Nursing Homes and Assisted Living Facilities

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

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.

Nursing Homes & Long-Term Care Facilities
https://www.firstresearch.com/

First Research profiles cover key aspects of an industry's size, scope, and operations and include a five-year growth forecast. Profile contents include:

National Center for Health Statistics
Long-Term Care Providers and Services Users in the United States
https://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
https://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.

Industry Financial Ratios
Nursing Homes / Assisted Living Facilities
https://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.

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).

PayScale, Inc.
Nursing Home
https://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
https://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
https://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.

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
https://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 and census mix analysis, revenue forecasting, operating expense analysis, cost, sales, and income valuation approaches, and reconciling indicated values.