Adult and Retirement Communities

Table of Contents

1. OVERVIEW

• Retirement Communities - An Introduction
• Location & Design - Key Factors for
• Retirement Units
• Lifestyle Demands - Vital for Retirement
• Community Setting
• Geriatric Living Solutions - An Overview
• Skilled Nursing Facilities (SNFs)
• Service Description, Typical Patient Profile and Period of Stay for Skilled Nursing Facilities
• Senior Living
• Independent Living
• Assisted Living
• Continuous Care Retirement Communities
• Service Description, Typical Patient Profile, and Period of Stay in Senior Living Market by Category - Independent Living, Assisted Living, and Continuous Care Retirement Communities (CCRCs)
  • Table 1: Number of Residents in Independent Living Units, Assisted Living Units, and Continuous Care Retirement Communities in the US as of 2007
• Leading Companies in the US Senior Living Market as of 2007
• Primary Operating Models in Senior Living
• Comparison of Major Operating Models in Senior Living Market
• Global Demographics - A Review
• Ageing World Population
  • Table 2: Global Aging Population - Percentage Breakdown of Senior Population (Above 65 Years, and Above 85 Years) by Select Region for the Years 2000, 2015, and 2030
  • Table 3: Most Populous Countries in the World: Population in Million for the Year 2008 and Projections for 2050
  • Table 4: Top 10 Countries with Oldest Population in the World (2007): 65+ Population by Gender for Japan, Italy, Germany, Greece, Sweden, Spain, Austria, Bulgaria, Belgium, and Portugal
• Most of the Aged Population Live in Developed Nations: A Myth
  • Table 5: Global Distribution of Population for Age Group (60+, and 80+) by Region for Years 2010 & 2050 (In Million)
  • Table 6: Global Average Annual Rate of Change of Total Population for Different Age Groups by Major Region for Years 2009-2050 (in %)
• Distribution of Aged Population
  • Table 7: Global Distribution of Population for Age Group (60+, and 80+) by Major Areas for Years 2010 & 2050 (In Million)
  • Table 8: Global Average Annual Rates of Change of Total Population for Different Age Groups by Major Area for Years 2009-2050 (in %)
  • Table 9: Pace of Population Aging in Developed Countries: Number of Years for 65+ Population to Upsurge from 7% - 14%
  • Table 10: Pace of Population Aging in Developing Countries: Number of Years for 65+ Population to Upsurge from 7% - 14%
• Addressing the Needs of Aged Population
  • Table 11: Percentage of Assisted Living (AL) Residents Who Require Help for Daily Living Activities - Bathing, Dressing, Eating, Medication Management, Toileting, and Transferring
• Dementia: Imminent Global Healthcare Crisis

2. TRENDS & ISSUES

• Housing Industry Adopts Universal Design for Adult Communities
• Credit Crunch Impacts the US Seniors' Housing Loan Volumes
• Net Worth of Seniors Declines
• Highly Fragmented US Senior Market Offers Opportunities for Consolidation
• Recession Generates New Opportunities
• Stable Occupancies and Limited Supply of Units

