CareIndex
CareIndex
Post-Acute Care Intelligence
State Market Intelligence

State Market Intelligence Report

A 9-section state market report covering compliance landscape, payer mix intelligence, staffing stability, contract dependency, county market rankings, and a ranked Top 25 staffing opportunity list — for any of the 50 U.S. states.

50States available
14,710Facilities covered
9Report sections
MonthlyData refresh
Report Price
$299
per state · instant delivery
View Sample Report →
Available for all 50 U.S. states
Top 25 staffing opportunities ranked
County-level market breakdown
Interactive HTML with charts

Built for three distinct workflows

The State Market Intelligence Report serves staffing agencies, operators, and investors — each using the same underlying data for a different purpose.

Staffing Agencies

Planning market entry or territory expansion. Needs to understand which counties have the highest concentration of understaffed facilities, how competitive the contract market is, and where to deploy BD resources first.

Primary sections: Contract Dependency, Top 25 Staffing Opportunities, County Market Rankings.

PE Firms & Operators

Evaluating a state market for portfolio expansion or benchmarking their existing operations. Needs compliance risk context, payer mix distribution, and staffing stability landscape before committing to facility-level diligence.

Primary sections: Compliance Landscape, Payer Mix Intelligence, County Market Rankings.

Consultants & Advisors

Providing market context to clients entering a new state. Needs a comprehensive state-level briefing that covers regulatory environment, workforce conditions, and revenue quality across the full facility universe.

Primary sections: Executive Summary, Violation Hotspots, Staffing Stability Overview.

What's inside the report

Nine sections assembled from state-aggregated federal data, delivered as an interactive HTML file with Chart.js visualizations throughout.

Section 1

Executive Summary

State name, four key stat boxes (total facilities, average star rating, compliance non-compliance rate, median payer mix), and a compliance banner showing the state's position vs. national benchmarks.

Designed as a one-page briefing that answers "what is this state market?" before a single meeting or call.

Section 2

Compliance Landscape

Three compliance threshold cards (COMPLIANT / AT_RISK / NON_COMPLIANT / CRITICAL counts), state vs. national compliance trend chart over 11 quarters, and county-level compliance heat map.

Compliance trajectory over 11 quarters shows whether a state market is improving or deteriorating — a leading indicator of regulatory intervention risk for investors and operators alike.

Section 3

Payer Mix Intelligence

State-level payer mix bar chart (Medicare / Medicaid / Private Pay), county-level private pay concentration bars showing where premium revenue is concentrated, and three key stat cards.

County-level private pay distribution is the most actionable payer mix view — it shows exactly which geographies have above-average revenue quality before any facility-level analysis is done.

Section 4

Staffing Stability Overview

Four state staffing KPIs vs. national averages, county bubble chart where bubble size represents facility count and color encodes staffing stability score.

The county bubble chart is the fastest way to identify which geographies have the most facilities with the most severe staffing gaps — the ideal deployment map for a staffing agency entering the market.

Section 5

Contract Dependency

Four state contract staffing KPIs, county-level contract dependency bar chart showing the agency labor share by geography across all counties in the state.

Contract dependency by county shows where agency staff are already embedded — a warm market — versus where facilities are running entirely on W-2 staff. Both represent different sales strategies.

Section 6

County Market Rankings

All counties in the state ranked in an 11-column table: facility count, beds, average star rating, Medicaid %, private pay %, staffing stability score, non-compliant count, % below benchmarks, IJ citation count.

The county rankings table is the most-used section in the report — it gives a complete geographic screen of the entire state in a single sortable view.

Section 7

Top 25 Staffing Opportunities

Scatter plot of all state facilities with staffing need score on one axis and composite opportunity score on the other, plus a ranked table of the top 25 facilities with CCN, name, county, staffing gap, contract %, and payer mix.

The scatter plot surfaces every facility in the state simultaneously — the top-right quadrant is your immediate target list. The ranked table makes the priority order explicit.

Section 8

Violation Hotspots

County-level violation concentration bars, three enforcement stat cards (total citations, IJ citations, SFF-designated facilities), and recent enforcement trend direction.

