In 2020, there were a total of 7.3 million service users of long-term care (LTC) in the United States. The largest share of LTC users came from home health agencies, followed by hospice patients and nursing home residents. Although assisted living community providers accounted for the largest share of LTC providers, they only accounted for roughly 10 percent of all LTC users. The number of service users of LTC has mostly increased from 2012, reaching a peak of 9.5 million people in 2018. The large drop in numbers in 2020 is most likely due to the COVID-19 pandemic.