1) The presentation discusses forward-looking statements about HealthLease Properties REIT's objectives, plans, growth potential, financial forecasts, and industry trends.
2) HealthLease Properties REIT owns 15 high-quality seniors housing and care facilities across the US and Canada, totaling 1,931 beds/suites and leased under triple-net leases.
3) The seniors housing and care industry is expected to see significant growth due to favorable demographic trends of an aging population requiring more care.
The Affordable Care Act expands access to health insurance coverage in three main ways: 1) by expanding Medicaid eligibility to 138% of the federal poverty level; 2) by establishing health insurance exchanges to allow individuals to purchase subsidized plans; and 3) by implementing an individual mandate requiring most Americans to have health coverage or pay a penalty. The expansion is projected to significantly reduce the number of uninsured, especially low-income adults, women, and people of color. However, implementation challenges remain regarding state participation and ensuring newly covered individuals can afford plans with adequate benefits.
An12 353 - learning to speak the healthcare languageEd Dodds
The document discusses a presentation on healthcare payments given by representatives from the Federal Reserve Bank of Atlanta and The Clearing House. It provides background on the US healthcare landscape and spending, legislative efforts to improve the system, and standards for electronic healthcare payments. It focuses on the CCD+ format and reassociation trace number that allows linking electronic payments to remittance advice documents. Next steps for financial institutions include evaluating capabilities and educating staff on providers' needs for healthcare payments.
This document provides a socio-economic baseline survey of nine villages adjacent to the Vidunda Mountains in Tanzania. Key findings from household surveys and stakeholder consultations are presented. Communities are highly dependent on natural resources for their livelihoods. Agriculture is the main livelihood activity but is not sufficient on its own. Dependency on firewood is high but alternative energy sources are needed. Awareness of environmental and natural resource management institutions is low. A ten-step socio-economic monitoring plan is proposed to build capacity, provide alternative livelihoods, implement land use planning, and support community-led conservation efforts in the 29 villages over three years. The plan aims to balance environmental protection with local development needs.
This document discusses gathering customer feedback prior to starting a library refurbishment project. It provides examples of different methods that could be used, such as surveys, programme committees, and ethnography. Participants are then instructed to brainstorm ways to address concerns raised in sample feedback and categorize their ideas as standard, difficult to implement, or original but easy to implement solutions. The document concludes by thanking contributors of images used.
Presentación oficial de los 100 días de gestión del Alcalde de Santa Fe de Antioquia, Dr. Saulo Armando Rivera Fernández, donde se rescatan temas como la salud, educación, vivienda, seguridad, orden público, movilidad; entre otros. Como ejes fundamentales para la transformación de la Ciudad Madre de los antioqueños #todosytodas
La programmazione orientata agli oggetti non è quella che vi hanno insegnato a scuola!
Vedremo assieme qual'è il significato di questo paradigma di programmazione, spesso frainteso, e i nuovi obiettivi che ci permette di raggiungere nello sviluppo software.
Pat Kane's presentation to The Future of Media in Scotland conference, 9/4/13 (http://scotsmanconferences.com/viewconference.aspx?id=29). More from http://www.thoughtland.info
The Affordable Care Act expands access to health insurance coverage in three main ways: 1) by expanding Medicaid eligibility to 138% of the federal poverty level; 2) by establishing health insurance exchanges to allow individuals to purchase subsidized plans; and 3) by implementing an individual mandate requiring most Americans to have health coverage or pay a penalty. The expansion is projected to significantly reduce the number of uninsured, especially low-income adults, women, and people of color. However, implementation challenges remain regarding state participation and ensuring newly covered individuals can afford plans with adequate benefits.
An12 353 - learning to speak the healthcare languageEd Dodds
The document discusses a presentation on healthcare payments given by representatives from the Federal Reserve Bank of Atlanta and The Clearing House. It provides background on the US healthcare landscape and spending, legislative efforts to improve the system, and standards for electronic healthcare payments. It focuses on the CCD+ format and reassociation trace number that allows linking electronic payments to remittance advice documents. Next steps for financial institutions include evaluating capabilities and educating staff on providers' needs for healthcare payments.
This document provides a socio-economic baseline survey of nine villages adjacent to the Vidunda Mountains in Tanzania. Key findings from household surveys and stakeholder consultations are presented. Communities are highly dependent on natural resources for their livelihoods. Agriculture is the main livelihood activity but is not sufficient on its own. Dependency on firewood is high but alternative energy sources are needed. Awareness of environmental and natural resource management institutions is low. A ten-step socio-economic monitoring plan is proposed to build capacity, provide alternative livelihoods, implement land use planning, and support community-led conservation efforts in the 29 villages over three years. The plan aims to balance environmental protection with local development needs.
This document discusses gathering customer feedback prior to starting a library refurbishment project. It provides examples of different methods that could be used, such as surveys, programme committees, and ethnography. Participants are then instructed to brainstorm ways to address concerns raised in sample feedback and categorize their ideas as standard, difficult to implement, or original but easy to implement solutions. The document concludes by thanking contributors of images used.
