Summary of our market study

The Spanish nursing home market has seen considerable growth and activity since 2020, driven by the aging population. In 2020, the sector attracted €280 million of the €417 million invested in healthcare, with over 5,100 establishments. Despite a slight fall in sales to €4.55 billion in 2020 from €4.65 billion in 2019, the market rebounded to €4.90 billion in sales in 2022. The market is heavily privatized, with private nursing homes making up 75% of the market in 2023. Demand continues to outstrip supply, with a reported shortage of 76,350 places to reach the recommended WHO rate. Luxury nursing homes are a significant trend, offering an array of high-end services. Quavitae Servicios Asistenciales Sau leads the market with €226.794 million in sales in 2021, among other major players such as INTERCENTROS BALLESOL SA and SAR RESIDENCIAL Y ASISTENCIAL SAU. Regulations are guided by the Dependency Act, which outlines the aid available to elderly people based on their level of dependency..In Spain, an in-depth analysis of the nursing home market reveals significant trends that are shaping the demand within this sector. The rising aging population, coupled with increasing life expectancy, is driving a growing need for nursing home facilities. Between 2011 and 2022, the elderly population, those aged over 65, swelled by nearly 20%, highlighting the speed at which the demographic landscape is changing. By 2022, the population aged above 65 reached between 9 and 10 million, with projections indicating a steep rise to over 20% of the overall population by 2025. This number is expected to climb to almost 30% by 2050. The typical resident profile in nursing homes is influenced by factors such as living alone and dependency. A significant proportion of the elderly population, especially women aged 85 and over, live alone, with percentages ranging from the lower twenties to the mid-forties. Along with loneliness, the rate of dependency among individuals over 65 stands at nearly 31%, which further impacts the demand for nursing home care. Despite the increasing need, Spanish society's perception of nursing homes remains slightly conservative. A minuscule percentage, around 5%, of the population express a desire to live in retirement homes. Instead, many show a preference for aging at home, with or without medical assistance, or opting for day care in nursing homes. The market structure of nursing homes in Spain leans heavily towards private ownership, comprising approximately 75% of the market, with public establishments making up the remainder. This divide is evident in service offerings, with private nursing homes often offering more extensive and immediate services at a higher price. The average cost for a place in a public nursing home is pegged at a significant portion of the resident's annual income, between 65% and 85%. The key players in the Spanish market have also been identified, with leading companies like Quavitae Servicios Asistenciales and INTERCENTROS BALLESOL recording sales in the hundreds of millions. The combined sales of the top ten market players contribute significantly to the sector's overall performance. Collectively, these facets—demographics, resident profiles, societal perceptions, market structure, and key players—paint a comprehensive picture of the current demand in Spain's nursing home market. The demographic trends alone signal that the sector will likely see continued growth, with a high potential for the expansion of both services and facilities to meet the evolving needs of an aging population..### Key Players Shaping Spain's Nursing Home Landscape Spain's nursing home industry is driven by several prominent entities that have taken the lead in providing elderly care services across the country. While each company brings its own distinctive approach to the table, their common goal remains the provision of quality care and support to Spain's aging population. Below we explore some of the pivotal organizations contributing to this vital sector. **Quavitae Servicios Asistenciales Sau** stands out in the Spanish market, with a robust presence across the nation. Their commitment to personalized assistance caters to a variety of senior needs, ensuring that each resident receives optimal care tailored to their individual circumstances. Next, we have **INTERCENTROS BALLESOL SA**, a renowned name known for its dedication to creating a nurturing environment where seniors can receive both medical attention and opportunities for social engagement, facilitating a well-rounded living experience for its residents. **SAR RESIDENCIAL Y ASISTENCIAL SAU** is another significant contributor to Spain's nursing home services. They prioritize a harmonious blend of living comforts and medical expertise, ensuring that their residents are not only taken care of medically but also enjoy a rich quality of life. **SANITAS MAYORES SL.**, a part of the larger, well-respected Sanitas group, brings its expertise to senior care. They operate with a philosophy oriented towards respect and dignity for the elderly, helping them to maintain an active and fulfilling lifestyle. **LA SALETA CARE SLU** has carved a niche for itself with its attention to community-focused care. They promote an approach that is deeply rooted in the social aspect of elderly care, encouraging interaction amongst residents and participation in various group activities. **GERIATROS SA** adds to Spain's elderly care market with a blend of traditional values and innovative care models, offering senior citizens a safe haven that feels both modern and reassuringly familiar. **Aralia Servicios Sociosanitarios Sa** distinguishes itself with its portfolio of services that not only address health needs but also encompass the psychological and emotional well-being of its senior clients. Stepping into the realm of specialized care, **CASER RESIDENCIAL SAU** has established itself as a reliable provider for seniors with specific health-related needs, assuring families of a competent and considerate caregiving environment. With **SENIOR SERVICIOS INTEGRALES SA.**, community integration plays a central role, where the goal is not just to offer health services but to enrich the lives of residents through a variety
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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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