Senior living and wellness: Numbers speak louder than words! Presented by: Colin Milner, CEO, International Council on Active Aging –

Why this webinar? ICAA Partner Advisory Board

1.Senior living industry by segment and define wellness 2.Current state of wellness in senior living, and why communities implement wellness 3.What we can expect over the next 2 years, from community development to products purchased 4.The future Over the course of next hour

1.Ask what if? 2.Ask question? Write question down and then submit at the end. 3.Implement one or two ideas right away How to get the most out of this session:

What does this mean to you? Owner/manager Marketer Product designer/ manufacture Sales person Program manager Personal trainer Fitness instructor Facility designer Research Idea

The research for this presentation

The Research ICAA Wellness Industry Survey organizations ICAA Wellness Industry Survey 2010: 640 organizations Future of Active Aging 2011: 42 CEO’s, President and Vice President of major multi-location communities General research

ICAA members by market% 1. Senior Living (largest segment CCRC)81% 2. Senior Centers8% 3. Fitness3% 4. Miscellaneous3% 5. Universities/Researchers2% 6. Hospitals1% 7. Parks and Recreation, YMCA1% 8. Consultants1% Total percent100% ICAA has 9,200 members. 7,452 (81%) of these members are senior living. What types of organizations make up ICAA

Source: ICAA Wellness Industry Survey 2012

Senior Living by Segments

The types of seniors housing are organized by the functional capacity and lifestyles of their residents. Independent living housing Planned active adult communities Independent living Seniors apartments

The types of seniors housing are organized by the functional capacity and lifestyles of their residents. Assisted living housing Continuing care retirement communities (CCRC) Assisted-living residences Nursing homes or long-term care facilities

Integration and Intergenerational

March Lifecare Campus A 6 million sq ft, 236 acre “health and wellness city. Cost of approximately $3.3 billion

$1.6 billion dollar, 171-acre Union Village integrates comprehensive health and wellness capabilities with retail, entertainment and cultural amenities, as well as ‘smart’ senior and residential communities

It’s not about age It’s about function

What is wellness?

Wellness At ICAA, “wellness” is an umbrella term for the environment and the programs that support the active-aging lifestyle. ICAA works within the seven-dimension model of wellness because it is frequently used and embodies the concept of active aging.

The 7 dimensions of wellness PhysicalIntellectualSocialVocationalSpiritual Emotional Environmental

Wellness is a state of being describing a state of positive health in the individual and comprising biological and psychological well-being as exemplified by quality of life and a sense of well-being. (Adapted from Corbin, Lindsey, & Welk, 2000; Bouchard, et al., 1990; USDHHS, 2000).

Current state of wellness in senior living

Source: ICAA Wellness Industry Survey % in % in %

Source: ICAA Wellness Industry Survey 2012

Source: ICAA Wellness Industry Development % 88% 82% 74% 61% 58%

Source: ICAA Wellness Industry Development 2012

Source: ICAA Wellness Industry Survey % in % in 2010

Source: ICAA Wellness Industry Survey 2012

Source: Future of Active Aging 2011

82% strongly agree or agree that senior living industry will see dramatic change in the services it provides over the next 10 years The start of population aging  architects,  developers,  builders,  consultants,  suppliers,  management,  staff training.

Growing number of programs require space to deliver them. These areas are CURRENTLY available to older adults on survey respondents properties.

Community Type Stand alone Fitness Center Stand alone wellness center Active Adult46.20%30.80% IN/AL17.90%26.40% IL14.30%23.80% CCRC45.40%51.70% AL25.00%20.80% Fitness/wellness centers Source: ICAA Wellness Industry Survey 2012

Community Type Fitness Room Studio for Group X Multi- purpose room Active Adult87.20% 61.50%89.7% IN/AL90.60% 34.90%84.90% IL76.20% 19.00%76.20% CCRC93.10% 56.90%93.10% AL54.20% 20.80%54.20% Fitness/wellness spaces Source: ICAA Wellness Industry Survey 2012

Type of company Physical Therapy Occupational Therapy AA46.20%41.00% IN/AL52.80%42.50% IL33.30%23.80% CCRC94.30%78.70% AL83.30%62.50% Therapy space Source: ICAA Wellness Industry Survey 2012

Community type Walking trails Outdoor area for physical activity Meditation gardens/ gardening AA74.40% 38.50% IN/AL65.10%62.30%67.00% IL57.10%47.60%61.90% CCRC77.00%72.40%75.30% AL50.00%62.50%66.70% Source: ICAA Wellness Industry Survey 2012 Outdoor spaces

Source: ICAA Wellness Industry Survey 2012 Type of company Sports courts (Tennis, basketball) Game courts (shuffleboard, putting) AA25.60%53.8% IN/AL2.80%40.60% IL0%47.60% CCRC15.50%60.90% AL4.20%8.30% Courts and sports

