COMPANY OVERVIEW

 Adult Day Care Health Services
 Registered brand of Care Brands
  Systems, Inc., St. Louis, MO
COMPANY OVERVIEW, cont.

 Local centers, national launch 2008
 Licensing opportunities for local market
 Strong management team, relevant
  experience . . . .
Mike Noto, President

           30+ years management,
            sales and marketing
           President, real estate
            investment firm
           Founder/EVP Sales &
            Marketing, WAN
            Technologies – Inc. 500
            #96 Fastest Growth
           Branch/National
            Accounts Manager, MCI
            Telecommunications
Dan Ricci, Director Clinical Services

                    20+ years experience health
                     management
                    Masters, Clinical Social Work
                    Masters, Divinity
                    Fellow, Medical Social
                     Psychiatry
                    Practical therapy experience
                    Co-authored 2 books and
                     contributor to numerous
                     publications
Helen Ferreri, Director Medical Services

                     15 years practical
                      experience in hospital,
                      community & primary
                      care management
                     RN & Holistic Nursing
                      Associate
                     Director and
                      management experience,
                      Adult Day Care
                     Training and recruiting
                      experience
Rick Forrestal, VP Marketing

               30+ years marketing,
                advertising, promotion,
                PR and media
               President, 3 promotion
                and ad agencies
               Extensive national client
                experience
               Expertise in non-
                traditional media
                exposure
               Strong creative skills
Chris MacLellan
Director of Operations
            20+ years experience
             adult care/administrator
            Director, Elder Care
             Ministry
            Academic Dean
            Geriatric Social Worker
            Patient Care Manager
            Seniors Real Estate
             Specialist (SRES)
            BA, Family Services
            MA, Theology
Care Club      SM




   Adult Day Health Care Centers
   Trained specialists providing day care
   Safe, supportive “family” environment
   Social, recreational, and health related
    services
Care Club     SM




 Planned program of activities
 Nutritious daytime meals and snacks
 Daily, Monday-Saturday,
  7:00am-6:00pm
 RN or CNA/CMT on staff
 Caring “point of difference”
Mission Statement
To provide quality, credentialed day care to our clients
  in a responsible, caring and loving environment,
  and a respite to the family ‘caregiver’ so they feel
  comfortable that their loved one will receive
  personalized health services and social activities in
  a family environment on a daily basis.
Care Club Vision    SM




Develop, implement & maintain
support processes for licensed
operators assuring:
   Local, state, federal requirements are met
   Technical & operational support for site
    implementation
   Experienced corporate administrators
   Community involvement, marketing support
   Safety, protection and care for the rights of
    senior participants
   Profitable return on site operation
   Consistent corporate branding
   Slogan defines our point-of-difference
   Quality media, collateral, e-marketing
   Differentiates us from our competition
The Need
 America is aging!
 Population age 65 to
  double by 2030
 72 million seniors by
  2030.
 Unmet need for senior
  adult day care.
 1 of 4 households cares
  for aging adult.
 Life expectancy
  increasing annually.
Demand Is Increasing

 By 2030 seniors will be 20% of U.S. population
  (70+ million)
 Oldest “boomers” are now entering 60s
 Live-at-home seniors show a dramatic increase
 Caregiver children can’t afford to remain home
  for elderly loved one care
 Businesses lose millions $ annually due to lost
  worker time
Source: U.S. Census Bureau
Shortage of Adult Day Services in
         Most U.S. Counties


 Current # Adult Day Centers: 3,407
 Estimated Centers Needed Nationwide: 8,520
 60% of U.S. Counties Are Underserved


Source: National Program Partners In
         Caregiving, Grant Study
Increased Awareness For Need Of
            Adult Day Care
 55% of adult day care clients live with adult child or
  spouse
 Need for expanded variety of services, including
  caregivers
 Increased public awareness of need for adult day care
  services
 Increased knowledge for new center investors
  regarding predictors of success

Source: Wake Forest University School of Medicine
Health Care Costs Skyrocketing

 Last 5 years costs have increased over
  10% per year (3x the rate of inflation)
 Consequence : 57 million can’t keep up
  with their medical bills and 43 million
  are insured!
 Retirement assets are in jeopardy for
  many
Senior Care Costs Are
        OUT OF CONTROL
 Nursing Home Care : $82,000 per year
 Assisted Living Care : $37,000 per year
  (not covered by Medicaid)
 Adult Day Care : $10,000 - $15,000 per
  year (Medicaid pays)

 Source: AARP
Adult Day Care Option
   Best alternative, cost effective solution
   Less guilt on caregiver
   More quality time with parent or spouse
   Flexible scheduling
   Postpones nursing home commitment
   Best alternative to nursing home care
    before it’s needed
Entrepreneur Magazine (6/2008)


