Research Update on Catholic Sponsored Senior Living Providers in America

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1 CATHOLIC LEADERS SYMPOSIUM Research Update on Catholic Sponsored Senior Living Providers in America October 26 th, 2013 / 2:30 PM

2 Presenter: Lynn Daly Senior Vice President, Ziegler Capital Markets P A G E 2

3 % of Catholic Per State Population 0% - 10% 10%-20% 20%-30% 30%-40% 40%-50% 50+% P A G E 3

4 Catholic Population by State State Catholic Population Total Population % Catholic Catholic Hospitals Largest Denomination State Catholic Population Total Population % Catholic Catholic Hospitals Largest Denomination Alabama 158,797 4,707, % 5 Baptist Nebraska 378,341 1,833, % 7 Catholic Alaska 60, , % 2 Baptist Nevada 109, , % 1 Catholic Arizona 994,893 6,190, % 5 Catholic New Hampshire 282,745 1,316, % 2 Catholic Arkansas 137,137 2,915, % 11 Baptist New Jersey 3,743,953 8,841, % 10 Catholic California 11,509,030 37,991, % 42 Catholic New Mexico 514,103 2,423, % 1 Catholic Colorado 792,083 5,029, % 11 Catholic New York 7,442,185 20,198, % 25 Catholic Connecticut 1,249,439 3,555, % 4 Catholic North Carolina 393,361 9,455, % 0 Baptist Delaware 239,017 1,347, % 1 Methodist North Dakota 132, , % 12 Lutheran Florida 2,267,712 18,792, % 57 Catholic Ohio 2,001,256 11,537, % 10 Catholic Georgia 206,953 3,216, % 6 Baptist Oklahoma 178,554 3,719, % 13 Baptist Hawaii 222,822 1,360, % 0 Catholic Oregon 449,867 3,836, % 14 Catholic Idaho 172,434 1,567, % 4 LDS Pennsylvania 3,377,526 12,708, % 15 Catholic Illinois 3,783,788 13,348, % 44 Catholic Rhode Island 621,015 1,052, % 1 Catholic Indiana 751,835 6,469, % 19 Catholic South Carolina 196,658 4,625, % 3 Baptist Iowa 492,886 3,034, % 16 Catholic South Dakota 144, , % 12 Lutheran Kansas 408,348 2,712, % 13 Catholic Tennessee 198,604 6,346, % 4 Baptist Kentucky 376,215 4,235, % 19 Baptist Texas 7,183,820 25,396, % 28 Catholic Louisiana 1,280,652 4,442, % 6 Catholic Utah 270,000 2,763, % 0 LDS Maine 193,392 1,274, % 3 Catholic Vermont 118, , % 0 Catholic Maryland 510,328 3,148, % 5 Catholic Virginia 685,775 7,951, % 10 Baptist Massachusetts 2,647,857 6,197, % 10 Catholic Washington 758,983 6,759, % 17 Catholic Michigan 2,082,354 9,790, % 26 Catholic West Virginia 83,129 1,819, % 3 Baptist Minnesota 1,252,839 4,815, % 15 Catholic Wisconsin 1,494,405 5,690, % 36 Catholic Mississippi 107,533 2,911, % 1 Baptist Wyoming 54, , % 0 Catholic Missouri 809,146 5,988, % 21 Catholic Washington DC 611,019 2,777, % 3 Catholic Montana 89, , % 4 Catholic TOTAL CONTINENT 64,221, ,067, % 577 P A G E 4

5 Catholic Health Care Catholic facilities account for more than 20% of admissions in 22 states. Source: Catholic Health Association s publication: January 2013 Catholic Health Care in the United States P A G E 5

Catholic Health Care The Catholic Health Association s January 2013 Catholic Health Care in the United states Report, includes data from a 2011 American Hospital Association Annual Survey that shows

6 Catholic Health Care The Catholic Health Association s January 2013 Catholic Health Care in the United states Report, includes data from a 2011 American Hospital Association Annual Survey that shows that Catholic hospitals often provide a higher percentage of public health and specialty services than other healthcare providers. These organizations dedication to the common good often leads them to offer these traditionally unprofitable services. P A G E 6