Violation hotspots reveal where CMS enforcement is most active — relevant for operators assessing regulatory risk by geography and for investors pricing compliance exposure into acquisition models.

Section 9

Methodology

Data source table with CMS dataset IDs and refresh cadences, scoring formula documentation, and known limitations per data layer.

Full transparency on every number in the report — a requirement for institutional buyers who need to cite sources in investment memos and diligence packages.

Sample blinding

The sample report shows all 9 sections with full analytical depth. Facility rows 6–25 in the Top 25 table are anonymized in the sample — names replaced with generic placeholders. All data, charts, and county tables are fully visible.

State Market vs. State Acquisition Intelligence

Both reports cover state-level intelligence at $299. They draw on overlapping data but serve different decisions.

State Market Intelligence

  • Primary audience: staffing agencies, operators, consultants
  • Hero output: Top 25 Staffing Opportunities ranked by staffing need
  • Staffing Stability Overview with county bubble chart
  • Contract Dependency analysis by county
  • Violation Hotspots with enforcement trend direction
  • Best for: territory planning, market entry, operator benchmarking

State Acquisition Intelligence

  • Primary audience: PE firms, REITs, lenders, investment bankers
  • Hero output: Top 25 Acquisition Targets ranked by composite investment score
  • Ownership Concentration and chain portfolio analysis
  • Financial Health aggregates from HCRIS cost reports
  • Payer mix as valuation signal with revenue quality framing
  • Best for: acquisition screening, deal sourcing, market entry for investors

Data sources and methodology

All data aggregated at the state and county level from facility-level federal records. CareIndex does not model, estimate, or impute data.

CMS Provider Data Catalog
Centers for Medicare & Medicaid Services
Monthly refresh
Payroll-Based Journal (PBJ)
CMS Daily Staffing Data
Quarterly — 2025 Q3
Health Deficiencies
CMS Survey & Certification
Monthly refresh
Civil Monetary Penalties
CMS Enforcement Database
Monthly refresh
HCRIS Cost Reports
CMS Healthcare Cost Report Information System
Annual — fiscal year 2024
Ownership Records
CMS Provider Enrollment & Chain/Ownership
Monthly refresh
State-level aggregates are computed from facility-level records. County rankings use all facilities in the state with available data for each metric — facilities missing a specific data point are excluded from that metric's county aggregate rather than imputed.

Before you buy

Yes. The report generates for any of the 50 U.S. states plus the District of Columbia. State coverage varies in facility count — California and Texas each have over 1,100 facilities; Wyoming and North Dakota have fewer than 100. The report adapts to the data available in each state, and the Top 25 table shows fewer rows in states with limited data.

Facilities in the Top 25 are ranked by a composite staffing opportunity score that weights staffing gap vs. industry benchmarks (30%), revenue capacity from payer mix (25%), regulatory pressure from star ratings and SFF status (20%), facility size (15%), and recent violation signals (10%). The full formula is documented in the Methodology section of the report.

Yes — each state report is ordered individually at $299. For side-by-side comparison across multiple states in a single document, the Multi-State Deployment Report covers 2+ states with cross-state comparison tables and a Top 50 combined deployment target list. Contact us about IndexIQ credit access for high-volume state screening.

If you're a staffing agency, operator, or consultant — State Market Intelligence. It's built around staffing need, contract dependency, and deployment opportunities. If you're an investor, lender, or investment banker — State Acquisition Intelligence. It's built around acquisition target ranking, compliance risk for deal screening, ownership concentration, and payer mix as a valuation signal. Both are $299 per state.

Get the report

Select your target state to generate the report. Available for all 50 states. Most staffing agencies pair this with Facility Staffing Opportunity Reports on their top-ranked targets.

$299
per state · instant delivery
View Sample Report →
IndexIQ · Institutional Data Terminal

Live facility-level screening, multi-state filtering, and on-demand report generation billed in credits. Built for analysts running repeat diligence workflows.

Invite-only beta · Request access →

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14,710 SNFs • 12,251 home health agencies • 14.5M staffing records • 50 states

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