The U.S. Sleep Market: A Marketing, Competitive & Operating Analysis

Table of Contents

Introduction: Study Scope & Methodology

• Glossary of sleep disorder terms
• List of major private & public sector information source used

Executive Overview of Major Findings

• Highlights of ALL study chapters:
• Market definition and scope: mkt. segments included
• Scope of sleep deprivation in America: prevalence rates of insomnia, causes, no. of sleep disorders, description of most common sleep disorders, NSF vs. other polls.
• Nature of the field of sleep medicine and somnology: history/evolution of sleep labs, number, multiple-site chains, mkt. size 1997-2025 F
• Major Market Trends: discussion of... sleep lab reimbursement and consolidation, disruption of mattress market, effects of Covid-19 pandemic on market value, shift to more at-home sleep studies, CPAP market's strong growth, insomnia drug mkt. dollar value decline due to generics.

Market Segments Outlooks and Size (1995-2025 F $ value, 2020 performance, 2021 Forecast, 2025 long-term Forecast

• Mattress & pillows market
• Sleep centers market
• CPAP market
• Rx and OTC sleeping medications market
• Retail sleep aids market

Tables:

• Total size of U.S. sleep market, by mkt. segment: 1995-2025 F, annual percent chg.
• Mattresses market: 1995-2025 F
• Pillows market: 1995-2025 F
• Sleep Labs/centers: 1995-2025 F
• Rx and OTC sleeping medications market: 2000-2025 F
• CPAP devices market: 1995-2025 F
• Retail sleep aids market: 1995-2025 F

Demographics of Persons With Sleep Disorders

• Scope of affected population: no. and type persons with... insomnia, sleep apnea, narcolepsy, restless legs syndrome, no. of children, women, seniors with sleep disorders
• Findings of Natl. Sleep Foundation's "Sleep in America" poll
• No. of hours of sleep daily, by race (Natl. Health Interview Survey)
• Effects of the Pandemic and Recession on Sleep
• List of sleep disorder statistics
• The National Sleep Foundation's 2020 Sleep in America® Poll, findings
• Prevalence of sleeping problems by major countries, U.S. vs. Europe, Japan
• CDC data/research confirms Americans' lack of sleep: causes

Market Size & Growth

• Market Definition & Scope: the markets comprising total sleep market
• Discussion of the historical growth of the market, performance during recessions
• Analysis of the market by McKinsey & Company
• Market size/growth/performance during 2019 and 2020 during the pandemic
• Marketdata outlook and forecast for 2021 & 2025
• The Mattresses Market
• The Sleep Pillows Market
• The Insomnia Medications Market
• The Sleep Labs Market
• The Sleep Apnea Devices Market
• The Retail Sleep Aids Market

Tables

• Size of U.S. sleep market, by segment: 1995-2025 F (mattresses, pillows, sleep lab operations, Rx/OTC sleeping pills, CPAP devices, retail devices & services)
• Total U.S. sleep market value, annual % change: 1995-2025 F
• Sleep pillows sales: 1995-2025 F
• Prescription & OTC retail anti-insomnia drugs sales: 2000-2025 F
• Sleep Labs revenues, no. of labs, annual % change: 1995-2025 F
• Sleep apnea devices (CPAPs) sales: total, ResMed. Respironics: 1995-2025 F

Sleep Labs Market

• What are sleep labs, how many?, evolution & nature of the field, polysomnograms test description, accredited vs. non-accredited centers
• Launching a new sleep lab - the process/key considerations, capital needed, choices for hospital or MD affiliations
• The effect of Medicare approval of home tests: discussion, type of devices
• What patients can expect at a sleep lab: type tests (PSGs, split night studies, MSLTs, CPAP titrations), role of sleep techs, follow-up
• How to find A sleep lab
• Market Size & Growth: 1995-2020 Estimates, Marketdata discussion/analysis of Mkt. performance in 2020, 2021 outlook & 2025 Forecast, estd. effect on revenues
• AASM COVID-19 PULSE SURVEY- major findings, impact of the pandemic on sleep labs
• EnsoData survey, impact of sleep labs
• Recent sleep lab metrics: 2017-2020 quarterly surveys of: trends in patient volume, bed Count, outlook for next year (Needham & Co. research reports)

Tables

• Sleep Labs revenues, no. of labs, annual % change: 1995-2025 F

Sleep Lab Technicians Salary Trends

• Descriptions of the major staff positions, training required (sleep tech, technologists)
• Findings of Sleep Review Magazine's salary survey, average salary and ranges for: RPSGTs, sleep techs, respiratory therapists, sleep physicians, sleep center directors, supervisors, managers: by tenure, by day/night shift, by age

Table

• Salary by job title, by region: - 6 staff positions

Results of Past Marketdata Sleep Labs Survey - Main Operating Metrics

• Type of sleep lab (percent of total: hospital-based, practice-based, university-based, independent / free-standing
• Average number of PSGs (sleep studies, CPAP titrations and MSLTs) performed in 2006, 2007
• Average number of beds operated and average days/nights per week operated
• Number of patients the sleep lab would be able to test/titrate per week if operating at 100% occupancy, 7 days/nights per week (average)
• Avg. fees, avg. annual revenues per lab
• Sex, age of typical clients, type disorders treated
• List of Sleep centers' biggest issues or problems

