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Study #: 2965

Published: 12/2012

Pages: 266

Full Study Price: US$ 4,900

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

Elder Care Services to 2016 - Industry Market Research, Market Share, Market Size, Sales, Demand Forecast, Market Leaders, Company Profiles, Industry Trends

Revenues for the elder care services industry in the US will grow 5.2 percent per year through 2016 to $319.5 billion. Skilled nursing facilities will remain the largest segment, while home health care services and assisted living facilities see the most rapid growth. Medicaid will remain the largest payment source, while Medicare leads gains.

This study analyzes the $249 billion US elder care service industry. It presents historical demand data for the years 2001, 2006 and 2011, and forecasts for 2016 and 2021 by type (e.g., skilled nursing care facilities, home health care services, social services, continuing care retirement communities, assisted living facilities), provider (for-profit, non-profit), payment source (e.g., Medicaid, out-of-pocket, Medicare, private insurance) and US region.

The study also considers market environment factors, details industry structure, evaluates company market share and profiles 40 industry players such as Manor Care, Kindred Healthcare, and Golden Living.

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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						       9
		Consumer Spending Trends					      12
		Building Construction Trends					      15
		Business Establishment Trends					      18
		Service Sector Outlook						      21
		Health Care Trends						      24
		   National Health Expenditures					      25
		   Medical Conditions						      27
		      Chronic Conditions					      28
		      Acute Conditions						      30
		Regulatory Environment						      32
		World Markets							      35

	III.	SERVICES							      38
		General								      38
		Skilled Nursing Care Facilities					      41
		   Overview							      42
		      Employees							      45
		      Regulations						      47
		   Providers							      49
		   Payment Sources						      51
		Home Health Care Services					      53
		   Overview							      54
		      Employees							      57
		      Regulation						      59
		      Personal Emergency Response Services			      59
		   Providers							      63
		   Payment Sources						      65
		Social Services							      66
		   Overview							      67
		      Adult Day Care						      69
		      Non-Medical Home Care					      72
		      Others							      74
		   Providers							      74
		   Payment Sources						      75
		Continuing Care Retirement Communities				      77
		   Overview							      78
		   Providers							      81
		   Payment Sources						      84
		Assisted Living Facilities					      86
		   Overview							      87
		      Employees							      89
		      Regulations						      90
		   Providers							      91
		   Payment Sources						      93

	IV.	SERVICE PROVIDERS						      95
		General								      95
		For-Profit							      97
		Nonprofit							     101

	V.	PAYMENT SOURCES							     105
		General								     105
		Medicaid							     108
		   Overview							     108
		   Medicaid Payments for Elder Care Services			     110
		Out-of-Pocket							     113
		Medicare							     117
		   Overview							     118
		   Medicare Payments for Elder Care Services			     121
		Private Insurance						     125
		   Overview							     126
		   Long Term Care Insurance					     129
		   Private Insurance Payments for Elder Care Services		     131
		Other								     134

	VI.	REGIONAL MARKETS						     137
		General								     137
		Regional Population Aged 65 & Over				     137
		Regional GDP							     139
		Elder Care Services by Region					     141
		   Northeast							     144
		   Midwest							     146
		   South							     147
		   West								     150

	VII.	INDUSTRY STRUCTURE						     153
		General								     153
		Industry Composition						     153
		Market Share							     157
		Competitive Strategies						     163
		Marketing							     166
		Mergers & Acquisitions						     168
		Cooperative Agreements						     176
		Company Profiles						     180
		   Active Day, see Senior Care Centers of America
		   ADT Corporation						     181
		   Adult Day Care Group						     182
		   Advocat Incorporated						     183
		   Advocate Hospice, see Gentiva Health Services
		   Aegis Therapies, see GGNSC Holdings
		   Altura Homecare & Rehab, see Skilled Healthcare Group
		   Amedisys Incorporated					     185
		   American Senior Communities LLC				     187
		   AseraCare, see GGNSC Holdings
		   Assisted Living Concepts Incorporated			     190
		   Atria Senior Living Group Incorporated			     191
		   Beacon Hospice, see Amedisys
		   Benedictine Health System					     192
		   Brookdale Senior Living Incorporated				     194
		   Capital Senior Living Corporation				     197
		   Chemed Corporation						     200
		   CK Franchising, see Sodexo
		   Comfort Keepers, see Sodexo
		   Cornerstone Hospice, see Skilled Healthcare Group
		   Countryside Hospice Care, see Sun Healthcare Group
		   Covenant Care Incorporated					     202
		   Ecumen							     203
		   Emeritus Corporation						     204
		   Evangelical Lutheran Good Samaritan Society			     207
		   Extendicare Incorporated					     210
		   Family Comfort Hospice, see Chemed
		   Five Star Quality Care Incorporated				     212
		   Genesis HealthCare Corporation				     214
		   Gentiva Health Services Incorporated				     217
		   GGNSC Holdings LLC						     220
		   Griswold Home Care Incorporated				     222
		   Harbinger Hospice, see Sun Healthcare Group
		   HCP Incorporated						     223
		   Heart to Heart Hospice of Starkville, see Gentiva Health Services
		   Home Instead Incorporated					     225
		   Horizon Bay Realty, see Brookdale Senior Living
		   Hospice of Hackensack University Medical Center, see Amedisys
		   Interim HealthCare Incorporated				     226
		   Kindred Healthcare Incorporated				     228
		   LCS LLC							     232
		   Life Alert Emergency Response Incorporated			     234
		   Life Care Centers of America					     235
		   LivHOME Incorporated						     236
		   Manor Care Incorporated					     238
		   Masonicare							     240
		   National HealthCare Corporation				     242
		   North Mississippi Hospice, see Gentiva Health Services
		   Odyssey HealthCare, see Genesis HealthCare
		   ParaMed Home Health Care, see Extendicare
		   Philips Lifeline, see Royal Philips Electronics
		   Professional HealthCare, see Kindred Healthcare
		   Royal Philips Electronics NV					     246
		   SavaSeniorCare LLC						     248
		   Senior Care Centers of America Incorporated 
		      (formerly Active Day)					     249
		   Skilled Healthcare Group Incorporated			     251
		   Sodexo							     254
		   Sun Healthcare Group Incorporated				     256
		   Sunrise Senior Living Incorporated				     258
		   Tyco International Limited					     261
		   United Home Care Group, see Gentiva Health Services
		   VITAS Healthcare, see Chemed
		Other Elder Care Companies					     263


