The U.S. Sleep Market 2008

(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.


– 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.)


– 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.


– 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,


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,


– 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


– 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)


– 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


– Sleep apnea devices (CPAPs) sales: total, ResMed. Respironics, other companies:


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


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)


– U.S. WHOLESALE sales of mattresses & foundations, % change, units: 1987-


– U.S. Wholesale sales of mattresses & foundations, % change, dollars: 1987-


– 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.


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