Presentación oficial de los 100 días de gestión del Alcalde de Santa Fe de Antioquia, Dr. Saulo Armando Rivera Fernández, donde se rescatan temas como la salud, educación, vivienda, seguridad, orden público, movilidad; entre otros. Como ejes fundamentales para la transformación de la Ciudad Madre de los antioqueños #todosytodas
La programmazione orientata agli oggetti non è quella che vi hanno insegnato a scuola!
Vedremo assieme qual'è il significato di questo paradigma di programmazione, spesso frainteso, e i nuovi obiettivi che ci permette di raggiungere nello sviluppo software.
Pat Kane's presentation to The Future of Media in Scotland conference, 9/4/13 (http://scotsmanconferences.com/viewconference.aspx?id=29). More from http://www.thoughtland.info
56. R. Villano “Cityscape. Volume 2”, selezione di fotografie originali e inedite dal 2004 al 2016, con colonna sonora. (41,7 Mb; 1 files, 50 diapositive), Chiron dpt Ph@rma, Roma, settembre 2016.
BIG Cinemas has opened a new multiplex at Arch Mall in Bengaluru, India. The multiplex has 3 screening rooms with a total capacity of 1019 people. It offers luxury amenities like large screens, reclining seats, and Dolby sound systems. The opening marks BIG Cinemas' entry into the Bengaluru market as the largest cinema chain in India. BIG Cinemas plans to expand further in Southern India by opening 3 new locations in 2010, including another multiplex in Bengaluru.
The rise of Web 2.0 technologies for business, Web 2.0 applications has benefited small scale industries. We have also come across a lots of changes in few past years such as increased knowledge sharing and more effective marketing. These benefits often have a measurable effect on the business leading to high source of income and revenue exposure.
Challenge of Image Retrieval, Brighton, 2000 1 ANVIL: a System for the Retrie...Petros Tsonis
ANVIL is a system designed for the retrieval of images annotated with short captions. It uses NLP techniques to extract dependency structures from captions and queries, and then applies a robust matching algorithm to recursively explore and compare them. There are currently two main interfaces to ANVIL: a list-based display and a 2D spatial layout that allows users to interact with and navigate between similar images. ANVIL was designed to operate as part of a publicly accessible, WWW-based image retrieval server. Consequently, product-level engineering standards were required. This paper examines both the research aspects of the system and also looks at some of the design and evaluation issues.
This document provides an overview of using Facebook for business purposes. It discusses setting objectives and designing a Facebook page, including page features like posts, photos, videos, and events. It also covers promoting a page through cross-promotion, ads, and engagement strategies. Analytics insights on metrics like reach, engagement, and fans are also summarized. The document aims to help businesses effectively utilize Facebook to achieve their marketing goals.
El documento describe las diferencias y similitudes entre el español de América y el español de España. El español de América se diferencia originariamente por su léxico y fonología, tomando palabras de lenguas amerindias e influencias de lenguas africanas y europeas como el inglés y el francés. Sin embargo, comparte con el español de España rasgos morfológicos y de sintaxis conservadores, además de influencias del andaluz y canario.
The document discusses a student competing in their final year project competition and taking second position. Unfortunately the document does not provide enough contextual information to generate a more detailed 3 sentence summary.
This is a presentation of my work alongwith two undergraduate analysts for the McCombs REIT Fund. We analyzed a healthcare pair including Ventas and Senior Housing.
The Canada Health Infoway Plan document outlines Canada Health Infoway's mission to foster and accelerate the development of electronic health records across Canada. It discusses the need for EHR in Canada due to rising healthcare costs and an aging population. Infoway aims to have 50% of Canadians with an electronic health record by 2010. The document summarizes Infoway's programs, investments, and progress in implementing EHRs, as well as the expected benefits to stakeholders such as improved care quality, access, and productivity for patients and healthcare providers.
The document discusses opportunities in the elderly care industry. It notes that the US elderly population is growing rapidly and will increase demand for elderly care services. Major opportunities exist in developing solutions to help seniors leverage their assets for additional retirement income and providing cheaper in-home care alternatives to retirement homes. The elderly care sector is poised for consolidation as many small players currently operate with minimal market share. Overall, the aging population will drive significant industry growth and present excellent investment opportunities.
This document contains a disclaimer stating that the presentation is for informational purposes only and does not constitute an offer to sell securities. It also contains forward-looking statements and disclaims responsibility for updating or revising these statements. Confidential company information and estimates are also included. The agenda outlines topics on the healthcare industry in India, Fortis Healthcare company overview, recent developments, and financials.
The Investment Case for Senior Housing: It’s Much More Than Just Demographics...Virtual ULI
The document discusses the seniors housing industry, including:
- Seniors housing provides housing, meals, socialization and other services along a continuum of care from independent to assisted living.
- Demographic trends of an aging population are driving strong demand for seniors housing.
- Seniors housing has shown stronger investment returns compared to other real estate sectors in recent years.
- Panelists discuss industry trends, capital availability, challenges and opportunities in seniors housing from the perspectives of large operators and investors.
Emerging Business Models for Hospital and Physician Integration: Clinical In...chriskalkhof
The document discusses emerging business models for hospital and physician integration, focusing on clinical integration as a business strategy. It provides an overview of the evolving regulatory landscape under the Affordable Care Act and its impact on provider revenues. It then discusses emerging provider business models and financing options, highlighting clinical integration organization (CIO) models. The presentation outlines steps to develop a clinical integration and business plan, including assessing readiness, defining the organizational model, and planning initial clinical integration initiatives. The goal is to create a fully integrated network capable of managing patient populations and risks.
