2025年澳大利亚养老护理市场分析

For the past eight years, KPMG has published an analysisof the aged care market in Australia. Our analysis for 2025,similar to previous years, focuses on the top 25 providersby market share across home care package fundingand residential aged care. To inform this report, we have analysed aged careservice list data published by the Australian Instituteof Health and Welfare (AIHW) between FY18 andFY24.1This data has been updated as necessaryto accurately reflect market activity throughouteach financial year. Insights into the characteristicsand trends of the Australian aged care market havebeen derived by filtering this data according tovarious factors, including year, care type, providertype, and location. This report focuses on activityand market composition from 1 July 2023 to30 June 2024. For the home care market, marketshare has been determined by calculating theproportion of total government funding receivedby a provider. For the residential aged care market,market share has been determined by the numberof residential places attributed to a provider. Ourapproach The aged care market continues to consolidate,with 855 home care providers and 642 residentialaged care providers as at 30 June 2024. overview This represents a 0.7% decrease in home careproviders and a 3.0% decrease in residential agedcare providers since FY23. The decline in home careproviders is primarily due to rising cost pressures,legislative and regulatory uncertainty, and changesin the program environment under Support at Home.The reduction in residential aged care providersis mainly attributed to ongoing financial viabilityconcerns and the increased regulatory burden fromsector reforms. High levels of acquisition activityhave persisted in the residential aged care marketin FY24, continuing from FY23, particularly amonglarge providers aiming to enhance their economiesof scale by acquiring homes from providers outsidethe top 25 by market share. “TheSupportatHomeopportunityiscreatingstronginterestinhomecareM&A,albeitbuyersareapproachingcertaindealswithcautiongivencurrentuncertaintyaroundaspectsofthetransition.” Morris MaciverPartner, Transaction Services & Financial Due DiligenceKPMG Australia “WeareseeingcontinuedM&AactivityinResidentialAgedCare–includingconsolidationbyestablishedoperators,andincreasedinterestfromprivatecapitalinresponsetomorestableconditions.” Stewart MayPartner, Transaction Services & Financial Due DiligenceKPMG Australia Homecare At 30 June 2024, 275,486 peoplewere accessing a Home CarePackage (HCP) across Australia,representing a 6.6% increase(17,112 people) from 30 June 2023.The increase in HCPs in the marketaligns with the 29.2% increase ingovernment funding provided tohome care providers in FY24. Thisincreased funding acknowledgesthe Australian Government’scommitment to support peopleto live independently in their ownhomes for as long as possible. Provider landscape Not-for-profit providers For-profit providers The HCP market largely consistsof three categories of providers:not-for-profit providers, for-profitproviders and state and localgovernment providers. Since FY18,the proportion of not-for-profit andgovernment providers in the HCPmarket has slightly declined, whilethe number of for-profit providershas slightly increased. The not-for-profit market, madeup of charitable, religious andcommunity-based providers,continues to make up the largestportion of the market. At 30 June2024, there were 454 not-for-profitproviders, accounting for 53.1%of the market. This represents adecrease of seven providers overthe past 12 months.2 At 30 June 2024, there were 308for-profit providers, accounting for36.0% of the market. This representsa 1.7% increase from the same timein 2023 with an additional fourproviders entering the market. Theseproviders have been listed in the‘New market entrants’ section below. State and local government providers Governments often act as theprovider of last resort for aged careservices, particularly in regional,rural, or remote areas where thereis limited supply. At 30 June 2024,the government segment accountedfor 10.9% of the total market (93providers). This represents a slightdecrease from 11.3% of the totalmarket (97 providers) in FY23. Three of the four exiting providerswere local government councilslocated in Victoria, with two situatedin major cities, one in an innerregional area and another beinga state government provider inan outer regional area. How is the HCP market changing? The Commonwealth Home Support Programmewill transition to the new program no earlier than1 July 2027. The introduction of the Support atHome program, alongside theAged Care Act 2024and new aged care regulatory model is expectedto impact the market – these impacts are anticipatedto include: Government expenditure on the HCP Programhas steadily increased over recent years. In FY24,there were 275,486 people accessing a HCPat 30 June 2024. This is an increase of 17,112or 6.6% from 258,374 at 30 Ju