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Presentation to the Governor’s Continuing Care Advisory Council August 17, 2017
Presentation to the
Governor’s Continuing Care
Advisory Council
August 17, 2017
Reading of the Conflict of
Interest Statement
Chapter 112, Florida Statutes
3
Duties of the Advisory Council
• Meet at least once a year
• Elect officers
• Hold other meetings as required
• Keep a record of its proceedings
• Act in an advisory capacity to the Office
• Recommend to the Office needed changes in statutes and rules
• Upon the request of the Office, assist with any corrective action,
rehabilitation, or cessation of business plan of a provider
4
STATE OF FLORIDA TRAVELER: EXAMPLE DEPARTMENT OF INSURANCE & TREASURER
VOUCHER FOR REIMBURSEMENT SOCIAL SECURITY NO. XXX-XX-XXXX NON-EMPLOYEE____ HEADQUARTERS: TALLAHASSEE
OF TRAVEL EXPENSES ORGANIZATION NO.: 43-82-23-10-000R1 RESIDENCE (CITY): THE CITY YOU RESIDE IN
Travel Performed Purpose or Reason Hour of Meals for Per Diem or Class Map Vicinity Other Expenses/Common Carrier
Date From Point of Origin (Name of Conference) Departure and Class A & B Actual Lodging C Mileage Mileage Paid by Traveler
To Destination Hour of Return Travel Expense Meals Claimed Claimed Amount Type
09/17/2013 CITY TO TALLAHASSEE ANNUAL CONTINUING CARE TIME HOTEL
AND RETURN ADVISORY COUNCIL MEETING DEPARTED
MILES AIRPORT PARKING
TIME AVIS CAR RENTAL
RETURNED
TOLLS
Statement of Benefits to the State or Attach Authorization Form (Conference or Convention): Column Column Column 0 MI. Column SUMMARY
Total Total Total 0.44 @MI. Total TOTAL
***PLEASE NOTE THAT THIS VOUCHER IS JUST AN EXAMPLE OF EXPENSES THAT
MAY OCCUR. ALL EXPENSES MAY NOT APPLY TO EVERY PERSON. PLEASE
REMEMBER TO SIGN THE VOUCHER AND ATTACH ALL ORIGINAL RECEIPTS. ***
TOTAL TOTAL
REMEMBER TO SIGN THE VOUCHER AND ATTACH ALL ORIGINAL RECEIPTS
LESS CLASS C MEALS (Employees Only)
NET AMOUNT DUE TOTALSREVOLVING FUND: MAIL CHECK TO: FOR ACCOUNTING USE ONLY: OBJECT AMOUNTCHECK NO.:
ORG: _________________________CHECK DATE: EO: _________________
AGENCY VOUCHER NO.: NET AMOUNT DUE $
I hereby certify or affirm that the above expenses were actually incurred by me as necessary travel expenses in the performance of my official duties; attendance at a Pursuant to Section 112.031(3)(a), Florida Statutes, I hereby certify or affirm that to the best of my knowledge the aboveconference or convention was directly related to official duties of the agency; any meals or lodging included in a conference or convention registration travel was on official business of the State of Florida and was performed for the purpose(s) stated above.have been deducted from this travel claim; and that this claim is true and correct in every material matter and same conforms in every respect with the requirementsof section 110.061, Florida Statutes.
TRAVELER'S SIGNATURE: XSUPERVISOR'S SIGNATURE:
TITLE: Council Member DATE PREPARED: XSUPERVISOR'S NAME:
SUPERVISOR'S TITLE: DATE:
TRAVEL PERFORMED BY COMMON CARRIER OR STATE VEHICLE
THIS SECTION REQUIRED TO BE COMPLETED ONLY WHEN COMMON CARRIER IS BILLED DIRECTLY TO THE STATE AGENCY.
Ticket Number or Name of Common Carrier orDATE State Vehicle Number From To Amount State Agency owning vehicle
DI4-500 (REV. 09/93)
Travel Voucher
Review & Approval of Minutes of
the Governor’s Continuing Care
Advisory Council Meeting (August 1, 2017)
7
Florida CCRCs
2016
• 71 licensed facilities
• 1 PCOA
• 7 Monthly Reporters
• 64 Quarterly Reporters
• 9 Accredited Providers
• 3 facilities in Run-Off
2017
• 70 licensed facilities
• 2 PCOA
• 4 Monthly Reporters
• 63 Quarterly Reporters
• 9 Accredited Providers
• 2 facilities in Run-Off
10Source: Life & Health Financial Oversight
One facility did not submit an Annual Report.
