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Study #: 3214

Published: 01/2015

Pages: 306

Full Study Price: US$ 5,200

Per Page Price: US$ 35.00 (text) | 60.00 (table)

Elder Care Services - Industry Market Research, Market Share, Market Size, Sales, Demand Forecast, Market Leaders, Company Profiles, Industry Trends

US revenues for elder care service providers are expected to grow 6.3 percent per year, approaching $400 billion in 2018. Home healthcare services will remain the second largest segment and the fastest growing. Skilled nursing facilities will see the slowest gains. Growth in nonprofit providers will outpace the dominant for-profit segment.

This study analyzes the $294 billion US elder care services industry. It presents historical demand data (2003, 2008 and 2013) and forecasts (2018 and 2023) by product (e.g., skilled nursing care facilities, home healthcare services, social services, continuing care retirement communities, assisted living facilities), provider (for-profit, nonprofit), payment source (e.g., Medicaid, Medicare, out-of-pocket, private insurance) and US region.

The study also considers market environment factors, details industry structure, evaluates company market share, and profiles 39 industry players, including Manor Care, Brookdale Senior Living, and Kindred Healthcare.

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				    TABLE OF CONTENTS

     SECTION									    PAGE

		INTRODUCTION							      ix

	I.	EXECUTIVE SUMMARY						       1

	II.	MARKET ENVIRONMENT						       4
		General								       4
		Demographic Trends						       4
		Macroeconomic Outlook						       8
		Consumer Spending Trends					      13
		Building Construction Trends					      16
		Business Establishment Trends					      19
		Service Sector Outlook						      21
		Healthcare Trends						      24
		   National Health Expenditures					      25
		   Medical Conditions						      28
		      Chronic Conditions					      29
		      Acute Conditions						      31
		Regulatory Environment						      33
		World Markets							      36

	III.	SERVICES							      40
		General								      40
		Skilled Nursing Care Facilities					      43
		   Overview							      44
		      Employees							      48
		      Regulations						      50
		   Providers							      53
		   Payment Sources						      55
		Home Healthcare Services					      58
		   Overview							      58
		      Employees							      61
		      Regulation						      64
		      Personal Emergency Response Services			      65
		   Providers							      69
		   Payment Sources						      71
		Social Services							      73
		   Overview							      73
		      Adult Day Care						      78
		      Non-Medical Home Care					      81
		      Other Services						      84
		      Employees							      84
		   Providers							      85
		   Payment Sources						      86
		Continuing Care Retirement Communities				      88
		   Overview							      89
		   Providers							      93
		   Payment Sources						      96
		Assisted Living Facilities					      98
		   Overview							      99
		      Employees							     102
		      Regulations						     103
		   Providers							     104
		   Payment Sources						     106

	IV.	SERVICE PROVIDERS						     108
		General								     108
		For-Profit							     111
		Nonprofit							     114

	V.	PAYMENT SOURCES							     119
		General								     119
		Medicaid							     122
		   Overview							     122
		   Medicaid Payments for Elder Care Services			     124
		Medicare							     127
		   Overview							     128
		   Medicare Payments for Elder Care Services			     132
		Out-of-Pocket							     136
		Private Insurance						     140
		   Overview							     141
		   Long-Term Care Insurance					     144
		   Private Insurance Payments for Elder Care Services		     146
		Other								     149

	VI.	REGIONAL MARKETS						     153
		General								     153
		Regional Population Aged 65 & Over				     153
		Regional GDP							     155
		Elder Care Services by Region					     158
		   Northeast							     160
		      New England						     162
		      Middle Atlantic						     165
		   Midwest							     167
		      East North Central					     171
		      West North Central					     173
		   South							     175
		      South Atlantic						     178
		      East South Central					     181
		      West South Central					     183
		   West								     186
		      Mountain							     188
		      Pacific							     190

