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Study #: 2292

Published: 01/2008

Pages: 242

Full Study Price: US$ 4,500

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

Elder Care Services to 2011 - Market Research, Market Share, Market Size, Sales, Demand Forecast, Market Leaders, Company Profiles, Industry Trends

US revenues for elder care services will rise 6.6 percent annually through 2011, driven largely by demographic changes. Skilled nursing facilities will stay the top segment while home health care services grow the fastest. For-profit institutions will remain the largest provider category and will slightly outpace nonprofit types.

This study analyzes the $192 billion US elder care service industry. It presents historical demand data for the years 1996, 2001 and 2006 and forecasts for 2011 and 2016 by type (e.g., skilled nursing care facilities, home health care services, continuing care retirement communities, social services, assisted living facilities); provider (for-profit, nonprofit); payment source (e.g., Medicaid, Medicare, out-of-pocket, private insurance); and regional market.

The study also considers market environment factors, details industry composition, evaluates company market share and profiles 38 major players, including Manor Care, GGNSC Holdings, 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                                            7
               Consumer Spending Trends                                        12
               Building Construction Trends                                    14
               Business Establishment Trends                                   18
               Service Sector Outlook                                          19
               Health Care Trends                                              22
               Medical Conditions                                              23
               Chronic Conditions                                              24
               Acute Conditions                                                27
               National Health Expenditures                                    29
               Regulatory Environment                                          31
               World Markets                                                   33

	III.   SERVICES                                                	       36
               General                                                         36
               Skilled Nursing Care Facilities                                 39
               Overview                                                        39
               Employees                                                       42
               Regulations                                                     43
               Providers                                                       44
               Payment Sources                                                 46
               Home Health Care Services                                       49
               Overview                                                        50
               Employees                                                       52
               Regulations                                                     54
               Personal Emergency Response Services                            55
               Providers                                                       59
               Payment Sources                                                 60
               Continuing Care Retirement Communities                          62
               Overview                                                        63
               Providers                                                       66
               Payment Sources                                                 69
               Social Services                                                 72
               Overview                                                        72
               Adult Day Care                                                  74
               Non-Medical Home Care                                           77
               Others                                                          79
               Providers                                                       80
               Payment Sources                                                 81
               Assisted Living Facilities                                      83
               Overview                                                        83
               Employees                                                       86
               Regulations                                                     87
               Providers                                                       88
               Payment Sources                                                 89
               
	IV.    SERVICE PROVIDERS	                                       92
               General                                                         92
               For-Profit                                                      94
               Nonprofit                                                       97
               
	V.     PAYMENT SOURCES                                                102
               General                                                        102
               Medicaid                                                       105
               Overview                                                       105
               Medicaid Payments for Elder Care Services                      107
               Medicare                                                       110
               Overview                                                       110
               Medicare Payments for Elder Care Services                      113
               Out-Of-Pocket                                                  117
               Private Insurance                                              121
               Overview                                                       122
               Long-Term Care Insurance                                       125
               Private Insurance Payments for Elder Care Services             126
               Other                                                          129

	VI.    REGIONAL MARKETS                                        	      133
               General                                                        133
               Regional Population Aged 65 & Over                             133
               Regional GDP                                                   135
               Elder Care Services by Region                                  137
               Northeast                                                      139
               Midwest                                                        141
               South                                                          143
               West                                                           146
               
                   VII.INDUSTRY STRUCTURE                                     149
               General                                                        149
               Industry Composition                                           149
               Market Share                                                   153
               Manor Care                                                     154
               GGNSC Holdings                                                 155
               Kindred Healthcare                                             156
               Others                                                         157
               Competitive Strategies                                         159
               Marketing                                                      161
               Mergers & Acquisitions                                         163
               Cooperative Agreements                                         170
               Company Profiles                                               173
               Active Day Incorporated                                        174
               ADT Security Services Incorporated, 
			see Tyco International Limited
               Adult Day Care Group                                           175
               Advocat Incorporated                                           176
               Aegis Therapies Incorporated, see GGSNC Holdings LLC     
               Amedisys Incorporated                                          178
               American Retirement Corporation, see Brookdale Senior 
                   Living Incorporated                                           
               American Senior Communities LLC                                180
               Assisted Living Concepts Incorporated                          182
               Atria Senior Living Group Incorporated                         184
               Benedictine Health System                                      185
               Beverly Enterprises Incorporated, see GGNSC Holdings LLC
               Brookdale Senior Living  Incorporated                          186
               Capital Senior Living Corporation                              189
               Chicagoland Caregivers Corporation, see LivHOME Incorporated      
               CK Franchising Incorporated                                    191
               Covenant Care Incorporated                                     192
               Dyna Care Health Ventures Incorporated, 
		see Amedisys Incorporated 
               Ecumen                                                         193
               Emeritus Corporation                                           194
               Evangelical Lutheran Good Samaritan Society                    196
               Extendicare Real Estate Investment Trust                       198
               Five Star Quality Care Incorporated                            200
               FSQ Pharmacy Holdings LLC, 
		see Five Star Quality Care Incorporated 
               Genesis HealthCare Corporation                                 202
               Gentiva Health Services Incorporated                           205
               GGNSC Holdings LLC                                             208
               Griswold Special Care Incorporated                             210
               Gulf Coast Therapy Associates Incorporated, 
		see GGNSC Holdings LLC
               HCP Incorporated                                               211
               Healthfield Group Incorporated, 
		see Gentiva Health Services Incorporated
               Heritage Homecare Services Incorporated, 
		see LivHOME Incorporated 
               Home Instead Incorporated                                      212
               Horizons Hospice Care Incorporated, see Amedisys 
                   Incorporated                                                  
               IntegriCare Incorporated, see Amedisys Incorporated               
               Interim HealthCare Incorporated                                213
               Kindred Healthcare Incorporated                                215
               Life Alert Emergency Response Incorporated                     217
               Life Care Centers of America                                   218
               Lifeline Systems Incorporated, see Royal Philips 
                   Electronics NV                                                
               LivHOME Incorporated                                           219
               Manor Care Incorporated                                        220
               Masonicare                                                     222
               National HealthCare Corporation                                224
               Odyssey HealthCare Incorporated                                226
               ParaMed Home Health Care,
		 see Extendicare Real Estate Investment Trust
               Royal Philips Electronics NV                                   228
               SavaSeniorCare LLC                                             230
               Skilled Healthcare Group Incorporated                          231
               Sun Healthcare Group Incorporated                              233
               Sunrise Senior Living Incorporated                             235
               Trinity Hospice Incorporated, 
		see Sunrise Senior Living Incorporated 
               Tyco International Limited                                     238
               Additional Companies                                           240
               
