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PUBLISHER: Arizton Advisory & Intelligence | PRODUCT CODE: 1149534

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PUBLISHER: Arizton Advisory & Intelligence | PRODUCT CODE: 1149534

U.S. Assisted Living Facility Market- Industry Outlook & Forecast 2022-2027

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Table of Contents

List of Tables

The U.S. assisted living facility market is expected to grow at a CAGR of 5% during 2022-2027.

MARKET INSIGHTS

  • In the U.S., increased shifting towards independent living by senior/adult older people is delivering high market growth opportunities to assisted living facility market. The significant aging population is increasing the demand for independent living facilities. In 2019, around 92% of the U.S. senior population showed a stabilized occupancy trend for independent living. In recent years, the key players and emerging players have increased their focus on high-end communities, changing the U.S. assisted living facility market landscape.
  • Assisted living constructions have significantly increased in the past few years, and boosting the market growth, there is an increase in the construction activities related to assisted living community units across the United States. The key companies in the U.S. assisted living facility market are involved in inorganic growth strategies. The merger and acquisition strategies accelerate the AL community's expansion and geographical presence at the industry level. Further, the new concept of active adult living in the ALF attracts people to it. Even before retirement, people who are about to retire shortly are joining the active living facilities. This is when they have ample cash flow post-retirement; these active living facilities are unique and have better facilities per their requirements. In recent years, this group has been seen as a better target group for the ALF.

Industry Regulations

In the U.S. assisted living facility market, the regulatory environment surrounding ALF continues to intensify in multiple ways. Local officials, state and federal, are increasingly focusing on enforcing laws and regulations that directly impact assisted living facilities. The higher impact is particularly true for multi-community operators. Some rules and regulations that affect state and local (domestic) laws impact licensure protect the consumer against misleading scenarios, and influence assisted living communities' management, properties, and equipment.

Role of Medicare and Medicaid

Most assisted living communities rely on reimbursement from government funding and programs, such as Medicare and Medicaid, for some of the company's revenues. Medicare and Medicaid do not fully cover assisted living costs or rent, but Medicaid covers the medical expenses at an assisted living facility. Medicare and Medicaid represent some reimbursement helpful for assisted living facilities and seniors who reside in the assisted living facilities.

KEY HIGHLIGHTS

  • More than 28,900 assisted living communities operating in the U.S. Healthcare expenditure by seniors is increased in the United States. In 2020, healthcare expenditure rose to USD 4.1 trillion. This growth is substantially high compared to 2019. In 2022, SeniorLiving.org published a report on assisted living and home care costs in the U.S. In 2022, more than 800,000 American seniors will be living in AL communities.
  • The assisted living facilities are undergoing consolidation post-COVID-19 pandemic. Many chains-based assisted living facilities are adding up more ASF or breaking them down into smaller entities to handle operational costs and implement changes faster. Smaller independent assisted living facilities are running the industry changes better than the chain of ALF. Post pandemic, the scenario has changed in the U.S. assisted living facility market; the number of people enrolling in nursing and long-term care facilities is decreasing. However, there is a moderate increase in the number of people registering for the ALF. This number of expected to increase in the future.
  • Many U.S.-based assisted living facility organizations are engaged in various innovation initiatives. New technologies, ideas, and operating models to improve assisted living care facilities and enhance resident engagement and experience are being introduced in the U.S. assisted living facility market. With the help of advanced technology platforms such as remote monitoring, telemedicine, and connected devices, ASFs expect to identify solutions to reduced complexity and increased productivity at an affordable cost for people.

SEGMENTATION ANALYSIS

INSIGHTS BY GENDER

The U.S. assisted living facility market by gender is segmented into women and men, among which the women segment dominates the industry with a higher market share. The women's segment shows dominance over men's due to the increased preference for assisted living facilities among the age group of 65 and above. In 2021, the women's segment showed dominance over the men's segment, accounting for a 71.33% higher market share in an assisted living facility. Significant factors driving women's preference for assisted living include a greater need for care, independent living preference, and outliving their spouses.

Segmentation by Gender

  • Women
  • Men

INSIGHTS BY OWNERSHIP

On the basics of ownership, the U.S. assisted living facility market is segmented into independently owned and chain-affiliated assisted living communities. More than half of assisted living communities are chain affiliated. They employ around 300,000 full-time nurses and social workers. Chain-affiliated assisted living communities show dominance over the independently owned, with a market share of 55.33% in 2021. During the forecast period, independently owned assisted living communities accounted for healthy growth. In 2021, the independently owned segment accounted for 44.67%.

Segmentation by Ownership

  • Chain-Affiliated
  • Independently Owned

INSIGHTS BY AGE GROUP

The U.S. assisted living facility market is segmented by age group into 85 and above, 75 to 84, and 65 to 74 segments. In 2021, the 85 and above age group accounted for a 52.11% higher market share in assisted living facilities in the U.S.The rising prevalence of chronic conditions in the population, specifically Alzheimer's and dementia, and increasing independent living lifestyles among the older population accelerate the industry growth. More than half of assisted living residents are 85 years and above, whereas almost a third are between 75- and 84 years of age.