7 Catholic Sponsored Senior Living Facilities Ziegler analyzed catholic sponsored senior living facilities from 35 states 35 states analyzed contain 90% of total US Catholic population P A G E 7

8 Catholic Sponsored Senior Living Facilities (Continued) Ziegler collected several pieces of data including: Type of Facility Sponsorship Single Site/Multi Site Average Bed Size P A G E 8

9 Catholic Sponsored Senior Living Facilities (Continued) 35 State Catholic Sponsored Senior Living Facilities Data Total of 706 facilities Average bed size of 131 beds per facility Approximately 50% single sites / 50% multi sites P A G E 9

10 States Scrubbed for Catholic Sponsored Facilities Ziegler analyzed the following states: Arkansas Maine North Dakota California Maryland Ohio Colorado Massachusetts Oregon Connecticut Michigan Pennsylvania Florida Minnesota Rhode Island Georgia Mississippi South Dakota Illinois Missouri Texas Indiana Nebraska Vermont Iowa New Hampshire Virginia Kansas New Jersey Washington Kentucky New York Wisconsin Louisiana North Carolina P A G E 10

Health Care System Religious Order owned/managed Skilled

11 Catholic Sponsored Senior Living: Spectrum Unlicensed Infirmary Continuing Care Retirement Community Integrated Health Care System Religious Order owned/managed Skilled Nursing Facility Multi-campus Senior Care provider P A G E 11

12 Membership 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% All States LeadingAge State Association CHA P A G E 12

13 Facility and Sponsorship Type All States Facility Type Sponsorship Type Other, 26% CCRC, 22% Other 8% Diocese 17% Healthcare 35% Traditional Nursing, 52% Religious Order 40% # of Facilities All States 706 P A G E 13

14 Facility Type Midwest Midwest All States Other, 23% CCRC, 22% CCRC, 29% Other, 26% Traditional Nursing, 48% Traditional Nursing, 52% # of Facilities Midwest 330 All States 706 P A G E 14

15 Sponsorship Type Midwest Other 5% Midwest Diocese 9% All States Other 8% Diocese 17% Healthcare 51% Religious Order 35% Healthcare 35% Religious Order 40% # of Facilities Midwest 330 All States 706 P A G E 15

16 Facility Type Northeast Northeast All States Other, 18% CCRC, 13% Other, 26% CCRC, 22% Traditional Nursing, 69% Traditional Nursing, 52% # of Facilities Northeast 196 All States 706 P A G E 16

17 Sponsorship Type Northeast Other 6% Healthcare 18% Northeast Diocese 31% All States Other 8% Diocese 17% Healthcare 35% Religious Order 44% # of Facilities Northeast 196 All States 706 Religious Order 40% P A G E 17

18 Facility Type South South All States CCRC, 17% Other, 37% Other, 26% CCRC, 22% Traditional Nursing, 46% Traditional Nursing, 52% # of Facilities South 100 All States 706 P A G E 18

19 Sponsorship Type South South All States Other 12% Diocese 25% Other 8% Diocese 17% Healthcare 20% Healthcare 35% Religious Order 43% # of Facilities South 100 All States 706 Religious Order 40% P A G E 19

20 Facility Type West West All States CCRC, 26% Other, 26% CCRC, 22% Other, 43% Traditional Nursing, 31% Traditional Nursing, 52% # of Facilities West 80 All States 706 P A G E 20

21 Sponsorship Type West West All States Other 18% Diocese 6% Other 8% Diocese 17% Healthcare 34% Religious Order 43% Healthcare 35% Religious Order 40% # of Facilities West 80 All States 706 P A G E 21

22 EXHIBIT INDIVIDUAL STATE FACILITY & SPONSORSHIP ANALYSIS EXAMPLE P A G E 22

23 OHIO CATHOLIC ANALYSIS FACILITY TYPE Ohio All States CCRC, 43% Traditiona l Nursing, 35% Other, 26% CCRC, 22% Other, 22% Traditional Nursing, 52% # of Facilities Ohio 49 All States 706 Traditional Nursing facilities are built around skilled nursing, but may include assisted living units. P A G E 23