Type of company Swimming pool Small pool Warm water therapy AA53.80%33.30%30.80% IN/AL34.00%19.80%21.70% IL9.50%28.60%4.80% CCRC52.90%30.50%36.20% AL16.70%12.50% Source: ICAA Wellness Industry Survey 2012 Aquatic spaces

Type of companySauna and Steam Changing or locker rooms AA33.30% 61.50% IN/AL4.7% 43.40% IL4.8% 38.10% CCRC7.5% 69.50% AL0.00% 25.00% Source: ICAA Wellness Industry Survey 2012 Changing room and amenities

Type of company Beauty Salon Spas and services AA69.20%48.70% IN/AL96.20%45.30% IL85.70%28.60% CCRC98.90%61.50% AL91.70%25.00% Source: ICAA Wellness Industry Survey 2012 Salons and Spas

Type of company Dining services Cafes /juice bars Movie Theatres AA79.50%61.50%48.70% IN/AL99.10%57.50%50.00% IL95.20%66.70%33.30% CCRC99.40%77.00%55.20% AL95.80%45.80%20.80% Food and entertainment spaces Source: ICAA Wellness Industry Survey 2012

Business center or computer room Type of company Business center or computer roomLibrary AA84.60%89.7% IN/ASL90.60%98.10% IL90.50%81.00% CCRC89.10%98.90% ASL54.20%79.20% Source: ICAA Wellness Industry Survey 2012

Activities and their space Source: ICAA Wellness Industry Survey 2012 BilliardsCrafts AA59.00%76.90% IN/AL66.00%84.00% IL76.20%57.10% CCRC75.90%87.90% AL20.80%70.80

What is projected for the next 2 years

Source: ICAA Wellness Industry Survey % 24% 13% 15% 9% 36%

Source: ICAA Wellness Industry Survey % 31% 20% 9%

Source: ICAA Wellness Industry Survey 2012

Community Type Café and Juice Bars28%24% Stand alone fitness/ wellness center26%16% Meditation gardens25%21% Walking trails or paths19%22% Studio dedicated to dance and exercise17%15% Spa services14% Game courts (shuffleboard, etc) 13%15% Fitness room12%18% Top growth areas for next 2 years Source: ICAA Wellness Industry Survey 2012 and 201o

What types of products does your organization plan to purchase or lease in the NEXT 2 YEARS? Product categoryPercentage Activity supplies (e.g. art, photography, board or other games)56% Aquatics equipment and services33% Beauty/spa products18% Assessment tools (e.g. machines, software, calipers, scales)25% Computer equipment for older adults to use25% Computer software for older adults (sometimes called “brain fitness”)27% Software to benchmark fitness or wellness program22% Alert systems; wireless monitoring16% Computer-generated games, such as Wii21% Outdoor exercise equipment16% Exercise equipment58% Landscaping and maintenance31% Recreation supplies (e.g. nets, balls)45% Rehabilitation or therapy (e.g. assistive devices, tables)22% Furnishings, lighting, acoustics30% Floors, carpets33% Other, please specify9% Source: ICAA Wellness Industry Survey 2012

Equipment typePercentage Hand-held strength equipment (e.g., free weights; bands, tubing, elastic resistance)51% Cardiovascular conditioning (e.g., treadmill, upright cycles, elliptical)38% Aquatics equipment (e.g., noodles, resistance tools, paddles)36% Not sure, don't know33% Exercise, Pilates or yoga mats32% Recumbent cardiovascular equipment (e.g., cycle, stepper)31% Stability balls, balls for tossing or holding31% Portable balance equipment (e.g., boards, foam pads, BOSU)29% Strength training machines27% Foam rollers, steps, boxes25% Stationary balance assessment or training equipment18% Stretching equipment15% Yoga blocks and straps15% Pulley equipment or system12% Assessment tools for body composition11% Other, please specify5% Vibration platform3% Source: ICAA Wellness Industry Survey 2012

Who does the buying?

ICAA Wellness Industry Development 2010

Source: ICAA Wellness Industry Survey 2012

The Future

= Health + aging = the perfect storm More years + More people + More disease + More costs = More challenges The medical (sickness) model has helped us to live longer Unsustainable

= I can do model More research and media coverage + More human potential + More wealth + More solution = More opportunities It’s not about age It’s about function

Management/personnel companies

1.Senior living industry by segment 2.Current state of wellness in senior living, and why communities implement wellness 3.What we can expect over the next 2 years, from community development to products purchased 4.What the future may hold Over the last hour

The Future

Learn more about how ICAA can assist you with growing your business within senior living. Contact: Colin Milner, CEO, International Council on Active Aging Toll-free or , or him at