Segmentation by Age Group

  • 85 & Above Age Group
  • 75 To 84 Age Group
  • 60 To 74 Age Group

REGIONAL ANALYSIS

The U.S. assisted living facility market is segmented into the West, South, Midwest, and Northeast regions. The aging population is one of the significant factors driving the adoption of assisted living facilities in the United States. The west region shows a higher industry dominance due to the most significant number of major assisted living facility units. Many large assisted living communities are widely present in the Western region, driving the region's higher U.S. assisted living facility market growth.

Most assisted living communities (40.8%) are in the western US, with 28% in the South. In the Southern region, Florida has many assisted living facility communities. Florida is home to a higher aging population in the U.S., accounting for 3,926,889 seniors aged 65 and above. This age group has better purchase power in the industry, driving them to choose better facilitated assisted living facilities.

Segmentation by Region

  • United States
    • Southern US
    • Western US
    • Midwest US
    • Northeastern US

VENDOR LANDSCAPE

Brookdale Senior Living, Alerislife (Five Star Senior Living), Atria Senior Living, and Enlivant hold a major share in the U.S. assisted living facility market. Due to the company's high geographical presence, expertise, and well-known brand image, they have a better industry share in the United States. The U.S. assisted living facility market is highly competitive due to numerous organizations offering similar services and community-based service programs.

Currently, more than 28,900 assisted living facility providers are available in the U.S. Brookdale Senior Living, Alerislife (Five Star Senior Living), Atria Senior Living, and Enlivant hold a major share in the U.S. assisted living facility market. In 2022, around 2,500 different senior living services providers, including assisted living facilities, were available in the U.S. Based on Brookdale analysis, the occupancy rate of seniors such as assisted living, independent living, and memory care sharply increased in 2022.

Key Vendors

  • AlerisLife
  • Atria Senior Living
  • Brookdale Senior Living
  • Enlivant

Other Prominent Vendors

  • ALG Senior
  • American Senior Living
  • Arbor Company
  • Allegro Senior Living
  • Aegis Living
  • Brightview Senior Living
  • Benchmark Senior Living
  • Belmont Village Senior Living
  • Capital Senior Living
  • Civitas Senior Living
  • Clearwater Living
  • Century Park Associates
  • Discovery Senior Living
  • Frontier Management LLC
  • Gardant Management Solution
  • Genesis Healthcare
  • Integral Senior Living
  • Life Care Services
  • Kisko Senior Living
  • Leisure Care
  • Meridian Senior Living
  • Merrill Garden
  • MBK Senior Living
  • Northbridge Companies
  • Northstar Senior Living
  • Oakmont Senior Living
  • Pinnacle Senior Living
  • Pacifica Senior Living
  • Pathway To Living
  • Pegasus Senior Living
  • Prestige Care
  • Senior Lifestyle
  • Senior Resource Group (SRG)
  • Spring Arbor Senior Living
  • Sinceri Senior Living
  • Trilogy Health Services
  • Vi
  • Watermark Retirement Communities
  • Waltonwood Senior Living

KEY QUESTIONS ANSWERED

  • 1. What will the U.S. assisted living facility market size be by 2027?
  • 2. What is the growth rate of the U.S. assisted living facility market?
  • 3. Which region is projected to have the highest growth rate in revenue generated from the U.S. assisted living facility market?
  • 4. What factors impact the growth of the U.S. assisted living facility market?
  • 5. Who are the key players in the U.S. assisted living facility market?
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Product Code: ARZ220824

TABLE OF CONTENTS

1 RESEARCH METHODOLOGY

2 RESEARCH OBJECTIVES

3 RESEARCH PROCESS

4 SCOPE & COVERAGE

  • 4.1 MARKET DEFINITION
    • 4.1.1 INCLUSIONS
    • 4.1.2 EXCLUSIONS
    • 4.1.3 MARKET ESTIMATION CAVEATS
  • 4.2 BASE YEAR
  • 4.3 SCOPE OF THE STUDY
    • 4.3.1 MARKET SEGMENTATION BY GENDER
    • 4.3.2 MARKET SEGMENTATION BY OWNERSHIP
    • 4.3.3 MARKET SEGMENTATION BY AGE GROUP
    • 4.3.4 MARKET SEGMENTATION BY REGION

5 REPORT ASSUMPTIONS & CAVEATS

  • 5.1 KEY CAVEATS
  • 5.2 CURRENCY CONVERSION
  • 5.3 MARKET DERIVATION

6 MARKET AT A GLANCE

7 INTRODUCTION

  • 7.1 OVERVIEW
    • 7.1.1 IMPACT OF COVID-19 ON ALF OCCUPANCY & CONSTRUNCTION ACTIVITIES

8 PREMIUM INSIGHTS

  • 8.1 MARKET SCENARIO
    • 8.1.1 ASSISTED LIVING FACILITIES MARKET IN THE US: SEGMENTATION ANALYSIS
    • 8.1.2 GENDER SEGMENTATION INSIGHTS
    • 8.1.3 OWNERSHIP SEGMENTATION INSIGHTS
    • 8.1.4 AGE GROUP SEGMENTSATION INSIGHTS
    • 8.1.5 REGIONAL SEGMENTATION INSIGHTS

