MARCH 8, 2023 (New York Town, NY) – Marcum LLP right now produced its fifth once-a-year benchmarking assessment of nursing home functions, covering the period 2019-2021.
The 2023 Marcum 3-Calendar year Nursing Household Statistical Assessment examines an unparalleled and deeply challenging time for the nursing dwelling field formed by the COVID pandemic – before, in the course of and right after. It is intended to provide a strategic arranging street map for the nation’s qualified nursing services.
“We believe that COVID-19 has changed the shipping and delivery of healthcare forever, and that these modifications are just starting to manifest. The ‘great resignation’ has revealed not only the operators but also the regulators that there is continued need for certified people. This year’s evaluation illustrates how COVID-19 has radically impacted general paying out,” explained Matthew Bavolack, a Marcum advisory principal and nationwide chief of the Firm’s Healthcare Solutions practice.
Vital Conclusions
This year’s report confirms that the qualified nursing facility (SNF) census has slowly started to rebound, and even though COVID-19 caused facility closures during the place, need carries on to increase. Persistent nursing employees shortages, on the other hand, go on to generate functioning costs for every patient day (PPD) greater. In combination with traditionally small occupancy and the expiration of COVID relief funding, gross earnings has not been equipped to address full PPD expenditures, developing internet losses for SNFs throughout the country and in every area.
Highlights of the report’s essential results involve the pursuing:
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- Hourly nursing wages trended upward in all three decades of the examine, growing by 7.63% from 2019 to 2020, and 9.87% from 2020 to 2021. In 2021, deal nursing charges doubled PPD as when compared to pre-pandemic 2019 stages.
- Total running expenditures greater 9.27% nationally from 2020 to 2021, nearly double the PPD earnings raise of 4.73%.
- Common occupancy declined the two nationally and regionally. The Midwest (-5.19%) and Rocky Mountains (-2.43%) registered the optimum and most affordable adjustments involving 2020 and 2021, while occupancy declined by 4.08% on a countrywide basis.
- The Medicare payor blend share greater each and every 12 months covered by the examine and was 1.27% among 2020 and 2021. The new Medicare PDPM (Affected individual Driven Payment Product) that took impact on October 1, 2019, produced considerable improves in ordinary Medicare gross reimbursement for each affected individual day (PPD).




The entire report may be downloaded in this article.
About the Research
The annual Marcum 3-Year Nursing Residence Statistical Investigation of very long-expression treatment market tendencies is a yardstick to enable expert nursing facilities boost the two operational and fiscal effectiveness and to tutorial strategic organizing. The review is based on a meticulous review of the Centers for Medicare and Medicaid Companies (CMS) databases of Medicare cost reports (Sort 2540-10) filed on a yearly basis by the nation’s nursing homes.
Much more than 38,000 Medicare charge studies have been reviewed for the 2019-2021 evaluation. To illustrate traits and discover any local deviations from the norm, knowledge are presented each nationally and regionally. Locations consist of the Midwest, Northeast, Pacific, Southeast, Rocky Mountains, and Southwest.
Details are analyzed in 15 financial and operational classes. These include things like:
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- Occupancy and payor combine
- Occupancy percentage by point out
- Regular of whole charge PPD by point out
- Average size of remain
- Nursing
- Dietary
- Laundry
- Housekeeping
- General service charge per affected individual day
- Treatment
- Regular hourly wage
- Employee benefits to whole wage
- Revenue analytics
- Medicare gross income for each individual day
- Harmony sheet analytics















Information reference tables are also provided for each individual of the 3 decades lined by the examine.
About Marcum LLP
Marcum LLP is a major-ranked national accounting and advisory organization focused to supporting entrepreneurial, middle-market providers and high net truly worth men and women achieve their plans. Marcum’s market-targeted techniques offer deep perception and specialized solutions to privately held and publicly registered organizations, and nonprofit and social sector organizations. The Organization also gives a full complement of technological know-how, wealth management, and government search and staffing providers. Headquartered in New York Town, Marcum has offices in key business enterprise marketplaces across the U.S. and pick global spots. #AskMarcum.
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