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Residential Care Activities in Germany - Market Research Report (2014-2029)

Clara-Camille Schneider Clara-Camille Schneider Frankfurt, Germany Last Updated: October 2024 WZ Q87.00DE

Revenue

€60.2bn

2024

€60.2bn

Past 5-Year Growth

Profit

€XX.Xbn

Employees

6m

Businesses

3,752

Wages

€XX.Xbn

Residential Care Activities in Germany industry analysis

In view of the ageing population, the demand for care services is continuously increasing. Over the past five years, this development has contributed to an average growth in turnover of 1.5% per year. Vaccinations and compliance with social distancing and hygiene rules have reduced the risk of death in care homes during the coronavirus pandemic. As a result, the number of people moving from home to residential care has risen again. The development of energy prices, inflation and rising staff costs, which were insufficiently refinanced by the care insurance funds, had a negative impact on the earnings situation in 2022 and 2023. As a result of a significant delay in refinancing costs and falling capacity utilisation due to the shortage of nursing staff, many care facilities found themselves in financial difficulties in 2023, leading to an increase in the number of insolvencies.Revenue is expected to grow by 1.4% in 2024 and thus amount to 60.2 billion euros. The cost increases, which cannot be fully refinanced, and the worsening staff shortage are also likely to lead to occupancy freezes and capacity cuts in the current year. The high payment arrears of the social welfare offices and the long waiting time of the facilities for payments from the local social welfare organisations are affecting liquidity and leading to a higher risk of insolvency, as services are being provided that are only partially financed. < />In order to avoid getting into financial difficulties, the facilities pass on most of the additional costs to the residents. Despite the current surcharges to limit the personal contribution of care home residents and the planned dynamisation of benefit rates, personal contributions are likely to continue to rise in the coming years. More and more people will probably no longer be able to pay the rising co-payments and will be dependent on social assistance.In the coming years, demographic change is likely to have a negative impact on care service providers from two sides. The ageing population will continue to increase the demand for care services. At the same time, the worsening shortage of skilled labour means that care capacities will not grow to the same extent. In order to guarantee the provision of care, it will also be necessary to utilise financial and human resources as efficiently as possible. New technologies can help to relieve the burden on carers in their work. By 2029, turnover in the care sector is expected to increase by an average of 3.9% per year, meaning that it is likely to reach 72.9 billion euros in 2029.

Trends and Insights

  • Demographic change is a double-edged sword for the care sector. On the one hand, the demand for care places is increasing, while on the other, the existing staff shortage is worsening.
  • Outpatient care accounts for the largest share of sector turnover. It is very popular because it enables those in need of care to continue to lead a self-determined life in their own home.
  • The geographical distribution of companies in the care sector is strongly dependent on the population in the respective federal states. Accordingly, a particularly large number of companies are located in the densely populated Central and Southern regions.
  • Competition in the care sector is low. Demand for care services often exceeds supply and providers can differentiate themselves from competitors by offering different living concepts.

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Industry Statistics and Trends

Market size and recent performance (2014-2029)

Industry revenue has grown at a CAGR of 1.5 % over the past five years, to reach an estimated €60.2bn in 2024.

Trends and Insights

There is a severe shortage of skilled labour in the healthcare sector, which is hampering growth

  • Currently, the number of employees in outpatient and inpatient long-term care is stagnating, while the need for nursing staff is growing strongly. The further increase in care requirements and the implementation of the new staffing assessment procedure will further widen the staffing gap in the care sector.
  • Additional trends and insights available with purchase
Residential Care Activities in Germany
Revenue (2014-2029)
IBISWorld Logo Source: IBISWorld

Industry outlook (2024-2029)

Market size is projected to grow over the next five years.

Trends and Insights

The care sector should benefit from the law to accelerate the digitalisation of the healthcare system

  • In August 2023, a law was passed to accelerate the digitalisation of the healthcare system. Among other things, the aim is to anchor telemedicine more firmly in the healthcare system. The aim is to promote the exchange and use of healthcare data and improve patient care.

Biggest companies in the Residential Care Activities in Germany

Company
Market Share (%)
2024
Revenue (€m)
2024
Korian Gruppe
1,685.1
Cidron Atrium SE
1,504.6
Emeis Gruppe
1,083.3

To view the market share and analysis for all 4 top companies in this industry, view purchase options.

Products & Services Segmentation

Residential Care Activities in Germany
Products & Services
IBISWorld Logo Source: IBISWorld

Industry revenue is measured across several distinct product and services lines, including Outpatient care, Inpatient care and Assisted living. Outpatient care is the largest segment of the Residential Care Activities in Germany.

Trends and Insights

Outpatient care gives those in need of care the greatest possible autonomy

  • With outpatient care, the care services visit their patients in their homes and carry out the necessary care activities there.
  • More insights available in the full report

Table of Contents

About this industry

Industry definition

The care sector encompasses all industries that provide care services, as well as homes and residential concepts designed to enable residents to live as independently as possible. The care sectors largely support older people, but there are also services for so-called young care, which includes people under the age of 65.

What's included in this industry?

