The Long-Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living

Table of Contents

CHAPTER ONE: EXECUTIVE SUMMARY

• Overall Market Size
• Long Term Care
• Demographics
  • Geographic Concentrations
  • Activities of Daily Living
  • Chronic Illness
  • Income
• Quality of Care
• U.S. Health Expenditures
• Consumer Preferences and Lifestyle Issues
• FEES AND PAYMENT
  • Public Payments
  • Long Term Care Insurance
• Preparing for the Future
• Nursing Homes
  • Number of Facilities
  • Resident Population
  • Market Size and Forecast
  • Competitor Analysis
  • Market Analysis
  • HOME CARE
  • Number of Facilities
  • Resident Population
  • Issues and Trends
  • Market Size and Forecast
  • Competitor Analysis
  • Market Analysis
• Hospices
  • Number of Facilities
  • Resident Population
  • Issues and Trends
  • Market Size and Forecast
  • Competitor Analysis
  • Market Analysis
• Assisted Living
  • Number of Facilities
  • Resident Population
  • Issues and Trends
  • Market Size and Forecast
  • Competitor Analysis
  • Market Analysis
  • Scope and Methodology

CHAPTER TWO: ISSUES, AND TRENDS

• Long Term Care
  • Nursing Homes
  • Home Care
  • Hospices
  • Assisted Living
• Demographics
  • U.S. Population
  • Aging of the Population
  • Racial Trends
  • Age and Race
  • Marital and Living Arrangements
  • Geographic Concentrations
  • Activities of Daily Living
  • Chronic Illness
  • Income
• Quality of Care
• Consumer Preferences and Lifestyle Issues
  • The Elderly
  • Caregiver Issues
  • Fees and Payment
  • Medicare
  • Medicaid
  • Long Term Care Insurance
  • Numbers of Insured
  • Cost of Coverage and Affordability
  • Preparting for For The Future
  • Staffing and Human Resources
  • Information and Education Initiatives
  • Building of New Facilities

CHAPTER THREE: NURSING HOMES

• Services
• Number of Facilities
• Resident Population
  • Demographic Data
  • Functional Date
  • Length of Stay
  • Insurance Coverage
• Issues and Trends
  • Quality of Care
  • Investigation into Private Equity Owned Facilities
  • Safety
  • Budget Cuts
  • Patient Dumping
  • Resident-Oriented Care
• MARKET SIZE AND FORECAST
  • Cost of Care
  • Size of the Market
• Competitor Analysis
• Market Analysis

CHAPTER FOUR: HOME CARE

• Description of Facilities
  • Services
  • Number of Facilities
• Resident Population
  • Demographic Data
  • Functional Data
  • Insurance Coverage
• Issues and Trends
  • Medicare Reimbursement
  • Medicaid Reimbursement
  • Medicare and Medicaid Co-Payments
  • Quality
  • Disease Management
  • Fraud
  • Mergers and Acquisitions
  • Technology and Telemedicine
• MARKET SIZE AND FORECAST
  • Cost of Care
  • Size of the Market
• Market Analysis

CHAPTER FIVE: HOSPICES

• Description of Facilities
  • Services
  • Number of Facilities
• Resident Population
  • Demographic Data
  • Functional Data
  • Insurance Coverage
• Issues and Trends
  • Fraud
  • Quality Issues and Patient Abuse
  • Telemedicine
  • Profitability
  • Extended Lifespans
  • Rising Length of Stay
  • Return of Reimbursements
  • Budget Cuts
• Market Size and Forecast
  • Cost of Care
  • Size of the Market
• Competitor Analysis
• Market Analysis

CHAPTER SIX: ASSISTED LIVING

• Services Number of Facilities
• Resident Population
  • Demographic Data
  • Functional Data
  • Length of Stay
  • Insurance Coverage
• Issues and Trends
  • Quality of Care
  • Legal Actions
  • Mergers and Acquisitions
• Market Size and Forecast
  • Cost of Care
  • Size of the Market
• Competitor Analysis
• Market Analysis

CHAPTER SEVEN: MARKET SUMMARY

• Overview
• Issues and Trends
  • Continuum of Care
  • Reimbursement and Regulatory Changes
  • Specialty Care
• Market Size and Forecast

CHAPTER EIGHT: COMPANY PROFILES

• Apria Helathcare Group, Inc.
• Beverly Enterprises, Inc.
• Brookdale Senior Living
• Emeritus Corporation
• Extendicare, Inc.
• Manor Care, Inc.
• Sava Senior Care Inc.
• Sunrise Senior Living, Inc.

