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Exploring the Landscape of International Senior Living Development and Expansion Kelly Singleton Myers | Senior Vice President of Sales, Sunrise Senior Living

Exploring the Landscape of International Senior Living Development and Expansion (Myers Slides)

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Argentum 2016 Senior Living Executive Conference concurrent session Original session time: Thursday, May 12, 2016, 9:15 - 10:15 AM Speakers: Lisa Brush, CEO, Symphony Senior Living Sharon Cohen, Editor, Argentum Dan Hirschfeld, President, Genesis Rehabilitation Services Kelly Singleton Myers, Senior Vice President of Sales, Sunrise Senior Living

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Exploring the Landscape of International Senior Living Development and ExpansionKelly Singleton Myers | Senior Vice President of Sales Sunrise Senior Living

Care Home Operations in the United Kingdom

bull 114 million 65+

bull 15 million 85+

bull 2 million 75+ living alone

bull 850000 people in the UK living with dementia

bull The number of people +85 is predicted to double by 2040

AgeUK report Later In Life 2016

Care Home Operations in the United Kingdom

Residential Care vs Nursing Registration

bull Both homes provide accommodations meals and personal care

bull Residential Care Homes leverage support from other agencies for emergencies

bull Care Homes with Nursing Registration will always have at least one qualified nurse on duty

Care Home Operations in the United Kingdom

CQC-Care and Quality Commission

bull Inspect care homes across England including residential and nursing homes

bull 22000 total Care Homes

bull The past months ratingsApril 2016

21 Outstanding

852 Good

368 Requires improvement

87 Inadequate

Work Force

National Living Wagebull In a effort to move from a low-

wagehigh-tax environment the mandatory NLW was introduced April 2016

bull Currently set at pound720 - a rise of 50p Thatrsquos a pound910 per annum increase in earnings for a full-time worker on the current NMW

National Nursing Shortagebull Contract Labor

Care Home Operations in the United Kingdom

Care Home Owner Type For-Profit Occupancy

NURSING REGISTRATION CARE

HOMES

RESIDENTIAL CARE HOMES

IN OCCUPANCY BAND IN

OCCUPANCY BAND

Occupancy Rate

95 plus 44 43

90-949 20 23

85-899 11 14

80-849 9 8

75-799 5 5

70-749 3 2

Less than 70 8 5

ALL 100 1000

2000

4000

6000

8000

10000

12000

2006 2007 2008 2009 2010 2022 2012 2013 2014

All owner types Major providers

Source LaingBuisson database

Care Home Operations in the United Kingdom

Four Seasons Health Care Bupa Care Homes HC-One Ltd (including Meridian Healthcare) Barchester Healthcare

Care UK Orchard Care Homes Runwood Homes Ltd Sunrise Senior Living (including Gracewell)

Avery Healthcare Maria Mallaband Care Group Ltd Caring Homes Healthcare Group Ltd Embrace Group Ltd

Priory Group Ideal Care Homes Group Akari Care Homes Ltd Excelcare

Shaw healthcare (Group) Ltd Countrywide Care Homes Ltd Minster Care Group Life Style Care plc

Leyton Healthcare Group Ltd Bondcare Group Meridian Healthcare New Century Care

Hallmark Care Homes Other for-profit providers

Major Providers of For-Profit Care Homes

Source LainBuisson database

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

bull 27 Sunrise Senior Living Communities

bull 15 Gracewell Senior Living Communities

bull 12 Gracewell Communities in development

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

Sunrise Senior Living Customer Profile Gracewell Customer Profile

Sunrise Brand Attributes

The Joy of Every Day

bull Upmarket exclusive elitebull Americanbull Communal spaces

Gracewell Brand Attributes

A New Way to Live Well

bull Modern innovative good value

bull English culturebull Intimate configuration

Operating in the United Kingdom-Sunrise Senior Living

Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip

Care Home Operations in the United Kingdom

bull 114 million 65+

bull 15 million 85+

bull 2 million 75+ living alone

bull 850000 people in the UK living with dementia

bull The number of people +85 is predicted to double by 2040

AgeUK report Later In Life 2016

Care Home Operations in the United Kingdom

Residential Care vs Nursing Registration

bull Both homes provide accommodations meals and personal care

bull Residential Care Homes leverage support from other agencies for emergencies

bull Care Homes with Nursing Registration will always have at least one qualified nurse on duty

