Nursing Care Market Size, Share, Trends and Forecast to 2035

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Emergen Research, a globally recognized provider of market research and consulting services, has recently released its latest comprehensive study on the global Nursing Care Market. The report provides an in-depth analysis of market size, revenue growth, emerging trends, key growth drivers, restraints, competitive developments, regional opportunities, and the evolving structure of nursing care services across major healthcare markets.

The global Nursing Care Market was valued at USD 1,240.00 Billion in 2025 and is projected to grow from USD 1,310.00 Billion in 2026 to USD 2,200.00 Billion by 2035, registering a CAGR of 5.9% during the forecast period from 2026 to 2035. North America accounted for the largest revenue share of 33.7% in 2025, while Asia Pacific is expected to register the fastest growth during the forecast period.

The market is being driven by increasing demand for skilled and home-based nursing services, population aging, rising prevalence of chronic conditions, the shift of healthcare delivery from institutional settings toward homes, continued public payer funding for long-term nursing services, and consolidation among nursing care and senior-living operators.

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An aging population living longer with chronic diseases is creating sustained demand for professionally delivered nursing care. Many older adults require skilled clinical monitoring, medication management, wound care, rehabilitation support, and other services that cannot always be provided by informal family caregivers. Nursing services delivered by registered nurses, licensed practical nurses, and certified healthcare aides provide structured clinical support in both institutional and home-based environments.

The growing demand for nursing services is also reflected in healthcare spending trends. Spending on freestanding nursing care facilities and continuing care retirement communities in the United States increased 7.3% in 2024 to USD 219.90 Billion, while spending on freestanding home health care agencies increased 10.2% to USD 169.40 Billion during the same year. These developments demonstrate the increasing financial importance of both facility-based and home-based nursing services.

The shift toward home-based care is another important factor supporting market expansion. Healthcare payers increasingly favor care models that can provide appropriate clinical services in patients' homes while reducing the cost associated with institutional stays. Home nursing services allow patients to receive services such as wound care, infusion monitoring, medication management, and post-surgical assessments without requiring continuous residence in a healthcare facility.

UnitedHealth Group's Optum unit completed its USD 3.30 Billion acquisition of Amedisys on 14 August 2025 following a Department of Justice antitrust settlement that required the divestiture of 164 home health and hospice locations. The transaction highlights the growing importance of home-based healthcare within broader value-based care strategies.

Public payer funding is also contributing to market development. Medicaid spending in the United States increased 6.6% in 2024 to USD 931.70 Billion, supporting a substantial portion of long-term nursing care expenditure.

However, workforce shortages remain a major challenge for nursing care providers. Health Resources and Services Administration projections published in December 2025 estimated that the national registered nurse shortage would remain at approximately 3% by 2038, representing a gap of roughly 108,960 full-time equivalent registered nurses. Persistent staffing shortages can restrict the ability of nursing operators to accept additional patients even when underlying demand continues to increase.

Rising operational costs are also affecting providers. Home health and hospice organizations face transportation and fuel costs because nurses travel between patient homes, while nursing facilities and home health providers must continuously purchase disposable medical supplies such as gloves, dressings, and catheter-related products. Proposed changes to home health reimbursement rates may further affect provider margins and expansion plans.

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competitive landscape:-

The global Nursing Care Market is moderately fragmented, with large healthcare operators, nursing care providers, home health companies, senior-living organizations, and specialized healthcare service providers competing across different care settings.

Major companies are focusing on acquisitions, strategic partnerships, portfolio expansion, service development, and geographic expansion to strengthen their positions in the market. Consolidation is particularly visible among large senior-living and home healthcare operators seeking greater scale and operational efficiency.

Some of the major companies included in the global Nursing Care Market report are UnitedHealth Group Incorporated, Brookdale Senior Living Inc., The Ensign Group, Inc., National HealthCare Corporation, Encompass Health Corporation, Amedisys, Inc., LHC Group, Inc., Genesis Healthcare, LLC, BrightSpring Health Services, Inc., and The Pennant Group, Inc.

The competitive environment is also being influenced by the increasing importance of home-based healthcare. Large healthcare organizations are expanding their home health, hospice, and high-acuity care capabilities, while nursing and senior-living operators are acquiring or developing additional facilities to expand their service capacity.

For example, UnitedHealth Group's Optum completed its acquisition of Amedisys in August 2025. The transaction strengthened the company's position in home health, hospice, and high-acuity care services while also demonstrating the increasing strategic importance of home-based care within integrated healthcare models.

