First Research US Industry Profile

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Nursing Homes & Long-Term Care Facilities
SIC Codes: 8051, 8052, 8059, 8361
NAICS Codes: 623
Last Quarterly Update: 11/11/2019
Companies in this industry provide long-term skilled nursing care, other types of care, and social services in residential facilities. Major US companies include Brookdale Senior Living, Genesis Healthcare, and Golden Living (owned by GGNSC Holdings), all based in the US, along with Bupa (UK), ExtendiCare (Canada), Korian (France), and Orpea (France).
The proportion of people over 60 is expected to grow from 12% to 22% of the world's population between 2015 and 2050, according to the World Health Organization. While the number of nursing facilities varies by region, a growing number of countries -- particularly those with some form of national health insurance -- are experiencing an increase in demand for long-term care options for their aging and infirm citizens.
The US nursing homes and long-term care facilities industry includes about 89,000 establishments (single-location companies and branches of multi-location companies) with combined annual revenue of about $250 billion.
Competitive Landscape
Demand for long-term care services is strong due to rapidly aging populations in the US and other developed nations. However, the profitability of individual nursing facilities depends heavily on efficient operations, as revenue per patient is largely controlled by government insurance programs such as Medicare and Medicaid. Many companies are struggling with low reimbursements and the shift toward outpatient care. Large companies have some economies of scale in administration and purchasing, but small operators can compete effectively by offering better service. The US industry is fragmented: the 50 largest companies account for about 20% of revenue.
Products, Operations & Technology
The industry includes skilled nursing facilities for recovery from acute or chronic medical conditions (about half of US revenue), retirement and assisted ... plus:
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Finance & Regulation
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Regional & International Issues
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Human Resources
Also includes the following chapters:
Quarterly Industry Update
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Industry Indicators
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Business Challenges
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Trends and Opportunities
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Call Preparation Questions
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Financial Information
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Industry Forecast
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Industry Websites
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Glossary of Acronyms

Historical Profiles (PDF format)

02/18/2019
11/12/2018
08/13/2018
05/14/2018
02/12/2018
11/06/2017
08/07/2017
05/01/2017
01/30/2017
10/24/2016
07/25/2016
04/25/2016
01/25/2016
10/19/2015
07/20/2015
04/20/2015
01/26/2015
10/27/2014
08/04/2014
04/21/2014
01/27/2014
10/21/2013
07/29/2013
05/06/2013
02/11/2013
11/05/2012
08/13/2012
05/28/2012
03/05/2012
11/14/2011
08/08/2011
04/25/2011
01/24/2011
10/18/2010
07/26/2010
04/19/2010
01/04/2010