MARCH 8, 2023 (New York City, NY) – Marcum LLP these days introduced its fifth once-a-year benchmarking assessment of nursing residence operations, covering the period of time 2019-2021.
The 2023 Marcum 3-Yr Nursing Home Statistical Evaluation examines an unprecedented and deeply complicated time for the nursing home marketplace formed by the COVID pandemic – prior to, in the course of and soon after. It is supposed to provide a strategic scheduling highway map for the nation’s proficient nursing facilities.
“We imagine COVID-19 has improved the shipping and delivery of healthcare completely, and that these modifications are just setting up to manifest. The ‘great resignation’ has revealed not only the operators but also the regulators that there is ongoing have to have for qualified individuals. This year’s investigation illustrates how COVID-19 has significantly impacted general spending” said Matthew Bavolack, a Marcum advisory principal and nationwide leader of the Firm’s Healthcare Products and services follow.
Vital Findings
This year’s report confirms that the proficient nursing facility (SNF) census has gradually begun to rebound, and although COVID-19 prompted facility closures in the course of the state, desire continues to rise. Persistent nursing employees shortages, on the other hand, continue on to push operating expenses per affected individual day (PPD) greater. In combination with historically lower occupancy and the expiration of COVID reduction funding, gross earnings has not been capable to cover total PPD expenditures, producing web losses for SNFs throughout the nation and in each and every region.
Highlights of the report’s key results include things like the pursuing:
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- Hourly nursing wages trended upward in all a few several years of the research, growing by 7.63{1668a97e7bfe6d80c144078b89af180f360665b4ea188e6054b2f93f7302966b} from 2019 to 2020, and 9.87{1668a97e7bfe6d80c144078b89af180f360665b4ea188e6054b2f93f7302966b} from 2020 to 2021. In 2021, contract nursing charges doubled PPD as compared to pre-pandemic 2019 ranges.
- Whole operating expenses improved 9.27{1668a97e7bfe6d80c144078b89af180f360665b4ea188e6054b2f93f7302966b} nationally from 2020 to 2021, practically double the PPD profits increase of 4.73{1668a97e7bfe6d80c144078b89af180f360665b4ea188e6054b2f93f7302966b}.
- Ordinary occupancy declined the two nationally and regionally. The Midwest (-5.19{1668a97e7bfe6d80c144078b89af180f360665b4ea188e6054b2f93f7302966b}) and Rocky Mountains (-2.43{1668a97e7bfe6d80c144078b89af180f360665b4ea188e6054b2f93f7302966b}) registered the greatest and least expensive improvements among 2020 and 2021, while occupancy declined by 4.08{1668a97e7bfe6d80c144078b89af180f360665b4ea188e6054b2f93f7302966b} on a countrywide basis.
- The Medicare payor mix percentage amplified just about every calendar year protected by the research and was 1.27{1668a97e7bfe6d80c144078b89af180f360665b4ea188e6054b2f93f7302966b} concerning 2020 and 2021. The new Medicare PDPM (Individual Driven Payment Design) that took result on October 1, 2019, produced sizeable increases in average Medicare gross reimbursement for each client working day (PPD).




The comprehensive report might be downloaded below.
About the Examine
The once-a-year Marcum 3-12 months Nursing Property Statistical Analysis of extended-term treatment field trends is a yardstick to enable skilled nursing facilities improve both equally operational and economic efficiency and to manual strategic arranging. The study is based mostly on a meticulous critique of the Centre for Medicare and Medicaid Expert services (CMS) databases of Medicare value experiences (Sort 2540-10) submitted annually by the nation’s nursing homes.
Far more than 38,000 Medicare cost stories were being reviewed for the 2019-2021 examination. To illustrate traits and discover any area deviations from the norm, facts are presented the two nationally and regionally. Locations consist of the Midwest, Northeast, Pacific, Southeast, Rocky Mountains, and Southwest.
Information are analyzed in 15 economical and operational categories. These contain:
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- Occupancy and payor blend
- Occupancy percentage by point out
- Typical of total price PPD by condition
- Normal size of keep
- Nursing
- Dietary
- Laundry
- Housekeeping
- Typical assistance charge for each client working day
- Therapy
- Ordinary hourly wage
- Staff benefits to total income
- Profits analytics
- Medicare gross income for each patient day
- Balance sheet analytics















Facts reference tables are also provided for each individual of the three many years included by the research.
About Marcum LLP
Marcum LLP is a best-rated nationwide accounting and advisory agency focused to assisting entrepreneurial, center-market place businesses and significant web well worth individuals achieve their ambitions. Marcum’s field-targeted techniques offer deep perception and specialized products and services to privately held and publicly registered corporations, and nonprofit and social sector companies. The Firm also provides a comprehensive enhance of technological innovation, wealth management, and executive search and staffing providers. Headquartered in New York Town, Marcum has workplaces in big business enterprise marketplaces across the U.S. and choose global locations. #AskMarcum.
