U.S. Skilled Nursing Facility And Rehabilitation Market Size, Share & Trends Analysis Report By Type Of Facility (Freestanding, Hospital), And Segment- Industry Analysis, Share, Growth, Regional Outlook and Forecasts, 2023-2032

The U.S. skilled nursing facility and rehabilitation market size was exhibited at USD 228.6 billion in 2022 and is projected to hit around USD 338.06 billion by 2032, growing at a CAGR of 3.99% during the forecast period 2023 to 2032.

Key Takeaways:

  • The freestanding segment dominated the market in 2022 due to its lower cost compared to the hospital-based facility. The freestanding segment is expected to continue the dominance and witness a great growth rate
  • Skilled nursing facilities are reimbursed by medicare part A and B resulting in more sustainability and thus is a fuel factor for the growth of the market
  • The market is present with small and large players, leading to higher competition among smaller players to sustain their market position. The market is quite open for new entrants due to government support and great reimbursement policies
  • Mergers and acquisitions is one of the key strategic initiatives undertaken by market players to sustain in the competitive market. For instance, in December 2020, The Ensign Group, Inc. acquired Hays Nursing and Rehabilitation Center, a 116-bed skilled nursing facility located in Texas
  • According to the Center for Medicare Advocacy report published in March 2021, nursing centers received billions of dollars during the pandemic from the government. For instance, as of March 2021, around 10,293 nursing facilities received Paycheck Protection Program loans, totaling around USD 5.7 billion. This program was created as a part of the CARES Act and extended by the Consolidated Appropriation Act, 2021 to provide financial assistance to businesses for retaining their employees during the pandemic. The assistance has helped these centers to offset their financial costs and losses incurred due to the pandemic

U.S. Skilled Nursing Facility And Rehabilitation Market Report Scope

Report Attribute Details
Market Size in 2023 USD 237.72 Billion
Market Size by 2032 USD 338.06 Billion
Growth Rate From 2023 to 2032 CAGR of 3.99%
Base Year 2022
Forecast Period 2023 to 2032
Segments Covered Type of Facility 
Market Analysis (Terms Used) Value (US$ Million/Billion) or (Volume/Units)
Report Coverage Revenue forecast, company ranking, competitive landscape, growth factors, and trends
Key Companies Profiled The Ensign Group, Inc; Brookdale Senior Living, Inc; Genesis Healthcare, Inc; Extendicare; Sunrise Senior Living, LLC; ProMedica; Golden Living Centers; Life Care Centers of America

 

The rise in the geriatric population and the growing prevalence of chronic diseases is key drivers for the U.S. market. The recent advancements in technology and easier availability of Medicare and Medicaid and private insurance are likely to drive the market during the forecast period.

The skilled nursing and rehabilitation services in the U.S. have a lot of regulations by the government. Skilled nursing and rehabilitation services have to comply with the Code of Federal Regulations (CFR). Code 42 CFR subpart B gives all the requirements for these nursing facilities to comply for receiving payment under Medicare and Medicaid programs.

The reimbursement at skill nursing and rehabilitation facilities is based on Medicare part A & B. Medicare part A gives reimbursement based on inpatient and hospital. According to part A, the prospective payment system is followed where these therapy facilities are paid on the daily basis covering the patient-associated services that include therapy services calculated in minutes nursing along with daily room services. Medicare part B pays for all therapy services given using the CPR codes.

Type Of Facility Insights

The freestanding segment dominated the market for U.S. skilled nursing facility and rehabilitation held the largest revenue share of 84.68% in 2022 and is expected to register the fastest CAGR of 4.03% during the forecast period. The freestanding facilities offer skilled nursing and personalized care for 24 hrs. Rehabilitation services like physical and occupational therapy and speech-language, pathology services are also provided at these facilities. The freestanding facilities are the dominating segment because of their lower cost than that of hospital-based facilities.

Hospital-based facilities are having services after the stay in the hospital like wound care, post-acute care and rehabilitation. These facilities boost hospital performance by reducing the length of hospital stay which creates more room for new patients as the older patients are transferred to these facilities. High injuries in the workplace, chronic diseases and an increasing no of accidents boost the market for these hospital-based facilities.

Key Companies & Market Share Insights

The market for U.S. skilled nursing facility and rehabilitation has a lot of big and small players making it very competitive. Brookdale senior living is one of the top players in the market with 72,267 units.For instance, in 2019, Brookdale senior living acquired ownership 0f an 18-property leased portfolio for 405 million USD. Some of the prominent players in the U.S. skilled nursing facility and rehabilitation market include:

  • Brookdale Senior Living, Inc
  • The Ensign Group, Inc
  • Genesis Healthcare, Inc
  • Extendicare
  • Sunrise Senior Living, LLC
  • ProMedica
  • Golden Living Centers
  • Life Care Centers of America

Segments Covered in the Report

This report forecasts revenue growth at country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2018 to 2032. For this study, Nova one advisor, Inc. has segmented the U.S. Skilled Nursing Facility And Rehabilitation market.

By Type of Facility 

  • Freestanding
  • Hospital

Frequently Asked Questions

The U.S. skilled nursing facility and rehabilitation market size was exhibited at USD 228.6 billion in 2022 and is projected to hit around USD 338.06 billion by 2032

.The U.S. skilled nursing facility and rehabilitation market is expected to grow at a compound annual growth rate of 4.47% from 2023 to 2032

Some key players operating in the U.S. skilled nursing facility and rehabilitation market are Brookdale Senior Living Solutions; Genesis HealthCare; The Ensign Group, Inc.; EXTENDICARE; Sunrise Senior Living, LLC; Life Care Services; HCR ManorCare; Golden LivingCenters; Life Care Centers of America Corporate; and SavaSeniorCare Administrative Services LLC.