Brookdale Senior Living has also expanded its owned real estate portfolio. In February 2025, the company completed the acquisition of 30 senior living communities through two transactions totaling USD 310.00 Million. The acquisitions converted communities previously operated under triple-net leases into owned properties.

Market segmentation:-

The global Nursing Care Market has been segmented based on service type, care setting, payer, and region.

Based on service type, the market is segmented into Skilled Nursing Care, Home Health Nursing Care, Hospice & Palliative Care, Rehabilitation Nursing Care, and Others. Skilled Nursing Care accounted for the largest market share of 38.4% in 2025.

Skilled nursing care includes continuous clinical services delivered by licensed nurses and healthcare aides to patients requiring ongoing medical monitoring, wound management, medication administration, rehabilitation, or post-acute care. The segment maintains a strong position because Medicare and Medicaid certification and reimbursement systems support licensed nursing facilities as an important care setting for patients requiring continuous nursing services.

Home Health Nursing Care is expected to register a rapid CAGR of 8.9% through 2035. The growth of this segment is supported by the increasing preference for home-based care, payer efforts to reduce institutional healthcare costs, and growing patient demand for receiving healthcare services within familiar home environments.

Home health nursing differs from facility-based nursing because healthcare professionals travel to individual patients rather than providing continuous services at a single facility. Growth in this segment is therefore closely associated with nurse availability, scheduling efficiency, travel distance, and the ability of providers to manage geographically distributed patient populations.

Hospice & Palliative Care and Rehabilitation Nursing Care represent additional specialized segments. Hospice services support patients with terminal illnesses, while rehabilitation nursing focuses on recovery following surgery, injury, illness, or other conditions requiring structured post-acute support.

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Based on care setting, the global Nursing Care Market is segmented into Nursing Homes & Skilled Nursing Facilities, Home Care Settings, Assisted Living Facilities, and Others. Nursing Homes & Skilled Nursing Facilities accounted for the largest market share of 44.7% in 2025.

Nursing homes and skilled nursing facilities provide continuous nursing supervision and residential care for individuals who cannot safely live independently or require ongoing clinical monitoring. These facilities serve both long-term residents and patients receiving short-term post-acute rehabilitation.

Home Care Settings are expected to register a rapid CAGR of 9.2% through 2035. Increasing preference for receiving care at home, lower costs compared with institutional care, and payer support for home-based healthcare are expected to support this segment.

Assisted Living Facilities remain a distinct care setting that generally supports individuals who require assistance with daily activities but do not require the continuous clinical supervision associated with skilled nursing facilities.

Based on payer, the global Nursing Care Market is segmented into Medicare & Medicaid, Private Insurance, Out-of-Pocket, and Others. Medicare & Medicaid accounted for the largest market share of 52.3% in 2025.

Medicare and Medicaid represent major sources of funding for nursing care services in the United States, particularly for older adults, low-income populations, skilled nursing services, home health services, and long-term care. Public payer funding therefore has a direct influence on provider revenues and the availability of nursing services.

The Private Insurance segment is expected to register a rapid CAGR of 7.8% through 2035. The growth of privately administered Medicare Advantage plans and expansion of private healthcare coverage are expected to support increasing utilization of private insurance for nursing and home-based care services.

The regulatory environment remains an important factor influencing nursing care providers. In the United States, CMS has introduced and subsequently revised nursing home staffing requirements, demonstrating how changes in federal policy can directly influence staffing models and operating costs.

CMS finalized a nursing home staffing rule in 2024 that included requirements related to registered nurse coverage and minimum nurse staffing hours. Subsequent federal court decisions and legislative developments affected implementation, and CMS published an interim final rule in December 2025 rescinding the 24-hour registered-nurse and minimum hours-per-resident-day requirements effective February 2026, while retaining certain facility-assessment and Medicaid payment-transparency provisions.

Internationally, countries are developing dedicated systems for long-term care. Japan's Long-Term Care Insurance system, known as Kaigo Hoken, provides formal nursing and care benefits to eligible residents and has played an important role in shifting long-term care responsibilities from informal family caregivers toward organized professional services.

The regional outlook also indicates significant differences in nursing care adoption and healthcare spending.

North America accounted for 33.7% of the global Nursing Care Market revenue in 2025. The region benefits from a large base of Medicare- and Medicaid-certified nursing facilities, established home health agencies, major senior-living operators, and extensive healthcare infrastructure. The United States represented the leading country within the regional market.

The U.S. healthcare system also has a significant home-based care market, supported by large public and private payer networks. Healthcare organizations are increasingly investing in home health and hospice services as part of broader efforts to manage chronic conditions and reduce unnecessary institutional care.

