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Summary and extracts

1 Market overview

1.1 Definition and presentation

Nursing homes are establishments designed to care for elderly people who are physically and/or mentally dependent. There are different types of structure: private, public, medicalized, specialized, etc. These homes provide not only medical care, but also catering, laundry and entertainment services.

Globally, the market for nursing homes is growing, with a general aging of the population in developed countries. Solutions such as retirement homes are developing, despite the many cultural obstacles that exist in certain countries, such as China. In Europe, Germany has the greatest need for nursing homes. The United Kingdom and France follow, with needs proportional to their ageing populations.

In Spain, the market for nursing homes is also driven by the aging of the Spanish population. The market has grown steadily in recent years, with a number of mergers and acquisitions. Mergers and acquisitions by major European players such as Orpea have multiplied. There are over 5,100 establishments on the peninsula, but the needs are great, and the WHO recommends the creation of over 1,000 additional establishments to meet the population's needs. The sector is also attracting investors. Despite the health crisis, the healthcare sector attracted 417 million euros of investment in 2020, 280 million of which went into nursing homes.

1.2 The European market

Europe's population is aging: in ****, the over-**s will account for more than a fifth of the European population. By ****, this proportion is expected to rise to almost a third. The European population aged ** and over is expected to rise from *% in **** to over **% in ****.

Proportion of the population aged ** and ...

1.3 The domestic market

Sales of medicalized senior residences in Spain fluctuated between **** and ****. It rose from *.** billion euros in **** to *.** billion euros in ****, an increase of *.**%. In ****, it fell slightly to *.** billion euros, down *.**%. In ****, it rose slightly to *.** billion euros, an increase of *.*%. Finally, in ****, it reached *.** billion euros, an increase of *.**% on ...

2 Demand analysis

2.1 Demographics

Between **** and ****, the number of Spaniards aged over ** rose steadily, from *.** million in **** to *.** million in ****. This represents an increase of **.*% over this **-year period. The smallest increase was between **** and ****, with growth of *.**%, while the largest increase was between **** and ****, with growth of *.**%. On average, Spain's over-** population grew by ...

2.2 Typical resident profile

In Spain, the percentage of men living alone varies with age. Between the ages of ** and **, **.*% of men live alone. This figure rises slightly for men aged ** to **, with a rate of **.*%. However, this percentage rises significantly for men aged ** or over, reaching **.*%. As for women, the percentage living alone is ...

2.3 Perception of nursing homes

within Spanish society, only *.**% of respondents would like to live in a retirement home, while **.**% would not. With regard to aging at home, **.*% of respondents would prefer to remain at home with medical assistance, **.**% without medical assistance, and **.*% would opt for day care in a nursing home.

Spaniards and nursing homes Spain, ...

3 Market structure

3.1 Market breakdown

In ****, there were a total of *,*** nursing homes in Spain. The map below shows the geographical distribution of these centers. It shows that Catalonia, with **.**% of centers, Castilla y León with **.**% and Andalusia with **.**% are the * Autonomous Communities with the most nursing homes.

The number of places is shown on ...

3.2 Private versus public establishments

by ****, the Spanish market for nursing homes will be **% private and **% public.

Breakdown of Spanish retirement homes by private or public type Spain, ****, % of total Source: ****

The map below shows the regional disparities between the number of private and public facilities. Extremadura and the Canary Islands are the only Autonomous Communities ...

3.3 Market structure

Current structure :

--> INE CNAE ****

Magnitudes of the nursing home sector Spain, ****, number, thousands, billions Source: ****

Matching supply and demand

In Spain, despite a *% increase in the number of places in retirement homes by ****, social services are still not meeting the needs of this population. According to a report by the ...

4 Offer analysis

4.1 The different nursing homes in Spain

Depending on status:

--> PRIVATE PUBLIC = SERVICES + PRICE.

Note that the main criteria for differentiating between the private and public sectors are internal services and the speed of finding a place.

Source: ****

Acceptance criteria in the public sector:

The following are the main criteria for admission to a public nursing home. ...

4.2 Prices

In public or mixed establishments, the price of a nursing home corresponds to between **% and **% of the retiree's annual income.

Price of a public nursing home in Spain Spain, ****, % of residents' annual income Source: ****

The following table shows private nursing home prices by Autonomous Community:

Source: ****

--> PRICES FOR DIFFERENT ...

4.3 Supply trends: luxury nursing homes in Spain

Luxury residences:

Luxury nursing homes offer an ideal environment for the elderly, thanks to their personalized attention, wide range of services and high level of comfort. In Spain, these high-end residences are numerous, and although expensive, they guarantee their residents and their families a full range of amenities, benefits and services. ...

5 Regulations

5.1 Regulations

The Dependency Act: Ley **/****, de ** de diciembre, de Promoción de la Autonomía Personal y Atención a las personas en situación de dependencia, defines the criteria for dependency that can affect the elderly. This law also sets out the proportion of economic aid available to these people, according ...

6 Positioning the players

6.1 Segmentation

  • Aralia Servicios Sociosanitarios Sa
  • GERIATROS SA
  • LA SALETA CARE SLU
  • SANITAS MAYORES SL.
  • INTERCENTROS BALLESOL SA
  • Quavitae Servicios Asistenciales Sau

List of charts presented in this market study

  • Change in the population over 65
  • Projected population aged 65 and over
  • Life expectancy over 65
  • Projection of over-65s in Spain
  • Dependency ratio of people aged 64 and over in Spain
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Companies quoted in this study

This study contains a complete overview of the companies in the market, with the latest figures and news for each company. :

Aralia Servicios Sociosanitarios Sa
GERIATROS SA
LA SALETA CARE SLU
SANITAS MAYORES SL.
INTERCENTROS BALLESOL SA
Quavitae Servicios Asistenciales Sau

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