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Nursing Homes and Assisted Living Facilities

SIC 8051 | NAICS 623110

The following guide to industry information, research, and analysis provides sources for industry trends and statistics, financial ratios, salary surveys, and more.

Select from the following sections or scroll below for a complete listing of available resources:

Industry Analysis, Statistics, Trends, and Forecasts

Financial Information and Financial Ratios

Compensation and Salary Surveys

Business Valuation Resources

For resource guides specific to other industries, see our index which lists resource guides by SIC code for over 400 industries.

Industry Analysis, Statistics, Trends, and Forecasts

Nursing Care Facilities  View
Assisted Living Facilities  View
Residential Senior Care Franchises  View

Comprehensive research reports provide in-depth industry analysis and five-year growth forecasts, with special focus on the underlying structure and external forces and relationships that affect industries and their performance. Report contents include:

Sample report is available online.

The National Center For Assisted Living
Research and Data
Comprehensive source of research and data for nursing facilities on both a national and state basis, with topics covered including number of facilities, number of beds, occupancy rates, ownership, length of stays, payor types, funding issues, and staffing trends. All information is available free online.

American Seniors Housing Association
Seniors Housing Statistical Handbook
Handbook presents data and statistics of importance to the seniors housing industry including aging demographics, industry benchmarks, and seniors housing resident demographics.

Nursing Homes and Long-Term Care Facilities

First Research profiles cover key aspects of an industry's size, scope, and operations, recent news and developments, business challenges, issues, trends, and opportunities, and include a five-year revenue growth forecast. Profiles are updated quarterly and include:

Sample report is available online.

Health Industry Distributors Association
Extended Care Market Report  Select "Market Research - Market Reports"
Report provides market data and statistics and analyzes key trends affecting nursing homes, home health care agencies, and home medical equipment dealers.

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Financial Benchmarking Data

Industry Financial Ratios
Nursing Homes / Assisted Living Facilities  Search for "623110" and "6233"

Five-year comparative financial statement analysis includes income statements with expense detail, balance sheets, cash flow analysis, and key financial and operating ratios, with detailed financial benchmarking data available by sales size range on a national, state, and metro area level.

Sample reports are available online.

American Seniors Housing Association
The State of Seniors Housing
Report includes data from independent living communities, assisted living residences, and continuing care retirement communities and contains financial and performance measures including expense and revenue categories, resident turnover, occupancy, and other key operational data categories as well as an examination of the top 10 percent performing properties in the sample.

Commission on Accreditation of Rehabilitation Facilities (CARF)
Financial Ratios and Trend Analysis of
CARF-CCAC Accredited Communities  "Select "Continuing Care"
Includes analyzed information from the audited financial statements of CARF-CCAC accredited continuing care retirement communities.

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Compensation and Salary Surveys

Hospital & Healthcare Compensation Service
News Releases
News releases covering nursing home and assisted living salaries and benefits. Available free online.

American Association of Homes and Services for the Aging/
Hospital & Healthcare Compensation Service

Information resources available from these organizations include:

AAHSA Nursing Home Salary & Benefits Report
Covers salary and bonus data on 42 management, and 41 nursing, therapy, dietary, and clerical positions. All data reported according to bed-size, for-profit or not-for-profit status and geographic region or state. Includes 22 fringe benefits, and bonus information.

AAHSA Assisted Living Salary & Benefits Report
Covers salary and bonus data on 16 management, and 24 nursing, dietary, and clerical positions. All data reported according to for-profit and not-for-profit status, unit size, revenue size and geographic region or state. Includes fringe benefits, and bonus information.

Continuing Care Retirement Community Salary & Benefits Report
Covers salary and bonus data on 42 management, and 41 nursing, therapy, dietary, and clerical positions. All data reported according to total unit, revenue size and geographic region or state. Includes 22 fringe benefits, and bonus information.

American Seniors Housing Association
Seniors Housing Benefits & Workers Compensation Report
Report focuses on health insurance and benefits, and provides information on: eligibility and participation, choice and type of plans, optional voluntary plans, employer-employee contributions, renewal and cost increase data, and actions to curb rising costs. Additional information on workers compensation is also presented, including findings related to deductible retention, claims costs, experience modification, and loss control.

Hospital & Healthcare Compensation Service
Multi-Facility Corporate Compensation Report
Includes salary and bonus payments for long-term care, hospital, and home care multi-facility companies, with revenues in excess of $25,000,000. Covers the top corporate positions. Data are reported nationally and by 3 revenue categories.

JobStar.Org Profession-Specific Salary Surveys
Compensation surveys covering industry personnel. All data is available free online.

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Business Valuation Resources

Levin Associates
The Senior Care Acquisition Report
Annual survey provides an in-depth review of merger and acquisition trends in the senior care market, which includes nursing homes, assisted living facilities, home health care providers, and hospices. Survey includes an analysis of trends for such key measures as average price per bed or unit, capitalization rates, and income multiples, and also includes transaction data for publicly-announced transactions. Abstract containing table of contents, preface, and selected excerpts can be viewed free online.

American Seniors Housing Association
Seniors Housing Investment & Transaction Report
Study includes data and analysis of capitalization rates, price-per-unit, effective gross income multipliers, and overall expense ratios for: independent living communities, independent living communities with assisted living, free-standing assisted living residences, and Alzheimer's assisted living residences.

National Investment Center For Seniors Housing & Care Industry
Key Financial Indicators
Quarterly updated information on loan volume and performance in the seniors housing and care industry, occupancy rates by property type, and capitalization rates from appraisal firms specializing in this industry. Available free online.

Appraisal Institute
The Appraisal of Nursing Facilities
James K. Tellatin, MAI, Appraisal Institute, 2009
Comprehensive publication focuses on the appraisal of skilled nursing facilities, addressing the impact of factors such as Medicare and Medicaid reimbursement rates, site and market analysis, occupancy, payor/census mix, and more. Detailed table of contents and author podcast is available free online.

Small Business Valuation Multiples
Assisted Living Facilities

Comprehensive reference guide provides market-based business valuation multiples for small businesses in more than 200 industries. Valuation multiples are derived from actual business sales transactions as reported by BIZCOMPS®, with the primary focus on small companies priced at less than $1 million.

Private Company Sales Transactions
Pratt's Stats® | BIZCOMPS®
Free "Visitor Search" allows users to search private company transactions by SIC or NAICS code for comparable business sales transaction data, including revenue, earnings, and EBITDA multiples.

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