Adult and Retirement Communities

Published by: Global Industry Analysts

Published: Oct. 1, 2009 - 103 Pages

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 ProvinceNursing 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 AreasFinancially 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

Abstract

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