Leon Alachua Clay DuvalWestminster Oaks Oak Hammock Park of the Palms* Cypress Village
Penny Ret. Comm. Fleet Landing
PinellasFreedom SquareMasonic Homes of FloridaMease ManorRegency Oaks St. Mark VillageWestminster PalmsWestminster ShoresWestminster SuncoastLake Seminole Square
HillsboroughCanterbury TowersFreedom PlazaJohn Knox Village of Tampa BayUniversity Village
PolkFlorida Presbyterian HomesEstates at Carpenter’s
ManateeFreedom VillageWestminster Comm. Of Bradenton
LakeFreedom Pointe at the VillagesLake Port SquareLakeview Terrace
SeminoleLegacy Pointe at UCF (PCOA)Village on the Green
SarasotaBay Village of SarasotaGlenridge at Palmer RanchLakehouse WestPlymouth HarborVillage on the IsleWaterside Retirement Estates *
CharlotteSouth Port Square
LeeColonnade of Estero (PCOA)Cypress CoveGulf Coast VillageShell Point VillageTerraces at Bonita Springs
CollierArlington at Naples Glenview at Pelican BayMoorings ParkVi at Bentley Village
* = Facilities in Runoff
St. JohnsGlenmoorVicar’s LandingWestminster Woods on J. Creek
VolusiaAlliance Community for RetirementFL Lutheran Retirement Center John Knox Village Central FL
OrangeMayflower Retirement CenterOrlando Lutheran TowersWestminster TowersWinter Park Towers
BrevardBuena Vida Estates
Indian RiverIndian River Estates
MartinSandhill Cove
Palm BeachAbbey DelrayAbbey Delray SouthDevonshire at PGA NationalEdgewater Pointe EstatesHarbour’s EdgeLa PosadaSinai Resident of Boca RatonSt. Andrews EstatesVi at Lakeside VillageThe Waterford
BrowardCovenant Village of FloridaJohn Knox Village of Florida
EscambiaAzalea Trace
CCRC Facility Location
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Miami-DadeEast Ridge at Cutler BayVi at Aventura
Source: Life & Health Financial Oversight
Facility Size by Unit Count
1 - 300 Units
19 Facilities28%
301 – 600
Units37 Facilities
54%
601 – 900
Units11 Facilities
16%
More than
900 Units2 Facilities
3%
12Source: Life & Health Financial Oversight
*One facility did not submit an Annual Report.
Total Residents
2013 2014 2015 2016
24,776 25,490 25,491 26,333
29,08430,511 30,691 31,150
CCRC Residents
All Occupants
13Source: Life & Health Financial Oversight
CCRC Unit Sales
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
2013 2014 2015 2016
2,635 2,7372,849
2,675
3,538
3,117
2,881 2,803
CCRC Units Sold
CCRC Units Vacant
14Source: Life & Health Financial Oversight
• This includes Independent Living and Assisted Living.
CCRC Unit Count
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2015 2016
19,382 19,460
3254 3400
5436 5504
2190 2134
Rental Units
Skilled Nursing Beds
Assisted Living Units
Independent LivingUnits
15Source: Life & Health Financial Oversight
Median Occupancy All Units
81.0%
82.0%
83.0%
84.0%
85.0%
86.0%
87.0%
88.0%
89.0%
90.0%
91.0%
2015 2016
90.8%
89.8%
85.5%
84.4%
88.1%
85.2%
88.0%
86.9%Independent Living
Assisted Living
Skilled Nursing
All Units
16Source: Life & Health Financial Oversight
• Pursuant to Rule 69O-193.006(6)(d), Florida Administrative Code
Occupancy = Total Number of Occupied Units in a Facility / Total Number of Units in that Facility
Florida CCRC Industry Data
-500
0
500
1,000
1,500
2,000
Total Revenue Total Expenses Total Net Income
1,704 1,674
30
1,705 1,796
-92
2015
2016
17Source: Life & Health Financial Oversight
CCRCs Total Revenue, Expenses, and Net Income
(In millions)
Florida CCRC Industry Data (cont.)
0
500
1,000
1,500
2,000
2,500
Total Cash OperatingRevenue
Total Cash OperatingExpenses
Total Cash NetIncome
1,940
1,306
634
2,176
1,395
782
2015
2016
18Source: Life & Health Financial Oversight
(In millions)
Total Cash Operating Revenue = Total Revenue (including Entrance Fees Received) excluding Amortized Entrance Fees Total Cash Operating Expenses = Total Expenses less Facility Interest, Depreciation, and Amortization Expense
CCRCs Total Cash Operating Revenue, Cash Operating Expenses, and Cash Net Income
Median CCRC Data
2015• Median Revenue
o $22,220,431
• Median Expenses o $21,767,782
• Median Net Income o $ (73,238)
• Median Cash Operating Net Incomeo $5,372,759
• Median Revenue Growtho Monthly Fees 2.95%
o Health Care Revenue 4.86%
o Other Income (15.97%)
2016• Median Revenue
o $21,988,327
• Median Expenses o $22,264,255
• Median Net Income o $ (155,862)
• Median Cash Operating Net Incomeo $5,842,441
• Median Revenue Growtho Monthly Fees 3.88%
o Health Care Revenue 0.88%
o Other Income 15.95%
19Source: Life & Health Financial Oversight
Complaint Resolution
1. Claim Refund Payment: 07/27/2016
o A deposit refund that had not yet been paid
o Status: Closed
o Resolution: Information provided
2. Claim Housekeeping Services: 12/13/2016
o Client is dissatisfied with the housekeeping services provided by
the facility.
o Status: Closed
o Resolution: Facility’s position was explained.
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3. Billing Dispute: 01/27/2017
o A billing dispute regarding fee charged based on the client’s
home sale proceeds which is different from assets disclosed by
the client initially
o Status: Closed
o Resolution: Notice Issued – No Relief
4. Dispute on Refund Provisions: 05/1/2017
o A dispute regarding the refund provisions. Client thinks the
refund provisions in the contract that was signed in 2012
should be allowed to be retroactive since the refund provisions
of the contract have been amended later pursuant to the
Florida Statutes.
o Status: Closed
o Resolution: Company’s position was explained.
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5. Claim Dispute: 05/08/2017
o The parties have been unable to resolve their dispute relating to
interpretation of a provision of the Residential Agreement.
o Status: Active
o Solution: A mediation request will need to be submitted and a
mediation will be conducted in accordance with the Rule 690-
193.062, Florida Administrative Code.
Advice to the Office on matters
pertaining to the operation and
regulation of continuing care
facilities
Presented by
Governor’s Continuing Care Advisory Council
27
