U.S. Skilled Nursing Facility Market Size, Share & Trends Analysis Report By Ownership (For-profit, Non-profit, Government), By Type (Freestanding, Hospital), And Segment Forecasts, 2023 - 2030

Research Methodology

A three-pronged approach was followed for deducing the U.S. skilled nursing facility market estimates and forecasts. The process has three steps: information procurement, analysis, and validation. The whole process is cyclical, and steps repeat until the estimates are validated. The three steps are explained in detail below:

Information procurement: Information procurement is one of the most extensive and important stages in our research process, and quality data is critical for accurate analysis. We followed a multi-channel data collection process for U.S. skilled nursing facility market to gather the most reliable and current information possible.

• We buy access to paid databases such as Hoover’s and Factiva for company financials, industry information, white papers, industry journals, SME journals, and more.
• We tap into Grand View’s proprietary database of data points and insights from active and archived monitoring and reporting.
• We conduct primary research with industry experts through questionnaires and one-on-one phone interviews.
• We pull from reliable secondary sources such as white papers and government statistics, published by organizations like WHO, NGOs, World Bank, etc., Key Opinion Leaders (KoL) publications, company filings, investor documents, and more.
• We purchase and review investor analyst reports, broker reports, academic commentary, government quotes, and wealth management publications for insightful third-party perspectives.

Analysis: We mine the data collected to establish baselines for forecasting, identify trends and opportunities, gain insight into consumer demographics and drivers, and so much more. We utilized different methods of U.S. skilled nursing facility market data depending on the type of information we’re trying to uncover in our research.

• Market Research Efforts: Bottom-up Approach for estimating and forecasting demand size and opportunity, top-down Approach for new product forecasting and penetration, and combined approach of both Bottom-up and Top-down for full coverage analysis.

• Value-Chain-Based Sizing & Forecasting: Supply-side estimates for understanding potential revenue through competitive benchmarking, forecasting, and penetration modeling.

• Demand-side estimates for identifying parent and ancillary markets, segment modeling, and heuristic forecasting.

• Qualitative Functional Deployment (QFD) Modelling for market share assessment.

Market formulation and validation: We mine the data collected to establish baselines for forecasting, identify trends and opportunities, gain insight into consumer demographics and drivers, and so much more. We utilize different methods of data analysis depending on the type of information we’re trying to uncover in our research.

• Market Formulation: This step involves the finalization of market numbers. This step on an internal level is designed to manage outputs from the Data Analysis step.

• Data Normalization: The final market estimates and forecasts are then aligned and sent to industry experts, in-panel quality control managers for validation.

• This step also entails the finalization of the report scope and data representation pattern.

• Validation: The process entails multiple levels of validation. All these steps run in parallel, and the study is forwarded for publishing only if all three levels render validated results.

U.S. Skilled Nursing Facility Market Categorization:

The U.S. skilled nursing facility market was categorized into two segments, namely type of facility (Freestanding, Hospitals), and ownership (For-Profit, Non-Profit, Government).

Segment Market Methodology:

The U.S. skilled nursing facility market was segmented into type of facility, and ownership. The demand at a segment level was deduced using a funnel method. Concepts like the TAM, SAM, SOM, etc., were put into practice to understand the demand. We at GVR deploy three methods to deduce market estimates and determine forecasts. These methods are explained below:

Market research approaches: Bottom-up

• Demand estimation of each product across countries/regions summed up to from the total market.

• Variable analysis for demand forecast.

• Demand estimation via analyzing paid database, and company financials either via annual reports or paid database.

• Primary interviews for data revalidation and insight collection.

Market research approaches: Top-down

• Used extensively for new product forecasting or analyzing penetration levels.

• Tool used invoice product flow and penetration models Use of regression multi-variant analysis for forecasting Involves extensive use of paid and public databases.

• Primary interviews and vendor-based primary research for variable impact analysis.

Market research approaches: Combined

• This is the most common method. We apply concepts from both the top-down and bottom-up approaches to arrive at a viable conclusion.

Regional Market Methodology:

The U.S. skilled nursing facility market was analyzed at a regional level.

All three above-mentioned market research methodologies were applied to arrive at regional-level conclusions. The regions were then summed up to form the global market.

U.S. skilled nursing facility market companies & financials:

The U.S. skilled nursing facility market was analyzed via companies operating in the sector. Analyzing these companies and cross-referencing them to the demand equation helped us validate our assumptions and conclusions. Key market players analyzed include:

• Genesis Healthcare, Inc. - Genesis Healthcare, Inc. emerged as a spinoff from Genesis Health Ventures and has established a significant presence in the market. As of December 2018, the company operated 425 skilled nursing and assisted/senior living facilities across 29 states, comprising 399 skilled nursing facilities and 26 standalone assisted/senior living facilities. These facilities encompassed 50,957 licensed beds, with approximately 68% of them concentrated in nine states. Genesis Healthcare, Inc. operates in three primary business segments: inpatient services, rehabilitation therapy, and others.

• Brookdale Senior Living Solutions - Brookdale Senior Living Solutions, a prominent player in the market, stands as one of the largest operators of senior living communities in the United States. With a vast capacity of approximately 1,123 communities spread across 47 states, the company has the ability to accommodate over 108,000 residents. Its operations are diversified across five key business segments, including retirement centers, assisted living, continuing care retirement communities—rental, Brookdale ancillary services, and management services. The company’s service portfolio encompasses a wide range of offerings, such as personalized assisted living, independent living, memory care, skilled nursing, and rehabilitation. Additionally, its ancillary service programs provide outpatient therapy, personalized living, home health, and skilled nursing facility services

• The Ensign Group, Inc. - The Ensign Group, Inc. is a healthcare service company that offers a range of services, including in-house therapy, skilled nursing, senior living home health, and hospice care. As of December 31, 2019, the company provided skilled nursing, assisted living, and rehabilitative care services through 223 skilled nursing and senior living facilities. The Ensign Group operates in various states across the United States, such as Arizona, South Carolina, California, Colorado, Nebraska, Oregon, Idaho, Iowa, Washington, Kansas, Nevada, Oklahoma, Texas, Utah, Wisconsin, and Wyoming.

• National HealthCare Corporation - National HealthCare Corporation (NHC) is a prominent healthcare service provider that offers a wide range of services. The company, founded in 1971, operates in 10 states in the U.S. and is known for its comprehensive home healthcare services. NHC’s service portfolio includes rehabilitative therapies, recovery services, and the management of behavioral issues. Additionally, the company provides paraprofessionals, skilled nursing, and staffing services.

• Sunrise Senior Living, LLC. - Sunrise Senior Living, LLC is a senior living services provider that has been operating for over 30 years. As of 2016, the company had a total resident capacity of approximately 28,700 in North America and 3,700 in the UK. Sunrise Senior Living operates in the United States, Canada, and the UK, with 316 senior living communities, including 15 in Canada, 42 in the UK, and 259 in the United States. The company’s service portfolio includes assisted living, independent living, care for memory loss and Alzheimer’s, and rehabilitative and nursing services.

• Life Care Services - Life Care Services (LCS) is a major player in the senior living industry, providing management and support to various senior living communities. The company caters to over 33,000 senior citizens and offers a range of services, including independent living, assisted living, skilled nursing facilities, and memory care.

• HCR ManorCare - HCR ManorCare, now known as ProMedica Senior Care, is a significant player in the healthcare industry, offering a wide range of services. The company provides skilled nursing, assisted living, outpatient rehabilitation, short-term care, IV care, hospice care, Alzheimer’s and dementia care, post-hospital care, and home healthcare services. With a network of over 450 centers and 2,700 physicians across the United States, HCR ManorCare was acquired by ProMedica in 2018, leading to the formation of ProMedica Senior Care, which has become the fastest-growing home health and post-acute care company.

• Golden LivingCenters - Golden LivingCenters is a healthcare service provider in the United States, offering a range of services to its clients. The company operates nursing facilities, assisted living centers, home health care centers, hospice care, and outpatient clinics, as well as rehabilitation therapy services. Its skilled nursing facilities provide specialized care for patients with cardiac, diabetic, stroke, and wound management needs, among others.

• Life Care Centers of America - Life Care Centers of America, the largest privately held long-term elderly care company in the U.S., is a major healthcare provider offering a wide range of services. The company owns more than 200 facilities across 27 states and employs over 40,000 individuals. Its services include nursing care, Alzheimer’s care, on-site physician services, rehabilitation, assisted living, home care, and retirement centers. 

• SavaSeniorCare Administrative Services LLC - SavaSeniorCare Administrative Services LLC provides skilled nursing, rehabilitative services, and memory care, including services such as physical therapy, occupational therapy, speech therapy, wound care, hospice care, respite care, rehabilitation services, intravenous therapy services, respiratory therapy services, dementia services, and bariatric services. 

Value chain-based sizing & forecasting

Supply Side Estimates

• Company revenue estimation via referring to annual reports, investor presentations, and Hoover’s.

• Segment revenue determination via variable analysis and penetration modeling.

• Competitive benchmarking to identify market leaders and their collective revenue shares.

• Forecasting via analyzing commercialization rates, pipelines, market initiatives, distribution networks, etc.

Demand side estimates

• Identifying parent markets and ancillary markets

• Segment penetration analysis to obtain pertinent

• revenue/volume

• Heuristic forecasting with the help of subject matter experts

• Forecasting via variable analysis

U.S. Skilled Nursing Facility Market Report Objectives:

• Understanding market dynamics (in terms of drivers, restraints, & opportunities) in the countries.

• Understanding trends & variables in the individual countries & their impact on growth and using analytical tools to provide high-level insights into the market dynamics and the associated growth pattern.

• Understanding market estimates and forecasts (with the base year as 2022, historic information from 2017 to 2021, and forecast from 2023 to 2030). Regional estimates & forecasts for each category are available and are summed up to form the global market estimates.

U.S. Skilled Nursing Facility Market Report Assumptions:

• The report provides market value for the base year 2022 and a yearly forecast till 2030 in terms of revenue/volume or both. The market for each of the segment outlooks has been provided on region & country basis for the above-mentioned forecast period.

• The key industry dynamics, major technological trends, and application markets are evaluated to understand their impact on the demand for the forecast period. The growth rates were estimated using correlation, regression, and time-series analysis.

• We have used the bottom-up approach for market sizing, analyzing key regional markets, dynamics, & trends for various products and end-users. The total market has been estimated by integrating the country markets.

• All market estimates and forecasts have been validated through primary interviews with the key industry participants.

• Inflation has not been accounted for to estimate and forecast the market.

• Numbers may not add up due to rounding off.

• Europe consists of EU-8, Central & Eastern Europe, along with the Commonwealth of Independent States (CIS).

• Asia Pacific includes South Asia, East Asia, Southeast Asia, and Oceania (Australia & New Zealand).

• Latin America includes Central American countries and the South American continent

• Middle East includes Western Asia (as assigned by the UN Statistics Division) and the African continent.

Primary Research

GVR strives to procure the latest and unique information for reports directly from industry experts, which gives it a competitive edge. Quality is of utmost importance to us, therefore every year we focus on increasing our experts’ panel. Primary interviews are one of the critical steps in identifying recent market trends and scenarios. This process enables us to justify and validate our market estimates and forecasts to our clients. With more than 8,000 reports in our database, we have connected with some key opinion leaders across various domains, including healthcare, technology, consumer goods, and the chemical sector. Our process starts with identifying the right platform for a particular type of report, i.e., emails, LinkedIn, seminars, or telephonic conversation, as every report is unique and requires a differentiated approach.

We send out questionnaires to different experts from various regions/ countries, which is dependent on the following factors:

• Report/Market scope: If the market study is global, we send questionnaires to industry experts across various regions, including North America, Europe, Asia Pacific, Latin America, and MEA.

• Market Penetration: If the market is driven by technological advancements, population density, disease prevalence, or other factors, we identify experts and send out questionnaires based on region or country dominance.

The time to start receiving responses from industry experts varies based on how niche or well-penetrated the market is. Our reports include a detailed chapter on the KoL opinion section, which helps our clients understand the perspective of experts already in the market space.