Key factors that are driving the U.S. skilled nursing facility and rehabilitation market growth include the increasing geriatric population, growing prevalence of chronic diseases, rising healthcare cost, rapid technological advancements, and easy availability of Medicare and Medicaid & private insurance.

Chapter 1 Methodology and Scope
                   1.1 Market Segmentation & Scope
                       1.1.1 Estimates and Forecast Timeline
                   1.2 Research Methodology
                   1.3 Information Procurement
                       1.3.1 Purchased database:
                       1.3.2 Nova one advisor Internal Database
                       1.3.3 Secondary sources
                       1.3.4 Primary research
                   1.4 Information or Data Analysis
                   1.5 Market Formulation & Validation
                   1.6 Model Details
                       1.6.1 Commodity flow analysis
                   1.7 List of Secondary Sources
                   1.8 List of Abbreviations
                   1.9 Objectives
                       1.9.1 Objective - 1
                       1.9.2 Objective - 2
                       1.9.3 Objective - 3
Chapter 2 Executive Summary
                   2.1 Market Outlook
                   2.2 Segment Outlook
                       2.2.1 Facility Type
                   2.3 Competitive Insights
Chapter 3 Market Variables, Trends & Scope
                   3.1 Market Lineage Outlook
                       3.1.1 Parent market outlook
                       3.1.2 Related/ancillary market outlook
                   3.2 Market Dynamics
                       3.2.1 Market Driver Analysis
                           3.2.1.1 Rising geriatric population
                           3.2.1.2 Increasing prevalence of multiple chronic conditions
                           3.2.1.3 High demand for rehabilitation services
                       3.2.2 Market Restraint Analysis
                           3.2.2.1 High cost of services
                           3.2.2.2 Shortage of workforce
                       3.2.3 Industry Challenges
                       3.2.4 Industry Opportunities
                   3.3 Penetration & Growth Prospect Mapping
                   3.4 Business Environment Analysis Tools
                       3.4.1 PESTEL Analysis
                           3.4.1.1 Political & legal landscape
                           3.4.1.2 Economic and social landscape
                           3.4.1.3 Technology landscape
                       3.4.2 Porter’s Five Forces Analysis
                           3.4.2.1 Competitive rivalry: High
                           3.4.2.2 Threat of new entrants: Moderate
                           3.4.2.3 Bargaining power of buyers: Moderate
                           3.4.2.4 Bargaining power of suppliers: Low
                           3.4.2.5 Threat of substitutes: Moderate
                   3.5 Regulatory Framework & Reimbursement Scenario
                   3.6 Impact of COVID-19 Pandemic
Chapter 4 U.S. Skilled Nursing Facility & Rehabilitation Market: Type of Facility Analysis
                   4.1 U.S. Skilled Nursing Facility & Rehabilitation Market Share Analysis, 2023 & 2032
                   4.2 Segment Dashboard
                   4.3 Market Size & Forecasts and Trend Analysis, 2020 to 2032 for the Facility Type
                       4.3.1 Freestanding
                           4.3.1.1 Freestanding market, 2020 - 2032
                       4.3.2 Hospital
                           4.3.2.1 Hospital market, 2020 - 2028
Chapter 5 Competitive Analysis
                   5.1 Recent Developments & Impact Analysis, by Key Market Participants
                   5.2 Competition Categorization (Key Innovators, Market Leaders, Emerging Players)
                   5.3 Company Market Position Analysis
                   5.4 Company Profiles
                       5.4.1 Brookdale Senior Living Inc.
                           5.4.1.1 Company overview
                           5.4.1.2 Financial performance
                           5.4.1.3 Service benchmarking
                           5.4.1.4 Strategic initiatives
                           5.4.1.5 SWOT analysis
                       5.4.2 The Ensign Group, Inc.
                           5.4.2.1 Company overview
                           5.4.2.2 Financial performance
                           5.4.2.3 Service benchmarking
                           5.4.2.4 Strategic initiatives
                           5.4.2.5 SWOT analysis
                       5.4.3 Genesis HealthCare
                           5.4.3.1 Company overview
                           5.4.3.2 Financial performance
                           5.4.3.3 Service benchmarking
                           5.4.3.4 Strategic initiatives
                           5.4.3.5 SWOT analysis
                       5.4.4 Extendicare
                           5.4.4.1 Company overview
                           5.4.4.2 Financial performance
                           5.4.4.3 Service benchmarking
                       5.4.5 Sunrise Senior Living, LLC
                           5.4.5.1 Company overview
                           5.4.5.2 Financial performance
                           5.4.5.3 Service benchmarking
                           5.4.5.4 Strategic initiatives
                       5.4.6 ProMedica
                           5.4.6.1 Company overview
                           5.4.6.2 Financial performance
                           5.4.6.3 Service benchmarking
                           5.4.6.4 Strategic initiatives
                       5.4.7 Golden LivingCenters
                           5.4.7.1 Company overview
                           5.4.7.2 Financial performance
                           5.4.7.3 Service benchmarking
                           5.4.7.4 Strategic initiatives
                       5.4.8 Life Care Centers of America
                           5.4.8.1 Company overview
                           5.4.8.2 Financial performance
                           5.4.8.3 Service benchmarking
                           5.4.8.4 Strategic initiatives

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