Valuation Resources

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.

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Industry Analysis, Trends, Statistics, and Forecasts

Nursing Care Facilities  (view report)
Assisted Living Facilities  (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. Topics addressed in the reports include:

  • Market size, product segments, and major markets
  • Key statistics, market trends, and external drivers
  • Operating conditions and current performance
  • Competitive landscape and environment
  • Major company profiles and market shares
  • Five-year outlook and revenue forecast

American Health Care Association
Research and Data

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.

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

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

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.

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Financial Statements and Financial Ratios

Industry Financial Ratios
Nursing Homes / Assisted Living Facilities  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 including:

  • Income and expenses in dollars and percentages
  • Balance sheets in dollars and percentages
  • Profitability and return on investment ratios
  • Liquidity and working capital ratios
  • Asset turnover and efficiency ratios
  • Capital structure and debt service ratios

American Seniors Housing Association
The State of Seniors Housing

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

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).

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Compensation and Salary Surveys

PayScale, Inc.
Nursing Home

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
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
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.

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Business Valuation Resources

Irving Levin Associates, Inc.
The Senior Care Acquisition Report

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

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.

Business Valuation Resources, LLC
DealStats® - Private and Public Company Transaction Data

Interactive database provides detailed transaction data for over 38,000 private and public companies sold for prices ranging from under $250,000 to over $500,000,000, with valuation measures provided including market value of invested capital as a multiple of revenue, gross profit, EBIT, EBITDA, SDE, and book value of invested capital. User guide, free webinar, and sample reports are available online.

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Related Industries:
Home Health Care Services
Home Medical Equipment Rentals
Hospice Care
Hospitals and Medical Centers


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