In 2013 more than 5,000 adult day centers were operating in the United States, providing care for more than 260,000 elderly Americans each day. 72% of centers were operating as nonprofit organizations, and 16% were affiliated with the public sector. Daily fees may be less than a home health visit and half the cost of a skilled nursing facility, but vary depending on the services provided.Funding comes from participant fees, third party insurance, and public and philanthropic sources.[7]