			LIST OF TABLES
                                        
TABLE NUMBER                                                                 PAGE

               SECTION I -- EXECUTIVE SUMMARY
               Summary Table                                                    3
               
               SECTION II -- MARKET ENVIRONMENT
           1   Population & Households                                          7
           2   Macroeconomic Indicators                                        12
           3   Personal Income & Expenditures                                  14
           4   Building Construction Expenditures                              17
           5   Business Establishments                                         19
           6   Service Income                                                  22
           7   Chronic Conditions by Type                                      27
           8   Acute Conditions by Type                                        29
           9   National Health Expenditures by Type                            31
               
               SECTION III -- SERVICES
           1   Elder Care Service Revenues by Service Type                     38
           2   Skilled Nursing Care Service Overview                           42
           3   Skilled Nursing Care Revenue by Provider Type                   46
           4   Skilled Nursing Care Revenue by Payment Source                  49
           5   Home Health Care Service Overview                               52
           6   Personal Emergency Response Service Overview                    58
           7   Home Health Care Revenue by Provider Type                       60
           8   Home Health Care Revenue by Payment Source                      62
           9   Continuing Care Communities Overview                            66
          10   Continuing Care Community Revenue by Provider Type              69
          11   Continuing Care Community Revenue by Payment Source             72
          12   Social Service Overview                                         74
          13   Social Service Revenue by Provider Type                         81
          14   Social Service Revenue by Payment Source                        83
          15   Assisted Living Facilities Overview                             86
          16   Assisted Living Revenue by Provider Type                        89
          17   Assisted Living Revenue by Payment Source                       91

               SECTION IV -- SERVICE PROVIDERS
           1   Elder Care Service Revenue by Service Provider                  93
           2   For-Profit Elder Care Service Revenues by Service Type          97
           3   Nonprofit Elder Care Service Revenues by Service Type          101

		SECTION V -- PAYMENT SOURCES
           1   Elder Care Service Revenue by Payment Source                   104
           2   Selected Medicaid Statistics                                   107
           3   Medicaid Payments for Elder Care Services                      109
           4   Selected Medicare Statistics                                   113
           5   Medicare Payments for Elder Care Services                      116
           6   Out-of-Pocket Payments for Elder Care Services                 120
           7   Selected Private Insurance Statistics                          124
           8   Private Insurance Payments for Elder Care Services             128
           9   Other Payments for Elder Care Services                         131
               
               SECTION VI -- REGIONAL MARKETS
           1   Resident Population 65 Years & Over by Region                  135
           2   Regional Gross Domestic Product                                137
           3   Regional Elder Care Service Revenue                            138
           4   Northeast Elder Care Service Revenue                           140
           5   Midwest Elder Care Service Revenue                             143
           6   South Elder Care Service Revenue                               145
           7   West Elder Care Service Revenue                                148

               SECTION VII -- INDUSTRY STRUCTURE
           1   Elder Care Service Revenue by Company, 2006                    152
           2   Selected Acquisitions & Divestitures                           166
           3   Selected Cooperative Agreements                                172

			LIST OF CHARTS
                                        
CHART NUMBER                                                                 PAGE

               SECTION III -- SERVICES
           1   Elder Care Service Revenues by Service Type, 2006               38

               SECTION IV -- SERVICE PROVIDERS
           1   Elder Care Service Revenue by Service Provider, 1996-2016       94

               SECTION V -- PAYMENT SOURCES
           1   Elder Care Service Revenue by Payment Source, 2006             104
           2   Medicaid Payments for Elder Care Services, 1996-2016  110
           3   Medicare Payments for Elder Care Services, 1996-2016           117
           4   Out-of-Pocket Payments for Elder Care Services, 1996-2016      121
           5   Private Insurance Payments for Elder Care Services, 
                   1996-2016                                                  129
           6   Other Payments for Elder Care Services, 1996-2016              132

               SECTION VII -- INDUSTRY STRUCTURE
           1   Elder Care Service Market Share, 2006                          154

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