This document discusses the assisted living facility (ALF) industry and rising healthcare costs. It notes that Medicaid spending on nursing homes grew significantly from 2001 to 2007 while coverage of ALF services and waiver participants also increased substantially over that period. The target markets for ALFs include the elderly, disabled, hospitals, adult daycares, and state departments for persons with disabilities. Competition in the industry comes from the availability of funding, knowledge of supportive services, and states seeking cost-effective alternatives to nursing homes.

1. Still Gone Fly Independent Living The Problem Rising health care costs

3. Vision: Assist resident with restoration of life

4. Value: To obtain and maintain trusting relationships

6. Coverage of services for ALF’s increased 43.7% between 2002 and 2009

7. Waiver participants rose 122% between 2002 and 2009

10. Hospitals

12. Average size: 30 beds

14. Knowledge of supportive to services

15. Promotes Independence

16. Unable to provide critical care

17. Slow adjustments to changing state policies

19. Intermediate level of care services no longer available