9 MARKET OPPORTUNITIES & TRENDS

  • 9.1 RISE IN NUMBER OF INDEPENDENT LIVING COMMUNITIES
  • 9.2 DEVELOPMENT OF HIGH-END & MID-LEVEL ALFS
  • 9.3 EMERGENCE OF ACTIVE ADULT LIVING COMMUNITIES

10 MARKET GROWTH ENABLERS

  • 10.1 INCREASE IN PREVALENCE OF ALZHEIMER'S DEMENTIA & OTHER COGNITIVE DISORDERS
  • 10.2 ADVENT OF NEXT-GENERATION ASSISTING LIVING COMMUNITIES
  • 10.3 RISE IN FREQUENCY OF MERGERS AND ACQUISITIONS

11 MARKET RESTRAINTS

  • 11.1 COVID-19 & ITS IMPLICATIONS ON ALFS
  • 11.2 INCREASE IN OPERATIONAL RISKS AND CHALLENGES
  • 11.3 ALTERNATIVES TO ASSISTED LIVING COMMUNITIES

12 MARKET LANDSCAPE

  • 12.1 MARKET OVERVIEW
  • 12.2 MARKET SIZE & FORECAST
    • 12.2.1 GENDER SEGMENTATION INSIGHTS
    • 12.2.2 OWNERSHIP SEGMENTATION INSIGHTS
    • 12.2.3 AGE GROUP SEGMENTATION INSIGHTS
    • 12.2.4 REGION SEGMENTATION INSIGHTS
  • 12.3 FIVE FORCES ANALYSIS
    • 12.3.1 THREAT OF NEW ENTRANTS
    • 12.3.2 BARGAINING POWER OF SUPPLIERS
    • 12.3.3 BARGAINING POWER OF BUYERS
    • 12.3.4 THREAT OF SUBSTITUTES
    • 12.3.5 COMPETITIVE RIVALRY

13 GENDER

  • 13.1 MARKET SNAPSHOT & GROWTH ENGINE
  • 13.2 MARKET OVERVIEW
  • 13.3 FEMALE
    • 13.3.1 MARKET OVERVIEW
    • 13.3.2 MARKET SIZE & FORECAST
  • 13.4 MALE
    • 13.4.1 MARKET OVERVIEW
    • 13.4.2 MARKET SIZE & FORECAST

14 OWNERSHIP

  • 14.1 MARKET SNAPSHOT & GROWTH ENGINE
  • 14.2 MARKET OVERVIEW
  • 14.3 CHAIN-AFFILIATED
    • 14.3.1 MARKET OVERVIEW
    • 14.3.2 MARKET SIZE & FORECAST
  • 14.4 INDEPENDENTLY-OWNED
    • 14.4.1 MARKET OVERVIEW
    • 14.4.2 MARKET SIZE & FORECAST

15 AGE GROUP

  • 15.1 MARKET SNAPSHOT & GROWTH ENGINE
  • 15.2 MARKET OVERVIEW
  • 15.3 85 & ABOVE
    • 15.3.1 MARKET OVERVIEW
    • 15.3.2 MARKET SIZE & FORECAST
  • 15.4 75 TO 84
    • 15.4.1 MARKET OVERVIEW
    • 15.4.2 MARKET SIZE & FORECAST
  • 15.5 60 TO 74
    • 15.5.1 MARKET OVERVIEW
    • 15.5.2 MARKET SIZE & FORECAST

16 REGION

  • 16.1 MARKET SNAPSHOT & GROWTH ENGINE
  • 16.2 REGIONAL OVERVIEW
  • 16.3 WEST
    • 16.3.1 MARKET OVERVIEW
    • 16.3.2 MARKET SIZE & FORECAST
  • 16.4 SOUTH
    • 16.4.1 MARKET OVERVIEW
    • 16.4.2 MARKET SIZE & FORECAST
  • 16.5 MIDWEST
    • 16.5.1 MARKET OVERVIEW
    • 16.5.2 MARKET SIZE & FORECAST
  • 16.6 NORTHEAST
    • 16.6.1 MARKET OVERVIEW
    • 16.6.2 MARKET SIZE & FORECAST

17 COMPETITIVE LANDSCAPE

  • 17.1 MARKET OVERVIEW
  • 17.2 MARKET SHARE ANALYSIS
    • 17.2.1 ALERISLIFE
    • 17.2.2 ATRIA SENIOR LIVING
    • 17.2.3 BROOKDALE SENIOR LIVING
    • 17.2.4 ENLIVANT

