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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)
Assisted Living Facilities  (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


The National Center For Assisted Living
Research and Data
http://www.ahcancal.org/research_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
http://www.seniorshousing.org/bookstore.php
Handbook presents data and statistics of importance to the seniors housing industry including aging demographics, industry benchmarks, and seniors housing resident demographics.

First Research

Nursing Homes and 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


Health Industry Distributors Association
Extended Care Market Report
http://www.hida.org/  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.



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
http://www.seniorshousing.org/bookstore.php
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

http://bookstore.carf.org  "Select "Continuing Care"
Includes analyzed information from the audited financial statements of CARF-CCAC accredited continuing care retirement communities.



Compensation Surveys


Hospital & Healthcare Compensation Service
News Releases
http://www.hhcsinc.com/news.htm
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
http://www.hhcsinc.com/hcsreports.htm
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
http://www.hhcsinc.com/hcsreports.htm
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
http://www.hhcsinc.com/hcsreports.htm
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
http://www.seniorshousing.org/bookstore.php
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
http://www.hhcsinc.com/hcsreports.htm
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.



Business Valuation Resources


Levin Associates
The Senior Care Acquisition Report
http://www.levinassociates.com/scardescription
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
http://www.seniorshousing.org/bookstore.php
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.

Appraisal Institute
The Appraisal of Nursing Facilities
James K. Tellatin, MAI, Appraisal Institute, 2009
http://www.appraisalinstitute.org/store/p-161-the-appraisal-of-nursing-facilities.aspx
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
http://valuationresources.com/

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 BIZCOMPSĀ®, with the primary focus on small companies priced at less than $1 million.


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