Prepared by Helene Andre and Luka Grujic for French Tech Hub
The aging population is expected to sky rocket in the next decade and the United States has to rethink how it will deliver care for its elderly.
With recent advancements in technology, Aging in Place has emerged as strong solution to address this pressing need.
In this presentation, French Tech Hub explores the dynamics of the U.S. aging population and gives an overview of the solutions that are being developed for Aging in Place.
The document discusses the need and costs of long-term care, who requires it, who pays for it, and how long-term care insurance can help protect individuals and their families from the high financial costs of long-term care. Many Americans will require long-term care services as they age and chronic illnesses increase, yet most do not realize that private health insurance like Medicare does not cover these costs, leaving most to pay out-of-pocket. The document advises getting long-term care insurance in one's 50s to help cover long-term care costs that can deplete an individual's savings and lower their quality of life.
How can technology solve the challenges of an aging populationHelene Andre
The aging population is expected to sky rocket in the next decade and the United States has to rethink how it will deliver care for its elderly.
With recent advancements in technology, Aging in Place has emerged as strong solution to address this pressing need.
Notes Version: Part 1. The Next Extraordinary Marketing Opportunity- Healthca...Vivastream
The document discusses the opportunities for health insurers in the changing healthcare landscape due to the Patient Protection and Affordable Care Act (PPACA). It notes that health reform could generate billions in new revenue and millions of new customers for insurers. Health benefit exchanges opening in 2014 will create a $60 billion market reaching $200 billion by 2019 and covering 28 million people. Insurers will need to transition from a wholesale to a retail model and focus on direct consumer outreach. Data-driven marketing and segmentation will be key to understanding and engaging the diverse new customer groups that insurers will need to attract. Superior customer experience across all touchpoints will differentiate brands in the emerging competitive marketplace.
56. R. Villano “Cityscape. Volume 2”, selezione di fotografie originali e inedite dal 2004 al 2016, con colonna sonora. (41,7 Mb; 1 files, 50 diapositive), Chiron dpt Ph@rma, Roma, settembre 2016.
BIG Cinemas has opened a new multiplex at Arch Mall in Bengaluru, India. The multiplex has 3 screening rooms with a total capacity of 1019 people. It offers luxury amenities like large screens, reclining seats, and Dolby sound systems. The opening marks BIG Cinemas' entry into the Bengaluru market as the largest cinema chain in India. BIG Cinemas plans to expand further in Southern India by opening 3 new locations in 2010, including another multiplex in Bengaluru.
The rise of Web 2.0 technologies for business, Web 2.0 applications has benefited small scale industries. We have also come across a lots of changes in few past years such as increased knowledge sharing and more effective marketing. These benefits often have a measurable effect on the business leading to high source of income and revenue exposure.
Challenge of Image Retrieval, Brighton, 2000 1 ANVIL: a System for the Retrie...Petros Tsonis
ANVIL is a system designed for the retrieval of images annotated with short captions. It uses NLP techniques to extract dependency structures from captions and queries, and then applies a robust matching algorithm to recursively explore and compare them. There are currently two main interfaces to ANVIL: a list-based display and a 2D spatial layout that allows users to interact with and navigate between similar images. ANVIL was designed to operate as part of a publicly accessible, WWW-based image retrieval server. Consequently, product-level engineering standards were required. This paper examines both the research aspects of the system and also looks at some of the design and evaluation issues.
This document provides an overview of using Facebook for business purposes. It discusses setting objectives and designing a Facebook page, including page features like posts, photos, videos, and events. It also covers promoting a page through cross-promotion, ads, and engagement strategies. Analytics insights on metrics like reach, engagement, and fans are also summarized. The document aims to help businesses effectively utilize Facebook to achieve their marketing goals.
El documento describe las diferencias y similitudes entre el español de América y el español de España. El español de América se diferencia originariamente por su léxico y fonología, tomando palabras de lenguas amerindias e influencias de lenguas africanas y europeas como el inglés y el francés. Sin embargo, comparte con el español de España rasgos morfológicos y de sintaxis conservadores, además de influencias del andaluz y canario.
The document discusses a student competing in their final year project competition and taking second position. Unfortunately the document does not provide enough contextual information to generate a more detailed 3 sentence summary.
This is a presentation of my work alongwith two undergraduate analysts for the McCombs REIT Fund. We analyzed a healthcare pair including Ventas and Senior Housing.
The Canada Health Infoway Plan document outlines Canada Health Infoway's mission to foster and accelerate the development of electronic health records across Canada. It discusses the need for EHR in Canada due to rising healthcare costs and an aging population. Infoway aims to have 50% of Canadians with an electronic health record by 2010. The document summarizes Infoway's programs, investments, and progress in implementing EHRs, as well as the expected benefits to stakeholders such as improved care quality, access, and productivity for patients and healthcare providers.
The document discusses opportunities in the elderly care industry. It notes that the US elderly population is growing rapidly and will increase demand for elderly care services. Major opportunities exist in developing solutions to help seniors leverage their assets for additional retirement income and providing cheaper in-home care alternatives to retirement homes. The elderly care sector is poised for consolidation as many small players currently operate with minimal market share. Overall, the aging population will drive significant industry growth and present excellent investment opportunities.
