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Tables of Contents for Assisted Living Strategies for Changing Markets
SECTION ONE - Developing a Solid Foundation
The Assisted Living Industry is Not What it Used To Be!
The Industry is Being Defined By Ten Major Trends
The Changing Continuum of Senior Living Options
Responding to a Multiple Product Spectrum
Market Positioning for the 21st Century
The Marketplace is Speaking - Are You Really Listening?
Effectively Addressing Aging in Place
Should You Embrace or Avoid a ``Naturally Occurring Assisted Living Community?''
Developing a New Assisted Living Community
Successful Outcomes Require Correctly Answering Ten Key Questions
SECTION TWO - The Competitive Battlefield
The Landscape of the Competitive Battlefield
Everybody is Getting Into Everybody Else's Business
Nursing Homes and Hospitals Compete for Market Share
The Real Turf Battle of the New Millennium
Control the Referral Pipeline
If You Don't, Someone Else Will!
Home Health Care Must Be Restructured
It's Time for Extensive Re-engineering
SECTION THREE - Physical Design Strategies
Market - Driven Design Strategies
In Conceiving New Assisted Living Communities, You Really Get Only One Chance to do it Right!
Adaptive Reuse for Assisted Living
Conversion Dreams Can Turn Into Nightmares
Investing for Improvements
Physical Plants Also Age in Place
SECTION FOUR - Financial Considerations: Capital Costs and Operating Expenses
Initial Capital Budgeting for a New Community
Realistic Budgeting is the Lifeblood of Successful Projects
Establishing Realistic Operating Expense Budgets
Properly Evaluating All Costs is Critical When Projecting Expenses
Assisted Living Cost Creep is a Fatal Business Disease
Many Owner/Operators & Sponsors Are Experiencing a $1 Million-Plus Wake-Up Call
To Realistically Control Labor Costs, Focus on Direct Care Staffing
The Income Statement
It's the Financial Engine of Your Community
Getting Creative With Capital Investment
Four Simple Strategies That Can Produce Dramatic Results
Assisted Living As a Full Medical Tax Deduction
Everyone Has the Right to Legally Avoid Taxes
Tapping a $1.1 Trillion Resource
Senior's Home Equity is a Hugh Resource
Financing Senior Living Projects
Things Get Complicated as You Approach the Loan Closing Table
SECTION FIVE - Pricing
Creating an Optimum Pricing Structure
Win - Win Pricing Strategies for Financial Success
Tiered Pricing - The Catch- 22 of Assisted Living
How to Stay Flexible, Fair - and Financially Viable
Shared Occupancy Delivers Modest Affordability
Semi-Private Accommodations Require Lifestyle Trade-Offs
SECTION SIX - Affordability
Affordability is a Great Idea, But It's More Talk Than Action
How Low Can We Really Go?
We Face Huge Social and Economic Challenges
Affordability Parameters for Today's Assisted Living
What Sponsors and Operators Need
What Seniors Can Afford to Pay
Is ``Affordable Assisted Living'' an Oxymoron?
Nine Pathways to Affordable Assisted Living
There May be Light at the End of the Tunnel
Spend-Down of Assets
Finding New Ways to Pay With Creative Uses of Home Equity & Other Assets
SECTION SEVEN - Special Market Niches and ``Carve-Outs''
Strategic Considerations for Niche Markets
Zero-Based Thinking About Service Delivery
Special Care Alzheimer's/Dementia
A ``Carve-Out'' Market Niche Whose Time Has Come
A Holistic Approach to Serving Seniors
Achieve Market Diversification By Offering Community-Based Services
The Adult Child Decision Influencer
The Sandwich Generation Caught in a Squeeze
SECTION EIGHT - Strategic Considerations
The Agony & the Ecstasy of Project Fill-Up
How to Prepare for an Assisted Living Launch
Managing Assisted Living
Internal Resource or Third-Party Contract?
``I Was Somebody Once''
The Real Issue is Resident Quality of Life...Not Just Resident Satisfaction
Everybody Needs An Exit Strategy
``You've Got to Know When to Hold `em and Know When to Fold `em''
SECTION NINE - The Future is Not What it Used to Be
The Industry is at a Critical Crossroads
The Future is Bright if We Focus On Today's Sales & Marketing Opportunities
21st Century Survival, Growth and Profitability
A ``Back to Basics'' Checklist for Success
Turning Around Troubled Communities
What to Do When Things Go Wrong
What Happened to the Good Old Days?
Assisted Living is Not What It Used to Be
A Overview of Market & Financial Feasibility
B Mortgage Loan Constants
C The Capitalization Rate Concept