18 KEY COMPANY PROFILES

  • 18.1 ALERISLIFE
    • 18.1.1 BUSINESS OVERVIEW
    • 18.1.2 SERVICE OFFERINGS
    • 18.1.3 KEY STRATEGIES
    • 18.1.4 KEY STRENGTHS
    • 18.1.5 KEY OPPORTUNITIES
  • 18.2 ATRIA SENIOR LIVING
    • 18.2.1 BUSINESS OVERVIEW
    • 18.2.2 SERVICE OFFERINGS
    • 18.2.3 KEY STRATEGIES
    • 18.2.4 KEY STRENGTHS
    • 18.2.5 KEY OPPORTUNITIES
  • 18.3 BROOKDALE SENIOR LIVING
    • 18.3.1 BUSINESS OVERVIEW
    • 18.3.2 SERVICE OFFERINGS
    • 18.3.3 KEY STRATEGIES
    • 18.3.4 KEY STRENGTHS
    • 18.3.5 KEY OPPORTUNITIES
  • 18.4 ENLIVANT
    • 18.4.1 BUSINESS OVERVIEW
    • 18.4.2 SERVICE OFFERINGS
    • 18.4.3 KEY STRATEGIES
    • 18.4.4 KEY STRENGTHS
    • 18.4.5 KEY OPPORTUNITIES

19 OTHER PROMINENT VENDORS

  • 19.1 ALG SENIOR
    • 19.1.1 BUSINESS OVERVIEW
    • 19.1.2 SERVICE OFFERINGS
  • 19.2 AMERICARE SENIOR LIVING
    • 19.2.1 BUSINESS OVERVIEW
    • 19.2.2 SERVICE OFFERINGS
  • 19.3 ARBOR COMPANY
    • 19.3.1 BUSINESS OVERVIEW
    • 19.3.2 SERVICE OFFERINGS
  • 19.4 ALLEGRO
    • 19.4.1 BUSINESS OVERVIEW
    • 19.4.2 SERVICE OFFERINGS
  • 19.5 AEGIS LIVING
    • 19.5.1 BUSINESS OVERVIEW
    • 19.5.2 SERVICE OFFERINGS
  • 19.6 BRIGHTVIEW SENIOR LIVING
    • 19.6.1 BUSINESS OVERVIEW
    • 19.6.2 SERVICE OFFERINGS
  • 19.7 BENCHMARK SENIOR LIVING
    • 19.7.1 BUSINESS OVERVIEW
    • 19.7.2 SERVICE OFFERINGS
  • 19.8 BELMONT VILLAGE
    • 19.8.1 BUSINESS OVERVIEW
    • 19.8.2 SERVICE OFFERINGS
  • 19.9 CIVITAS SENIOR LIVING
    • 19.9.1 BUSINESS OVERVIEW
    • 19.9.2 SERVICE OFFERINGS
  • 19.10 CLEARWATER LIVING
    • 19.10.1 BUSINESS OVERVIEW
    • 19.10.2 SERVICE OFFERINGS
  • 19.11 CENTURY PARK ASSOCIATES
    • 19.11.1 BUSINESS OVERVIEW
    • 19.11.2 SERVICE OFFERINGS
  • 19.12 DISCOVERY SENIOR LIVING
    • 19.12.1 BUSINESS OVERVIEW
    • 19.12.2 SERVICE OFFERINGS
  • 19.13 FRONTIER MANAGEMENT
    • 19.13.1 BUSINESS OVERVIEW
    • 19.13.2 SERVICE OFFERINGS
  • 19.14 GARDANT MANAGEMENT SOLUTIONS
    • 19.14.1 BUSINESS OVERVIEW
    • 19.14.2 SERVICE OFFERINGS
  • 19.15 GENESIS HEALTHCARE
    • 19.15.1 BUSINESS OVERVIEW
    • 19.15.2 SERVICE OFFERINGS
  • 19.16 INTEGRAL SENIOR LIVING
    • 19.16.1 BUSINESS OVERVIEW
    • 19.16.2 SERVICE OFFERINGS
  • 19.17 LIFE CARE SERVICES (LCS)
    • 19.17.1 BUSINESS OVERVIEW
    • 19.17.2 SERVICE OFFERINGS
  • 19.18 KISKO SENIOR LIVING
    • 19.18.1 BUSINESS OVERVIEW
    • 19.18.2 SERVICE OFFERINGS
  • 19.19 LEISURE CARE
    • 19.19.1 BUSINESS OVERVIEW
    • 19.19.2 SERVICE OFFERINGS
  • 19.20 MERIDIAN SENIOR LIVING
    • 19.20.1 BUSINESS OVERVIEW
    • 19.20.2 SERVICE OFFERINGS
  • 19.21 MERRILL GARDENS
    • 19.21.1 BUSINESS OVERVIEW
    • 19.21.2 SERVICE OFFERINGS
  • 19.22 MBK SENIOR LIVING
    • 19.22.1 BUSINESS OVERVIEW
    • 19.22.2 SERVICE OFFERINGS
  • 19.23 NORTHBRIDGE COMPANIES
    • 19.23.1 BUSINESS OVERVIEW
    • 19.23.2 SERVICE OFFERINGS
  • 19.24 NORTHSTAR SENIOR LIVING
    • 19.24.1 BUSINESS OVERVIEW
    • 19.24.2 SERVICE OFFERINGS
  • 19.25 OAKMONT SENIOR LIVING
    • 19.25.1 BUSINESS OVERVIEW
    • 19.25.2 SERVICE OFFERINGS
  • 19.26 PINNACLE SENIOR LIVING
    • 19.26.1 BUSINESS OVERVIEW
    • 19.26.2 SERVICE OFFERINGS
  • 19.27 PACIFICA SENIOR LIVING
    • 19.27.1 BUSINESS OVERVIEW
    • 19.27.2 SERVICE OFFERINGS
  • 19.28 PATHWAY TO LIVING
    • 19.28.1 BUSINESS OVERVIEW
    • 19.28.2 SERVICE OFFERINGS
  • 19.29 PEGASUS SENIOR LIVING
    • 19.29.1 BUSINESS OVERVIEW
    • 19.29.2 SERVICE OFFERINGS
  • 19.30 PRESTIGE CARE
    • 19.30.1 BUSINESS OVERVIEW
    • 19.30.2 SERVICE OFFERINGS
  • 19.31 SONIDA SENIOR LIVING
    • 19.31.1 BUSINESS OVERVIEW
    • 19.31.2 SERVICE OFFERINGS
  • 19.32 SENIOR LIFESTYLE
    • 19.32.1 BUSINESS OVERVIEW
    • 19.32.2 SERVICE OFFERINGS
  • 19.33 SENIOR RESOURCE GROUP
    • 19.33.1 BUSINESS OVERVIEW
    • 19.33.2 SERVICE OFFERINGS
  • 19.34 SPRING ARBOR SENIOR LIVING
    • 19.34.1 BUSINESS OVERVIEW
    • 19.34.2 SERVICE OFFERINGS
  • 19.35 SINCERI SENIOR LIVING
    • 19.35.1 BUSINESS OVERVIEW
    • 19.35.2 SERVICE OFFERINGS
  • 19.36 TRILOGY HEALTH SERVICES
    • 19.36.1 BUSINESS OVERVIEW
    • 19.36.2 SERVICE OFFERINGS
  • 19.37 VI
    • 19.37.1 BUSINESS OVERVIEW
    • 19.37.2 SERVICE OFFERINGS
  • 19.38 WATERMARK RETIREMENT COMMUNITIES
    • 19.38.1 BUSINESS OVERVIEW
    • 19.38.2 SERVICE OFFERINGS
  • 19.39 WALTONWOOD
    • 19.39.1 BUSINESS OVERVIEW
    • 19.39.2 SERVICE OFFERINGS