24 OHIO CATHOLIC ANALYSIS SPONSORSHIP TYPE Other sponsored, 4% Ohio Diocesan Sponsored, 10% All States Other 8% Diocese 17% Healthcare Sponsored, 41% Religious Order Sponsored, 45% # of Facilities Healthcare 35% Religious Order 40% Ohio 49 All States 706 P A G E 24

25 CATHOLIC FACILITIES PARTICIPATION IN ASSOCIATIONS 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% LeadingAge State Association CHA Source: Ziegler Investment Banking Ohio All States P A G E 25

OHIO CATHOLIC SENIOR LIVING FACILITIES Catholic Sponsored Ohio Senior Living Organizations Assumption Village, North Lima Bayley Place, Cincinnati The Commons of Providence, Sandusky Convent Park,

26 OHIO CATHOLIC SENIOR LIVING FACILITIES Catholic Sponsored Ohio Senior Living Organizations Assumption Village, North Lima Bayley Place, Cincinnati The Commons of Providence, Sandusky Convent Park, Sylvania Emerald Village, North Olmsted Emmaus House, Louisville Francesca Residence, Akron Franciscan at St. Leonard, Centerville Franciscan Care Center, Toledo House of Loreto, Canton Humility House, Austintown Jennings Center for the Older Adult, Garfield Heights Laurel Lake Retirement, Hudson Light of Hearts Villa, Bedford Madonna Manor, Villa Hills Maria-Joseph Living Care Center, Dayton Mercy Franciscan at Shroeder, Hamilton Mercy Franciscan at West Park, Cincinnati Mercy Franciscan Terrace, Cincinnati Mercy McAuley Center, Urbana Mercy Siena Retirement Community, Dayton Mercy St. John's Center, Springfield Mercy St. Theresa Center, Cincinnati Mohun Health Center, Cincinnati Mother Angeline McCrory Manor, Columbus Mother Margaret Hall, Mount St. Joe Mount Alverna Village, Parma Mount Notre Dame Health Center, Cincinnati Mount Saint Joseph, Euclid Oakwood Village Retirement Community, Springfield Oblate Residence, Toledo Providence Care Centers, Sandusky Provincial Health Care Center/Notre Dame Educational Cente Regina Health Center, Richfield Rosary Care Center, Sylvania Sacred Heart Homes, Oregon Saint Clare Commons, Perrysburg Saint Margaret Hall, Cincinnati St. Anthony Padua Friary/Issermann Plaza, Brooklyn St. Augustine Manor, Cleveland St. Barnabas Villa, Northfield Center St. Francis Home, Tiffin St. Joseph Care Center, Lousiville St. Mary of the Woods, Avon St. Paul's Archbishop Leibold Home for the Aged, Cincinnati Sts. Mary and Joseph Home, Warrenville Heights Ursuline Center, Toledo Villa Maria Teresa, Hubbard Village at Marymount/Villa St. Joseph, Garfield Heights Village at St. Edwards, Fairlawn Villas at Saint Therese, Columbus P A G E 26

27 Research Update on Catholic Sponsored Senior Living Providers in America October 26 th, 2013 / 2:30 PM Presented by: Lynn Daly ldaly@ziegler.com Thank you.

TABLE 3c: Congressional Districts with Number and Percent of Hispanics* Living in Hard-to-Count (HTC) Census Tracts**

TABLE 3c: Congressional Districts with Number and Percent of Hispanics* Living in Hard-to-Count (HTC) Census Tracts** living Alaska 00 47,808 21,213 44.4 Alabama 01 20,661 3,288 15.9 Alabama 02 23,949 6,614 27.6 Alabama 03 20,225 3,247 16.1 Alabama 04 41,412 7,933 19.2 Alabama 05 34,388 11,863 34.5 Alabama 06 34,849 4,074