Healthcare, Senior Living, Economics
Updates, policy and news in Senior Housing
With reports from the Bureau of Labor Statistics out this past week, the job market remains relatively strong and healthcare within the market, similarly strong. Unemployment remained at 3.6% and labor participation remained at 62.6% (same for last four months) and the percent of the population employed remained at 60%. For the month of June, … Read more
Organizational expansion is truly a tale of two options (primarily): add capacity organically (build or start from scratch) or acquire an existing business. Both have pluses and minuses, but when it comes to scale on a more rapid basis and movement into a new market area, acquisition tends to make more sense versus an organic … Read more
In December of 2022, Fitch (credit rating agency) issued their outlook for the non-profit, Life Plan (CCRC) sector within the senior housing industry. Fitch outlooks are a primer for creditors seeking to determine lending scales for the upcoming year (bullish v. bearish). The Fitch outlook for the sector was “deteriorating”. The basis for this negative … Read more
Golf outing today for Children’s Hospital of WI so a bit of recycling…I wrote this a number of years ago (April 2016) and it was very popular and resonates well today. Enjoy! The original post is here: https://wp.me/ptUlY-kf The bulk of my work centers around gathering data, analyzing trends and working with the leadership of … Read more
One of the largest complaints about senior care and housing is cost. It is or can be, darn expensive. The best, most amenitized Life Plan projects can run hundreds of thousands of dollars to enter and tens of thousands more in monthly fees. Rates inflate typically, more than CPI each year. Lately, rate inflation has … Read more
Soon the target customer for most senior housing options, primarily independent living and CCRC/Life Plan will be folks born in the “baby boomer” generation. Boomers are folk born between 1946 and 1964, placing them today, between 76/77 and 58/59 years of age. They were born right after WW II and right at the beginning of … Read more
Healthcare has a great deal of complexity in terms of care delivery and clinical needs. Today, and going forward, equal complexity exists on the business and operations front. Large provider organizations and systems are likely to have the capacity and capability to acquire and internalize, expertise within the organizational structure. Smaller, single site or regional … Read more
While we are seeing incremental occupancy gains in senior housing, the increases are slow but steady. Is there a leveling-off point upcoming? Perhaps. Regardless, even with the recent history of gains, there is a reason to be a bit skeptical for some product types to continue to improve. My skepticism rests at the Independent Living … Read more
During the pandemic and continuing somewhat through current, healthcare turnover has been on the rise. Nursing turnover (from direct care) and retirements exploded by mid-pandemic. Burnout was high as was job dissatisfaction. What became evident is the linkage between staff turnover and staffing difficulties along with COVID policy, and CEO turnover. While 2021 turnover was … Read more
Senior housing in the form of CCRCs, Independent Living and Assisted Living (including memory care) is a large user of debt financing. While equity has become more prevalent via increasing private equity interests in senior living, operators, especially non-profits, continue to rely heavily on bank and bond financing. Private equity and venture capital investment trends … Read more