Competitor Profiles (description and history of company, no. of labs operated, address, specialties, acquisitions, services, financials when available)

• SleepMed, Inc. (incl. Novasom)
• Sleep Holdings
• Foundation Surgery Affiliates, LLC
• MedBridge Healthcare (SleepWorks, Sleep Services of America, PDS)

Sleep Medications Market

• Summary: discussion of number of prescriptions written, mkt. potential, prime drivers of mkt. demand
• Hurdle to overcome: past negative image of sleeping pills, long-term use, FDA fears vs. drug company efforts
• Reasons for dollar value decline of prescription insomnia drugs market, patent expiration, Emergence of generics
• Advertising drives consumer demand: amount spent advertising the top 3 brands, Sanofi's success with Ambien
• New meds: Belsomra, Dayvigo
• FDA approval status, setbacks for Indiplon (Neurocrine Biosciences) and Gaboxadol (Merck)
• Description of the major Rx sleeping Pill Brands (Ambien, Lunesta, Rozerem, benzodiazepines, melatonin receptors, antidepressants)
• OTC Retail Sleeping Pills: discussion
• Market Size - A Mature Market: sales of major brands, 2020 performance, 2025 Forecast, rationale for future growth.
• Recent sales of Belsomra, Zolpidem, Lunesta
• Discussion of the OTC sleep supplements market and why it's growing faster than Rx Insomnia drugs

Tables:

• sales of prescription and retail anti-insomnia drugs: 2000-2025 forecast
• Prescription vs. OTC Insomnia Drugs/Sleep Aids Market: 2016-2021
• U.S. Sales of Top 10 OTC Retail Brands of Sleep Aid Tablets: 2016, 2020
• sales of prescription anti-insomnia drugs, by brand
• sales of Ambien, Ambien CR: 1998-2088 (in Euros and dollars)

Sleep Apnea Devices Market

• Summary - Background of Sleep Disordered Breathing: mkt. penetration in U.S. vs. abroad, estimates of mkt. size by industry analysts/competitors
• Product Definitions: CPAPs (continuous positive airway pressure devices), types of masks & mouthpieces used
• Market Trends: the home test mkt., comments by Wachovia analysts regarding potential in view of CMS ruling, move to smaller devices
• Market Size: effects of CMS ruling, estimates of growth rates in U.S. vs. Globally, positive/negative factors affecting the market
• 2020 Market Performance During The Pandemic
• 2021 Outlook by ResMed, Needham & Co., Marketdata, other research firms, U.S. vs. global market growth
• The Major Respiratory Equipment Device Competitors: address list.

Competitor Profiles (company descriptions, divisions, specializations, 2015-2020 revenues, outlooks)

• Resmed
• Respironics

Tables

• Sleep apnea devices (CPAPs) sales: total, ResMed. Respironics, other companies: 1995-2025 F

The Mattress & Pillows Market

• Summary & Status of the market: a steady replacement business, new technology and sales/distribution outlets, e-commerce, bedding retailers disruption.
• Market Size & Growth: 2019-2020 performance during pandemic, ISPA industry wholesale shipments, 2020 outlook by ISPA
• Differences in mfg. technologies used by the major mfrs., visco, latex
• List and sales of top 5 bedding retailers
• The Ultra-premium mattress market: growth rate, % of sales

Competitor Profiles (company description, capabilities, specialties, historical revenues, mergers, mkt. share, distribution, outlooks, recent financials to 2020 if avail., etc.)

• Tempur Sealy Intl.
• Sleep Number (formerly: Select Comfort)
• Simmons Serta
• Casper

The Sleep Pillows Market

• Discussion of new pillow designs, materials, pricing, mkt. trends
• The Sona pillow, MyPillow company profile
• Estimated retail market size: 1997-2025 F

Tables

• U.S. WHOLESALE sales of mattresses & foundations, % change, units: 1987-2020
• U.S. Wholesale sales of mattresses & foundations, % change, dollars: 1987-2020
• Non-innerspring mattress unit and dollar shipments
• Estimated RETAIL sales of mattresses: 1987-2025 F
• Personal consumption expenditures for furniture & bedding: 1987-2019

Retail Sleep Devices Market

• Summary & discussion
• Sleep Lamps/Light Therapy Market: use for seasonal affective disorder, dawn simulation, evolution of 'light boxes', mkt. status & leading mfrs., mkt. size, list of 9 major competitors, Company Profile: Apollo Health
• Sound Machines/White Noise Machines Market: use and technology, applications, history of development, emergence of Marpac as industry leader, list of catalog retailers selling machines (Brookstone, Hammacher Schlemmer, etc.), market size/growth.
• Eye Shades and Sleep Masks: leading competitors (Dream Essentials)
• Earplugs Market: mkt. size, leading mfrs./distributors/retailers
• Sleep Pods: Yelo & MetroNaps sleep lounges appearing in metro markets
• Sleep/Insomnia Books Market: list of titles
• Sleep apps for smartphones, leading apps

Reference Directory of Sleep-related Trade Groups, Experts, Journals

• List of sleep market national/regional trade associations, journals, consulting firms, brokerage analysts, other key contacts - address & phones, description of activities.
• Profiles of Michael J. Breus, Ph.D. and Duane M. Johnson, Ph.D.