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July 24, 2008 |
Vol 15, Issue 32 |
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FAHSA LINK |
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Dear Catherine,
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Welcome to this week's edition of the
FAHSA Link.

Boca Bound!
-- FAHSA's 45th Annual Convention and
Exposition -- "Riding
the Wave" --
begins on Sunday, July 27, and runs through
Thursday, July 31. Due to the travel
schedules of the FAHSA staff, the
Link
will not be published next week. Look for
the post convention edition on August 7,
2008.
Order Your
Copy of Blue Ocean Strategy: How to Create
Uncontested Market Space and Make the
Competition Irrelevant -
Ralph Trombetta, MBA, will reveal the many
secrets to business success during the
Opening Keynote Session, sponsored by Ponce
de Leon LTC RRG, on Monday, July 28, at
FAHSA's 45th Annual Convention &
Exposition. The book, published by Harvard
Business School, will not be available for
purchase during the convention, but can be
ordered today, just in time for the
Convention by
clicking here. To register for the
Convention, go to FAHSA's Web site and click
on the Calendar/Event page and register
online.
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Constitutional Amendment 5
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Florida TaxWatch Releases Analysis of the
Constitutional Tax Proposal Amendment 5
-- One day after the Florida Realtors
Association launched a $1 million
public-relations campaign in support of
Amendment 5, Florida TaxWatch issues a
blistering analysis of the amendment. The
analysis concludes that Amendment 5 would be
"detrimental to Florida's people, economy, and
future." A full copy of the report is available
on the
Florida TaxWatch website.
Amendment 5 proposes to replace the required
local effort (RLE) school property taxes with a
combination of sources, relying mostly on
increased sales taxes and anticipating a
substantial increase in the base of what is not
currently taxed. The constitutional amendment
would also provide a 5% assessment cap for
non-homestead property, lowering it from its
current level of a 10% annual increase.
"Florida TaxWatch has long noted that the
required local effort portion of the property
tax is not transparent, it diffuses and confuses
who is accountable, and it has been a major
contributor to the significant increases in the
property tax burden in Florida in recent years,"
said Dominic M. Calabro, President and CEO of
Florida TaxWatch, at the press conference in
Tallahassee. "Unfortunately, however, Amendment
5's proposed constitutional solution is worse
than the problem." Calabro explained that
Florida TaxWatch has long supported the gradual
elimination of RLE; however, "eliminating it
all-at-once and leaving an $11 billion hole to
be filled in yet unspecified ways raises
significant concerns."
"Chief among those concerns is the uncertainty
that Amendment 5 would create with respect to
the tax system and the state budget, including
uncertainty about the amount of taxes that the
legislature would have to raise, what the tax
package would look like, and how core services
could be impacted by spending cuts," Calabro
explained. Specifically, he added, "if
additional spending reductions are necessitated
by Amendment 5 - on top of those already made in
the past two years - then the cuts to core
functions of government could jeopardize
services provided to vulnerable citizens,
undermine the rule of law by slashing funding
for the state court system, and actually reduce
total education spending."
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CCRC / Retirement Community News |
Resident Contract Types: What's the Trend?
-- With the economy in a slump, continuing
care providers are asking if competitors are
modifying the contract type(s) that are
offered not only by continuing care but also
rental retirement communities. Ziegler
Capital Markets' research department
completed a report on this very topic. The
information that follows was taken from the
July 11, 2008 Z-News written by Kathryn
Brod, Sr. Vice President, Director of Senior
Living Finance Research.
First, a review of the various resident
contract types (that
differentiate which health care benefits are
made available to residents at what cost)
may be helpful:
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All-Inclusive ("Type A") Contracts:
Residents pay an upfront entry fee at the
time of occupancy in an independent living
unit with a required monthly fee that
remains the same regardless of the
resident's level of care (generally with
allowances for inflation increases).
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Modified ("Type B") Contracts: Residents pay
an upfront entry fee at the time of
occupancy in an independent living unit with
a required monthly fee that may remain the
same regardless of the resident's level of
care only for a specified period of time
(e.g., 30 days per year with allowances); or
the resident's monthly charges may increase
as the level of care increases but at a
discount from the market rate for such
services. |
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Fee-For-Service ("Type C") Contracts:
Residents pay an upfront entry fee at the
time of occupancy in an independent living
unit and the monthly fees increase directly
with the level of care provided.
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Rental ("Type D") Contracts: Residents do
not pay an upfront entry fee at the time of
occupancy. The monthly fee is based on a
basic set of purchased services. Additional
services are bought on an incremental basis
or as the level of care increases.
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Ownership ("Type E") Contracts: The
independent living unit is purchased,
commonly on a fee simple or cooperative
ownership basis, by the resident at
occupancy. A modest package of services
(generally housing related only) is provided
for a comparatively low monthly fee.