TABLE OF EXHIBITS

CHAPTER ONE: EXECUTIVE SUMMARY

• Table 1-1: The Overall U.S. Long Term Care Market, 2002-2012*

CHAPTER TWO: ISSUES, AND TRENDS

• Table 2-1: U.S. Resident Population, by Age, 2000, 2008 *
• Table 2-2: Projected U.S. Resident Population, by Age, Selected Years, 2008 - 2030*
• Table 2-3: U.S. Life Expectancy in Years, 2002-2012*
• Table 2-4: U.S. Resident Population, by Sex and Age, 2008*
• Table 2-5: U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected Years, 2000 - 2025*
• Table 2-6: U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected Years, 2000 - 2025*
• Table 2-7: Proportion of U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected Years, 2000 - 2025*
• Table 2-8: Characteristics of U.S. Household Population of Persons 65 and Older, 2008*
• Table 2-10: Marital Status of U.S. Residents Age 65 and Older, 2008*
• Table 2-11: Marital Status of U.S. Residents Age 65 and Older, 2008*
• Figure 2-1: U.S. Senior Population in Top 10 States, 2008*
• Table 2-12: U.S. Resident Population, by State and Age, 2008*
• Table 2-13: Number of Nursing Homes in Top 15 States, 2003*
• Table 2-14: Disability Prevalence by Age, 2000*
• Table 2-15: Frequencies of Selected Diseases Among Older U.S. Persons, 2008*
• Table 2-17: U.S. Median Income by Householder Age, 2006*
• Table 2-18: U.S. Median Net Worth for Seniors, 2006*
• Table 2-19: National Health Expenditures, 2002 - 2007**
• Table 2-20: Per Capita National Health Expenditures, 2002 - 2007**
• Table 2-21: National Health Expenditures by Type, 2002 - 2007*
• Table 2-22: Funding Sources for Personal Health Expenditures, 2002 - 2007**
• Figure 2-2: Projected U.S. Resident Population, by Age, Selected Years, 2008 - 2030*
• Figure 2-3: Duration of Caregiving for Seniors With and Without Dementia*

CHAPTER THREE: NURSING HOMES

• Table 3-1: Nursing Home Size Bed Capacity, 1973 - 2004*
• Table 3-2: Nursing Home Size and Occupancy by Region, 2004*
• Table 3-3: Leading Nursing Home Deficiencies*
• Table 3-4: Leading Nursing Home Deficiencies by State*
• Table 3-5: U.S. Nursing Home Deficiencies by State*
• Table 3-6: The U.S. Nursing Home Market 2002-2012*
• Figure 3-1: Nursing Home Care Expenditures, Distribution by Payment Source, 2002-2007**
• Table 3-7: Nursing Home Care Expenditures, Distribution by Payment Source, 2002-2007**
• Table 3-8: Leading Competitors in the U.S. Nursing Home Market, by Revenues and Market Shares, 2007*

CHAPTER FOUR: HOME CARE

• Table 4-1: Comparison of Hospital, Nursing and Home Health Care Medicare Charges, 2004 - 2006*
• Table 4-2: Number of Medicare-Certified Home Care Agencies, 1980 - 2007**
• Table 4-3: Spending on Home Health Care Services by Region, 2007*
• Table 4-4: Living Arrangements of Home Health Care Recipients, 2007*
• Table 4-5: Medicare Fee-for-Service Home Health Outlays, Visits, Clients, Payment/Client, and Visits/Client, Calendar Years 1997-2007**
• Table 4-6: The U.S. Home Health Care Market, 2002-2012
• Figure 4-1: Home Health Care Expenditures, Distribution by Payment Source, 2002-2007**
• Table 4-7: Home Health Care Expenditures, Distribution by Payment Source, 2002-2007**
• Table 4-5: Leading Competitors in the U.S. Home Health Care Market, by Revenues and Market Shares, 2007*

CHAPTER FIVE: HOSPICES

• Table 5-1: Type of Agency, FY 2005*
• Table 5-2: Usage of Hospice Services by Age, 2006 vs. 2005*
• Table 5-3: Usage of Hospice Services by Race, 2006 vs. 2005*
• Table 5-4: Usage of Hospice Services by Primary Diagnosis, 2006 vs. 2005*
• Table 5-5: Percentage of Patients Served by Payer, 2006 vs. 2005*
• Table 5-6: Average Medicare Reimbursements for Hospice Care, FY 2008*
• Table 5-7: Medicare Hospice Outlays, Clients, and Days per Client, FY 1994-FY 2007*
• Table 5-8: Average Length of Stay in Hospice by State, 2006*
• Table 5-9: The U.S. Market for Hospice Care, 2002-2012*
• Table 5-10: Leading Competitors in the U.S. Hospice Market, by Revenues and Market Shares, 2007*

CHAPTER SIX: ASSISTED LIVING

• Table 6-1: Percentage of Assisted Living Residents Requiring Assistance with Daily Living Activities (Independent, Need Some Help, Dependent) *
• Figure 6-1: Assisted Living Residents Requiring Assistance with Daily Living Activities*
• Table 6-2: The U.S. Market for Assisted Living, 2002-2012*
• Table 6-3: Leading Competitors in the U.S. Assisted Living Market, by Revenues and Market Shares, 2007

CHAPTER SEVEN: MARKET SUMMARY

• Figure 7-1: The U.S. Long Term Care Market by Segment, 2002*
• Table 7-1: The Overall U.S. Long Term Care Market , 2002-2012 ($millions) *
• Figure 7-2: The U.S. Long Term Care Market by Segment, 2007*
• Figure 7-3: The U.S. Long Term Care Market by Segment, 2012*
• Figure 7-4: Long Term Care Industry Revenues by Sector, 2002 - 2012*
• Figure 7-5: Long Term Care Industry Revenues (Nursing Home Care, Home Care, Hospice Care, Assisted Living) by Year*

CHAPTER EIGHT: COMPANY PROFILES

• Table 8-1: Financial Performance for Apria 2005 - 2007*
• Table 8-2: Financial Performance for Beverly Enterprises 2005 - 2007*
• Table 8-3: Financial Performance for Emeritus Corp. 2005 - 2007*
• Table 8-4: Financial Performance for Extendicare 2005 - 2007
• Table 8-5: Financial Performance for Manor Care 2005 - 2007
• Table 8-6: Financial Performance for Sun Healthcare Corp. 2005 - 2007
• Table 8-7: Financial Performance for Sunrise Senior Living 2004 - 2006*