20 REPORT SUMMARY

  • 20.1 KEY TAKEAWAYS
  • 20.2 STRATEGIC RECOMMENDATIONS

21 QUANTITATIVE SUMMARY

  • 21.1 MARKET BY REGION
  • 21.2 MARKET BY GENDER
  • 21.3 MARKET BY OWNERSHIP
  • 21.4 MARKET BY AGE GROUP

22 APPENDIX

  • 22.1 ABBREVIATIONS
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Product Code: ARZ220824

LIST OF EXHIBITS

  • EXHIBIT 1 SEGMENTATION OF US ASSISTED LIVING FACILITIES MARKET
  • EXHIBIT 2 MARKET SIZE CALCULATION APPROACH 2021
  • EXHIBIT 3 DAILY SERVICES OFFERED BY ASSISTED LIVING FACILITIES
  • EXHIBIT 4 GROWTH OF ELDERLY POPULATION ACROSS US 2020-2025
  • EXHIBIT 5 STATEWISE DISTRIBUTION OF ASSISTED LIVING COSTS IN US (2022)
  • EXHIBIT 6 HEALTHCARE EXPENDITURE IN US 2020
  • EXHIBIT 7 INVESTMENT OPPORTUNITIES IN ALFS ACROSS US
  • EXHIBIT 8 ASSISTED LIVING FACILITIES MARKET IN US: SEGMENT ANALYSIS
  • EXHIBIT 9 IMPACT OF RISE IN NUMBER OF INDEPENDENT LIVING COMMUNITIES
  • EXHIBIT 10 STABILIZED OCCUPANCY TREND IN INDEPENDENT LIVING ACROSS US (Q1 2010 TO Q1 2019)
  • EXHIBIT 11 INDEPENDENT LIVING UNITS IN US 2017-2020
  • EXHIBIT 12 IMPACT OF INCREASING DEVELOPMENT OF HIGH-END & MID-LEVEL ALFS
  • EXHIBIT 13 POPULATION SHARE OF ELDERLY ADULTS IN DIFFERENT INCOME TIERS ACROSS US (%) 1971 & 2021
  • EXHIBIT 14 IMPACT OF EMERGENCE OF ACTIVE ADULT LIVING COMMUNITIES
  • EXHIBIT 15 IMPACT OF INCREASE IN PREVALENCE OF ALZHEIMER'S DEMENTIA & OTHER COGNITIVE DISORDERS
  • EXHIBIT 16 FACTS ABOUT PREVALENCE OF ALZHEIMER'S DISEASE & OTHER DEMENTIAS IN US
  • EXHIBIT 17 PERCENTAGE OF MEDICARE BENEFICIARIES AFFECTED BY ALZHEIMER'S DEMENTIAS & SPECIFIED CO-EXISTING CONDITIONS (65 & ABOVE AGE GROUP)
  • EXHIBIT 18 PREVALENCE OF ALZHEIMER'S DEMENTIA IN US (2020-2060 & 2022-2050) (MILLION)
  • EXHIBIT 19 IMPACT OF ADVENT OF NEXT-GENERATION ASSISTED LIVING COMMUNITIES
  • EXHIBIT 20 TECHNOLOGY INVOLVEMENT & ITS BENEFITS IN THE ALF
  • EXHIBIT 21 IMPACT OF RISE IN FREQUENCY OF MERGERS & ACQUISITIONS
  • EXHIBIT 22 MERGERS AND ACQUISITIONS IN US ASSISTED LIVING FACILITIES MARKET (Q4 2021)
  • EXHIBIT 23 PUBLICLY ANNOUNCED SENIOR HOUSING & CARE ACQUISITIONS 2011-2022
  • EXHIBIT 24 IMPACT OF COVID-19 & ITS IMPLICATIONS ON ALFS
  • EXHIBIT 25 US ASSISTED LIVING FACILITIES & CHALLENGES ASSOCIATED WITH COVID-19
  • EXHIBIT 26 IMPACT OF INCREASE IN OPERATIONAL RISKS & CHALLENGES
  • EXHIBIT 27 ASSISTED LIVING OPERATIONAL AND SPECIALIZATION CHALLENGES
  • EXHIBIT 28 IMPACT OF ALTERNATIVES TO ASSISTED LIVING COMMUNITIES
  • EXHIBIT 29 ALTERNATIVES TO ASSISTED LIVING FACILITIES
  • EXHIBIT 30 US ASSISTED LIVING FACILITIES MARKET 2021-2027 ($ BILLION)
