(June 2008)
Table of Contents Page
Introduction: Study Scope & Methodology 1-6
– Glossary of sleep disorder terms
– List of major private & public sector information source used
Executive Overview of Major Findings ($300) 7-22
– Highlights of ALL study chapters
– Market definition and scope: mkt. segments included
– Nature of the field of sleep medicine and somnology: history/evolution of
sleep labs, number, multiple-site chains, 2008 mkt. size
– Why drug companies play a major role in publicizing sleep disorders and
creating demand for Rx sleeping pills, 2008 mkt. size
– Size and nature of the mattress & pillows market, new technologies, mkt size
– Obstructive sleep apnea market: why CPAP device potential is huge and
largely untapped, 2008 mkt. size
– Scope of sleep deprivation in America: prevalence rates of insomnia, causes,
no. of sleep disorders, description of most common sleep disorders, NSF vs.
other polls
– Major Market Trends: discussion of… home test mkt. for apnea, uncertainties
of future sleep lab growth, new insomnia drugs in development, mattress mkt.
affected by recession
– Market Size & Growth, Market Segments: Total mkt. value, effect of recessions,
2007 performance, 2008 & 2012 forecasts
– Address list of the major competitors in each market segment.
Tables:
– Size of U.S. sleep market, by segment: 1987-2012F (mattresses, pillows, sleep
lab operations, Rx/OTC sleeping pills, CPAP devices, retail devices & services)
– Total sleep market value, annual % change: 1987-2012F
Demographics of Persons With Sleep Disorders ($75) 23-28
– Scope of affected population: no. and type persons with… insomnia, sleep
apnea, narcolepsy, restless legs syndrome, no. of children, women, seniors with
sleep disorders
– Findings of Natl. Sleep Foundation’s 2005 “Sleep in America” poll
– No. of hours of sleep daily, by race (Natl. Health Interview Survey)
– Prevalence of sleeping problems by major countries, US vs. Europe, Japan
– CDC data/research confirms Americans’ lack of sleep: causes
– Findings of Marketdata mail survey of sleep labs: patients by age, sex.
Market Size & Growth ($175) 29-43
– Market Definition & Scope: the markets comprising total sleep market
Discussion & Outlooks for the Major Market Segments: 2007-2008 performance,
2012 Forecasts, Factors Affecting Demand, Key Indicators
– The Mattresses Market
– The Sleep Pillows Market
– The Sleeping Pills Market (major brand sales in 2007)
– The Sleep Labs Market; effect of CMS ruling, 2008 expected slump, avg.
revenues, share from Medicare
– The Sleep Apnea Devices Market (effect of CMS ruling, home testing
– The Retail Sleep Aids Market (overview of sleep lamps, sound machines,
earplugs, etc.)
Tables
– Size of U.S. sleep market, by segment: 1987-2012F (mattresses, pillows, sleep
lab operations, Rx/OTC sleeping pills, CPAP devices, retail devices & services)
– Total U.S. sleep market value, annual % change: 1987-2012F
– Sleep pillows sales: 1997-2012F
– Prescription anti-insomnia drugs sales: 1997-2012F
– Sleep Labs revenues, no. of labs, annual % change: 1995-2012F
– Sleep apnea devices (CPAPs) sales: total, ResMed. Respironics: 1995-2012F
Sleep Labs Market ($450) 44-75
– What are sleep labs, how many?, evolution & nature of the field,
polysomnograms test description, accredited vs. non-accredited
– Launching a new sleep lab – the process/key considerations, capital needed,
choices for hospital or MD affiliations
– The effect of Medicare approval of home tests: discussion, type of devices
– What patients can expect at a sleep lab: type tests (PSGs, split night studies,
MSLTs, CPAP titrations), role of sleep techs, follow-up
– How to find A sleep lab
– Market Niche – Pediatric sleep labs
– Market Size & Growth: 2008 Estimates, 2012 Forecast, why 2008 slump
expected, demand factors, new labs, major problems labs face, long-term
outlook (obesity rates, advertising by drug companies, publicity as a health
issue, other factors.
Tables
– Sleep Labs revenues, no. of labs, annual % change: 1995-2012F
Results of Marketdata’s U.S. Sleep Labs Survey – March-April 2008
– Type of sleep lab (percent of total: hospital-based, practice-based, university-
based, independent / free-standing
– Average number of PSGs (sleep studies, CPAP titrations and MSLTs) performed in
2006, 2007
– Average number of beds operated and average days/nights per week operated
– Number of patients the sleep lab would be able to test/titrate per week
if operating at 100% occupancy, 7 days/nights per week (average)
– List of Sleep centers’ biggest issues or problems
– Expected effect of March 14 decision by CMS to provide Medicare reimbursement
for home sleep studies using portable devices to have on their lab’s future
– Average fees a sleep lab charges for: PSG sleep study, CPAP titration study,
MSLT
– Reimbursement – avg. amount a sleep lab receives for: PSG sleep study, CPAP
titration study, MSLT
– Percentage of a sleep lab’s total sleep diagnostic revenue that comes from:
commercial insurance, Medicare/Medicaid, patients
– Average sleep lab’s diagnostic revenues in 2007
– Whether sleep labs have an affiliated company that provides PAP set-ups for their
patients and generates sleep therapy revenues, number of PAP set-ups
performed in: 2006, 2007
– Whether economic recessions affect a sleep lab’s business?
– Percentage of a sleep lab’s patient base that is male vs. female
– Age of a sleep lab’s most typical patient (% by age class)
– The contributing factors to a sleep lab patients’ sleep disorders
(% by type: obesity, large neck size, nasal/airway obstructions, etc.)
