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*
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