centers
Doctors Care
History and Lines of Business
Financial Information
Urgent Care Centers
FastMed
History and Lines of Business
Financial Information
Urgent Care Centers
Hometown Urgent Care & Occupational Health
History and Lines of Business
Financial Information
Urgent Care Centers
Intermountain InstaCare
History and Lines of Business
Financial Information
Urgent Care Centers
MD Now
History and Lines of Business
Financial Information
Urgent Care Centers
MedExpress Urgent Care
History and Lines of Business
Financial Information
Urgent Care Centers
NextCare
History and Lines of Business
Financial Information
Urgent Care Centers
Patient First
History and Lines of Business
Financial Information
Urgent Care Centers
Physicians Immediate Care
History and Lines of Business
Financial Information
Urgent Care Centers
TexasMedClinic
History and Lines of Business
Financial Information
Urgent Care Centers
U.S. HealthWorks
History and Lines of Business
Financial Information
Urgent Care Centers
L I S T O F E X H I B I T S
2: Introduction
Figure 2-1: Unnecessary Deaths Resulting From Variations in Health Care Quality, by Condition (Diabetes Care, Prenatal Care, Smoking
Cessation, Beta Blocker Treatment, Breast Cancer Screening, Cholesterol Management, Colorectal Cancer Screening, Controlling High
Blood Pressure)
Table 2-1: Urgent Care Centers vs. Retail Clinics and Physician Practices
3: Out
-of-Pocket Expenditures: The Market in 2017
Figure 3-1: Consumer Out-of-Pocket Health Care Expenditures by Payment Type,2016 (Credit Cards, FSAs, Loans or Lines of Credit,
Health Care Financing Programs,HSAs, Cash or Check)
Figure 3-2: Average Share Paid Out-of-Pocket by U.S. Residents with Health Care Spending by Type of Service, 2016 (Hospital,
Outpatient, Office-Based Visit,Prescription Drugs, Emergency Room, Dental, Home Health, Vision, Other Health Care)
Figure 3-3: Average Share Paid Out-of-Pocket by U.S. Residents with Health Care Spending by Percentile of Total Health Spending and
Type of Service (Hospital,Outpatient, Office-Based Visit, Prescription Drugs, Emergency Room, Dental,Home Health, Vision, Other Health
Care), 2016
Figure 3-4: Distribution of Out-of-Pocket Health Care Spending for the Average Person, 2016 (Emergency Room, Dental, Vision,
Hospital, Outpatient,Office-Based Visit, Prescription Drugs, Other Health Care)
Figure 3-5: Distribution of Out-of-Pocket Spending for the Average Person(Emergency Room, Dental, Vision, Hospital, Outpatient, Office-
Based Visit,Prescription Drugs, Other Health Care), by Spending Level (%), 2016
Figure 3-6: Drug Cost Coverage by Payor Type (Public, Private, Cash): 1965, 1986,2000, 2005, 2010, 2016 (%)
Table 3-1: Obesity in the United States, 1980 – 2021
Figure 3-7: National Overdose Deaths from Prescription Drugs, 2001 – 2014(Total, Male, Female)
Figure 3-8: National Overdose Number of Deaths from Heroin, 2001 – 2014(Total, Male, Female)
Figure 3-9: Type of Insurance Coverage (Privately Insured, Medicare or Medicaid,Uninsured, Other) for Adults between the Ages of 18
and 65 with Chronic Conditions, 2016 (%)
4: Out -of-Pocket Expenditures: Growth from 2016 – 2021
Table 4-1: Consumer Out-of-Pocket Expenditures per Worker, 2011–2021 (in $)
Table 4-2: Consumer Out-of-Pocket Expenditures by Type, 2011–2021 (Direct Payments, Co-pays, Premiums, Total, % Change)
Figure 4-1: Proportion of Consumer Out-of-Pocket Spending by Type of Health Care Expenditure, 2011, 2016, 2021 (Direct Payments,
Co-pays, Premiums)
Table 4-3: Consumer Out-of-Pocket Expenditures by Type, 2011–2021 (Credit
Cards, Cash or Check, FSAs, Loans or Lines of Credit, Health Care Financing Programs, HSAs, Total, Change)