This document contains a disclaimer stating that the presentation is for informational purposes only and does not constitute an offer to sell securities. It also contains forward-looking statements and disclaims responsibility for updating or revising these statements. Confidential company information and estimates are also included. The agenda outlines topics on the healthcare industry in India, Fortis Healthcare company overview, recent developments, and financials.
The Investment Case for Senior Housing: It’s Much More Than Just Demographics...Virtual ULI
The document discusses the seniors housing industry, including:
- Seniors housing provides housing, meals, socialization and other services along a continuum of care from independent to assisted living.
- Demographic trends of an aging population are driving strong demand for seniors housing.
- Seniors housing has shown stronger investment returns compared to other real estate sectors in recent years.
- Panelists discuss industry trends, capital availability, challenges and opportunities in seniors housing from the perspectives of large operators and investors.
Emerging Business Models for Hospital and Physician Integration: Clinical In...chriskalkhof
The document discusses emerging business models for hospital and physician integration, focusing on clinical integration as a business strategy. It provides an overview of the evolving regulatory landscape under the Affordable Care Act and its impact on provider revenues. It then discusses emerging provider business models and financing options, highlighting clinical integration organization (CIO) models. The presentation outlines steps to develop a clinical integration and business plan, including assessing readiness, defining the organizational model, and planning initial clinical integration initiatives. The goal is to create a fully integrated network capable of managing patient populations and risks.
Prepared by Helene Andre and Luka Grujic for French Tech Hub
The aging population is expected to sky rocket in the next decade and the United States has to rethink how it will deliver care for its elderly.
With recent advancements in technology, Aging in Place has emerged as strong solution to address this pressing need.
In this presentation, French Tech Hub explores the dynamics of the U.S. aging population and gives an overview of the solutions that are being developed for Aging in Place.
The document discusses the need and costs of long-term care, who requires it, who pays for it, and how long-term care insurance can help protect individuals and their families from the high financial costs of long-term care. Many Americans will require long-term care services as they age and chronic illnesses increase, yet most do not realize that private health insurance like Medicare does not cover these costs, leaving most to pay out-of-pocket. The document advises getting long-term care insurance in one's 50s to help cover long-term care costs that can deplete an individual's savings and lower their quality of life.
How can technology solve the challenges of an aging populationHelene Andre
The aging population is expected to sky rocket in the next decade and the United States has to rethink how it will deliver care for its elderly.
With recent advancements in technology, Aging in Place has emerged as strong solution to address this pressing need.
Notes Version: Part 1. The Next Extraordinary Marketing Opportunity- Healthca...Vivastream
The document discusses the opportunities for health insurers in the changing healthcare landscape due to the Patient Protection and Affordable Care Act (PPACA). It notes that health reform could generate billions in new revenue and millions of new customers for insurers. Health benefit exchanges opening in 2014 will create a $60 billion market reaching $200 billion by 2019 and covering 28 million people. Insurers will need to transition from a wholesale to a retail model and focus on direct consumer outreach. Data-driven marketing and segmentation will be key to understanding and engaging the diverse new customer groups that insurers will need to attract. Superior customer experience across all touchpoints will differentiate brands in the emerging competitive marketplace.
Notes Version: Part 1. The Next Extraordinary Marketing Opportunity- Healthca...Vivastream
The document discusses the opportunities for health insurers in the changing healthcare landscape due to the Patient Protection and Affordable Care Act (PPACA). It notes that health reform could generate billions in new revenue and millions of new customers for insurers. Health benefit exchanges opening in 2014 will create a $60 billion market reaching $200 billion by 2019 and covering 28 million people. This represents an opportunity for insurers to transition from a wholesale to a retail model and directly market to consumers. Insurers will need to segment customers, understand their needs and behaviors, and engage them through multiple channels to succeed in this new environment.
This document discusses key aspects of state health insurance exchanges and the Affordable Care Act. It provides an overview of how exchanges are meant to increase access to affordable health insurance coverage by organizing the market and providing subsidies. It also addresses the Supreme Court decision on Medicaid expansion, costs to states of not participating, and new questions states may consider around expanding coverage and subsidizing premiums. Data on current insurance coverage and estimated subsidy amounts by income level are presented.
The document discusses the company's strategy to develop a content business by leveraging its global connectivity assets and negotiating content packages that can be delivered across devices. It notes the growing demand for video consumption over the internet and the opportunity for telecom companies to provide trusted internet video services. The strategy aims to integrate content with the company's billing and CRM tools to provide linear, on-demand, and interactive content services.
6 ben mathias-healthcare-sector-investment-in-india_ncas_2011Nova Medical Centers
The healthcare sector in India is experiencing a boom phase and represents an attractive investment opportunity for private equity and venture capital firms. Demand is growing due to factors like rising incomes, an aging population, and lifestyle diseases. However, there is also a large supply shortage in terms of infrastructure and medical professionals. This mismatch will require over $40 billion in investments to address. Recent deals in the healthcare space have seen many large investments and provided healthy returns to investors. Going forward, PE/VC firms will continue to invest heavily in innovative new business models in the growing Indian healthcare industry.
