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Population Projections

200,000 179,883 171,050 180,000 163,281 164,989

160,000

140,000

120,000

100,00072,524

80,000 66,767 55,355 51,523

60,000

40,000 52,094 53,884 46,159 47,606

20,000 4,936 7,511 13,291 4,6710

Year2 0 1 8 2 0 2 0 2 0 3 0 2 0 4 0

<18 18-59 60+ 85+

Source: Office of Economic and Demographic Research, 2017

Profile of Older Floridians

2018 Projections

Alachua CountyUnless otherwise noted, the data presented refers to individuals age 60 and older.

Population by Age Category Population by Race and Ethnicity

All Ages 260,963 100.0% White 41,712 81.0% Under 18 46,159 17.7% Black 8,028 15.6% Under 60 209,440 80.3% Other Minorities 1,783 3.5% 18-59 163,281 62.6% Total Hispanic 2,278 4.4% 60+ 51,523 19.7% White 2,057 4.0% 65+ 37,154 14.2% Non-White 221 0.4% 70+ 24,453 9.4% Total Non-Hispanic 49,245 95.6% 75+ 15,097 5.8% Total Racial and Hispanic

80+ 8,789 3.4% Minorities2 11,868 23.0% Source: EDR, 201785+ 4,671 1.8%

Source: Office of Economic and Demographic Research (EDR), 2017

Financial Status %

Population by Gender Below Poverty 5,522 10.7%Male 23,120 44.9% GuidelineFemale 28,403 55.1% Below 125% of 7,294 14.2% Source: EDR, 2017 Poverty Guideline

Minority Below 1,986 3.9% English Proficiency Poverty Guideline

1 With Limited English Proficiency 667 Minority Below 125% of 2,646 5.1% Source: DOEA calculations based on EDR and 2011-2015 American CommunitySurvey (ACS) Special Tabulation on Aging tabulated for AoA

Poverty GuidelineSource: DOEA calculations based on EDR and 2011-15 ACS data

1

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3Dependency Ratios of Minors and Elders

3532.832.0

30 30.5 30.028.928.3

25 24.722.8

20

15

10

5

02018 2020 2030 2040

YearAged Dependency Ratio (65+) Youth Dependency Ratio (0-17)

Source: Office of Economic and Demographic Research, 2017

Grandparents Medically Underserved (65+)

Living With Own 2,358 Total Medically Underserved4 10,574 Grandchildren* Living in Areas Defined as

Grandparent Responsible 898 Having Medically 10,574 Underserved Populationsfor Own Grandchildren*

Grandparent Not Responsible 1,460 Living in Medically 0for Own Grandchildren* Underserved Areas

Source: DOH and U.S. HHS, Data as of 8/07/2018Not Living With Own 49,165Grandchildren**Grandchildren Under Age 18Source: DOEA calculations based on EDR and 2011-15 ACS data

SNAP or Food Stamps

Participants 4,187 Potentially Eligible 7,294 Participation Rate 57.4% Source: Florida Department of Children and Families, 2017

Rural Designation

Rural (Yes/No) NOSource: Rural Economic Development Initiative

Living Alone

Population 60+Living Alone-

9,206 Female67%

4,437 Population 60+ 33%Living Alone-Male

Source: DOEA calculations based on EDR and 2011-15 ACS data

Profile of Older Floridians

2018 Projections

Alachua CountyUnless otherwise noted, the data presented refers to individuals age 60 and older.

Profile of Older Floridians

2018 Projections

Alachua CountyUnless otherwise noted, the data presented refers to individuals age 60 and older.