  • EXHIBIT 31 US ASSISTED LIVING FACILITIES MARKET BY GENDER
  • EXHIBIT 32 US ASSISTED LIVING FACILITIES MARKET BY OWNERSHIP
  • EXHIBIT 33 US ASSISTED LIVING FACILITIES MARKET BY AGE GROUP
  • EXHIBIT 34 US ASSISTED LIVING FACILITIES MARKET BY REGION
  • EXHIBIT 35 FIVE FORCES ANALYSIS 2021
  • EXHIBIT 36 INCREMENTAL GROWTH BY GENDER 2021 & 2027
  • EXHIBIT 37 US ASSISTED LIVING FACILITIES MARKET BY GENDER 2021-2027
  • EXHIBIT 38 LIVING ARRANGEMENT OF INDIVIDUALS AGED 65 & OLDER IN US 2020
  • EXHIBIT 39 OVERVIEW OF US ASSISTED LIVING FACILITIES MARKET BY GENDER
  • EXHIBIT 40 US ASSISTED LIVING FACILITIES MARKET BY GENDER: INCREMENTAL GROWTH
  • EXHIBIT 41 US ASSISTED LIVING FACILITIES MARKET BY GENDER: ABSOLUTE GROWTH
  • EXHIBIT 42 ESTIMATED LIFETIME RISK OF ALZHEIMER'S DEMENTIA AMONG AMERICAN WOMEN AGED 45 & 65 (%) 2022
  • EXHIBIT 43 US ASSISTED LIVING FACILITIES MARKET BY FEMALE RESIDENTS: INCREMENTAL AND ABSOLUTE GROWTH
  • EXHIBIT 44 US ASSISTED LIVING FACILITIES MARKET BY FEMALE RESIDENTS 2021-2027 ($ BILLION)
  • EXHIBIT 45 US ASSISTED LIVING FACILITIES MARKET BY MALE RESIDENTS: INCREMENTAL AND ABSOLUTE GROWTH
  • EXHIBIT 46 ESTIMATED LIFETIME RISK OF ALZHEIMER'S DEMENTIA AMONG AMERICAN MEN AGED 45 & 65 (%) 2022
  • EXHIBIT 47 US ASSISTED LIVING FACILITIES MARKET BY MALE RESIDENTS 2021-2027 ($ BILLION)
  • EXHIBIT 48 INCREMENTAL GROWTH BY OWNERSHIP 2021 & 2027
  • EXHIBIT 49 US ASSISTED LIVING FACILITIES MARKET BY OWNERSHIP 2021-2027
  • EXHIBIT 50 US ASSISTED LIVING FACILITIES MARKET BY OWNERSHIP: OVERVIEW
  • EXHIBIT 51 US ASSISTED LIVING FACILITIES MARKET BY OWNERSHIP: INCREMENTAL GROWTH
  • EXHIBIT 52 US ASSISTED LIVING FACILITIES MARKET BY OWNERSHIP: ABSOLUTE GROWTH
  • EXHIBIT 53 US CHAIN-AFFILIATED ASSISTED LIVING FACILITIES MARKET: INCREMENTAL AND ABSOLUTE GROWTH
  • EXHIBIT 54 US CHAIN-AFFILIATED ASSISTED LIVING FACILITIES MARKET 2021-2027 ($ BILLION)
  • EXHIBIT 55 US INDEPENDENTLY-OWNED ASSISTED LIVING FACILITIES MARKET: INCREMENTAL AND ABSOLUTE GROWTH
  • EXHIBIT 56 US INDEPENDENTLY-OWNED ASSISTED LIVING FACILITIES MARKET 2021-2027 ($ BILLION)
  • EXHIBIT 57 INCREMENTAL GROWTH BY AGE GROUP 2021 & 2027
  • EXHIBIT 58 US ASSISTED LIVING FACILITIES MARKET BY AGE GROUP 2021-2027
  • EXHIBIT 59 NUMBER OF INDIVIDUALS IN 65 AND ABOVE AGE GROUP 1900-2060 (MILLION)
  • EXHIBIT 60 US ASSISTED LIVING FACILITIES MARKET BY AGE GROUP: OVERVIEW
  • EXHIBIT 61 US ASSISTED LIVING FACILITIES MARKET BY AGE GROUP: INCREMENTAL GROWTH
  • EXHIBIT 62 US ASSISTED LIVING FACILITIES MARKET BY AGE GROUP: ABSOLUTE GROWTH