3. MERGERS & ACQUISITIONS

4. STRATEGIC CORPORATE DEVELOPMENTS

5. NORTH AMERICAN MARKET PERSPECTIVE

• Seniors Population Continues to Grow
• Improvements in Lifestyles and Life Expectancy
• Senior Care Shifts from Family Care to Professional Care
• Investment Trends in Senior Housing
• Senior Women - The Prime Target Customers
• Consolidation of Divided Ownership
• 5a. UNITED STATES
• US Senior Housing Market - An Overview
  • Table 12: US Senior Housing Market (2006): Percentage Breakdown of Owner-Occupied US Housing Units by Type of Community
  • Table 13: US Senior Housing Market (2006): Occupancy Rates in Percentage for Independent Living Communities, Assisted Living Communities, and Continuous Care Retirement Communities
  • Table 14: US Senior Housing Market (2006): Median Length of Patient Stay (in Months) by Facility Type - Independent Living, Assisted Living, Alzheimer' s, CCRC, and Skilled Nursing
• Continuing Care Retirement Communities
  • Table 15: Primary Channels Used by the US Residents to Pay CCRC Bills (2007): Percentage Breakdown by Channel Type - Medicaid, Medicare, Out of Pocket, Private Insurance and Others
• Background
• Independent Living Communities
  • Table 16: Independent Living Communities in the US as of 2006 by Select Province
• Assisted Living Communities
  • Table 17: Assisted Living Communities in the US as of 2006 by Select Province
• Assisted Living Properties - Types
  • Table 18: US Assisted Living Market (2006): Percentage Breakdown of Various Settings for AL Residences (by Property Type) - Freestanding Assisted Living, Assisted Living/Dementia Care, Continuing Care Retirement Communities, Assisted Living/Independent Living, Assisted Living/Nursing, and Freestanding Dementia Care
  • Table 19: US Assisted Living Market (2006): Percentage Breakdown of Various Settings for AL Residences (by Number of Units) - Assisted Living/Dementia Care, Freestanding Assisted Living, Continuing Care Retirement Communities, Assisted Living/Independent Living, Assisted Living/Nursing, and Freestanding Dementia Care
• Public and Private for-Profit Companies: Dominance of Private Pay Model
  • Table 20: US Assisted Living Market (2006): Percentage Breakdown by Ownership Type - Private-For-Profit, Public-For-Profit, Not-For-Profit, and Others
  • Table 21: US Senior Living Market (2006): Percentage Breakdown of Annual Average Cost for Senior Living by Category - Pent-Up Home Equity (Opportunity Cost), Housing, Food, Transportation, Utilities, and Entertainment
• Assisted Living - Dementia Care Facilities
• Service Description, Typical Patient Profile and Period of Stay for Memory Care Facilities
  • Table 22: Dementia Care Facilities in the US as of 2006 by Select Province
• Nursing Homes
• Growth of Nursing Homes
• Nursing Home Residents
  • Table 23: US Nursing Homes Market (2006): Percentage Breakdown of Residents Seeking Assistance in ADL
• Nursing Home Costs
  • Table 24: US Nursing Homes Market (2007): Average Nursing Home Costs per Day in US Dollar for Semi-Private Room and Private Room in Select Areas
• Senior Housing - Glance into History
  • Table 25: US Assisted Living Market - Growth of AL Properties (2006): Percentage Breakdown by Time Period - Before 1989, Between 1990-1999, 2000 or later
• Key Operators in the US Senior Housing Market
  • Table 26: US Senior Housing Market (2007): Number of Units for Sunrise Senior Living, Brookdale Senior Living, Emeritus, and Capital Senior Living
  • Table 27: US Senior Housing Market (2007): Average Occupancy Rate in Percentage for Sunrise Senior Living, Brookdale, Emeritus, Capital Senior Living, Five Star Senior Living, and Assisted Living Concepts
  • Table 28: Brookdale Senior Living - Number of Facilities, Occupancy Ratio, and Total Units/Bed Capacity by Select Community - Assisted Living, Independent Living, and CCRCs
  • Table 29: Leading Assisted Living Chains in the US (2007): Number of Facilities, and Bed Capacity for Assisted Living Concepts, Benchmark Assisted Living, HCR Manor Care, Hearthstone Senior Services, Life Care Services, and Merrill Gardens
  • Table 30: US Assisted Living Market (2008): Capacity Growth in Percentage and New Units for Bell Senior Living, Erickson Retirement Communities, Senior Management Advisors, and Brightview Senior Living (The Shelter Group)