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From Ziegler's New Community Database, we
know that the Type A contract is not as
prominently offered as in the past. From
1990 through 2000, the Type A contract was
chosen by forty percent of new developments,
with no other form of contract reaching
twenty percent. In the more recent period of
2001 through 2008, however, Type A and B
contracts were each offered roughly
twenty-five percent of the time, with Type C
contracts (at roughly 15%) far less common
and Type D contracts relatively rare.
While entrance fee communities may offer
multiple refund options, it is less common
for new communities to offer
multiple resident contract types (as
described above) when they open. In 2007,
for example, seven of the fourteen new
communities financed offered multiple refund
options; just two, however, offered multiple
resident contract options.
Tracking resident contract types for
existing CCRCs is a more challenging
exercise. Anecdotally, Ziegler knows that
some providers may add resident contract
options in order to provide incoming
residents with additional options, or
perhaps to compete with other senior living
products in their marketplace.
Source:
Ziegler
Capital Markets
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District and Membership News
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FAHSA Welcomes Jeffrey Freimark, Miami
Jewish Home's New CEO
-- Jeffrey P. Freimark, CPA, has been named
Chief Executive Officer of the Miami Jewish
Home and Hospital, the largest provider of
geriatric healthcare in the Southeast. Mr.
Freimark assumed his responsibilities on
July 28th, overseeing two campuses and
multiple community-based programs supported
by an annual budget of $110 million and more
than 1,400 employees.
The announcement was made by Stephen H.
Cypen, Chairman of the Board of Directors,
who said, "We are delighted that Jeff
Freimark has joined our well-respected team
of professionals. His extensive background
in healthcare, coupled with his managerial
skills in leading multi-billion dollar
organizations, is the right combination to
ensure the Miami Jewish Home remains a
premier provider of healthcare services."
Mr. Freimark has had a distinguished career,
serving most recently as Executive Vice
President, Chief Financial Officer and Chief
Information Officer at Intelsat, Ltd., a $2
billion private equity-owned corporation
that is the largest operator of commercial
satellites in the world. During his tenure,
Mr. Freimark directed internal financing
efforts in preparation for the company's
sale valued at $16.1 billion with an equity
value of $5.1 billion. His previous
positions include Executive Vice President,
Chief Financial and Information Officer at
Beverly Enterprises, a $2 billion public
corporation operating healthcare facilities.
Commenting on his new position, Mr. Freimark
said, "My biggest challenge is one familiar
to most healthcare executives -- meeting new
and increasingly more complex medical,
nursing and social service needs while
adjusting to declining reimbursement rates."
A former South Floridian and graduate of New
York Law School, Mr. Freimark is an attorney
who also received an MBA from New York
University Stern School of Business and a BA
in accounting from the University of South
Florida.
FAHSA Calendar of Events |
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Housing News |
Dr. Laverne Joseph to Receive AAHSA Award
-- Dr. Laverne R. Joseph, president and CEO
of Retirement Housing Foundation, Long
Beach, Calif., is the 2008 recipient of
AAHSA's Award of Honor, their highest award.
AAHSA is honoring Dr. Joseph because of his
leadership, vision and advocacy as one of
the nation's foremost champions of
affordable housing and supportive services
for older adults. He, along with all of the
2008 award recipients, will be honored at
the AAHSA Annual Meeting & Exposition in
Philadelphia, Pa., Oct. 12-15. Please join
us in congratulating these winners for their
commitment to healthy, affordable, ethical
aging services that people can trust.
Contact: Deborah Cloud, AAHSA, (202)
508-9458
IRS
Increases Mileage Rates --
In recognition of recent gasoline price
increases, the IRS announced an increase in
the optional standard mileage rates for the
final six months of 2008. Taxpayers may use
the optional standard rates to calculate the
deductible costs of operating an automobile
for business, charitable, medical or moving
purposes. They are also used on Section 8
properties when determining medical expense
deductions (See Exhibit 5-3 of HUD Handbook
4350.3 Revision 1, Change 2). The rate will
increase to 58.5 cents a mile for all
business miles driven from July 1, 2008,
through Dec. 31, 2008. This is an increase
of eight (8) cents from the 50.5 cent rate
in effect for the first six months of 2008,
as set forth in
Rev. Proc. 2007-70. The new six-month
rate for computing deductible medical or
moving expenses will also increase by eight
(8) cents to 27 cents a mile, up from 19
cents for the first six months of 2008. The
rate for providing services for charitable
organizations is set by statute, not the
IRS, and remains at 14 cents a mile. The new
rates are contained in
Announcement 2008-63 on the optional
standard mileage rates. Source: Housing
Credit College, Elizabeth Moreland
FAHSA Housing Alert Page |
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Legislative News |
Sandhill Cove Hosts Luncheon Meeting on
Amendment 5
-- On Wednesday, Sandhill Cove, a continuing
care retirement community in Palm City,
hosted a luncheon meeting sponsored by the
Palm City Chamber of Commerce and
Stewart/Martin County Chamber of Commerce on
proposed constitutional Amendment 5.