Outpatient careAssisted livingInpatient carePartial inpatient care

Companies

Korian GruppeCidron Atrium SEEmeis Gruppe

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Related Terms

CARE FEECARE TIMECARE WHEEL

Performance

Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.

Analyst insights

Demographic change is a double-edged sword for the care sector. On the one hand, the demand for care places is increasing, while on the other, the existing staff shortage is ...

In this chapter (4)

  • Current Performance
  • Outlook
  • Volatility
  • Life Cycle

Key metrics

  • Annual Revenue, Recent Growth, Forecast, Revenue Volatility
  • Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
  • Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
  • Total Profit, Profit Margin, Profit per Business

Charts

  • Revenue, including historical (2014-2023) and forecast (2024-2029)
  • Employees, including historical (2014-2023) and forecast (2024-2029)
  • Businesses, including historical (2014-2023) and forecast (2024-2029)
  • Profit, including historical (2014-2024)
  • Industry Volatility vs. Revenue Growth
  • Industry Life Cycle

Detailed analysis

  • Trends in supply, demand and current events that are driving current industry performance
  • Expected trends, economic factors and ongoing events that drive the industry's outlook
  • Key success factors for businesses to overcome volatility
  • How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.

Products and Markets

Learn about an industry's products and services, markets and trends in international trade.

Analyst insight

Outpatient care accounts for the largest share of sector turnover. It is very popular because it enables those in need of care to continue to lead a self-determined life in t...

In this chapter

  • Products & Services
  • Major Markets

Key metrics

  • Largest market segment and value in 2024
  • Product innovation level

Charts

  • Products & services segmentation in 2024
  • Major market segmentation in 2024

Detailed analysis

  • Trends impacting the recent performance of the industry's various segments
  • Innovations in the industry's product or service offering, specialization or delivery method
  • Key factors that successful businesses consider in their offerings
  • Buying segments and key trends influencing demand for industry products and services

Geographic Breakdown

Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.

Analyst insights

The geographical distribution of companies in the care sector is strongly dependent on the population in the respective federal states. Accordingly, a particularly large numb...

In this chapter (1)

  • Business Locations

Charts

  • Share of revenue, establishment, wages and employment in each region
  • Share of population compared to establishments in each region in 2024

Tables

  • Number and share of establishments in each region in 2024
  • Number and share of revenue each region accounts for in 2024
  • Number and share of wages each region accounts for in 2024
  • Number and share of employees in each region in 2024

Detailed analysis

  • Geographic spread of the industry across Europe, and trends associated with changes in the business landscape
  • Key success factors for businesses to use location to their advantage

Competitive Forces

Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.

Analyst insights

Competition in the care sector is low. Demand for care services often exceeds supply and providers can differentiate themselves from competitors by offering different living ...

In this chapter (4)

  • Concentration
  • Barriers to Entry
  • Substitutes
  • Buyer & Supplier Analysis

Key metrics

  • Industry concentration level
  • Industry competition level and trend
  • Barriers to entry level and trend
  • Substitutes level and trend
  • Buyer power level and trend
  • Supplier power level and trend

Charts

  • Market share concentration among the top 4 suppliers from 2019-2024
  • Supply chain including upstream supplying industries and downstream buying industries, flow chart

Detailed analysis

  • Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
  • Key success factors for businesses to manage the competitive environment of the industry.
  • Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
  • Key success factors for potential entrants to overcome barriers to entry.
  • Competitive threats from potential substitutes for the industry’s own products and services.
  • Key success factors for how successful businesses can compete with substitutes.
  • Advantages that buyers have to keep favorable purchasing conditions.
  • Advantages that suppliers have to maintain favorable selling conditions.
  • Key success factors for how businesses can navigate buyer and supplier power.

Companies

Learn about the performance of the top companies in the industry.

Analyst insights

There are no major players in the care sector. Even if more and more facilities are being bought up by investors and consolidation can therefore be observed, the majority of ...

In this chapter

  • Market Share Concentration
  • Companies
  • Company Spotlights

Charts

  • Industry market share by company in 2020 through 2024
  • Major companies in the industry, including market share, revenue, profit and profit margin in 2024
  • Overview of Korian Gruppe's performance by revenue, market share and profit margin from 2018 through 2024
  • Overview of Cidron Atrium SE's performance by revenue, market share and profit margin from 2018 through 2024
  • Overview of Emeis Gruppe's performance by revenue, market share and profit margin from 2018 through 2024
  • Overview of revenue, market share and profit margin trend for one additional company

Detailed analysis

  • Description and key data for Korian Gruppe, and factors influencing its performance in the industry
  • Description and key data for Cidron Atrium SE, and factors influencing its performance in the industry
  • Description and key data for Emeis Gruppe, and factors influencing its performance in the industry
  • Description, key data and performance trends for one additional company

External Environment

Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.   

Analyst insights

The number of residents aged 65 and over has been rising steadily for years. This means that the number of people in need of care is also steadily increasing, which will ensu...