 “Not enough elderly day care centers to
  accommodate the growing need”
 “Adult day services are one of the Top 10
  fastest growing businesses in the U.S.”
 “The Adult Day Care industry is one of
  the best-kept secrets around.”
Turnkey Implementation
Upon application and approval, Care Club
 operator agreement authorizes 1 or more retail
 club location(s), including:

   Care Club corporate management team
   Supervision, training, implementation
   Staffing, applications, quality assurance
Care Club Services Provided
 Site selection, demographics
 Zoning, site leasing or purchase
 Licensing/application process
 Design, floor plan management
 Staffing and training support
 Complete policy, procedures, and operating
  manual, including state regulations
 Accounting procedures & software
Care Club Services (Cont’d)
   Budgeting and billing process
   Computer and software procedures
   Reporting requirements
   Marketing/Advertising/Publicity
   New business generation
   Community tie-ins, links with social
    service providers, local PR, newsletters
Care Club Services (Cont’d)
 Catering and meal service contracts
 Nursing, health & medical guidelines
 Medical services training
 Service partner contacts (transportation,
  podiatrist, hair, massage, etc.)
 Quality assurance
Participant Pay Options

 Fees range from $50 to $70 a day
 Private health & LTC insurance pays %
  for licensed, registered facilities
 Private pay if not eligible
 Medicaid and VA benefits apply
 A la carte pricing for additional services
Benefits/Value

CLUB OPERATOR –
 Turnkey implementation and support of
  highest quality club operation, with total
  support and experienced professional
  management team.

 Tremendous profit and growth opportunity.
Benefits/Value

 CLUB MEMBER – Highest quality, well
  planned day care, in comfortable “family
  oriented” professionally staffed facility.

 Most variety and diversity of services to keep
  member mentally, physically and socially
  involved.
Benefits/Value

MEMBER CAREGIVER -
 Peace of mind and respite of caring,
  comprehensive support of club member.

 Value added a la carte direct services available
  to make care giver’s life easier/fuller -- e.g.
  laundry, pet sitting, meal preparation, legal
  help, etc.
Competitive Advantage

 No other provider offers “caring, family
  environment” PLUS Caregiver support
 Total services, second to none
 Great branding, quality positioning
 Most experienced management team and
  training expertise
 Most complete marketing support
 Tailored to local operator/neighborhood
Advertising/Marketing
   Local market PR and publicity, awareness
   Direct mail and handouts to local business
   Church tie-ins, social support groups
   VA contact and association
   Hospitals, health centers, pharmacies
   Specialized physician groups
   Select local print media
   Site Day Care newsletter bulletins