  • EXHIBIT 63 PROJECTED POPULATION WITH ALZHEIMER'S DEMENTIA IN 85 & ABOVE AGE GROUP ACROSS US 2020-2060 (MILLION)
  • EXHIBIT 64 POPULATION OF INDIVIDUALS IN 85 & ABOVE AGE GROUP ACROSS US 2000-2060 (MILLION)
  • EXHIBIT 65 STATEWISE DISTRIBUTION OF ALF RESIDENTS OF 85 & ABOVE AGE GROUP ACROSS US (2019-2022)
  • EXHIBIT 66 US ASSISTED LIVING FACILITIES MARKET BY 85 & ABOVE AGE GROUP: INCREMENTAL AND ABSOLUTE GROWTH
  • EXHIBIT 67 US ASSISTED LIVING FACILITIES MARKET BY 85 & ABOVE AGE GROUP 2021-2027 ($ BILLION)
  • EXHIBIT 68 75 TO 84 AGE GROUP & PROJECTED PREVALENCE FOR ALZHEIMER'S AND DEMENTIA (MILLION)
  • EXHIBIT 69 US ASSISTED LIVING FACILITIES MARKET BY 75 TO 84 AGE GROUP: INCREMENTAL AND ABSOLUTE GROWTH
  • EXHIBIT 70 US ASSISTED LIVING FACILITIES MARKET BY 75 TO 84 AGE GROUP 2021-2027 ($ BILLION)
  • EXHIBIT 71 ALZHEIMER'S DEMENTIA PROJECTED PREVALENCE BETWEEN THE AGE GROUP 65 TO 74
  • EXHIBIT 72 US ASSISTED LIVING FACILITIES MARKET BY 60 TO 74 AGE GROUP: INCREMENTAL AND ABSOLUTE GROWTH
  • EXHIBIT 73 US ASSISTED LIVING FACILITIES MARKET BY 60 TO 74 AGE GROUP 2021-2027 ($ BILLION)
  • EXHIBIT 74 INCREMENTAL GROWTH BY GEOGRAPHY 2021 & 2027
  • EXHIBIT 75 US ASSISTED LIVING FACILITIES MARKET BY REGION 2021-2027
  • EXHIBIT 76 US ASSISTED LIVING FACILITIES MARKET BY REGION: OVERVIEW
  • EXHIBIT 77 US ASSISTED LIVING FACILITIES MARKET BY REGION: INCREMENTAL GROWTH
  • EXHIBIT 78 US ASSISTED LIVING FACILITIES MARKET BY REGION: ABSOLUTE GROWTH
  • EXHIBIT 79 WEST US ASSISTED LIVING FACILITIES MARKET: INCREMENTAL AND ABSOLUTE GROWTH
  • EXHIBIT 80 WEST US ASSISTED LIVING FACILITIES MARKET 2021-2027 ($ BILLION)
  • EXHIBIT 81 SOUTH US ASSISTED LIVING FACILITIES MARKET: INCREMENTAL AND ABSOLUTE GROWTH
  • EXHIBIT 82 SOUTH US ASSISTED LIVING FACILITIES MARKET 2021-2027 ($ BILLION)
  • EXHIBIT 83 MIDWEST US ASSISTED LIVING FACILITIES MARKET: INCREMENTAL AND ABSOLUTE GROWTH
  • EXHIBIT 84 MIDWEST US ASSISTED LIVING FACILITIES MARKET 2021-2027 ($ BILLION)
  • EXHIBIT 85 NORTHEAST US ASSISTED LIVING FACILITIES MARKET: INCREMENTAL AND ABSOLUTE GROWTH
  • EXHIBIT 86 NORTHEAST US ASSISTED LIVING FACILITIES MARKET 2021-2027 ($ MILLION)
  • EXHIBIT 87 PURE & DIVERSIFIED VENDORS IN US ASSISTED LIVING FACILITIES MARKET
  • EXHIBIT 88 KEY VENDORS OFFERING ASSISTED LIVING FACILITIES IN US: MARKET DOMINANCE ANALYSIS
  • EXHIBIT 89 KEY VENDORS OFFERING ASSISTED LIVING FACILITIES IN US: CAPABILITIES & EXPERTISE ASSESSMENT
  • EXHIBIT 90 BROOKDALE SENIOR LIVING: PERCENTAGE OF TOTAL UNITS BY BUSINESS SEGMENT 2021
  • EXHIBIT 91 BROOKDALE SENIOR LIVING ANNUAL REVENUE 2019-2021 ($ MILLION)