  • Table 31: US Assisted Living Market (2008): Capacity Growth in Percentage and Number of Residents for Grace Management, MBK Senior Living, and Milestone Management Services
  • Table 32: Health Care REIT (HCN) - Number of Facilities, Occupancy Ratio, and Total Units/Bed Capacity by Category
• Real Estate Investment Trusts
• REITs in the US
  • Table 33: US REITs Distribution Coverage for Senior and Residential Housing Market (Q1 2008): Reported FFO (Funds Flow from Operations) in US$ ' 000 by Leading Companies
  • Table 34: Leading Players in the US REIT (Health Care) Market (2007): Percentage Breakdown of Market Capitalization by Company - BioMed, HCP, Inc., Healthcare Realty Trust, Healthcare REIT, Omega Healthcare REIT, Senior Housing Prop Trust, Ventas Inc, and Others
• General Factors Influencing the US Senior Housing Industry
• Delayed Retirement of Active Adults: Decline of Independent Living Segment
• Seniors Delay Entry into Adult Communities: Constriction of Market Size
• Seniors Seek Short-Term Assistance: Need Driven Growth of Assisted Living Segment
• Limited Options to Meet Assisted Living Expenses: Decline in Occupancy Rate
  • Table 35: US Assisted Living Market - Primary Payment Sources for AL Residents (2006)-Percentage Breakdown by Payment Type - Self, Family, Medicaid, Insurance, and Other
  • Table 36: US Assisted Living Market - Primary Reasons for Residents Leaving AL Facility (2006) - Percentage Breakdown by Reason - Shift to Nursing Home, Death, Shift to Private Home, Another Residence, Hospital, and Others
  • Table 37: US Assisted Living Market (2007): Average Monthly Rates in US Dollar for Private Pay Assisted Living Facilities in Select Areas
• Financially Constrained Seniors Seek Alternatives
• Adult Communities in Urban Areas: Moderate Occupancy
• Current Status of the Industry: Recapitulating the Impact of Influential Factors
• Adult Community Operators Simplify Procedures and Extend Services
• Active Adult Communities Mull over “Age Desegregation”
• Upscale Assisted Living Segment Remains Strong: Hospitality-based Model
• HUD Revamps FHA to Offset Credit Crisis
• Superimposition with Health Care Industry
• Market Outlook
• Attractive Demographics
• Baby Boomers - A Snapshot
• Generation-Xers - Snapshot
• High Expansion of Capacity Unlikely in Senior Living Industry
• Senior Housing Market Remains Attractive for Investment
  • Table 38: US Senior Housing Market (2008): Capitalization Rate and Mean Occupancy for Independent Living, Assisted Living, Nursing Homes, and CCRCs
• Assisted Living Communities
  • Table 39: US Current & Future Analysis for Assisted Living Communities - Number of New Units for the Years 2008 through 2012
• Independent Living Communities
  • Table 40: US Current & Future Analysis for Independent Living Communities - Number of New Units for the Years 2008 through 2012
• Continuous Care Retirement Communities
  • Table 41: US Current & Future Analysis for Continuing Care Retirement Communities - Number of New Units for the Years 2008 through 2012
• Skilled Nursing Facilities (SNF) Versus Senior Living: Outlook
• Comparison of Skilled Nursing Facilities and Senior Living Communities in the US
  • Table 42: US Current & Future Analysis for Skilled Nursing - Revenues in US$ Billion for the Years 2008 through 2012
  • Table 43: US Current & Future Analysis for Senior Living - Revenues in US$ Billion for the Years 2008 through 2012
• Demographic Trends in the US
  • Table 44: 65 + Population in the United States by Gender
  • Table 45: US Population by Age Group (60+, and 80+) - Projections for the Year 2050
  • Table 46: US Census Projections in Millions of People by Age for Years 2010, 2015, 2020, 2025, and 2030
• 5b. CANADA
• Investments in Canadian Senior Housing Industry
  • Table 47: Chartwell' s Senior Housing Facilities in Canada (2007): Percentage Breakdown of Property Suite Portfolio by Level of Care - Independent Living, Assisted Living, and Long -Term Care
  • Table 48: Chartwell' s Senior Housing Facilities in Canada (2007): Percentage Breakdown of Property Suite Portfolio by Province - Alberta, Atlantic, British Columbia, Ontario, and Quebec
• Canadian Adult Communities
  • Table 49: 65 + Population in Canada by Gender
  • Table 50: Canadian Population by Age Group (60+, and 80+) - Projections for the Year 2050