Figure 4-2: Proportion of Consumer Out-of-Pocket Spending by Payment Type,2011, 2016, 2021 (Credit Cards, FSAs, Health Care
Financing Programs, Cash or Check, Loans or Lines of Credit, HSAs)
Table 4-4: Amount of Consumer Out-of-Pocket Expenditures on Credit Cards,2011–2021 ($ Billion)
Figure 4-3: Distribution of Out-of-Pocket Spending for the Average Person,2016, 2021 (Hospital, Outpatient, Office-Based Visit,
Prescription Drugs,Emergency Room, Dental, Vision, Other Health Care)
Figure 4-4: Proportion of Consumer Out-of-Pocket Spending for Non-Elective Procedures That Is Financed (All Methods), 2016 – 2021
(Hospital, Prescription Drugs, Home Health, Outpatient, Emergency Room, Vision, Office-Based Visit, Dental)
Table 4-5: Size of High Risk Groups for High Out-of-Pocket Health Care Expenditures, 2011–2021 (Uninsured and Under-Insured,
Medicaid Recipients, The Disabled, Senior Citizens, The Mentally Ill, The Obese, Addicts, Persons with Chronic Conditions)
5: Urgent Care Clinics: Market Forecast, 2011 – 2021
Table 5-1: The U.S. Market for Urgent Care Clinic Services, 2011–2021 (Number of Clinics by Year End, Millions of Visits, Revenue per
Visit, Total [$ Million])
Figure 5-1: Growth of U.S. Retail Clinic Services, 2011–2021 (Number of Clinics,Revenues)
Table 5-2: Individual Urgent Care Clinic Growth, 2011–2021 (Patients per Clinic
per Week, Revenue per Clinic)
Figure 5-2: Individual Urgent Care Clinic Growth, 2011–2021: Patients per Week
Figure 5-3: Individual Urgent Care Clinic Growth, 2011–2021: Revenue per Clinic
Table 5-3: Urgent Care Market by Procedure, 2011, 2016, 2021 (Anxiety, Mental Disorder; Respiratory; Stomach Ailments/Nausea; Skin
Disorder/Rash;Fracture/Sprain; Lacerations and Wounds; Cold/Flu/Sore Throat; Lab Services;Pharmacy Services; X-Ray and Imaging;
Vaccine; Membership and PrepaidPrograms; Aesthetic/Spa; Physicals; Headache; Allergies; Burn Treatment; Eye Treatment; Earache;
Physical Therapy; Other)
Figure 5-4: Urgent Care Market by Procedure, 2011, 2016, 2021 (Anxiety, Mental Disorder; Respiratory; Stomach Ailments/Nausea;
Skin Disorder/Rash;Fracture/Sprain; Lacerations and Wounds; Cold/Flu/Sore Throat; Lab Services;Pharmacy Services; X-Ray and
Imaging; Vaccine; Membership and PrepaidPrograms; Aesthetic/Spa; Physicals; Headache; Allergies; Burn Treatment; Eye Treatment;
Earache; Physical Therapy; Other)
Table 5-4: Urgent Care Centers vs. General Practitioners, Retail Clinics and Emergency Rooms
Table 5-5: Number of Urgent Care Centers, Physicians, Retail Clinics and Emergency Rooms, 2011–2021
Table 5-6: Leading Urgent Care Centers’ Revenues and Market Share, U.S.Market, 2016
Figure 5-5: Revenue Market Shares of Leading Urgent Care Centers, 2016
Table 5-7: Leading Urgent Care Centers’ Number of Locations and Market Share, 2016
Figure 5-6: Footprint Market Shares of Leading Urgent Care Centers, 2016
6: Urgent Care Center Suppliers
Table 6-1: Sales to Urgent Care Centers by Supplier Segment, 2011–2021(POC Tests, Clinical Chemistry & Immunoassays, Vaccines,
ImagingEquipment, Total)
Figure 6-1: Growth of Urgent Care Center Supplier Sales by Type of Supplier,2011–2021
Figure 6-2: Share of Urgent Care Center Supplier Sales by Type of Supplier, 2011,2016, 2021 (POC Tests, Clinical Chemistry and
Immunochemistry, Vaccines,Imaging)
Table 6-2: U.S. Urgent Care Center Supplier Sales as a Percentage of Total Supplier Industry Sales, 2011, 2016, 2021 (POC Tests,
Clinical Chemistry and Immunochemistry, Vaccines, Imaging Equipment)
Figure 6-3: U.S. Urgent Care Center Supplier Sales as a Percentage of Total Supplier Industry Sales, 2011, 2016, 2021 (POC Tests,