The healthcare sector in India is experiencing a boom phase and represents an attractive investment opportunity for private equity and venture capital firms. Key factors driving growth include rising incomes, an expanding middle class, an aging population, and a large demand and supply mismatch. Over $1.6 billion has been invested in healthcare companies since 2008. Successful investments have provided healthy returns for investors and stakeholders through buyouts and company valuations. Going forward, PE/VC firms will continue investing in innovative business models and the sector is expected to double in size over the next five years.
This document provides an overview of Welltower's corporate presentation on driving the future of health care real estate. Welltower is the world's largest health and wellness real estate platform, with a focus on seniors housing, outpatient medical, and post-acute care. Key investment themes discussed include the transition from inpatient to outpatient care, growing acceptance of seniors housing options, and the need to reimagine health care infrastructure to address challenges of an aging population. Welltower has a large, diversified real estate portfolio and strategic partnerships with leading health systems that position it for continued growth across the health care continuum.
The world's population is aging rapidly, with people over 50 representing the fastest growing segment globally. By 2030, retirees in Italy will outnumber active workers, and Thailand's median age will rise to 50. As lifespans increase, aging populations will present challenges around everyday living, health management, and social connectivity for older adults. Emerging technologies integrating universal design, consumer devices, and biosensors have the potential to transform healthcare delivery by enabling remote patient monitoring and self-management of conditions in the home. However, successful adoption will require addressing barriers such as reimbursement models, infrastructure development, education, and caregiver acceptance.
Presentation made by Dr. Carolyn A. (Cindy) Watts on the 5th of November, 2012 during the live webinar hosted by VCU Department of Gerontology (discussion moderated by Dr E. Ayn Welleford) - review recording of webinar at http://www.alzpossible.org/wordpress-3.1.4/wordpress/alliedhealth/
The document provides an overview of new healthcare revenue opportunities for banks that are presented by recent healthcare reforms. It discusses how leading financial institutions can capitalize on these opportunities by (1) strengthening relationships with existing customers in the healthcare sector, (2) growing deposits and fee income, (3) increasing household penetration, and (4) acquiring new customers. The presentation then outlines specific products and services that banks can offer to healthcare providers, such as revenue cycle management, payment automation, and consumer-directed healthcare accounts.
This document provides information about long-term care planning services offered by LTC Financial Partners. It discusses the need for long-term care planning given rising costs and risks, and how long-term care insurance can help cover costs and protect assets. Key details include common long-term care policy components like benefits amounts, eligibility periods, and inflation protection options.
Similar to Health lease investor presentation july 2012 (20)
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
2. Forward-Looking Statements
This presentation contains forward-looking statements which reflect management’s expectations regarding objectives, plans, goals,
strategies, future growth, results of operations, performance and business prospects and opportunities of the REIT. The words “plans”,
“expects”, “does not expect”, “scheduled”, “estimates”, “intends”, “anticipates”, “does not anticipate”, “projects”, “believes” or variations
of such words and phrases or statements to the effect that certain actions, events or results “may”, “will”, “could”, “would”, “might”,
“occur”, “be achieved” or “continue” and similar expressions identify forward-looking statements. Some of the specific forward-looking
statements in this presentation include, but are not limited to, statements with respect to the following: the intention of the REIT to pay
stable and growing distributions; the ability of the REIT to execute its growth strategies; the forecasted financial results of the REIT for the
periods set out in the financial forecast section of this presentation and the REIT’s prospectus; the expected tax treatment of the REIT and
of the REIT’s distributions to Unitholders; and the expected seniors housing and care industry and demographic trends. Forward-looking
statements are necessarily based on a number of estimates and assumptions that, while considered reasonable by management of the
REIT as of the date of this presentation, are inherently subject to significant business, economic and competitive uncertainties and
contingencies. The REIT’s estimates, beliefs and assumptions, which may prove to be incorrect, include the various assumptions set forth
herein, including, but not limited to, the REIT’s future growth potential, results of operations, future prospects and opportunities, the
demographic and industry trends remaining unchanged, no change in legislative or regulatory matters, future levels of indebtedness, the
tax laws as currently in effect remaining unchanged, the continual availability of capital and the current economic conditions remaining
unchanged. When relying on forward-looking statements to make decisions, the REIT cautions readers not to place undue reliance on
these statements, as forward-looking statements involve significant risks and uncertainties, should not be read as guarantees of future
performance or results, and will not necessarily be accurate indications of whether or not the times at or by which such performance or
results will be achieved. A number of factors could cause actual results to differ materially from the results discussed in the
forward-looking statements, including, but not limited to, the factors discussed under the “Risk Factors” section of the REIT’s prospectus.
These forward-looking statements are made as of the date of this presentation and, except as expressly required by applicable law, the
REIT assumes no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future
events or otherwise.
