
KMF SENIOR HOUSING INTELLIGENCE
Vol. 1 No. 2 - September 24, 2001
IN THIS SPECIAL ISSUE:
WHY INDEPENDENT LIVING PROPERTIES
ARE A WORLD APART FROM ASSISTED LIVING AND NURSING HOMES.
RETHINKING INITIAL PERCEPTIONS.
In the last issue, we explained the four main segments of
the Seniors Housing and Care Industry:
- Segment A -Real Estate Only (Senior Apartments)
- Segment B -Real Estate with Services (Congregate Properties)
- Segment C -Real Estate with Services and Daily Living
Care (Assisted Living Properties)
- Segment D -Real Estate with Services, Daily Living Care
and Medical Care (Nursing Homes)
There is also a fifth category, called Continuing Care Retirement
Communities, which combines Congregate, Assisted Living and
Nursing Units on one campus where the majority (usually 65%
or more) of the units are congregate units.
Many within the Industry use the phrase "Independent
Living" to describe properties in Segment A, Segment
B and the congregate units in a continuing care retirement
community.
A number of you reading this Newsletter have expressed a
real interest in this investment opportunity, but want to
better understand the distinctions and risk factors between
each category.
There are additional risk factors due to the health care
business element of Segments C & D, or specifically assisted
living properties and nursing homes.
We are extremely selective in recommending investments in
these categories primarily due to these risk factors and due
to the negative demand/supply equilibrium in both of these
categories.
All of the negative news that you may have heard in the press
is focused exclusively on assisted living and nursing home
companies.
While we are highly selective in investments in free-standing
assisted living properties and nursing homes, we strongly
recommend investments in independent living properties. So
why are these properties different than assisted living and
nursing homes?
There are 6 key reasons why independent living properties
are different.
1. There is no Health Care
Unlike assisted living properties, which provide assistance
with the activities of daily living care (bathing, dressing,
supervision of medications), and nursing homes, which provide
these same activities plus specific medical care for chronic
health care conditions, independent living properties do not
provide these services.
2. There is no Federal or State Regulation
Since independent living properties do not provide health
care, they are not licensed nor are they subject to the Federal
or State Laws and Regulations that govern nursing homes and
assisted living properties (note that nursing homes have far
more onerous regulations than assisted living properties do).
3. Revenues are all Private Pay - No Reimbursement
Risk
In addition, all the revenues from independent living residents
are private pay as opposed to nursing homes where about 75%
of revenues are paid by Medicaid or Medicare and assisted
living where about 5% is paid by Medicaid in the average property.
4. Residents Stay Longer - Lower Turnover
Unlike assisted living properties that currently average
60% per year turnover and nursing homes, which average close
to 100% per year turnover, independent living properties average
33% per year turnover. Lower turnover translates into more
stable revenues and net operating income.
5. Larger Potential Market
Unlike assisted living and nursing homes, which are a "need-driven"
product where the main customer is the adult child "placing"
mom or dad, independent living properties are "need-influenced'
where the main customer is the senior individual or couple.
Currently, there are about twice as many independent living
units in existence as there are assisted living. The independent
living market is about equal in units to the nursing home
industry.
However, the size of the assisted and nursing markets are
limited to those who truly need these services, since few
seniors want to be there. For independent living properties,
the potential market is much larger since there are far more
seniors who would like the meals, housekeeping, activities
and outdoor maintenance provided in independent living properties.
Our proprietary research has demonstrated that in many markets,
the number of seniors choosing to live in independent living
properties is greater than the number in assisted living and
nursing homes. As seniors grow in awareness of independent
living properties, they are much more likely to move to one.
This phenomenon is now happening in many markets such as Minneapolis/St.
Paul, and this phenonomen is much less pronounced in assisted
living. For example, in the 2000 edition of the "National
Housing Survey of Adults 60+" by the National Investment
Center for the Senior Housing and Care Industries ("NIC"),
those senior households "who've made the decision to
move to an independent living or active adult community in
the future" doubled from the 1998 Survey. Those senior
households who've made the decision to move to these types
of properties "within the next 6 months" increased
50% over the 1998 Survey.
6. Much Better Demand/Supply Equilibrium
As of March 31, 2001, the median occupancy rate for the professionally-managed
segment of the assisted living segment was 86% for properties
open 2 years or longer. Professionally-managed nursing homes
have a current median occupancy rate of an almost identical
86.5%.
In contrast, professionally-managed Independent Living properties
have a significantly better national occupancy rate of 91%.
With the recent decrease in construction of independent living
properties, we expect the median occupancy rate in independent
living to return to 93%-94%.
KMF Senior Housing Investors has a detailed, proprietary
analysis of the growth in demand from observable increases
in demographics and a proprietary analysis of increases in
supply of independent living units that demonstrates that
demand will continue to exceed supply into the future due
to constraints on supply.
We would be pleased to share this analysis with you if you
are interested in this investment opportunity.
Conclusion
Each segment within the Seniors Housing and Care Industry
is significantly different than the others in that it has
different customers, different drivers of success and different
risk factors. In fact, they are so different that they can
be referred to as separate industries. Therefore, to invest
properly one must understand the particular segment in question.
We believe there is substantial, objective evidence that
demonstrates that independent living properties have better
investment fundamentals than office, industrial, retail and
apartments. We'd like to prove it to you.
For further information on articles in this briefing
or on any aspect of investing in senior housing, please
contact Jim Smith at 312-993-7800 (smith@kmfseniorhousing.com)
or visit our website http://www.kmfseniorhousing.com
Senior Housing Intelligence is published by KMF Senior Housing
Investors, L.L.C., 100 N. Riverside Drive, Suite 2300, Chicago,
IL 60606 312-993-7800
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