Clinical Chemistry and Immunochemistry, Vaccines, Imaging Equipment)
Table 6-3: U.S. Professional POC Test Sales, 2011–2021
Table 6-4: Leading POC Test Makers’ U.S. Revenues and Market Share, 2016
Table 6-5: U.S. Professional POC Test Sales to Urgent Care Centers, 2011–2021
Table 6-6: U.S. Professional POC Test Sales to Urgent Care Centers by Type ofTest, 2011, 2016, 2021 (Chemistry Panels, Complete
Blood,
Cholesterol/Lipids, HEP Function, Glucose, HbA1c, Flu, Pregnancy/LH,
Urinalysis, HIV, Allergy, Strep, Drugs of Abuse, Cardiac Markers,
Coagulation PT, Anemia, Other, Total)
Figure 6-4: Growth of Urgent Care Center POC Test Supplier Sales by Type ofSupplier, 2011, 2016, 2021 (Chemistry Panels, Complete
Blood Count,Cholesterol/Lipids, Hep Function, Glucose, HbA1c, Flu, Preg/LH, Urinalysis,HIV, Allergy, Strep, Drugs of Abuse, Cardiac
Markers, Coagulation PT,Anemia, Other)
Table 6-7: U.S. Professional POC Test Share of Total POC Test Sales to UrgentCare Centers by Type of Test, 2011, 2016, 2021
(Chemistry Panels,
Complete Blood, Cholesterol/Lipids, HEP Function, Glucose, HbA1c, Flu,Pregnancy/LH, Urinalysis, HIV, Allergy, Strep, Drugs of Abuse,
CardiacMarkers, Coagulation PT, Anemia, Other, Total)
Table 6-8: U.S. Clinical Chemistry and Immunoassay Sales, 2011–2021
Table 6-9: Leading Clinical Chemistry and Immunoassay Suppliers’ Revenues andMarket Share, 2016
Table 6-10: U.S. Clinical Chemistry and Immunoassay Sales to Urgent CareCenters, 2011–2021
Table 6-11: U.S. Clinical Chemistry and Immunoassay Sales to Urgent CareCenters, by Segment, 2011–2021 (Tests for Strep, Tests for
TB, Other Tests,Total Tests)
Figure 6-5: Share of U.S. Clinical Chemistry and Immunoassay Sales to UrgentCare Centers by Type of Supplier, 2011, 2016, 2021
(Strep, TB, Other)
Table 6-12: Diseases for Which Vaccines Are Available in the U.S., 2017
Table 6-13: U.S. Market for Preventative Vaccines, 2011–2021 (Adult Vaccines,Pediatric Vaccines, Total, Percent Change)
Table 6-14: Leading Vaccine Manufacturers’ U.S. Revenues and Market Share,2016
Table 6-15: U.S. Vaccine Sales to Urgent Care Centers, 2011–2021
Figure 6-6: Growth of Urgent Care Center Vaccine Sales by Type of Vaccine,2011, 2016, 2021 (Flu, Child Immunization, Tetanus, Hep,
Others)
Table 6-16: U.S. Vaccine Sales to Urgent Care Centers by Type of Vaccine, 2011,2016, 2021 (Flu, Child Immunization, Tetanus, Hep,
Others, Total)
Figure 6-7: Share of U.S. Vaccine Sales to Urgent Care Centers by Type ofVaccine, 2011, 2016, 2021 (Flu, Child Immunization,
Tetanus, Hep, Others)
Table 6-17: U.S. Market for X-Ray, Ultrasound and CT Equipment, 2011–2021
Table 6-18: Leading Imaging Device Manufacturers’ U.S. Revenues and MarketShare, 2016
Table 6-19: U.S. Imaging Equipment Sales to Urgent Care Centers, 2011–2021
Table 6-20: U.S. Imaging Equipment Sales to Urgent Care Centers by Type ofDevice, 2011, 2016, 2021 (X-Ray, CT, Ultrasound, Total)
Figure 6-8: Growth of Urgent Care Center Imaging Equipment Sales by Type ofDevice, 2011, 2016, 2021 (X-Ray, CT, Ultrasound)
Table 6-21: U.S. Manufacturer’s Sales of Prescription Medications, 2011–2021
Table 6-22: U.S. Prescription Drug Sales thru Urgent Care Centers by Type ofMedication, 2011, 2016, 2021 (Antibiotic, Flu, Painkiller,
Asthma, Rx Cough,Steroid, Cardio, Skin, Gynecological, Gastrointesetinal, Anxiety, Others, Total)
Figure 6-9: Growth of Urgent Care Center Rx Drug Sales by Type of Drug, 2011,2016, 2021 (Antibiotic, Flu, Painkiller, Asthma,
Prescription Cough, Steroid,Cardio, Skin, Gynecological, Gastrointestinal, Anxiety, Others)