Old-A Survivo13Florida Registered Voters Retirement (65+)ge, rs, and

Elder Registered Voters (60+) 47,177 Disability Insurance (OASDI) 27,594Registered Voters (All Ages) 173,127 BeneficiariesSource: FL Department of State, 2017 Percent OASDI Beneficiaries 74.3%

Source: DOEA calculations based on EDR and the U.S. Social Security Administration data, 2017

Florida Driver's License

Elder Drivers (60+) 51,055 Median Household Income for All Ages

Drivers (All Ages) 200,120 2012-2016 $44,702Source: FL Department of Highway Safety & Motor Vehicles as of 07/08/2018 Source: U.S. Census Bureau, 2012-2016 American Community Survey 5-Year

Estimates

Disability Status

With One Type of Disability7 7,867With Two or More Disabilities 7,973Total With Any Disability

Hearing 6,265Vision 2,985Cognitive 4,256Ambulatory 9,965Self-Care 3,369Independent Living 6,106

With No Disabilities 35,694

Probable Alzheimer's Cases (65+) 8 4,568Households With Cost Burden Above 30% and Income Source: DOEA calculations based on EDR, 2011-15 ACS data, and

5 Alzheimer’s Disease Facts and Figures Report, 2017Below 50% Area Median Income (65+)

Elder Households 22,258 Percent of All Households 17.0% Medical ProfessionalsSource: The Shimberg Center for Housing Studies, 2017 Medical Doctors

Licensed 2,095 6Cost of Living, Annual Expenses(65+) Limited License 1

Single Elders Critical Need Area License 30 Owner without Mortgage $21,504 Restricted 0 Renter, one bedroom $24,372 Medical Faculty Certification 10 Owner with Mortgage $30,612 Public Health Certificate 0

Elder Couple Specialties

Owner without Mortgage $33,528 Licensed Podiatric Physicians 12 Renter, one bedroom $36,396 Licensed Osteopathic Physicians 93 Owner with Mortgage $42,636 Licensed Chiropractic Physicians 66

Source: Wider Opportunities for Women Elder Economic Security Standard™ Licensed Registered Nurses 5,975 Index (Elder Index), Data as of 7/28/2018 Source: Florida Department of Health, 2017

3

Veterans

16,315

5,804 5,655

1,492

Total Age 45-64 Age 65-84 Age 85+

Source: U.S. Department of Veterans Affairs, 2016

Skilled Nursing Facility (SNF) Utilization Assisted Living Facility

SNF Beds 1,007 Total Beds 666 9Community Beds 968 OSS Beds 0

Sheltered Beds 39 Non-OSS Beds 666 Veterans' Affairs Administration Beds - Total Facilities 11 Other Beds - Facilities with ECC License10 2

SNFs With Beds 9 Facilities with LMH License11 0 Community Beds 8 Facilities with LNS License12 5 Sheltered Beds 1

Veterans' Affairs Administration Beds - Adult Family Care Homes

Other Beds - Homes 2 SNFs With Community Beds 8 Beds 7

Community Bed Days 353,320 Community Patient Days 317,174 Ambulatory Surgical Centers

Medicaid Patient Days 194,942 Facilities 6 Occupancy Rate 89.8% Operating Rooms 18 Percent Medicaid 61.5% Recovery Beds 52

Home Health Agencies Hospitals

Agencies 18 Hospitals 5

Medicaid Certified Agencies 3 Hospitals with Skilled Nursing Units 0 Medicare Certified Agencies 9 Hospital Beds 1,638

Skilled Nursing Unit Beds 0 Homemaker & Companion Service Companies

Companies 27 Medicaid & Medicare Eligibility

Medicaid Eligible - All Ages 41,589 Adult Day Care 60+ Medicaid Eligible 5,488

Facilities 2 Dual Eligible - All Ages 7,401 Capacity 90 60+ Dual Eligible 4,738 Source for Page: AHCA, 2017

4

Profile of Older Floridians

2018 Projections

Alachua CountyUnless otherwise noted, the data presented refers to individuals age 60 and older.

