CMS uses the 2017 North American Industry Classification System (NAICS)
Includes: Nursing Care Facilities (Skilled Nursing Facilities) and Continuing Care Retirement Communities.
Does not include: Residential Intellectual and Developmental Disability, Mental Health and Substance Abuse Facilities; Assisted Living Facilities for the Elderly; or Other Residential Care Facilities
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Nursing care facilities expenditure in the U.S. 1960-2023
In 2023, nursing care facilities and continuing care retirement communities expenditure in the United States amounted to around 211.3 billion U.S. dollars. Spending has been rising gradually in the recorded time period, except 2020 where expenditure increased by over 20 billion U.S. dollars compared to 2019.
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U.S. Department of Health and Human Services. (December 18, 2024). Nursing care facilities and continuing care retirement communities expenditure in the U.S. from 1960 to 2023 (in billion U.S. dollars)* [Graph]. In ÌÇÐÄÆÆ½â°æ. Retrieved July 23, 2026, from /statistics/184780/us-nursing-home-expenditures-since-1960/
U.S. Department of Health and Human Services. "Nursing care facilities and continuing care retirement communities expenditure in the U.S. from 1960 to 2023 (in billion U.S. dollars)*." Chart. December 18, 2024. ÌÇÐÄÆÆ½â°æ. Accessed July 23, 2026. /statistics/184780/us-nursing-home-expenditures-since-1960/
U.S. Department of Health and Human Services. (2024). Nursing care facilities and continuing care retirement communities expenditure in the U.S. from 1960 to 2023 (in billion U.S. dollars)*. ÌÇÐÄÆÆ½â°æ. ÌÇÐÄÆÆ½â°æ Inc.. Accessed: July 23, 2026. /statistics/184780/us-nursing-home-expenditures-since-1960/
U.S. Department of Health and Human Services. "Nursing Care Facilities and Continuing Care Retirement Communities Expenditure in The U.S. from 1960 to 2023 (in Billion U.S. Dollars)*." ÌÇÐÄÆÆ½â°æ, ÌÇÐÄÆÆ½â°æ Inc., 18 Dec 2024, /statistics/184780/us-nursing-home-expenditures-since-1960/
U.S. Department of Health and Human Services, Nursing care facilities and continuing care retirement communities expenditure in the U.S. from 1960 to 2023 (in billion U.S. dollars)* ÌÇÐÄÆÆ½â°æ, /statistics/184780/us-nursing-home-expenditures-since-1960/ (last visited July 23, 2026)
Nursing care facilities and continuing care retirement communities expenditure in the U.S. from 1960 to 2023 (in billion U.S. dollars)* [Graph], U.S. Department of Health and Human Services, December 18, 2024. [Online]. Available: /statistics/184780/us-nursing-home-expenditures-since-1960/