Care Home Operations in the United Kingdom

CQC-Care and Quality Commission

bull Inspect care homes across England including residential and nursing homes

bull 22000 total Care Homes

bull The past months ratingsApril 2016

21 Outstanding

852 Good

368 Requires improvement

87 Inadequate

Work Force

National Living Wagebull In a effort to move from a low-

wagehigh-tax environment the mandatory NLW was introduced April 2016

bull Currently set at pound720 - a rise of 50p Thatrsquos a pound910 per annum increase in earnings for a full-time worker on the current NMW

National Nursing Shortagebull Contract Labor

Care Home Operations in the United Kingdom

Care Home Owner Type For-Profit Occupancy

NURSING REGISTRATION CARE

HOMES

RESIDENTIAL CARE HOMES

IN OCCUPANCY BAND IN

OCCUPANCY BAND

Occupancy Rate

95 plus 44 43

90-949 20 23

85-899 11 14

80-849 9 8

75-799 5 5

70-749 3 2

Less than 70 8 5

ALL 100 1000

2000

4000

6000

8000

10000

12000

2006 2007 2008 2009 2010 2022 2012 2013 2014

All owner types Major providers

Source LaingBuisson database

Care Home Operations in the United Kingdom

Four Seasons Health Care Bupa Care Homes HC-One Ltd (including Meridian Healthcare) Barchester Healthcare

Care UK Orchard Care Homes Runwood Homes Ltd Sunrise Senior Living (including Gracewell)

Avery Healthcare Maria Mallaband Care Group Ltd Caring Homes Healthcare Group Ltd Embrace Group Ltd

Priory Group Ideal Care Homes Group Akari Care Homes Ltd Excelcare

Shaw healthcare (Group) Ltd Countrywide Care Homes Ltd Minster Care Group Life Style Care plc

Leyton Healthcare Group Ltd Bondcare Group Meridian Healthcare New Century Care

Hallmark Care Homes Other for-profit providers

Major Providers of For-Profit Care Homes

Source LainBuisson database

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

bull 27 Sunrise Senior Living Communities

bull 15 Gracewell Senior Living Communities

bull 12 Gracewell Communities in development

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

Sunrise Senior Living Customer Profile Gracewell Customer Profile

Sunrise Brand Attributes

The Joy of Every Day

bull Upmarket exclusive elitebull Americanbull Communal spaces

Gracewell Brand Attributes

A New Way to Live Well

bull Modern innovative good value

bull English culturebull Intimate configuration

Operating in the United Kingdom-Sunrise Senior Living

Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip

Care Home Operations in the United Kingdom

Residential Care vs Nursing Registration

bull Both homes provide accommodations meals and personal care

bull Residential Care Homes leverage support from other agencies for emergencies

bull Care Homes with Nursing Registration will always have at least one qualified nurse on duty

Care Home Operations in the United Kingdom

CQC-Care and Quality Commission

bull Inspect care homes across England including residential and nursing homes

bull 22000 total Care Homes

bull The past months ratingsApril 2016

21 Outstanding

852 Good

368 Requires improvement

87 Inadequate

Work Force

National Living Wagebull In a effort to move from a low-

wagehigh-tax environment the mandatory NLW was introduced April 2016

bull Currently set at pound720 - a rise of 50p Thatrsquos a pound910 per annum increase in earnings for a full-time worker on the current NMW

National Nursing Shortagebull Contract Labor

Care Home Operations in the United Kingdom

Care Home Owner Type For-Profit Occupancy

NURSING REGISTRATION CARE

HOMES

RESIDENTIAL CARE HOMES

IN OCCUPANCY BAND IN

OCCUPANCY BAND

Occupancy Rate

95 plus 44 43

90-949 20 23

85-899 11 14

80-849 9 8

75-799 5 5

70-749 3 2

Less than 70 8 5

ALL 100 1000

2000

4000

6000

8000

10000

12000

2006 2007 2008 2009 2010 2022 2012 2013 2014

All owner types Major providers

Source LaingBuisson database

Care Home Operations in the United Kingdom

Four Seasons Health Care Bupa Care Homes HC-One Ltd (including Meridian Healthcare) Barchester Healthcare

