China Aged Care Industry Report, 2019-2025
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China’s society has aged before it gets rich. By the end of 2018, people aged over 60 had numbered 249.5 million in the country, or 17.9% of the total population, of which those aged over 65 were 167 million, an 11.9% share of the total population. The old-age dependency ratio reached 18.6%.  

China’s birth rate peaked in 2016 and has been declining since then, pushing up the share of aged population, because the exorbitant cost of living leads to the reluctance to have children, even if the two-child policy has been implemented across the country. The population aging is expected to deteriorate in China in the upcoming years.

Stimulated by favorable policies, China’s old-age security system has been progressively perfected and covers more aged people. By the end of 2018, the number of people participating in the basic endowment insurance program had been up to 942.40 million, including 418.48 million urban employees and 523.92 million urban and rural residents. In 2018, the basic endowment insurance revenue reported RMB5,395.3 billion, an annualized upsurge of 15.7%, RMB4,708.2 billion of which was spent, 16.5% more than in the previous year.

Aged care industry involves old-age apartment construction, household management service, and financial service industry as well as treatment, pharmaceuticals & health-care products, home appliances, health management and other medical and health care services for the elderly. This report resolves around the old-age real estate market.

The Chinese aged care market is worth approximately RMB4 trillion, a figure expected to climb to RMB13 trillion by 2030. The market enjoys a bright future. Driven by potential benefits and preferable policies, some real estate developers, insurers and enterprises with diversified operations as well as a number of foreign companies have set about deploying aged care projects in China.


China’s aged care industry will show trends as follows:

First, integrated aged care and medical service becomes the dominant mode. For the elderly are a special group, the mode of integrated care and medical service for them will hold the trend for aged care industry in China, with the support of policies. Agencies like elderly hospitals, convalescent homes and infirmaries will be opened by aged care institutions to satisfy the elderly’s needs of medical treatment and care.

Second, market competition pricks up. The license requisite for founding an aged care institution should be revoked for easier access of companies into the market, according to the Law of the People’s Republic of China on Protection of the Rights and Interests of the Elderly revised by the Ministry of Civil Affairs of China in January 2019. That means there will be a growing number of entrants, fiercer competition and maturing business models.

Third, mid-end consumer market is expanding. Currently, most of the funds in China have flowed into high-end aged care market, but only few high-income groups can afford expensive nursing homes. Relatively, mid-level elderly consumers occupy the most of the aged people so that they will be a leading consumption force in the market. The mid-end aged care market will grow prosperous as more old people need nursing care.

China Aged Care Industry Report, 2019-2025 highlights the following:
20120114.gifChina’s old-age security system (policy, old-age security, medical care security and financial guarantee);
20120114.gifChina aged care market (demand, supply, development trends, etc.);
20120114.gifChina old-age real estate industry (development status, competitive pattern, profit model and investment risks).

1 Overview
1.1 Definition
1.2 Industry Chain
1.3 Aged Care Models
1.3.1 Home-based Care
1.3.2 Institution-based Care
1.3.3 Community-based Care
1.4 Basic Characteristics
1.4.1 Comprehensiveness
1.4.2 Welfare
1.4.3 Commonweal
1.4.4 Profitability

2 China Old-age Security System
2.1 Policy Support
2.1.1 13th Five-Year Plan
2.1.2 Other Policies and Regulations
2.2 Old-age Security
2.2.1 Endowment Insurance
2.2.2 Social Assistance
2.3 Medical Security
2.3.1 Urban Basic Medical Insurance
2.3.2 New Rural Cooperative Medical System
2.3.3 Health Services
2.4 Financial Guarantee
2.4.1 Pension Finance
2.4.2 Commercial Endowment Insurance
2.4.3 Care Insurance
2.4.4 Comprehensive Liability Insurance of Aged Care Institutions

3 China Aged Care Market
3.1 Market Demand
3.1.1 Population Aging Enters the Accelerated Phase
3.1.2 Dependency Ratio of Elderly Population Rises Year by Year
3.1.3 Proportion of Working-age Population Declines
3.1.4 Size of Average Household Shrinks
3.2 Market Supply
3.2.1 Development Stage 
3.2.2 Aged Care Pattern
3.2.3 Home-based Care
3.2.4 Institution-based Care
3.3 Development Status of Foreign Aged Care Industry
3.3.1 USA
3.3.2 UK
3.3.3 Japan
3.3.4 Germany
3.3.5 Switzerland
3.4 Trends
3.4.1 Medical-Nursing Combined Care is the Main Development Direction
3.4.2 Mid-end Service Market Becomes the Main Body
3.4.3 The “Asset-Light and Service-Heavy” Mode Has Great Advantages
3.4.4 Financially Strong Enterprises Have More Superiorities
3.4.5 Reducing Access Thresholds Intensifies Competition and the Market Matures