6. JAPANESE MARKET PERSPECTIVE

• Japanese Dankai Generation
  • Table 51: Living Arrangement of Japanese Older Population: Percentage Breakdown by Mode of Living for Years 1980, 1995, and 2010
  • Table 52: 65 + Population in Japan by Gender
  • Table 53: Japanese Population by Age Group (60+, and 80+) - Projections for the Year 2050

7. EUROPEAN MARKET PERSPECTIVE

• Aging Population in Europe - An Overview
  • Table 54: European Population Statistics (2007): 65+ Population by Gender for Select Regions - Belgium, Czech Republic, France, Germany, Greece, Hungary, Italy, Poland, Portugal, Romania, Russia, Spain, The Netherlands, Turkey, and United Kingdom
  • Table 55: European Population Statistics for Age Group (60+, and 80+) - Projections for the Year 2050 for Select Country - Belgium, Czech Republic, France, Germany, Greece, Hungary, Italy, Poland, Portugal, Romania, Russia, Spain, The Netherlands, Turkey, and United Kingdom
  • Table 56: The Korian Group' s Senior Housing Facilities in Europe as of 2007
• 7a. FINLAND
• Overview
  • Table 57: Finnish Population by Age Group (60+, and 80+) for the Years 2009 and 2050
• 7b. FRANCE
• French Retirement Homes Market
  • Table 58: French Retirement Homes Market (2005): Percentage Breakdown by Legal Status - Public, Private (Non-Profit) and Private (Profit)
  • Table 59: French Retirement Homes Market (2007 & 2008): Revenues in € Million for The Korian Group, and Orpea SA
  • Table 60: Leading Private Groups in French Retirement Homes Market (2006): Total Number of Sites, and Nursing Home Beds for Orpea, Korian, Medica, Domus VI, Vendome and Le Noble Age
• Demographic Trends
• Over 65 Years Age Group
  • Table 61: 65 + Population in France by Gender
  • Table 62: French Population by Age Group (60+, and 80+) - Projections for the Year 2050
• Over 85 Years Age Group
  • Table 63: Percentage of Population in French Retirement Homes by Age Group (2006)
• 7c. MONACO
• Overview
• 7d. UNITED KINGDOM
• Overview
  • Table 64: UK Population by Age Group (60+, and 80+) for the Years 2009 and 2050
• Sheltered Accommodation - Background
• Need for Private Investment

8. ASIA-PACIFIC MARKET PERSPECTIVE

• Overview
• Attractive Demographics
  • Table 65: Asia-Pacific Population Statistics (2007): 65+ Population by Gender for Select Regions - Australia, China, Hong Kong, India, Indonesia, South Korea, Malaysia, New Zealand, Philippines, Singapore, Taiwan, and Thailand
  • Table 66: Asia-Pacific Population Statistics for Age Group (60+, and 80+) - Projections for the Year 2050 for Select Country - Australia, China, Hong Kong, India, Indonesia, South Korea, Malaysia, New Zealand, Philippines, Singapore, and Thailand
• Consumer Behavior
• 8a. AUSTRALIA
• Overview
• Demography and Other Growth Factors
  • Table 67: Australian Population by Age Group (60+, and 80+) for the Years 2009 and 2050
• Current and Future Status of the Industry
  • Table 68: Australian Current & Future Analysis of Retirement Communities Market - Revenues in US$ Billion for the Years 2008 through 2012
• 8b. CHINA
• Overview
• Senior Living Market Booming in China
• Rapid Increase in the Costs of elderly Care
• Background
• 8c. INDIA
• Overview
• Senior Care and Living
  • Table 69: Indian Population by Age Group (60+, and 80+) for the Years 2009 and 2050
• 8d. INDONESIA
• Overview
  • Table 70: Indonesian Population by Age Group (60+, and 80+) for the Years 2009 and 2050
• 8e. KOREA
• Overview
  • Table 71: Korean Population by Age Group (60+, and 80+) for the Years 2009 and 2050
• 8f. SINGAPORE
• Overview
  • Table 72: Singapore Population by Age Group (60+, and 80+) for the Years 2009 and 2050
• 8g. TAIWAN
• Overview

9. LATIN AMERICAN MARKET PERSPECTIVE

• Boom of American Retirement Communities in Latin America
  • Table 73: Latin America Population Statistics (2007): 65+ Population by Gender for Select Regions - Argentina, Brazil, Chile, Colombia, Ecuador, Mexico, Peru, and Venezuela
  • Table 74: Latin American Population Statistics for Age Group (60+, and 80+) - Projections for the Year 2050 for Select Country - Argentina, Brazil, Chile, Colombia, Ecuador, Mexico, Peru, and Venezuela
• 9a. MEXICO
• Overview
  • Table 75: Mexican Population by Age Group (60+, and 80+) for the Years 2009 and 2050

10. AFRICAN MARKET PERSPECTIVE

• Overview
  • Table 76: African Population Statistics for Age Group (60+, and 80+) for Select Country/Region - for Years 2009 & 2050
• 10a. MOROCCO
• Overview
  • Table 77: Morocco Population by Age Group (60+, and 80+) for the Years 2009 and 2050

GLOBAL DIRECTORY