Care UK Orchard Care Homes Runwood Homes Ltd Sunrise Senior Living (including Gracewell)

Avery Healthcare Maria Mallaband Care Group Ltd Caring Homes Healthcare Group Ltd Embrace Group Ltd

Priory Group Ideal Care Homes Group Akari Care Homes Ltd Excelcare

Shaw healthcare (Group) Ltd Countrywide Care Homes Ltd Minster Care Group Life Style Care plc

Leyton Healthcare Group Ltd Bondcare Group Meridian Healthcare New Century Care

Hallmark Care Homes Other for-profit providers

Major Providers of For-Profit Care Homes

Source LainBuisson database

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

bull 27 Sunrise Senior Living Communities

bull 15 Gracewell Senior Living Communities

bull 12 Gracewell Communities in development

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

Sunrise Senior Living Customer Profile Gracewell Customer Profile

Sunrise Brand Attributes

The Joy of Every Day

bull Upmarket exclusive elitebull Americanbull Communal spaces

Gracewell Brand Attributes

A New Way to Live Well

bull Modern innovative good value

bull English culturebull Intimate configuration

Operating in the United Kingdom-Sunrise Senior Living

Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip

Care Home Operations in the United Kingdom

CQC-Care and Quality Commission

bull Inspect care homes across England including residential and nursing homes

bull 22000 total Care Homes

bull The past months ratingsApril 2016

21 Outstanding

852 Good

368 Requires improvement

87 Inadequate

Work Force

National Living Wagebull In a effort to move from a low-

wagehigh-tax environment the mandatory NLW was introduced April 2016

bull Currently set at pound720 - a rise of 50p Thatrsquos a pound910 per annum increase in earnings for a full-time worker on the current NMW

National Nursing Shortagebull Contract Labor

Care Home Operations in the United Kingdom

Care Home Owner Type For-Profit Occupancy

NURSING REGISTRATION CARE

HOMES

RESIDENTIAL CARE HOMES

IN OCCUPANCY BAND IN

OCCUPANCY BAND

Occupancy Rate

95 plus 44 43

90-949 20 23

85-899 11 14

80-849 9 8

75-799 5 5

70-749 3 2

Less than 70 8 5

ALL 100 1000

2000

4000

6000

8000

10000

12000

2006 2007 2008 2009 2010 2022 2012 2013 2014

All owner types Major providers

Source LaingBuisson database

Care Home Operations in the United Kingdom

Four Seasons Health Care Bupa Care Homes HC-One Ltd (including Meridian Healthcare) Barchester Healthcare

Care UK Orchard Care Homes Runwood Homes Ltd Sunrise Senior Living (including Gracewell)

Avery Healthcare Maria Mallaband Care Group Ltd Caring Homes Healthcare Group Ltd Embrace Group Ltd

Priory Group Ideal Care Homes Group Akari Care Homes Ltd Excelcare

Shaw healthcare (Group) Ltd Countrywide Care Homes Ltd Minster Care Group Life Style Care plc

Leyton Healthcare Group Ltd Bondcare Group Meridian Healthcare New Century Care

Hallmark Care Homes Other for-profit providers

Major Providers of For-Profit Care Homes

Source LainBuisson database

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

bull 27 Sunrise Senior Living Communities

bull 15 Gracewell Senior Living Communities

bull 12 Gracewell Communities in development

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

Sunrise Senior Living Customer Profile Gracewell Customer Profile

Sunrise Brand Attributes

The Joy of Every Day

bull Upmarket exclusive elitebull Americanbull Communal spaces

Gracewell Brand Attributes

A New Way to Live Well

bull Modern innovative good value

bull English culturebull Intimate configuration

Operating in the United Kingdom-Sunrise Senior Living

Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip

Care Home Operations in the United Kingdom

Care Home Owner Type For-Profit Occupancy

NURSING REGISTRATION CARE

HOMES

RESIDENTIAL CARE HOMES

IN OCCUPANCY BAND IN

OCCUPANCY BAND

Occupancy Rate

95 plus 44 43

90-949 20 23

85-899 11 14

80-849 9 8

75-799 5 5

70-749 3 2

Less than 70 8 5

ALL 100 1000

2000

4000

6000

8000

10000

12000

2006 2007 2008 2009 2010 2022 2012 2013 2014

All owner types Major providers

Source LaingBuisson database

Care Home Operations in the United Kingdom

Four Seasons Health Care Bupa Care Homes HC-One Ltd (including Meridian Healthcare) Barchester Healthcare

