Freedonia Focus Reports

US Collection

Skilled Nursing Care:

United States

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December 2012

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Highlights

Industry Overview
Elder Care Services Overview | Provider Type Segmentation
Payment Source Segmentation | Employment Issues | Regulatory Environment

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Revenue Forecasts
Market Environment | Provider Type Forecasts | Payment Source Forecasts

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Resources

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Industry Structure
Industry Composition | Industry Leaders | Additional Companies Cited
www.freedoniafocus.com

Skilled Nursing Care: United States

ABOUT THIS REPORT

Scope & Method

This report forecasts US skilled nursing care revenues in US dollars to 2016. Total
revenues are segmented by provider type in terms of:

for-profit
nonprofit.

For the purposes of this report, nonprofit organizations include independent charitable
501(c)(3) groups, organizations affiliated with not-for-profit hospitals and governmentsupported agencies, and all others operating on a not-for-profit basis. Conversely, forprofit entities include all conventionally run businesses that distribute profits to
shareholders, whether the shares of stock are publically traded or privately held.
Total revenues are also segmented by payment source as follows:

Medicaid
Medicare
out-of-pocket
private insurance
other payment sources such as funding from the US Department of
Veterans Affairs, private grants, and charitable donations.

To illustrate historical trends, total revenues are provided in an annual series from 2001
to 2011; the various segments are reported at five-year intervals for 2006 and 2011.
Forecasts emanate from the identification and analysis of pertinent statistical
relationships and other historical trends/events as well as their expected
progression/impact over the forecast period. Changes in quantities between reported
years of a given total or segment are typically provided in terms of five-year compound
annual growth rates (CAGRs). For the sake of brevity, forecasts are generally stated in
smoothed CAGR-based descriptions to the forecast year, such as demand is projected
to rise 3.2% annually through 2016. The result of any particular year over that period,
however, may exhibit volatility and depart from a smoothed, long-term trend, as
historical data typically illustrate.
Key macroeconomic indicators are also provided at five-year intervals with CAGRs for
the years corresponding to other reported figures. Other various topics, including
profiles of pertinent leading suppliers, are covered in this report. A full outline of report
items by page is available in the Table of Contents.

Sources
Skilled Nursing Care: United States is based on Elder Care Services, a comprehensive

2012 by The Freedonia Group, Inc.

Skilled Nursing Care: United States

industry study published by The Freedonia Group in December 2012. Reported findings
represent the synthesis and analysis of data from various primary, secondary,
macroeconomic, and demographic sources including:

firms participating in the industry

government/public agencies
national, regional, and international non-governmental organizations
trade associations and their publications
the business and trade press
The Freedonia Group Consensus Forecasts dated August 2012
the findings of other industry studies by The Freedonia Group.

Specific sources and additional resources are listed in the Resources section of this
publication for reference and to facilitate further research.

Industry Codes
The topic of this report is related to the following industry codes:
NAICS/SCIAN 2007
North American Industry Classification System

SIC
Standard Industry Codes

623110
623210

8051

Nursing Care Facilities

Residential Intellectual and
Developmental Disability Facilities

Skilled Nursing Care Facilities

Copyright & Licensing

The full report is protected by copyright laws of the United States of America and
international treaties. The entire contents of the publication are copyrighted by The
Freedonia Group, Inc.

2012 by The Freedonia Group, Inc.

Skilled Nursing Care: United States

Table of Contents
Section

Page

Highlights....................................................................................................................................................... 1
Industry Overview ......................................................................................................................................... 2
Elder Care Services Overview ................................................................................................................. 2
Market Size & Trends .............................................................................................................................. 3
Chart 1 | United States: Skilled Nursing Care Revenue & Residents Trends, 2001-2011 ................. 4
Provider Type Segmentation ................................................................................................................... 5
Chart 2 | United States: Skilled Nursing Care Revenues by Provider Type, 2011 ............................. 5
For-Profit. ............................................................................................................................................ 6
Nonprofit. ............................................................................................................................................ 7
Payment Source Segmentation ............................................................................................................... 8
Chart 3 | United States: Skilled Nursing Care Revenues by Payment Source, 2011 ........................ 8
Medicaid. ............................................................................................................................................ 8
Medicare. ............................................................................................................................................ 9
Out-of-Pocket.................................................................................................................................... 10
Private Insurance. ............................................................................................................................. 10
Other. ................................................................................................................................................ 11
Employment Issues ................................................................................................................................ 12
Regulatory Environment ........................................................................................................................ 13
Revenue Forecasts ..................................................................................................................................... 15
Market Environment ............................................................................................................................... 15
Table 1 | United States: Key Indicators for Skilled Nursing Care Revenues .................................... 15
Provider Type Forecasts ........................................................................................................................ 16
Table 2 | United States: Skilled Nursing Care Revenues by Provider Type (million dollars) ........... 16
For-Profit. .......................................................................................................................................... 16
Nonprofit. .......................................................................................................................................... 17
Payment Source Forecasts.................................................................................................................... 18
Table 3 | United States: Skilled Nursing Revenues by Payment Source (million dollars) ................ 18
Medicaid. .......................................................................................................................................... 18
Medicare. .......................................................................................................................................... 18
Out-of-Pocket.................................................................................................................................... 19
Private Insurance. ............................................................................................................................. 19
Other. ................................................................................................................................................ 19
Industry Structure ........................................................................................................................................ 20
Industry Composition ............................................................................................................................. 20
Industry Leaders .................................................................................................................................... 21
Manor Care Incorporated.................................................................................................................. 21
Kindred Healthcare Incorporated ...................................................................................................... 22
GGNSC Holdings LLC ...................................................................................................................... 23
Genesis HealthCare Corporation ..................................................................................................... 24
Additional Companies Cited................................................................................................................... 25
Resources ................................................................................................................................................... 26
To return here, click on any Freedonia logo or the Table of Contents link in report footers.
PDF bookmarks are also available for navigation.

2012 by The Freedonia Group, Inc.