HealthLease Properties REIT 2
3. HealthLease Properties REIT
High-quality seniors housing 15 U.S. and Canadian properties
and care facilities 1,931 beds/suites
UNDER FOCUSED ON
triple-net leases need-driven care
TO skilled nursing, long-term care and assisted living
experienced tenant operators
Beverly Centre ‐ Lake Midnapore
Calgary, Alberta
Unique, cross-border, seniors housing and care investment opportunity
HealthLease Properties REIT 3
4. Investment Highlights
Portfolio of high-quality facilities
Favourable demographics
in the U.S. and Canada
and industry dynamics
focused on need-driven care
Proven and de-risked
Triple-net lease structure pre-leased development model
providing stable cash flows
offering measured growth
Leading regional tenant operators
Attractive investment
with high-quality payor sources and
and leverage metrics
robust occupancies
Experienced and aligned management team and board
HealthLease Properties REIT 4
5. Growing Healthcare Industry
National Healthcare Spending
U.S. Canada
$2.8 Trillion $193 Billion
17.4% 4.2% 11.7% 6.5%
of GDP Growth in 2011 of GDP CAGR
(2005 - 2010)
HIGHEST HEALTHCARE SPEND 3RD HIGHEST HEALTHCARE SPEND
PER-CAPITA GLOBALLY PER-CAPITA GLOBALLY
Growth in healthcare spending expected
to outpace broader economy
HealthLease Properties REIT 5
6. Seniors Housing and Care - Spectrum of Care
REAL ESTATE COMPONENT SERVICES COMPONENT
Shelter Activities, Transport, Meals Care Services Short-Term Long-Term
Recreation Laundry Post Acute Chronic Care
LOW ACUITY Care
Independent
Living Facilities
(ILFs)
Assisted Living
Facilities (ALFs)
Skilled Nursing
Facilities (SNFs) /
Long-Term Care
Facilities (LTCs)
HIGH ACUITY
Continuing Care
Retirement
Communities
(CCRCs)
PRIVATE PAY GOVERNMENT PAY
>90% of the REIT’s portfolio is focused on need-driven care
HealthLease Properties REIT 6
7. Seniors Housing and Care
Favourable Industry Dynamics
By 2031, seniors population expected to reach Revenue Stability
• Need-driven services
U.S. Canada • Stable occupancy
73.3M 9.6M (historical occupancy ~90%)
• Favourable funding sources
70% of U.S. seniors Barriers to Entry
will require some type
of long-term care Cost-Effective Care
Alternative
>40% of U.S. seniors Ownership Fragmentation
will need care in a
nursing home
Supply/Demand Imbalance
HealthLease Properties REIT 7
8. Demographics Driving Demand
Seniors population growing 3X FASTER than overall population
TOTAL U.S. POPULATION >65(M) TOTAL CANADIAN POPULATION >65(M)
% OF TOTAL POPULATION % OF TOTAL POPULATION
23%
20% 21%
18%
16% 18%
14% 16% 9.6
13% 73.3 14%
65.7 8.4
56.6 7.1
46.8 5.8
40.2 4.8
Aging population and Changing family Changes in consumer
increasing life expectancy dynamics preference
HealthLease Properties REIT 8
9. Significant Supply/Demand Imbalance
Number of facilities not keeping pace with seniors population growth
U.S. Canada
Current supply: 15,622 SNFs Current supply: 7,951 facilities
totaling 1.7 million beds totaling 390,600 suites
Number of facilities declined by 5% Current LTC waiting list:
(2001 to 2011)
• Ontario: >20,000 beds, representing
Annual new construction starts ~26% of current bed stock
represent 0.3% of existing supply • Alberta: 1,700 beds, representing
(since 2008) ~11% of current bed stock
>US$400B >315,000
new construction needed new LTC & ALF beds/suites needed
(next 35 years) (next 20 years)
HealthLease Properties REIT 9
10. HealthLease Properties REIT
Well-positioned to capitalize
on expected growth in
seniors housing and care
Miller’s Merry Manor of Marion
Marion, Indiana
HealthLease Properties REIT 10
11. Business Model
Valleyview Care Centre Harmony Court Care Centre Avalon Springs Health Campus
Medicine Hat, Alberta Burnaby, British Columbia Valparaiso, Indiana
High-Quality Long-Term Leading Regional
Facilities LEASED Triple-Net Leases TO
Tenant Operators
Focused on Need-Driven Care UNDER with High-Quality Pay Sources
and Robust Occupancies
HealthLease Properties REIT 11
12. High-Quality Portfolio
15 properties 1,931 beds/suites
Hotel-Like Design and Average Age: Private Rooms:
Hospitality-Inspired Amenities 8 years ~70%
(including major renovations)
Current and
Next Generation™ Facilities
2.0x 88.4% 72%
High-Quality Construction Portfolio EBITDAR Portfolio High-Quality
to Rent Coverage Occupancy Occupancy
(weighted average) (weighted average) Payor Mix
(non-Medicaid)
Quality assets drive strong margins for tenant operators
HealthLease Properties REIT 12
13. Initial Portfolio
~$265M appraised value
(inclusive of U.S. portfolio premium of 5.3%)
9 properties in the U.S.
