July 24, 2008

Vol 15, Issue 32

 

Hands 

FAHSA LINK

 

 

Dear Catherine,

Welcome to this week's edition of the FAHSA Link.

 

Riding the Wave

 

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 Due to the travel schedules of the FAHSA staff, the Link will not be published next week.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. 

 

In This Issue

CCRC / Retirement Community News

District and Membership News

Education News

General News

Housing News

Legislative News

Nursing Home News

Preferred Business Associates News

Job-Mart

 

FAHSA Quick Links

 

 

Constitutional Amendment 5

 

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." 
 

 

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: 

bullet 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). 
bullet 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. 
bullet 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. 
bullet 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.
bullet 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.

 

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

 

District and Membership News

 

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

 

Education News

 

Two Education Scholarships Still Available for the FAHSA Annual Convention & Exposition - The Scott Boord Career Development Scholarship enables FAHSA members to send eligible staff to FAHSA or AAHSA educational conventions, workshops and seminars.  The maximum amount of funding available per applicant is $500. The funds can be used to cover registration fees, travel, or other conference-related expenses.  The selected recipients receive credit on the FAHSA registration or reimbursement of expenses by submitting an expense form with the attached receipts.
 
The scholarship is funded by a Silent Auction held each year in conjunction with FAHSA's Annual Convention and Exposition and FAHSA's Annual Housing & Service Coordinator Workshops.
 
For more information or to apply for a scholarship, please click here
 
Workshop Scheduled on September 4 -- AHCA's Skip Gregory Examines Physical Plant and Life-Safety Requirements for Nursing Homes:  Learn about State-of-the-Art Design Models that Promote Resident-Centered Care - This workshop is a 'must' for providers who want to improve their survey outcomes or who are considering replacing or renovating their nursing home. Why build yesterday's nursing home when you have the opportunity to incorporate design features and technology that tomorrow's residents will demand?  Register online now and mark your calendars to join us on September 4, 2008 at the Hotel Royal Plaza in Orlando. The following topics will be covered:

bullet Overview of Physical Plant and Life-Safety Requirements that can get you into trouble
bullet Best practices to follow when renovating or remodeling a nursing home
bullet The Florida Building Code -- The Future is Now: Putting the "Home" Back into "Nursing Home"
bullet Status of wireless communication systems
bullet State-of-the-Art Nursing Home Models
bullet What's Possible in Florida?
bullet Revisions to the Americans with Disabilities Act
bullet CMS Artifacts of Culture Change Tool -- Where Does your Organization Stand with Culture Change and Resident-Centered Care?

Upcoming Educational Events:

bullet August 27- EIV Update Audio Call featuring Bonnie Wilpon
bullet September 4 --AHCA's Skip Gregory Examines Physical Plant and Life-Safety Requirements for Nursing Homes:  Learn about State-of-the-Art Design Models that Promote Resident-Centered Care
bullet September 15 -- 2nd Annual HCBS Workshop, Jacksonville
bullet September 16-17 - FAHSA's 25th Annual HUD and Service Coordinator Workshop, Hyatt, Jacksonville
bullet September 26 - IMAX TRACs Audio Call featuring Bonnie Wilpon

 

FAHSA Calendar of Events

 

General News

 

New AARP Report Finds Older Americans Have Limited Access to HCBS Under Medicaid - A new report issued last week by AARP states that Florida is doing a subpar job of using Medicaid long-term care funds to provide care to older and disabled adults in their homes and communities, where they prefer to get care, rather than nursing homes.  Read the report and comments written to AARP by Dr. Erwin Bodo, FAHSA's COO, by clicking on the General Alert page below.
 
Other General News:

bullet Elderly Falls Cut by 11% with Education and Intervention
bullet Internet Helps Consumers Manage Own Care
bullet Delay of the National DMEPOS Competitive Bidding Program Claims Processing
bullet Extension of Therapy Cap Exceptions 

 FAHSA General Membership Alert Page

 

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

 

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.
 

 

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

 

Preferred Business Associates News

 

CoupleWithDollarFAHSA'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

 

Job-Mart

 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).
bullet FAHSA Chair: Alma Ballard
bullet FAHSA President/CEO: Janegale Boyd
bullet Managing Editor: Gail Matillo

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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