LIST OF TABLES

  • TABLE 1 KEY CAVEATS
  • TABLE 2 CURRENCY CONVERSION 2015-2021
  • TABLE 3 ASSISTED LIVING COST COMPARISON IN US
  • TABLE 4 AGING FEMALE & MALE POPULATIONS BY AGE GROUP IN US (%) 2022
  • TABLE 5 ASSISTED LIVING FACILITIES IN NORTHEAST US 2020
  • TABLE 6 PREVALENCE OF ALZHEIMER'S DISEASE IN STATES ACROSS NORTHEAST US 2020-2025
  • TABLE 7 RANKING OF TOP ASSISTED LIVING FACILITIES IN US 2020
  • TABLE 8 ALERISLIFE: MAJOR SERVICE OFFERINGS
  • TABLE 9 ATRIA SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 10 BROOKDALE SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 11 ENLIVANT: MAJOR SERVICE OFFERINGS
  • TABLE 12 ALG SENIOR: MAJOR SERVICE OFFERINGS
  • TABLE 13 AMERICARE SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 14 ARBOR COMPANY: MAJOR SERVICE OFFERINGS
  • TABLE 15 ALLEGRO: MAJOR SERVICE OFFERINGS
  • TABLE 16 AEGIS LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 17 BRIGHTVIEW SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 18 BENCHMARK SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 19 BELMONT VILLAGE: MAJOR SERVICE OFFERINGS
  • TABLE 20 CIVITAS SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 21 CLEARWATER LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 22 CENTURY PARK ASSOCIATES: MAJOR SERVICE OFFERINGS
  • TABLE 23 DISCOVERY SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 24 FRONTIER MANAGEMENT: MAJOR SERVICE OFFERINGS
  • TABLE 25 GARDANT MANAGEMENT SOLUTIONS: MAJOR SERVICE OFFERINGS
  • TABLE 26 GENESIS HEALTHCARE: MAJOR SERVICE OFFERINGS
  • TABLE 27 INTEGRAL SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 28 LCS: MAJOR SERVICE OFFERINGS
  • TABLE 29 KISKO SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 30 LEISURE CARE: MAJOR SERVICE OFFERINGS
  • TABLE 31 MERIDIAN SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 32 MERRILL GARDENS: MAJOR SERVICE OFFERINGS
  • TABLE 33 MBK SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 34 NORTHBRIDGE COMPANIES: MAJOR SERVICE OFFERINGS
  • TABLE 35 NORTHSTAR SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 36 OAKMONT SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 37 PINNACLE SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 38 PACIFICA SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 39 PATHWAY TO LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 40 PEGASUS SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 41 PRESTIGE CARE: MAJOR SERVICE OFFERINGS
  • TABLE 42 CAPITAL SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 43 SENIOR LIFESTYLE: MAJOR SERVICE OFFERINGS
  • TABLE 44 SENIOR RESOURCE GROUP: MAJOR SERVICE OFFERINGS
  • TABLE 45 SPRING ARBOR SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 46 SINCERI SENIOR LIVING: MAJOR SERVICE OFFERINGS
  • TABLE 47 TRILOGY HEALTH SERVICES: MAJOR SERVICE OFFERINGS
  • TABLE 48 VI: MAJOR SERVICE OFFERINGS
  • TABLE 49 WATERMARK RETIREMENT COMMUNITIES: MAJOR SERVICE OFFERINGS
  • TABLE 50 WALTONWOOD: MAJOR SERVICE OFFERINGS
  • TABLE 51 US ASSISTED LIVING FACILITIES MARKET BY REGION 2021-2027 ($ BILLION)
  • TABLE 52 US ASSISTED LIVING FACILITIES MARKET BY REGION 2021-2027 (%)
  • TABLE 53 US ASSISTED LIVING FACILITIES MARKET BY GENDER 2021-2027 ($ BILLION)
  • TABLE 54 US ASSISTED LIVING MARKET BY GENDER 2021-2027 (%)
  • TABLE 55 US ASSISTED LIVING FACILITIES MARKET BY OWNERSHIP 2021-2027 ($ BILLION)
  • TABLE 56 US ASSISTED LIVING FACILITIES MARKET BY OWNERSHIP 2021-2027 (%)
  • TABLE 57 US ASSISTED LIVING FACILITIES MARKET BY AGE GROUP 2021-2027 ($ BILLION)
  • TABLE 58 US ASSISTED LIVING FACILITIES MARKET BY AGE GROUP 2021-2027 (%)
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