4 China Old-age Real Estate Industry
4.1 Development Status
4.1.1 Introduction
4.1.2 Foreign Experience
4.2 Competitive Landscape
4.2.1 Overall Conditions
4.2.2 Real Estate Enterprises
4.2.3 Insurance Companies
4.2.4 Diversified Enterprises
4.2.5 Foreign Enterprises
4.3 Profit Models
4.3.1 Self-operation
4.3.2 Sale + Lease
4.3.3 Sale
4.4 Investment Risk
4.4.1 Sales Mode
4.4.2 Profit Model
4.4.3 Supportive Policies
4.4.4 Site Selection
4.4.5 Profitability

5 Key Enterprises in China Aged Care Industry
5.1 China Vanke
5.1.1 Profile
5.1.2 Operation
5.1.3 Revenue Structure
5.1.4 Gross Margin
5.1.5 Sales
5.1.6 Old-age Real Estate Business
5.2 Poly Real Estate
5.2.1 Profile
5.2.2 Operation
5.2.3 Revenue Structure
5.2.4 Gross Margin
5.2.5 Layout
5.2.6 Investment Trend
5.2.7 Old-age Real Estate Business
5.2.8 Hexihui
5.2.9 Development Strategy
5.3 Beijing Capital Land
5.3.1 Profile
5.3.2 Operation
5.3.3 Gross Margin
5.3.4 Sales
5.3.5 Old-age Real Estate Business
5.4 Sino-Ocean
5.4.1 Profile
5.4.2 Operation
5.4.3 Revenue Structure
5.4.4 Gross Margin
5.4.5 Sales
5.4.6 Old-age Real Estate Business
5.5 Taikang Life
5.5.1 Profile
5.5.2 Operation
5.5.3 Revenue Structure
5.5.4 Aged Care Business
5.6 New China Life
5.6.1 Profile
5.6.2 Operation
5.6.3 Revenue Structure
5.6.4 Aged Care Business
5.6.5 Development Strategy
5.7 Ping An Insurance
5.7.1 Profile
5.7.2 Operation
5.7.3 Revenue Structure
5.7.4 Aged Care Business
5.8 Union Life
5.8.1 Profile
5.8.2 Operation
5.8.3 Revenue Structure
5.8.4 Aged Care Business
5.9 Cherish-Yearn
5.9.1 Profile
5.9.2 Operation
5.9.3 Old-age Real Estate Business
5.9.4 Yihua Health Care Acquiring 58.33% Stake in Cherish-Yearn
5.10 Huichen Life
5.10.1 Profile
5.10.2 China Everbright Limited Acquiring 67.27% Stake in Huichen Life
5.10.3 Operation
5.10.4 Developments
5.11 Tianjin Hetong Senior Citizens' Welfare Association
5.11.1 Profile
5.11.2 Operation
5.12 Sunset Glow Chain Seniors’ Apartment
5.12.1 Background Information
5.12.2 Operation Modes
5.12.3 Jiangyin Sunset Glow Seniors’ Recreation Center
5.12.4 Pingdingshan Sunset Glow Seniors’ Apartment
5.12.5 Putian Sunset Glow Seniors’ Apartment
5.13 Shanghai Henghui Medical Treatment Technique Progress
5.13.1 Profile
5.13.2 Riyuexing Chain Nursing Home
5.13.3 Charging Standards
5.14 Zhejiang Double Arrow Rubber
5.14.1 Profile
5.14.2 Aged Care Business
5.15 Hebei SanheYanda Industrial Group
5.15.1 Profile
5.15.2 Aged Care Business
5.15.3 Operation Modes
5.16 Bright Food
5.16.1 Profile
5.16.2 Aged Care Business
5.17 China Taiping
5.17.1 Profile
5.17.2 Aged Care Business
5.18 Jinling Hotel Nanjing
5.18.1 Profile
5.18.2 Aged Care Business
5.19 Wuxi Langgao Elderly Service
5.19.1 Profile
5.19.2 Operation
5.19.3 Revenue Structure
5.19.4 Gross Margin
5.19.5 Aged Care Business
5.19.6 Development Plan
5.20 Beijing Enterprises Medical And Health Industry Group Limited
5.20.1 Profile
5.20.2 Operation
5.20.3 Revenue Structure
5.20.4 Aged Care Business
Aged Care Related Industry Chains
Goals of China’s Undertakings for the Aged and Old-age Security System Building, 2016-2020
China’s 13th Five-Year Plan for Old-age Programs in Some Areas
China’s Policies on Aged Care, 2001-2019
Number of People Participating in Endowment Insurance in China, 2010-2025E
Number of Urban Employees Participating in Basic Endowment Insurance in China, 2010-2025E
Number of Urban and Rural Residents Participating in Basic Endowment Insurance in China, 2010-2025E
Number of Urban Employees Participating in Basic Endowment Insurance in China (by Type), 2009-2018
Income and Expenses of Basic Endowment Insurance Fund in China, 2009-2018