Elder Needs Index

Useful Websites

Office of Economic & Demographic Research (EDR) FL Division of Emergency Management (Shelters) U.S. Census Bureau, American Community Survey Florida Housing Data ClearinghouseU.S. Census Bureau, Quick Facts County Chronic Disease ProfileAgency for Health Care Administration (AHCA)

The Elder Needs Index (ENI) is a composite measure that includes: (1) the percentage of the 60 and older population that is age 85 and older; (2) the percentage of the 55 and older population who are members of racial or ethnic minority groups; (3) the percentage of the 65 and older population with one or more disability; and (4) the percentage of the 55 and older population living below 125% of the Federal Poverty Level. The Index is an averaged score that indicates senior citizens’ overall level of risk for a probable need of social services within a geographic area. It is not a percentage of the area’s population. The green areas of the map represent current conservation land such as national parks, state forests, wildlife management areas, local and private preserves. The blue areas of the map represent current water features such as lakes, streams, rivers, and coastlines.Complete maps available at http://elderaffairs.state.fl.us/doea/eni_home.php

Source: Florida Department of Elder Affairs using U.S. Census Bureau, 2012-16 ACS data

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Profile of Older Floridians

2018 Projections

Alachua CountyUnless otherwise noted, the data presented refers to individuals age 60 and older.

1 Those who report speaking English "Not well" or "Not at all" are defined as having Limited English Proficiency (LEP) in this profile.2 Total Minorities = (60+ Population) - (White Non-Hispanic 60+)3 A “dependency ratio” is commonly depicted as a ratio of workers to non-workers. Rather than using labor-force participation rates, which fluctuate, a stable dependency ratio can be estimated by using the number of individuals in the population who fall into age groups generally aligned with school-aged kids, working age adults, and retired seniors. For this graphic, working age adults (defined as 18-59) were compared to minors (age 0-17)(youth dependency ratio) and seniors (age 65+)(aged dependency ratio). Some of the potential implications of a higher dependency ratio include labor shortages, lower tax revenues, higher government spending, higher taxes, and pressure to raise retirement age.4 Medically Underserved Areas/Populations are areas or populations designated by Health Resources & Services Administration(HRSA) as having too few primary care providers, high infant mortality, high poverty or a high elderly population.5 Households age 65 and older paying more than 30 percent of income for housing costs (including utilities) and have an

income below 50 percent of the area median income.6 Wider Opportunities for Women Elder Economic Security Standard™ Index (Elder Index) measures how much income retired older adults require to meet their basic needs without public or private assistance. The Elder Index measures basic expenses for elders age 65+ living in the community, not in institutions. Annual expenses include: housing, including utilities, taxes, insurance; food; transportation; health care, based on good health; and miscellaneous. Data found at http://www.basiceconomicsecurity.org/EI/7 With One Type of Disability: 60+ people who have only one type of disability8 Probable Alzheimer’s Cases = (65-74 Population x 0.036596) + (75-84 Population x 0.169158) + (85+ Population x 0.427599)

Alzheimer’s by Age in 2017 Alzheimer’s Disease Facts and Figures Report used to develop calculation can be found at

https://www.alz.org/getmedia/4d0840b6-0baa-4b97-8a0e-1775cfbf44a4/statesheet_florida

9 OSS Beds: Optional State Supplementation Beds. Optional State Supplementation (OSS) is a cash assistance program. Its purpose is to supplement a person's income to help pay for costs in an assisted living facility, mental health residential treatment facility, and adult family care home. It is NOT a Medicaid program. 10 ECC License: Extended Congregate Care License. The ECC license is a specialty license that enables a facility to provide, directly or through contract, services beyond those permissible under the standard license, including acts performed by licensed nurses, and supportive services defined by rule to persons who otherwise would be disqualified from continued residence in a facility licensed under this part.11 LMH License: Limited Mental Health License. Any facility intending to admit three or more mental health residents must apply for and obtain a limited mental health license from AHCA’s Assisted Living Unit before accepting the third mental health resident. 12 LNS License: Limited Nursing Services License. The LNS license is a specialty license that enables a facility to provide a

select number of nursing services. 13 Florida Registered Voters: Totals reflect the number of active registered voters in Florida on 03/20/2018

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Profile of Older Floridians

2018 Projections

Alachua CountyUnless otherwise noted, the data presented refers to individuals age 60 and older.