	VII.	INDUSTRY STRUCTURE						     193
		General								     193
		Industry Composition						     193
		Market Share							     197
		Competitive Strategies						     203
		Marketing							     206
		Mergers & Acquisitions						     208
		Cooperative Agreements						     216
		Company Profiles						     218
		   ADT Corporation						     219
		   Adult Day Care Group						     220
		   Advocat, see Diversicare Healthcare Services
		   Aegis Therapies, see GGNSC Holdings
		   Amedisys Incorporated					     221
		   AseraCare, see GGNSC Holdings
		   Assisted Living Concepts, see Enlivant
		   Atria Senior Living Group Incorporated			     224
		   Bayada Home Healthcare					     225
		   Brookdale Senior Living Incorporated				     227
		   Capital Senior Living Corporation				     232
		   CareSouth Health System Incorporated				     235
		   Catholic Health Initiatives					     237
		   Centerre Healthcare, see Kindred Healthcare
		   Chemed Corporation						     240
		   CK Franchising, see Sodexo
		   Comfort Keepers, see Sodexo
		   Compassionate Care Hospice LLC				     242
		   Covenant Care Incorporated					     243
		   Diversicare Healthcare Services Incorporated			     244
		   Emeritus, see Brookdale Senior Living
		   Encompass Home Health Incorporated				     247
		   Encore Senior Living, see LCS
		   Enlivant							     249
		   Evangelical Lutheran Good Samaritan Society			     250
		   Extendicare Incorporated					     252
		   Family Matters, see Senior Care Centers of America
		   Five Star Quality Care Incorporated				     254
		   Genesis HealthCare Corporation				     256
		   Gentiva Health Services Incorporated				     259
		   GGNSC Holdings LLC						     262
		   Griswold Home Care Incorporated				     264
		   Harden Healthcare Holdings, see Gentiva Health Services
		   HCP Incorporated						     265
		   Holland Health, see Senior Care Centers of America
		   Home Instead Incorporated					     268
		   IntegraCare Holdings, see Kindred Healthcare
		   Interim HealthCare Incorporated				     269
		   Intrepid USA Healthcare Services				     271
		   Kindred Healthcare Incorporated				     273
		   LCS LLC							     278
		   Life Alert Emergency Response Incorporated			     281
		   Life Care Centers of America					     282
		   LivHOME Incorporated						     283
		   Manor Care Incorporated					     285
		   National HealthCare Corporation				     287
		   Nurse On Call, see Brookdale Senior Living
		   Odyssey HealthCare, see Gentiva Health Services
		   Philips Lifeline, see Royal Philips
		   Professional HealthCare, see Kindred Healthcare
		   Royal Philips NV						     291
		   SavaSeniorCare LLC						     293
		   Senior Care Centers of America Incorporated			     294
		   Senior Home Care, see Kindred Healthcare
		   Skilled Healthcare Group Incorporated			     296
		   Sodexo							     299
		   Solari Hospice Care, see Chemed
		   Sunrise Senior Living LLC					     301
		   TherEX, see Kindred Healthcare
		   VITAS Healthcare, see Chemed
		   Wake Forest Baptist Health Care at Home, see Gentiva Health Services
		   Western Reserve Senior Care, see Kindred Healthcare
		Other Elder Care Companies					     304


				      LIST OF TABLES

    TABLE NUMBER								    PAGE


		SECTION I -- EXECUTIVE SUMMARY
		Summary Table							       3

		SECTION II -- MARKET ENVIRONMENT
	1	Population & Households						       8
	2	Macroeconomic Indicators					      13
	3	Personal Consumption Expenditures				      16
	4	Building Construction Expenditures				      18
	5	Business Establishments						      21
	6	Services Income							      24
	7	National Health Expenditures by Category			      28
	8	Chronic Conditions by Type					      31
	9	Acute Conditions by Type					      32