– Percentage of sleep labs that treat these disorders: sleep apnea, insomnia,
restless leg syndrome, narcolepsy, periodic limb movement
– Whether sleep labs collect outcome data
Competitor Profiles (description and history of company, no. of labs operated, address, specialties, acquisitions, services, financials when available)
– SleepMed, Inc.
– Sleep Solutions
– Sleep Holdings, Inc.
– Avastra Sleep Centers Ltd.
– Nocturna Sleep Center
Sleep Lab Technicians Salary Trends
– Descriptions of the major staff positions, training required (sleep tech,
technologists)
– Findings of Sleep review Magazine’s 2007 salary survey, average salary and
ranges for: RPSGTs, sleep techs, respiratory therapists, sleep physicians, sleep center directors, supervisors, managers: by tenure, by day/night shift, by age
Table
– Salary by job title, by region: 2007 – 6 staff positions)
Sleep Medications Market ($300) 76-90
– Summary: discussion of number of prescriptions written, mkt. potential, prime
drivers of mkt. demand
– Hurdle to overcome: past negative image of sleeping pills, long-term use, FDA
fears vs. drug company efforts
– Advertising drives consumer demand: amount spent advertising the top 3 brands
In 2007, Sanofi’s success with Ambien
– Research – New pills on the horizon: Ramelteon (Takeda), Provigil (Cephalon),
Silenor (Somaxon), Volinanserin (Sanofi) – discussions of their usage/how
they work, $ potentials, FDA approval status, setbacks for Indiplon (Neurocrine
Biosciences) and Gaboxadol (Merck)
– Description of the major Rx sleeping Pill Brands (Ambien, Lunesta, Rozerem,
benzodiazepines, melatonin receptors, antidepressants)
– OTC Retail Sleeping Pills: discussion
– Market Size – A Mature Market: 2007 sales of major brands, 2008 outlook, 2012
Forecast, rationale for future growth.
Sleep Medications Market (continued)
Tables:
– sales of prescription anti-insomnia drugs: 2002-2012 forecast
– sales of prescription anti-insomnia drugs, by brand: 2002-2008F
– sales of Ambien, Ambien CR: 1998-2008 (in Euros and dollars)
– retail sales of non-prescription sleep aids, by brand: 2007 drugstore bestsellers
The Sleep Apnea Devices Market ($300) 91-104
– Summary – Background of Sleep Disordered Breathing: mkt. penetration in U.S.
vs. abroad, estimates of mkt. size by industry analysts/competitors
– Product Definitions: CPAPs (continuous positive airway pressure devices), types
of masks & mouthpieces used
– Market Trends: the home test mkt., comments by Wachovia analysts regarding
potential and uncertainties in view of CMS ruling, move to smaller devices
– Market Size: likely effects of CMS ruling, estimates of growth rates in U.S. vs.
Globally, Marketdata forecasts for 2008, 2012, positives/negatives
– The Major Respiratory Equipment Device Competitors: address list.
Competitor Profiles (company descriptions, divisions, specializations, 2006-2007
Revenues, outlooks)
– Resmed
– Respironics
Tables
– Sleep apnea devices (CPAPs) sales: total, ResMed. Respironics, other companies:
1995-2012F
The Mattress & Pillows Market ($350) 105-125
– Summary – Nature of the market: a steady replacement business
– Market Size & Growth: 2007-2008 performance, ISPA industry wholesale
shipments, 2008 outlook by ISPA, retail sales forecast, 2012 Marketdata
Forecasts, effects of housing slump
– Differences in mfg. technologies used by the major mfrs., visco, latex
– List and 2007 sales of top 5 bedding retailers
– The Ultra-premium mattress market: growth rate, % of sales, Vividus, Hypnos
Beds
Competitor Profiles (company description, capabilities, specialties, historical revenues, new products, mkt. share, distribution, outlooks, etc.)
– Tempur Pedic International Inc.
– Sealy
– Serta
– Select Comfort
– Simmons
The Sleep Pillows Market
– Discussion of new pillow designs, materials, pricing, mkt. trends
– The Sona pillow
– Estimated retail market size (Home Textiles Today data): 1997-2012F
– Top 5 pillow suppliers, wholesale sales, address list.
The Mattress & Pillows Market (continued)
Tables
– U.S. WHOLESALE sales of mattresses & foundations, % change, units: 1987-
2008F
– U.S. Wholesale sales of mattresses & foundations, % change, dollars: 1987-
2008F
– Non-innerspring mattress unit and dollar shipments: 2004-2007
– Estimated RETAIL sales of mattresses: 1987-2012
– Personal consumption expenditures for furniture 7 bedding: 1987-2007
Retail Sleep Devices Market ($175) 126-139
– Summary
– Sleep Lamps/Light Therapy Market: use for seasonal affective disorder, dawn
simulation, evolution of “light boxes’, mkt. status & leading mfrs., mkt. size, list
of 9 major competitors, Company Profile: Apollo Health
– Sound Machines/White Noise Machines Market: use and technology, appli-
cations, history of development, emergence of Marpac as industry leader, list of
catalog retailers selling machines (Brookstone, Hammacher Schlemmer, etc.),
market size/growth.
– Eye Shades and Sleep Masks: leading competitors (Dream Essentials)
– Earplugs Market: mkt. size, leading mfrs./distributors/retailers
– Sleep Pods: Yelo & MetroNaps sleep lounges appearing in metro markets
– Sleep/Insomnia Books Market: list of titles
– Miscellaneous Retail Products & Services: how hotels & spas are making rooms
“sleep friendly” – examples of programs/services offered.
Reference Directory of Sleep-related Trade Groups, Experts,
Journals 140-145
– List of sleep market national/regional trade associations, journals, consulting
firms, brokerage analysts, other key contacts – address & phones, description
of activities.
– Profiles of Michael J. Breus, Ph.D. and Duane M. Johnson, Ph.D.