In this chapter

  • External Drivers
  • Regulation & Policy
  • Assistance

Key metrics

  • Regulation & policy level and trend
  • Assistance level and trend

Charts

  • Regulation & Policy historical data and forecast (2014-2029) 
  • Assistance historical data and forecast (2014-2029) 

Detailed analysis

  • Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
  • Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
  • Key governmental and non-governmental groups or policies that may provide some relief for industry operators.

Financial Benchmarks

View average costs for industry operators and compare financial data against an industry's financial benchmarks over time. 

Analyst insights

The care sector is very profitable. However, the profit margin varies greatly from provider to provider. While non-profit facilities do not aim to make a profit, private prov...

In this chapter

  • Cost Structure
  • Financial Ratios
  • Key Ratios

Key metrics

  • Profit margin, and how it compares to the sector-wide margin
  • Average wages, and how it compares to the sector-wide average wage
  • Largest cost component as a percentage of revenue
  • Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio

Charts

  • Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2024
  • Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2024
  • Investment vs. share of economy

Data tables

  • Cash Flow & Debt Service Ratios (2014-2029)
  • Revenue per Employee (2014-2029)
  • Revenue per Enterprise (2014-2029)
  • Employees per Establishment (2014-2029)
  • Employees per Enterprise (2014-2029)
  • Average Wage (2014-2029)
  • Wages/Revenue (2014-2029)
  • Establishments per Enterprise (2014-2029)
  • IVA/Revenue (2014-2029)
  • Imports/Demand (2014-2029)
  • Exports/Revenue (2014-2029)

Detailed analysis

  • Trends in the cost component for industry operators and their impact on industry costs and profitability 

Key Statistics

Industry Data

Data Tables

Including values and annual change:

  • Revenue (2014-2029)
  • IVA (2014-2029)
  • Establishments (2014-2029)
  • Enterprises (2014-2029)
  • Employment (2014-2029)
  • Exports (2014-2029)
  • Imports (2014-2029)
  • Wages (2014-2029)

Top Questions Answered

Unlock comprehensive answers and precise data upon purchase. View purchase options.

What is the market size of the Residential Care Activities industry in Germany in 2024?

The market size of the Residential Care Activities industry in Germany is €60.2bn in 2024.

How many businesses are there in the Residential Care Activities in Germany industry in 2024?

There are 3,752 businesses in the Residential Care Activities industry in Germany, which has grown at a CAGR of 0.5 % between 2019 and 2024.

Has the Residential Care Activities industry in Germany grown or declined over the past 5 years?

The market size of the Residential Care Activities industry in Germany has been growing at a CAGR of 1.5 % between 2019 and 2024.

What is the forecast growth of the Residential Care Activities industry in Germany over the next 5 years?

Over the next five years, the Residential Care Activities industry in Germany is expected to grow.

What are the biggest companies in the Residential Care Activities market in Germany?

The biggest companies operating in the Residential Care Activities market in Germany are Korian Gruppe, Cidron Atrium SE and Emeis Gruppe

What does the Residential Care Activities in Germany include?

Outpatient care and Assisted living are part of the Residential Care Activities industry.

Which companies have the highest market share in the Residential Care Activities in Germany?

The company holding the most market share in Germany is Korian Gruppe.

How competitive is the Residential Care Activities industry in Germany?

The level of competition is low and steady in the Residential Care Activities industry in Germany.

Related Industries

Widen your competitive advantage with related industries

Competitors

  • Hospitals in Germany
  • Other Healthcare Activities in Germany

Complementors

  • Residential Nursing Care in Germany
  • Retirement Homes in Germany
  • Social Services for the Elderly & People with Disabilities in Germany

International industries

  • Elderly & Disabled Services in the US
  • Home Care Providers in Canada
  • Aged Care Residential Services in Australia
  • Aged Care Residential Services in New Zealand
  • Residential Nursing Care in the UK

View all industries in Germany

Methodology

How are IBISWorld reports created?

IBISWorld has been a leading provider of trusted industry research for over 50 years to the most successful companies worldwide. With offices in Australia, the United States, the United Kingdom, Germany and China, we are proud to have local teams of analysts that conduct research, data analysis and forecasting to produce data-driven industry reports.

Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for IBISWorld readers. Finally, each report is reviewed by one of IBISWorld’s editors, who provide quality assurance to ensure accuracy and readability.

IBISWorld relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.

What data sources do IBISWorld analysts use?

Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.

Key data sources in Germany include:

  • German Federal Statistics Office (Destatis)
  • European Statistics Office (Eurostat)
  • United Nations Comtrade

Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.

These sources include:

  • Industry and trade associations
  • Industry federations or regulators
  • Major industry players annual or quarterly filings

Finally, IBISWorld’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.

How does IBISWorld forecast its data?

IBISWorld’s analysts and data scientists use the sources above to create forecasts for our proprietary datasets and industry statistics. Depending on the dataset, they may use regression analysis, multivariate analysis, time-series analysis or exponential smoothing techniques to project future data for the industry or driver. Additionally, analysts will leverage their local knowledge of industry operating and regulatory conditions to impart their best judgment on the forecast model.

IBISWorld prides itself on being a trusted, independent source of data, with over 50 years of experience building and maintaining rich datasets and forecasting tools. We are proud to be the keystone source of industry information for thousands of companies across the world.

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