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, Vendôme 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