		SECTION III -- SERVICES
	1	Elder Care Service Revenues by Service Type			      42
	2	Skilled Nursing Overview					      48
	3	Skilled Nursing Care Revenues by Provider Type			      54
	4	Skilled Nursing Revenues by Payment Source			      57
	5	Home Healthcare Service Overview				      61
	6	Personal Emergency Response Service Overview			      69
	7	Home Healthcare Revenues by Provider Type			      71
	8	Home Healthcare Revenues by Payment Source			      73
	9	Social Services Overview					      77
	10	Social Service Revenues by Provider Type			      86
	11	Social Service Revenues by Payment Source			      88
	12	Continuing Care Communities Overview				      93
	13	Continuing Care Community Revenues by Provider Type		      96
	14	Continuing Care Community Revenues by Payment Source		      98
	15	Assisted Living Facilities Overview				     102
	16	Assisted Living Facility Revenues by Provider Type		     106
	17	Assisted Living Facility Revenues by Payment Source		     107

		SECTION IV -- SERVICE PROVIDERS
	1	Elder Care Service Revenues by Service Provider			     110
	2	For-Profit Elder Care Service Revenues by Service Type		     114
	3	Nonprofit Elder Care Service Revenues by Service Type		     118

		SECTION V -- PAYMENT SOURCES
	1	Elder Care Service Revenues by Payment Source			     121
	2	Selected Medicaid Statistics, 2003-2013				     124
	3	Medicaid Payments for Elder Care Services			     126
	4	Selected Medicare Statistics, 2003-2013				     132
	5	Medicare Payments for Elder Care Services			     135
	6	Out-of-Pocket Payments for Elder Care Services			     139
	7	Selected Private Insurance Statistics, 2003-2013		     144
	8	Private Insurance Payments for Elder Care Services		     148
	9	Other Payment Sources for Elder Care Services			     151

		SECTION VI -- REGIONAL MARKETS
	1	Resident Population 65 Years & Over by Region			     155
	2	Regional Gross Domestic Product					     158
	3	Elder Care Service Revenues by Region				     159
	4	Northeast:  Elder Care Service Revenues by Source
		   & Subregion							     162
	5	New England:  Elder Care Service Revenues by State		     165
	6	Middle Atlantic:  Elder Care Service Revenues by State		     167
	7	Midwest:  Elder Care Service Revenues by Source
		   & Subregion							     170
	8	East North Central:  Elder Care Service Revenues by State	     173
	9	West North Central:  Elder Care Service Revenues by State	     175
	10	South:  Elder Care Service Revenues by Source & Subregion	     178
	11	South Atlantic:  Elder Care Service Revenues by State		     181
	12	East South Central:  Elder Care Service Revenues by State	     183
	13	West South Central:  Elder Care Service Revenues by State	     186
	14	West:  Elder Care Service Revenues by Source & Subregion	     188
	15	Mountain:  Elder Care Service Revenues by State			     190
	16	Pacific:  Elder Care Service Revenues by State			     192

		SECTION VII -- INDUSTRY STRUCTURE
	1	Elder Care Service Revenues by Company, 2013			     196
	2	Selected Acquisitions & Divestitures				     212
	3	Selected Cooperative Agreements					     217


				      LIST OF CHARTS

    CHART NUMBER								    PAGE


		SECTION III -- SERVICES
	1	Elder Care Service Revenues by Service Type, 2003-2013		      43
	2	Social Service Caregivers, 2013 				      78

		SECTION IV -- SERVICE PROVIDERS
	1	Elder Care Service Revenues by Service Provider,  2003-2023	     110

		SECTION V -- PAYMENT SOURCES
	1	Elder Care Service Revenues by Payment Source, 2013		     121
	2	Medicaid Payments for Elder Care Services, 2003-2023		     127
	3	Medicare Payments for Elder Care Services, 2013			     136
	4	Out-of-Pocket Payments for Elder Care Services, 2013		     140
	5	Private Insurance Payments for Elder Care Services, 2013	     149
	6	Other Payments for Elder Care Services, 2013			     152

		SECTION VI -- REGIONAL MARKETS
	1	Elder Care Service Revenues by Region, 2013			     160

		SECTION VII -- INDUSTRY STRUCTURE
	1	Elder Care Service Market Share, 2013				     197




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