totaling 929 beds/suites
acquired from Mainstreet
• 6 properties (654 beds/suites)
• 3 pre-leased Next Generation™
development properties (275 beds/suites)
6 properties in Canada
totaling 1,002 beds/suites
acquired from Northern Properties REIT
BEDS/SUITES SNF/LTC ALF/ILF Total
• Owned by NPR since 2006
U.S. 754 175 929
• Stable NOI: CAGR of 1.8% (since 2007)
Canada 572 430 1,002
HealthLease Properties REIT 13
14. Key Portfolio Statistics
BEDS/SUITES BY TYPE OF SERVICE PROVIDED RENTS BY GEOGRAPHY1
7%
ILF 9%
134 British Columbia
24%
ALF
471
51% 34%
69% Alberta Indiana
SNF/LTC
1,326
6%
Illinois
1. Based on contractual rent for 2013.
Quality assets drive strong margins for tenant operators
Need-driven care in diverse geographies
HealthLease Properties REIT 14
15. Hotel-Like Design,
Hospitality-Inspired Amenities
Superior Finishes
Avalon Springs Health Campus
Valparaiso, Indiana
Harmony Court Care Centre Beverly Centre ‐ Glenmore
Burnaby, British Columbia Calgary, Alberta
HealthLease Properties REIT 15
16. Hotel-Like Design,
Hospitality-Inspired Amenities
Spacious Private Rooms and Baths
Marion Rehabilitation and Assisted Living
Marion, Indiana
Harmony Court Care Centre Columbia Assisted Living
Burnaby, British Columbia Lethbridge, Alberta
HealthLease Properties REIT 16
17. Hotel-Like Design,
Hospitality-Inspired Amenities
Large Common Areas and Social Destinations
Marion Rehabilitation and Assisted Living
Marion, Indiana
Harmony Court Care Centre Beverly Centre ‐ Glenmore
Burnaby, British Columbia Calgary, Alberta
HealthLease Properties REIT 17
18. Long-Term Triple-Net Leases
Operators pay all operating expenses and most capital expenditures
Tenant operators •
• Fixed rent escalators1
assume • Corporate or personal guarantees (with respect to most leases)
operational risk • Significant landlord rights and remedies
• Regular tenant reporting requirements
1. Other than the lease in respect of Highland Manor Health and Living.
PERCENTAGE OF PORTFOLIO RENTAL REVENUE 81.1%
MATURING IN A PARTICULAR YEAR
17.4%
0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 1.5%
+
Weighted average lease maturity of 13.5 years
HealthLease Properties REIT 18
19. Leading Regional Tenant Operators
Financially strong
$285M
Operate in multiple states Consolidated annual EBITDAR
and provinces
Local market knowledge
2.0x
Portfolio EBITDAR to rent
coverage (weighted average)
Proven track records
Emphasis on high-quality 88.4%
Portfolio occupancy
patient care (weighted average)
EBITDAR coverage compares favourably to industry average
HealthLease Properties REIT 19
20. Leading Regional Tenant Operators
OPERATOR NUMBER OF NUMBER OF BEDS/ GEOGRAPHIC FOOTPRINT % OF 2013
FACILITIES MANAGED SUITES MANAGED CONTRACTUAL RENT
AgeCare 13 >1,000 Western Canada 60.0%
Life Care Services LLC1 >100 >29,000 Continental U.S. 6.6%
Sprenger Health Systems 11 >1,600 Midwest U.S. 6.3%
Platinum Health Care 29 3,335 Midwest U.S. 6.0%
Covenant Care >50 5,787 Midwest & Western U.S. 5.5%
Miller’s Health Systems 32 3,369 Indiana 5.3%
Trilogy Health Services 67 >7,200 Midwest U.S. 4.9%
Magnolia Health Systems 31 >2,800 Indiana 4.2%
MS Senior I LLC2 1 52 Indiana 1.2%
Total >334 >54,143 100.0%
1. An entity that is owned, 50% by an affiliate of Life Care Services, LLC, which is the managing member, and 50% by an affiliate of Mainstreet.
2. An affiliate of Mainstreet. The Partnership is in negotiations to lease Highland Manor Health and Living, which is currently operated by Mainstreet Senior I, LLC, to an unrelated third-party operator.
>200 years combined operating history
HealthLease Properties REIT 20
21. Funding Environment
U.S.
Medicaid Private Insurance
State funding assistance for basic care services
Reimbursement rates are negotiated with insurers
Long-term stay
based on patient level of care and local market rates
Indiana rates average $145 per day
Medicare Private Funds
Federal health insurance program
Residents privately pay full rate as determined
Estimated average 2013 Medicare Rates:
by level of care and market need
approximately $455 per day
Canada
Alberta and British Columbia
Governed by regional health authorities
Cost shared between province and resident
Triple-net lease structure and experienced operators mitigates funding variability
Initially, 60% of 2013 contractual rent generated in Canada
HealthLease Properties REIT 21
22. Growth Strategy
Avalon Springs Health Campus Beverly Centre ‐ Lake Midnapore
Valparaiso, Indiana Mainstreet Next GenerationTM Campus Calgary, Alberta
Organic Growth Construction of Strategic and
• Rent step-ups
• Financing opportunities
• Tenant retention and growth
+ Pre-Leased
Development Facilities
+ Accretive Acquisitions
• Focus on high-quality
facilities and operators
HealthLease Properties REIT 22
23. De-Risked, Pre-Leased Development Model
Next Generation™ properties
Mitigates normal risks • Pre-leased prior to construction
(limited lease-up risk)
associated with development
• Bonded contractors
• Guaranteed maximum price
construction contracts
• Binding timelines for project
completion (~9 to 12 months)
• Rent commences upon certificate
of occupancy
• Internal development activity limited
Marion Rehabilitation and Assisted Living to 20% of GBV
Marion, Indiana
Pipeline of external properties with a value of >US$150M
10 properties, representing 1,000 bed/suites over the next 24 months
HealthLease Properties REIT 23
24. Track Record of Pre-Leased Development
Successfully financed, developed and leased
9 facilities
(including 5 of the initial properties)
representing a total value of
Marion Rehabilitation and Assisted Living
Marion, Indiana ~US$130M
(since 2008)
Development / Construction
On-time: Average construction time of 10 months
The Legacy at Creasy Springs On-budget: Within 1% of total cost
Lafayette, Indiana
Property Performance1
80% Occupancy
2.0x EBITDAR to rent coverage
Avalon Springs Health Campus 1. Represents results of Lafeyette and Noblesville, two stabilized properties developed by Mainstreet. These properties do not form part of
Valparaiso, Indiana the Initial Properties as they are expected to be purchased by the tenant operator.
