You are on page 1of 5

Elder Care Services to 2011

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.

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

For more information kindly visit: http://www.bharatbook.com/detail.asp?id=72810