Europe accounted for approximately 27.4% of the global Nursing Care Market in 2025. The region benefits from established public healthcare systems and long-term care programs. Several European countries allocate significant resources to formal long-term care services, creating a stable environment for nursing care providers.

Asia Pacific is expected to register the fastest growth, with the market projected to expand at a CAGR of 8.6% through 2035. Rapid population aging in Japan, China, South Korea, and other countries is increasing demand for professional nursing and long-term care services.

Japan represents one of the most developed long-term care markets in the region. Its Long-Term Care Insurance system has created a formal framework for financing professional care services and has helped develop a large workforce of care professionals.

Latin America is projected to grow at a CAGR of 6.8% through 2035. Expansion of healthcare coverage, increasing demand for professional elder care, and gradual development of formal nursing facilities and home healthcare services are expected to support regional market growth.

The Middle East & Africa market is projected to grow at a CAGR of 6.1% through 2035. Increasing investments in healthcare infrastructure, elder-care programs, and home nursing services are expected to create additional opportunities, with Saudi Arabia and the UAE emerging as important regional markets.

The nursing care value chain extends from healthcare workforce and medical supply providers to nursing operators, home healthcare agencies, senior-living communities, payers, and patients. Providers depend on nurses, licensed practical nurses, aides, therapists, medical supplies, healthcare technology, and administrative systems to deliver services across different care environments.

The growing shift toward home-based care is changing the structure of this value chain. Instead of concentrating staff and resources inside a single facility, home health providers must coordinate geographically distributed teams, transportation, scheduling, patient documentation, and communication between caregivers and healthcare organizations.

Technology is also becoming increasingly important across the nursing care industry. Digital patient records, remote monitoring, scheduling platforms, telehealth tools, workforce-management software, and other healthcare technologies can help providers coordinate care and improve operational efficiency.

Recent Industry Developments

The Nursing Care Market continues to experience consolidation and changes in healthcare delivery models.

On 14 August 2025, UnitedHealth Group's Optum unit completed its acquisition of Amedisys in an approximately USD 3.30 Billion all-cash transaction. The acquisition expanded Optum's home health, hospice, and high-acuity care capabilities. As part of the regulatory settlement, 164 home health and hospice locations were required to be divested.

On 27 February 2025, Brookdale Senior Living completed the acquisition of 30 senior living communities through two transactions totaling USD 310.00 Million. The transactions expanded Brookdale's owned real estate portfolio and converted communities previously operated under triple-net lease arrangements into owned assets.

In December 2025, CMS published an interim final rule rescinding specific nursing-home staffing requirements related to 24-hour registered-nurse coverage and minimum hours per resident day. The changes became effective in February 2026 while other reporting and facility-assessment requirements remained in place.

Future Outlook

The future of the Nursing Care Market will be shaped by demographic aging, chronic disease prevalence, healthcare workforce availability, payer policies, and the continuing transition toward home-based care.

Demand for skilled nursing services is expected to remain strong as the number of older adults requiring ongoing clinical support increases. At the same time, home health nursing is expected to expand as healthcare systems and payers seek alternatives to expensive institutional care.

Technology adoption is expected to become increasingly important for nursing care providers. Digital scheduling, remote patient monitoring, electronic health records, telehealth, workforce-management systems, and other healthcare technologies can support more efficient coordination between caregivers and patients.

The industry is also expected to experience continued consolidation as large operators seek economies of scale and broader geographic coverage. Acquisitions can allow healthcare companies to expand service portfolios, enter new markets, increase operational capacity, and strengthen relationships with healthcare payers.

Workforce availability will remain one of the most important factors determining how much of the underlying demand can be converted into actual nursing care revenue. Providers that can recruit, retain, and efficiently deploy qualified nursing professionals will be better positioned to serve growing demand across both institutional and home-based settings.

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The Nursing Care Market report provides detailed analysis of market size, revenue forecasts, service-type segmentation, care-setting analysis, payer dynamics, regional trends, competitive positioning, market drivers, restraints, regulatory developments, and future opportunities across the global nursing care industry.

About Emergen Research

Emergen Research is a market research and consulting company providing syndicated research reports, customized research solutions, and strategic consulting services across a wide range of industries. The company's research covers healthcare, pharmaceuticals, emerging technologies, chemicals and materials, information technology, energy, manufacturing, and other rapidly developing sectors.

Emergen Research's research solutions are designed to support businesses, investors, researchers, and strategic decision-makers with market intelligence, industry analysis, competitive assessments, and future growth insights.

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