HealthLease Properties REIT 24
25. Asset Manager and Developer
Principals with over 35 years experience
focused on seniors housing and care properties
Asset Management Agreement Development Agreement
• 3% of REIT gross revenue • REIT has preferential right to develop internally
• 5-year term (with renewal, subject to on all Mainstreet development activity
no material default) • REIT reserves right to purchase non-internally
• Internalize at no cost to REIT at $500 million developed projects
market cap • Mainstreet to take back equity
Non-Competition Agreement (pro rata to a max of 40%)
• Restricted from, developing, acquiring or • REIT may undertake third-party development
investing in senior housing properties, except as opportunities
per Development Agreement, or create another • 5-year term (with renewals, subject to no
REIT/seniors housing pubco in U.S./Canada material default)
HealthLease Properties REIT 25
26. Senior Management
Paul Ezekiel “Zeke” Turner
Chairman and
Chief Executive Officer
Retaining ~18% ownership
position in REIT
Adlai Chester, CPA Increased ownership
Chief Financial Officer
through equity
consideration from
external development
V. Edward Grogg
President, Mainstreet
HealthLease Properties REIT 26
27. Board of Trustees
David Beirnes Aida Tammer
Principal, CBG Seniors Realty Advisors Director, Tricon Capital Group
Former CFO, Retirement Residences REIT
James Bremner Richard Turner
President, Healthcare of Duke Realty Corporation President & CEO, TitanStar Investment Group
Trustee, Pure Industrial Real Estate Trust
Former Trustee, Sunrise Senior Living REIT
Neil Labatte Michael Salter
President, Global Dimension Capital CFO, Medical Facilities Corporation
Former CEO, Legacy Hotels REIT
Paul Ezekiel “Zeke” Turner
Chairman and CEO, HealthLease Properties REIT
Founder and CEO, Mainstreet
Majority Experience in
Real estate capital markets
Healthcare & seniors housing and care
Independent U.S. & Canada
HealthLease Properties REIT 27
28. Mainstreet Development Lease
FACILITY LEASE WITH OPERATOR EXPECTED COMPLETION OF CONSTRUCTION DURATION OF MAINSTREET
CONSTRUCTION AND CONTRACT DEVELOPMENT/ DEVELOPMENT
MAINSTREET LEASE PAYMENTS1 LEASE
DEVELOPMENT LEASE (months)
MATURITY
The Bridge
Platinum Health
Care Suites, February 2013 Fixed price 8 $572,193
Care, LLC
Illinois
Mishawaka, Sprenger Health
December 2012 Fixed price 6 $341,768
Indiana Systems
Wabash, Life Care Services
December 2012 Fixed price 6 $333,039
Indiana LLC2
Total $1,247,000
Mainstreet has pledged certain class B units
and their related distributions until tenant occupancy
1. Assumes Mainstreet Development Lease payments commence in June 2012 and end the month leading up to the issuance of a Certificate of Occupancy.
2. An entity that is owned, 50% by an affiliate of Life Care Services, LLC, which is the managing member, and 50% by an affiliate of Mainstreet.
HealthLease Properties REIT 28
29. Debt Strategy
SUMMARY DEBT MATURITY
Debt/GBV
at Closing of IPO 52% 0.0%
(MILLIONS)
0.0% 0.0% 0.0% 34.0% 66.0%
% OF TOTAL
MATURITIES
Debt/GBV
(upon completion of
pre-leased properties)
55%
Allowed Amount
per Indenture
Up to 65%
(incl. converts)
HIGHLIGHTS
Weighted Average Rate 5.04%
Average Maturity
(no maturities until 2016) 8.6 years
Chart represents maturities on debt outstanding as at December 31, 2011 pro forma the IPO. Additional
principal payments (not included in above chart) on maturity for anticipated debt incurred in connection
US$25M
with the three preleased development properties is $18.8 million for 2016.
Term Loan Facility
NO DEBT MATURITIES UNTIL 2016
HealthLease Properties REIT 29
30. Investment Highlights
High-Quality Long-Term Leading Regional
Facilities LEASED
Triple-Net Leases TO
Tenant Operators
Focused on Need-Driven Care UNDER with High-Quality Pay Sources
and Robust Occupancies
Proven and de-risked pre-leased development model
offering measured growth
Favourable demographics
and industry dynamics
Experienced and aligned Attractive investment
management team and board and leverage metrics
HealthLease Properties REIT 30