Care UK Orchard Care Homes Runwood Homes Ltd Sunrise Senior Living (including Gracewell)

Avery Healthcare Maria Mallaband Care Group Ltd Caring Homes Healthcare Group Ltd Embrace Group Ltd

Priory Group Ideal Care Homes Group Akari Care Homes Ltd Excelcare

Shaw healthcare (Group) Ltd Countrywide Care Homes Ltd Minster Care Group Life Style Care plc

Leyton Healthcare Group Ltd Bondcare Group Meridian Healthcare New Century Care

Hallmark Care Homes Other for-profit providers

Major Providers of For-Profit Care Homes

Source LainBuisson database

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

bull 27 Sunrise Senior Living Communities

bull 15 Gracewell Senior Living Communities

bull 12 Gracewell Communities in development

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

Sunrise Senior Living Customer Profile Gracewell Customer Profile

Sunrise Brand Attributes

The Joy of Every Day

bull Upmarket exclusive elitebull Americanbull Communal spaces

Gracewell Brand Attributes

A New Way to Live Well

bull Modern innovative good value

bull English culturebull Intimate configuration

Operating in the United Kingdom-Sunrise Senior Living

Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip

Care Home Operations in the United Kingdom

Four Seasons Health Care Bupa Care Homes HC-One Ltd (including Meridian Healthcare) Barchester Healthcare

Care UK Orchard Care Homes Runwood Homes Ltd Sunrise Senior Living (including Gracewell)

Avery Healthcare Maria Mallaband Care Group Ltd Caring Homes Healthcare Group Ltd Embrace Group Ltd

Priory Group Ideal Care Homes Group Akari Care Homes Ltd Excelcare

Shaw healthcare (Group) Ltd Countrywide Care Homes Ltd Minster Care Group Life Style Care plc

Leyton Healthcare Group Ltd Bondcare Group Meridian Healthcare New Century Care

Hallmark Care Homes Other for-profit providers

Major Providers of For-Profit Care Homes

Source LainBuisson database

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

bull 27 Sunrise Senior Living Communities

bull 15 Gracewell Senior Living Communities

bull 12 Gracewell Communities in development

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

Sunrise Senior Living Customer Profile Gracewell Customer Profile

Sunrise Brand Attributes

The Joy of Every Day

bull Upmarket exclusive elitebull Americanbull Communal spaces

Gracewell Brand Attributes

A New Way to Live Well

bull Modern innovative good value

bull English culturebull Intimate configuration

Operating in the United Kingdom-Sunrise Senior Living

Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

bull 27 Sunrise Senior Living Communities

bull 15 Gracewell Senior Living Communities

bull 12 Gracewell Communities in development

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

Sunrise Senior Living Customer Profile Gracewell Customer Profile

Sunrise Brand Attributes

The Joy of Every Day

bull Upmarket exclusive elitebull Americanbull Communal spaces

Gracewell Brand Attributes

A New Way to Live Well

bull Modern innovative good value

bull English culturebull Intimate configuration

Operating in the United Kingdom-Sunrise Senior Living

Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip

Sunrise Senior Living and Gracewell Healthcare in the United Kingdom

Sunrise Senior Living Customer Profile Gracewell Customer Profile

Sunrise Brand Attributes

The Joy of Every Day

bull Upmarket exclusive elitebull Americanbull Communal spaces

Gracewell Brand Attributes

A New Way to Live Well

bull Modern innovative good value

bull English culturebull Intimate configuration

Operating in the United Kingdom-Sunrise Senior Living

Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip

Operating in the United Kingdom-Sunrise Senior Living

Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip