The U.S. long term care market size is estimated to reach USD 937.56 billion by 2033, registering a CAGR of 8.2% from 2026 to 2033, according to a new report by Grand View Research, Inc. High prevalence of target diseases, especially Alzheimer’s, heart diseases, Parkinson's disease, and other dementias, in the U.S. is expected to drive the market growth. According to the CDC, 6 of 10 adults in the U.S. have a chronic disease. The increasing geriatric population, rising healthcare costs, and an increasing number of nuclear families are among the key factors driving the regional market. Furthermore, rapid technological advancements and easy availability of Medicare and Medicaid & private insurance are likely to drive the market growth.
The State & Federal Governments of the U.S. are taking initiatives for long-term care. According to New York State (NYS) Public Health Law Article 21-A, it is mandatory for a facility to provide pneumococcal and influenza vaccination to the residents and healthcare professionals. This has driven the demand for immunization supplies from LTC facilities. Nursing care centers have emerged as one of the highest providers of therapeutic and vaccination services of all types.
In the U.S., the increasing burden on hospitals due to heart diseases, diabetes, and dementia requires long-term care & repeated hospitalization. According to the American Hospital Association, the U.S. witnessed 36,241,815 hospitalizations in 2021. Hospitals in the U.S. are currently focused on the treatment of COVID-19 leading to the neglect of other chronic health issues. The scenario is creating major opportunities for long-term care providers such as skilled nursing facilities, home healthcare facilities, & assisted living facilities to reduce the burden on hospitals and urgent care facilities by providing quality healthcare services and post-surgery care.
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Based on service, the nursing care segment held the largest revenue share of 33.55% in 2025, driven by advancements in medical technology and treatment options.
Based on payer, the public segment held the largest revenue share of 66.05% in 2025. Its dominance is driven by the population age, particularly with the baby boomer generation reaching retirement age.
Based on region, the west region held revenue share in 2025, attributed to the growing preference for aging-in-place and home healthcare services is accelerating demand for LTC solutions, supported by technological advancements such as telehealth, remote monitoring, and digital care coordination that improve service accessibility and efficiency.
Grand View Research has segmented the U.S. long term care market based on service, payer, and region:
U.S. Long Term Care Service Outlook (Revenue, USD Million, 2021 - 2033)
Home health care
Hospices
Nursing care
Assisted living facilities
Others
U.S. Long Term Care Payer Outlook (Revenue, USD Million, 2021 - 2033)
Public
Private
Out-of-Pocket
U.S. Long Term Care Region Outlook (Revenue, USD Million, 2021 - 2033)
West
Southeast
Southwest
Northeast
Midwest
List of Key Players in U.S. Long Term Care Market
Brookdale Senior Living, Inc
Sunrise Senior Living, LLC
Kindred Healthcare
Amedisys, Inc
Genesis Healthcare, Inc
Capital Senior Living Corporation
Diversicare Healthcare Services, Inc
Home Instead, Inc.
Senior Care Centerz
Atria’s Senior Living
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