Approximately 150 people attended the event,
including resident leaders from five FAHSA
member continuing care retirement
communities.
A number of local and state elected
officials were in the audience, including
Senate President Ken Pruitt (R-Port St.
Lucie) who introduced the keynote speaker
Senator Mike Haridopolos (R-Melbourne).
Haridopolos, a rising star in the Senate, is
the founder of
Protect Florida's Future (www.ProtectFloridasFuture.com)
-- an organization dedicated to finding good
solutions to Florida's economic future.
Haridopolos referred to Amendment 5 as a
"bait and switch" tax proposal that will do
more to harm Florida's economy than help it.
He said the numbers do not add up. If the
State sales tax is increased by a penny, the
revenue hole created by Amendment 5 would
still be about $7 billion. The Legislature
would have to do for more than eliminate all
current sales tax exemptions to make the
difference. In addition, Haridopolos pointed
out that the sales tax is not a reliable
source of revenue since income from it
vacillates with the economy.
Our sincerest thanks to David Grofic for
organizing the event and to the owners,
staff and residents of Sandhill Cove for
their hospitality.
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Nursing Home News |
Survey Finds Warranty and Pricing of
Resident Monitoring Systems Most
Important
-- In early July, we surveyed retirement
community members to learn about their
experiences when selecting and
installing new nurse call/ resident
monitoring systems. Of 31 respondents,
18 reported that they now have a system
in place. Eight respondents indicated
that they are considering purchasing a
new system. Features that are most
important to respondents in order of
priority include: warranty (78.6%),
pricing (67.9%), event history and
bathroom alarm integration (65.5% --
tied as number 3), pager communication
(60.7%), custom reports (58.6%),
national and local representation
(57.1%), wireless (55.6%), staff
tracking (53.6%), and bed alarm
integration (50%). Some of the comments
made by respondents about their
experiences were as follows: it is best
to get a system that is upgradable or
expandable; systems don't always live up
to the sales pitch; manuals are not
always user-friendly; a system is only
as good as the service vendor;
fire-safety regulations restrict the use
of wireless call systems; and it would
help if parts were available for
purchase from the manufacturer for the
maintenance department to install rather
than having to pay a service vendor. To
read more about this and other NH
Articles click on the Nursing Home Alert
page below.
FAHSA Nursing Home Alert Page |
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Preferred Business Associates News |
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FAHSA's
Preferred Business Associates Program (PBAs)
-- A list of PBAs can be found by on the FAHSA
Web site
www.fahsa.org and selecting Preferred
Business Associates from the left side menu bar
or clicking on the FAHSA Preferred Business
Associates Page hyperlink. FAHSA members can
also use the on-line directory to search for
PBAs by specialty.
FAHSA Preferred Business Associates Page |
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Job-Mart |
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FAHSA is pleased to provide an opportunity for
you to advertise your "position wanted" or
"position available" through the
FAHSA Link
newsletter and on our Web Page.
FAHSA members may use the Job Mart services at
no charge. A nominal fee of $25 will be charged
to nonmembers.
Your Job Mart advertisement will be displayed on
our Web site for approximately three months. The
FAHSA Link
is published weekly and distributed
to our membership which is comprised of nursing
homes, CCRCs, HUD housing, assisted living
facilities, independent living facilities and
companies/firms.
To reserve advertisement space in our Job Mart
program, please complete the
application and fax it to FAHSA at (850)
671-3790 or E-mail Erin Steele at
esteele@fahsa.org |
Copyright 2008 -- Publication of the Florida
Association of Homes and Services for the
Aging (FAHSA).
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FAHSA Chair: Alma Ballard
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FAHSA President/CEO: Janegale Boyd
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Managing Editor: Gail Matillo
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Copyright Information: Copies of the
articles and other information in this
publication may be noncommercially
reproduced for the purpose of educational or
scientific advancement. Otherwise, no part
of this publication may be reproduced or
utilized in any form or by any means,
mechanical or electronic, including
photocopying, microfilm and recording, or by
any information storage and retrieval
system, without the written permission of
the editor.
Correspondence: Should be addressed to:
Editor, 1812 Riggins Road, Tallahassee, FL
32308. For telephone inquiries, call (850)
671-3700. Or E-mail FAHSA at info@fahsa.org.
© 2008 FAHSA. All rights reserved.
Disclaimer: The information contained in
this correspondence is not intended as a
substitute for legal advice. Please discuss
any information gathered from this or any
other FAHSA publications with your legal
counsel in the context of your particular
situation before implementing any new
policies or procedures.
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