Cumulative Balance of Urban Employees' Basic Endowment Insurance Fund in China, 2009-2018
Cumulative Balance of China’s Basic Old-age Insurance Funds for Urban and Rural Residents, 2009-2018
Number of Minimum Living Guarantee in Urban and Rural China, 2009-2018
Subsidies for Minimum Living Guarantee in Urban and Rural China, 2009-2018
Population Enjoying Five Guarantees Subsistence in Rural China, 2009-2018
Standards for Five Guarantees Subsistence in Rural China, 2009-2018
Summary of Old Age Allowance Policies in Some Areas of China
Number of Urban Residents Participating in Basic Medical Insurance in China (by Type), 2009-2018
Income and Expenses of Basic Medical Insurance Fund in Urban China, 2009-2018
Cumulative Balance of Basic Medical Insurance Fund in Urban China, 2009-2018
Number of Participants and Participation Rate of New Rural Cooperative Medical System in China, 2009-2018
Number of Medical and Health Institutions and Beds in China, 2014-2018
Original Commercial Endowment Insurance Premium Revenues of Major Old-age Insurance Companies in China, 2016-2018
Evolution of Individual Income Tax-Deferred Endowment Insurance Policies in China
Insurers Licensed for Individual Income Tax-Deferred Endowment Insurance in China
Overview of Enterprise Annuity in China, 2010-2018
Development of Long-term Care Insurance around China
Population of People Aged 60 and Over in China, 2009-2025E
Two Baby Booms in History in China
Population Aging Stages in China
Dependency Ratio of Aged Population in China, 2009-2025E
Gradient Diagram of Old-age Dependency Ratio in 31 Provinces (Municipalities, Autonomous Regions) of China, 2017
Proportion of People Aged 15-64 in China, 2009-2025E
Development Stages of China’s Aged Care Industry 
Three Aged Care Models in China
Characteristics of Major Aged Care Models in China
Classification of Aged Care Institutions in China
Classification of Aged Care Institutions by Grade in China
Number of Beds in China’s Aged Care Institutions (by Type), 2008-2018
Number of Beds per 1,000 Aged People in China’s Aged Care Institutions (by Type), 2008-2018
Vacancy Rate of Old-age Real Estate in China
Pension System in the UK
Japan’s Key Laws and Policies on Aged Care Industry 
“Two-generation Housing” in Japan
Development Course of Integrated Elderly Care and Medical Services in China
Comparison of Charging Modes between Commercial Aged Care Institutions in China
Comparison of Foreign Aged Care Models (Communities)
Main Old-age Real Estate Players in China
Profiles of Main Old-age Real Estate Players in China
Old-age Real Estate Projects Developed by Chinese Real Estate Enterprises and Their Modes, 2010-2018
Old-age Real Estate Projects Developed by Chinese Insurance Companies, 2010-2018
Comparison of Aged Care Communities between Leading Insurers in China
Aged Care Service System of Taikang Community
Old-age Real Estate Projects Developed by Chinese Diversified Enterprises, 2010-2018
Layout of Foreign Enterprises in China’s Aged Care Industry, 2012-2018
Cases and Operational Characteristics of “Self-operation” Type Old-age Real Estate Project in China
Cases and Operational Characteristics of “Sale + Lease” Type Old-age Real Estate Project in China
Cases and Operational Characteristics of “Sale” Type Old-age Real Estate Project in China
Revenue and Net Income of Vanke, 2012-2018
Revenue Breakdown of Vanke (by Business), 2012-2018
Revenue Structure of Vanke (by Business), 2012-2018
Revenue Breakdown of Vanke (by Region), 2012-2018
Revenue Structure of Vanke (by Region), 2012-2018
Gross Margin of Vanke’s Real Estate Business, 2012-2018
Real Estate Sales Area of Vanke, 2012-2018
