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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 to view available resources:

Industry Analysis, Statistics, Trends, and Forecasts

Financial Information and Financial Ratios

Compensation and Salary Surveys

Business Valuation Resources


For guides to other industries, see our index of over 400 industries.




Industry Analysis, Statistics, Trends, and Forecasts


Nursing Care Facilities  (view report)
Retirement Communities  (view report)
Residential Senior Care Franchises  (view report)

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:

  • Key statistics
  • Market size and characteristics
  • Current performance
  • Competitive landscape
  • Major companies
  • Key risk and success factors
  • Five-year growth forecast


American Health Care Association
Research and Data
http://www.ahcancal.org/

Research and data section features an extensive selection of reports and web-based resources that provide detailed information on nursing facilities, with topics covered by the various resources in this section including number of facilities, facility locations, ownership, patients served, number of beds, occupancy rates, length of stays, discharge rates, payor types, funding issues, and staffing trends.


First Research

Nursing Homes & Long-Term Care Facilities
http://www.firstresearch.com
First Research profiles cover key aspects of an industry's size, scope, and operations, and include a five-year revenue growth forecast. Profiles are updated quarterly and include:
  • Industry overview
  • Recent developments
  • Critical issues and challenges
  • Business trends and opportunities
  • Executive insights
  • Financial benchmarking data
  • Five-year growth forecast


National Center for Health Statistics
Long-Term Care Providers and Services Users in the United States
http://www.cdc.gov/nchs/

Biennial report provides a comprehensive analysis of long-term care service providers (e.g., adult day services centers, home health agencies, hospices, nursing homes, residential care communities), in the U.S. with topics covered in the report including geographic distribution, capacity, ownership type, Medicare and Medicaid certification, persons served, employment and staffing, and services provided.


National Investment Center for Senior Housing & Care
Senior Housing & Care Market Performance Report
http://www.nic.org/

Quarterly reports provide information on average monthly rent, occupancy, inventory, absorption, and penetration rates by property type (e.g., assisted living, independent living, and nursing care) for the top metropolitan markets and eight U.S. geographic regions, with performance data reported for the current quarter, prior quarter, and for the same time periods in the prior year for trending purposes.



Financial Benchmarking Data


Industry Financial Ratios
Nursing Homes / Assisted Living Facilities
http://www.bizminer.com  Search for "623110" and "6233"
Five-year financial statement analysis includes income statements, balance sheets, and key financial ratios, with data available by sales size range on a national, state, and metro area level.
  • Income and expense detail in dollars and percentages
  • Balance sheets in dollars and percentages
  • Cash flow analysis
  • Liquidity and working capital ratios
  • Profitability and return on investment ratios
  • Asset turnover and efficiency ratios
  • Capital structure and debt service ratios


American Seniors Housing Association
The State of Seniors Housing
https://www.seniorshousing.org/

Annual report sponsored by the ASHA, ALFA, NIC, LeadingAge, and NACL provides financial and operating performance data for assisted living residences, independent living communities, and continuing care retirement communities, with measures covered in the report including resident turnover and length of stay, financial operating results per unit, labor costs, and staffing ratios.


Commission on Accreditation of Rehabilitation Facilities (CARF)
Financial Ratios and Trend Analysis of CARF-CCAC Accredited Communities
http://bookstore.carf.org/

Annual report provides financial and operating performance measures for single-site and multi-site CARF-CCAC accredited continuing care retirement communities, with financial ratios provided for three key categories: margin (e.g., net operating margin with/without entrance fees), liquidity (e.g., days cash on hand), and capital structure (e.g., debt service coverage with/without entrance fees).




Compensation Surveys


PayScale
Nursing Home
http://www.payscale.com/

Free online service provides salary and hourly wage data for job positions such as facility administrator, nursing director, MDS coordinator, registered nurse, and certified nurse assistant, with employers for which salary or hourly wage data is provided including HCR Manorcare, Inc., Genesis Healthcare LLC, Golden LivingCenters, SavaSeniorCare, Signature Healthcare, and Life Care Centers of America, Inc.


Hospital & Healthcare Compensation Service
Compensation surveys available from this organization include:

Nursing Home Salary & Benefits Report
http://www.hhcsinc.com/
Annual compensation survey provides salary, bonus, and hourly wage data for personnel employed by nursing homes in management, nursing, therapy, dietary, and clerical job positions, with compensation data reported by number of facility beds (e.g., up to 99 beds, 100 beds and over, all facilities), type of organization (e.g., for-profit, not-for-profit, all entities), and city, county, state, and geographic region.

Assisted Living / CCRC Salary & Benefits Reports
http://www.hhcsinc.com/
Annual compensation surveys provide salary, bonus, and hourly wage data for personnel employed by assisted living facilities and continuing care retirement communities in management, nursing, dietary, and clerical positions, with compensation data reported by number of units, gross revenue, type of organization (e.g., for-profit, not-for-profit, all entities), and city, county, state, and geographic region.




Business Valuation Resources


Irving Levin Associates, Inc.
The Senior Care Acquisition Report
https://products.levinassociates.com/

Annual survey provides an in-depth review of merger and acquisition trends in the senior care market,  with information provided for the nursing facility and assisted and independent living markets including prices paid per bed or unit, prices paid per bed or unit by size of property, price range per square foot, capitalization rate trends by size and type of facility, and gross income multiples by type of facility.


Appraisal Institute
The Appraisal of Nursing Facilities
James K. Tellatin, MAI, Appraisal Institute, 2009
http://www.appraisalinstitute.org/

Comprehensive text focuses on the appraisal of skilled nursing facilities, with topics covered in this publication including facility analysis, competitive market analysis, projecting occupancy, Medicare
and Medicaid reimbursement rates, payor or census mix analysis, revenue forecasting, operating expense analysis, income, sales, and cost approaches, and reconciliation of value indications.


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