				      LIST OF TABLES

    TABLE NUMBER								    PAGE


		SECTION I -- EXECUTIVE SUMMARY
		Summary Table							       3

		SECTION II -- MARKET ENVIRONMENT
	1	Population & Households						       8
	2	Macroeconomic Indicators					      12
	3	Personal Consumption Expenditures				      15
	4	Building Construction Expenditures				      18
	5	Business Establishments						      21
	6	Services Income							      24
	7	National Health Expenditures by Category			      27
	8	Chronic Conditions by Type					      30
	9	Acute Conditions by Type					      32

		SECTION III -- SERVICES
	1	Elder Care Service Revenues by Service Type			      40
	2	Skilled Nursing Care Service Overview				      45
	3	Skilled Nursing Care Revenues by Provider Type			      50
	4	Skilled Nursing Revenues by Payment Source			      53
	5	Home Health Care Service Overview				      56
	6	Personal Emergency Response Service Overview			      63
	7	Home Health Care Revenues by Provider Type			      64
	8	Home Health Care Revenues by Payment Source			      66
	9	Social Services Overview					      69
	10	Social Service Revenues by Provider Type			      75
	11	Social Service Revenues by Payment Source			      77
	12	Continuing Care Communities Overview				      81
	13	Continuing Care Community Revenues by Provider Type		      83
	14	Continuing Care Community Revenues by Payment Source		      86
	15	Assisted Living Facilities Overview				      89
	16	Assisted Living Revenues by Provider Type			      92
	17	Assisted Living Revenues by Payment Source			      94

		SECTION IV -- SERVICE PROVIDERS
	1	Elder Care Service Revenues by Service Provider			      96
	2	For-Profit Elder Care Service Revenues by Service Type		     100
	3	Nonprofit Elder Care Service Revenues by Service Type		     104

		SECTION V -- PAYMENT SOURCES
	1	Elder Care Service Revenues by Payment Source			     107
	2	Selected Medicaid Statistics					     110
	3	Medicaid Payments for Elder Care Services			     112
	4	Out-of-Pocket Payments for Elder Care Services			     116
	5	Selected Medicare Statistics					     121
	6	Medicare Payments for Elder Care Services			     124
	7	Selected Private Insurance Statistics				     129
	8	Private Insurance Payments for Elder Care Services		     133
	9	Other Payments for Elder Care Services				     136

		SECTION VI -- REGIONAL MARKETS
	1	Resident Population 65 Years & Over by Region			     139
	2	Regional Gross Domestic Product					     141
	3	Elder Care Service Revenues by Region				     143
	4	Northeast Elder Care Service Revenues				     145
	5	Midwest Elder Care Service Revenues				     147
	6	South Elder Care Service Revenues				     150
	7	West Elder Care Service Revenues				     152

		SECTION VII -- INDUSTRY STRUCTURE
	1	Elder Care Service Revenues by Company, 2011			     156
	2	Selected Acquisitions & Divestitures				     171
	3	Selected Cooperative Agreements					     178

 
				      LIST OF CHARTS

    CHART NUMBER								    PAGE


		SECTION III -- SERVICES
	1	Elder Care Service Revenues by Service Type, 2011		      41

		SECTION IV -- SERVICE PROVIDERS
	1	Elder Care Service Revenues by Service Provider, 2001-2021	      97

		SECTION V -- PAYMENT SOURCES
	1	Elder Care Service Revenues by Payment Source, 2011		     107
	2	Medicaid Payments for Elder Care Services, 2001-2021		     113
	3	Out-of-Pocket Payments for Elder Care Services, 2001-2021	     117
	4	Medicare Payments for Elder Care Services, 2001-2021		     125
	5	Private Insurance Payments for Elder Care Services, 2001-2021	     134
	6	Other Payments for Elder Care Services, 2001-2021		     136

		SECTION VI -- REGIONAL MARKETS
	1	Elder Care Service Revenues by Region, 2011			     143

		SECTION VII -- INDUSTRY STRUCTURE
	1	Elder Care Service Market Share by Provider, 2011		     157




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