Real Estate Clearing Area of Vanke, 2012-2018
Revenue and Net Income of Poly Real Estate, 2012-2018
Revenue Breakdown of Poly Real Estate (by Business), 2012-2018
Revenue Structure of Poly Real Estate (by Business), 2012-2018
Gross Margin of Poly Real Estate, 2012-2018
Gross Margin of Poly Real Estate (by Business), 2012-2018
Aged Care Strategic Planning of Poly Real Estate
Introduction to Poly Real Estate’s Aged Care Brands
Major Hexihui Projects of Poly Real Estate
Revenue and Net Income of Beijing Capital Land, 2012-2018
Gross Margin of Beijing Capital Land, 2012-2018
Sales of Beijing Capital Land, 2015
Sales of Beijing Capital Land, 2016H1
Sales of Beijing Capital Land (by Region), 2016H1
Revenue and Net Income of Sino-Ocean, 2012-2018
Revenue Breakdown of Sino-Ocean (by Business), 2012-2018
Revenue Structure of Sino-Ocean (by Business), 2012-2018
Revenue Breakdown of Sino-Ocean (by Region), 2013-2018
Revenue Structure of Sino-Ocean (by Region), 2013-2018
Gross Margin of Sino-Ocean, 2012-2018
Agreed Sales of Sino-Ocean (by Type), 2013-2018
Agreed Sales Area of Sino-Ocean (by Type), 2013-2018
Revenue and Net Income of Taikang Life, 2012-2018
Revenue Breakdown of Taikang Life (by Business), 2012-2018
Revenue Structure of Taikang Life (by Business), 2012-2018
Introduction to Taikang Community ? Urban Old-age Community
Revenue and Net Income of New China Life, 2012-2018
Revenue Breakdown of New China Life (by Business), 2012-2018
Revenue Structure of New China Life (by Business), 2012-2018
Major Health Management Subsidiaries of New China Life
Revenue and Net Income of Ping An Insurance, 2012-2018
Revenue Breakdown of Ping An Insurance (by Business), 2012-2018
Revenue Structure of Ping An Insurance (by Business), 2012-2018
Revenue and Net Income of Union Life, 2012-2018
Revenue Breakdown of Union Life (by Business), 2012-2018
Introduction to Union Life’s Major Old-age Community Projects
Membership Card Categories, Expenses and Equities of Cherish-Yearn
Assets Condition of Cherish-Yearn, 2014-2018
Financial Data of Cherish-Yearn, 2014-2018
Cash Flow Model of Cherish-Yearn
Introduction to Cherish-Yearn’s Major Old-age Communities
Ownership Structure of Cherish-Yearn
Ownership Structure of Cherish-Yearn after Industrial and Commercial Changes
Development History of Huichen Life
Introduction to Huichen Life’s Major Senior Apartments
Nursing Assessment Standards and Care Costs of Tianjin Hetong Elderly Welfare Association
Main Content of Sunset Project
Charging Standards of Jiangyin Sunset Glow Love Nursing Home
Distribution of Riyuexing Chain Nursing Home
Charging Standards of Jing’anRiyuexing Nursing Home
Charging Standards of XuhuiRiyuexing Nursing Home
Charging Standards of YichuanRiyuexing Nursing Home
Charging Standards of YangpuRiyuexing Nursing Home
Charging Standards of PudongRiyuexing Nursing Home
Charging Standards of Ningbo Riyuexing Nursing Home
Charging Standards of Shanghai Riyuexing Nursing Home
Charging Standards of Shanghai Aiyide Nursing Home
Financial Indicators of TongxiangHeji Nursing Home, 2015-2018
China Taiping’s Layout for Aged Care Industry, 2013-2018
Development History of Wuxi Langgao Elderly Service
Revenue and Net Income of Wuxi Langgao Elderly Service, 2014-2018
Revenue Breakdown of Wuxi Langgao Elderly Service (by Business), 2014-2018
Major Customers of Wuxi Langgao Elderly Service, 2014-2018
Gross Margin of Wuxi Langgao Elderly Service, 2014-2018
Service Content of Wuxi Langgao Elderly Service’s Institution-based Care Business
Revenue and Net Income of BEMH, 2014-2018
Revenue Breakdown of BEMH (by Business), 2014-2018

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