Care Club Prestn04 21 09minus Numbers

  • 2.
    COMPANY OVERVIEW  AdultDay Care Health Services  Registered brand of Care Brands Systems, Inc., St. Louis, MO
  • 3.
    COMPANY OVERVIEW, cont. Local centers, national launch 2008  Licensing opportunities for local market  Strong management team, relevant experience . . . .
  • 4.
    Mike Noto, President  30+ years management, sales and marketing  President, real estate investment firm  Founder/EVP Sales & Marketing, WAN Technologies – Inc. 500 #96 Fastest Growth  Branch/National Accounts Manager, MCI Telecommunications
  • 5.
    Dan Ricci, DirectorClinical Services  20+ years experience health management  Masters, Clinical Social Work  Masters, Divinity  Fellow, Medical Social Psychiatry  Practical therapy experience  Co-authored 2 books and contributor to numerous publications
  • 6.
    Helen Ferreri, DirectorMedical Services  15 years practical experience in hospital, community & primary care management  RN & Holistic Nursing Associate  Director and management experience, Adult Day Care  Training and recruiting experience
  • 7.
    Rick Forrestal, VPMarketing  30+ years marketing, advertising, promotion, PR and media  President, 3 promotion and ad agencies  Extensive national client experience  Expertise in non- traditional media exposure  Strong creative skills
  • 8.
    Chris MacLellan Director ofOperations  20+ years experience adult care/administrator  Director, Elder Care Ministry  Academic Dean  Geriatric Social Worker  Patient Care Manager  Seniors Real Estate Specialist (SRES)  BA, Family Services  MA, Theology
  • 9.
    Care Club SM  Adult Day Health Care Centers  Trained specialists providing day care  Safe, supportive “family” environment  Social, recreational, and health related services
  • 10.
    Care Club SM  Planned program of activities  Nutritious daytime meals and snacks  Daily, Monday-Saturday, 7:00am-6:00pm  RN or CNA/CMT on staff  Caring “point of difference”
  • 11.
    Mission Statement To providequality, credentialed day care to our clients in a responsible, caring and loving environment, and a respite to the family ‘caregiver’ so they feel comfortable that their loved one will receive personalized health services and social activities in a family environment on a daily basis.
  • 12.
    Care Club Vision SM Develop, implement & maintain support processes for licensed operators assuring:  Local, state, federal requirements are met  Technical & operational support for site implementation  Experienced corporate administrators  Community involvement, marketing support  Safety, protection and care for the rights of senior participants  Profitable return on site operation
  • 13.
    Consistent corporate branding  Slogan defines our point-of-difference  Quality media, collateral, e-marketing  Differentiates us from our competition
  • 14.
    The Need  Americais aging!  Population age 65 to double by 2030  72 million seniors by 2030.  Unmet need for senior adult day care.  1 of 4 households cares for aging adult.  Life expectancy increasing annually.
  • 15.
    Demand Is Increasing By 2030 seniors will be 20% of U.S. population (70+ million)  Oldest “boomers” are now entering 60s  Live-at-home seniors show a dramatic increase  Caregiver children can’t afford to remain home for elderly loved one care  Businesses lose millions $ annually due to lost worker time Source: U.S. Census Bureau
  • 16.
    Shortage of AdultDay Services in Most U.S. Counties  Current # Adult Day Centers: 3,407  Estimated Centers Needed Nationwide: 8,520  60% of U.S. Counties Are Underserved Source: National Program Partners In Caregiving, Grant Study
  • 17.
    Increased Awareness ForNeed Of Adult Day Care  55% of adult day care clients live with adult child or spouse  Need for expanded variety of services, including caregivers  Increased public awareness of need for adult day care services  Increased knowledge for new center investors regarding predictors of success Source: Wake Forest University School of Medicine
  • 18.
    Health Care CostsSkyrocketing  Last 5 years costs have increased over 10% per year (3x the rate of inflation)  Consequence : 57 million can’t keep up with their medical bills and 43 million are insured!  Retirement assets are in jeopardy for many
  • 19.
    Senior Care CostsAre OUT OF CONTROL  Nursing Home Care : $82,000 per year  Assisted Living Care : $37,000 per year (not covered by Medicaid)  Adult Day Care : $10,000 - $15,000 per year (Medicaid pays)  Source: AARP
  • 20.
    Adult Day CareOption  Best alternative, cost effective solution  Less guilt on caregiver  More quality time with parent or spouse  Flexible scheduling  Postpones nursing home commitment  Best alternative to nursing home care before it’s needed
  • 21.
    Entrepreneur Magazine (6/2008) “Not enough elderly day care centers to accommodate the growing need”  “Adult day services are one of the Top 10 fastest growing businesses in the U.S.”  “The Adult Day Care industry is one of the best-kept secrets around.”
  • 22.
    Turnkey Implementation Upon applicationand approval, Care Club operator agreement authorizes 1 or more retail club location(s), including:  Care Club corporate management team  Supervision, training, implementation  Staffing, applications, quality assurance
  • 23.
    Care Club ServicesProvided  Site selection, demographics  Zoning, site leasing or purchase  Licensing/application process  Design, floor plan management  Staffing and training support  Complete policy, procedures, and operating manual, including state regulations  Accounting procedures & software
  • 24.
    Care Club Services(Cont’d)  Budgeting and billing process  Computer and software procedures  Reporting requirements  Marketing/Advertising/Publicity  New business generation  Community tie-ins, links with social service providers, local PR, newsletters
  • 25.
    Care Club Services(Cont’d)  Catering and meal service contracts  Nursing, health & medical guidelines  Medical services training  Service partner contacts (transportation, podiatrist, hair, massage, etc.)  Quality assurance
  • 26.
    Participant Pay Options Fees range from $50 to $70 a day  Private health & LTC insurance pays % for licensed, registered facilities  Private pay if not eligible  Medicaid and VA benefits apply  A la carte pricing for additional services
  • 27.
    Benefits/Value CLUB OPERATOR – Turnkey implementation and support of highest quality club operation, with total support and experienced professional management team.  Tremendous profit and growth opportunity.
  • 28.
    Benefits/Value  CLUB MEMBER– Highest quality, well planned day care, in comfortable “family oriented” professionally staffed facility.  Most variety and diversity of services to keep member mentally, physically and socially involved.
  • 29.
    Benefits/Value MEMBER CAREGIVER - Peace of mind and respite of caring, comprehensive support of club member.  Value added a la carte direct services available to make care giver’s life easier/fuller -- e.g. laundry, pet sitting, meal preparation, legal help, etc.
  • 30.
    Competitive Advantage  Noother provider offers “caring, family environment” PLUS Caregiver support  Total services, second to none  Great branding, quality positioning  Most experienced management team and training expertise  Most complete marketing support  Tailored to local operator/neighborhood
  • 31.
    Advertising/Marketing  Local market PR and publicity, awareness  Direct mail and handouts to local business  Church tie-ins, social support groups  VA contact and association  Hospitals, health centers, pharmacies  Specialized physician groups  Select local print media  Site Day Care newsletter bulletins