|SIC Codes:||4119 5995 8011 8021 8041 8042 8043 8049 8071 8082 8092 8093 8099|
|NAICS Codes:||446130 621111 621112 621210 621310 621320 621330 621340 621391 621399 621410 621420 621491 621492 621493 621498 621511 621512 621610 621910 621991 621999|
Companies in this industry, which include physicians, dentists, outpatient care centers, and imaging and diagnostic facilities, provide health care services to ambulatory patients. Major companies include Apria Healthcare, DaVita HealthCare, and Urgent Care Holdings (all based in the US), as well as Fresenius (Germany), LVL Médical Groupe (France), and Sonic Healthcare (Australia).
Demand for health care services is driven by demographics and advances in medical care and technology. Large companies have advantages in accessing the latest medical research, buying supplies, offering a wide range of services, and negotiating contracts with health insurers. Small companies such as physician offices can compete successfully by serving a limited geographical area, offering specialized services, or building a local reputation for quality care. The US ambulatory health care industry is highly fragmented: the top 50 firms generate only about 10 percent of revenue.
Major services include care provided by physicians, which accounts for about 50 percent of industry revenue; dentists and outpatient care centers account for about 12 percent each. Other sources of revenue include medical and diagnostic laboratories, urgent care, mental health services, home health care, and rehabilitation therapy. Health care in the US is led by for-profit entities, an exception to the global norm of nationalized medicine.