final program - niccapital connections (exclusive opportunity for operators and developers) 3:15 pm...
TRANSCRIPT
F I N A L P R O G R A M
March 22–24Hilton San Diego Bayfront | San Diego, CA
Unlocking New Value Through Senior Care Collaboration
100closed transactions
600+counties
14,000+
1.8M+ units
properties reporting occupancy and rate data quarterly
90%property response rate
each quarter
10+ years of market performance data
To learn more, visit:
NIC MAP Data HubSapphire Level - Fourth Floor
info.nic.org/demo
140 metro markets
Wednesday, March 22: 12:00 PM – 6:30 PMThursday, March 23: 7:00 AM – 5:30 PM
Friday, March 24: 7:00 AM –12:00 PM
Timely and comprehensive market performance data on the seniors housing and care industry
TABLE OF CONTENTS
Schedule at-a-Glance ........................................... 2
Educational Program ............................................ 3
Educational Program Schedule ............................ 4
Important Places to Know .................................... 6
Attendee Resources and Services ........................ 9
General Information A to Z ................................ 13
Daily Schedule—Wednesday ............................. 15
Daily Schedule—Thursday ................................. 19
Daily Schedule—Friday ...................................... 30
2017 NIC Spring Investment Forum
Planning Committee .......................................... 39
Skilled Nursing Data Report
Key Occupancy & Revenue Trends
Based on Data from October 2011 through December 2016
4Q16 Skilled Nursing Data Report
Now Available at NIC MAP® Data Service Hub
NICevent.org | 1
WELCOME
We’re excited to welcome you to the 2017 NIC Spring Investment Forum.
It’s a great year to attend the Forum. We’ve expanded the programming to include sessions on finding value in collaboration, the value-based care revolution, how technology can foster connections between senior care and healthcare, and what the future of senior care holds in the Trump Administration.
As you participate in sessions and network with other attendees over the next three days, take the opportunity to start critical conversations and explore valuable partnerships that can help you create and demonstrate value.
The Final Program provides detailed information about all the resources and opportunities the conference has to offer. We encourage you to attend as many sessions as you can so you will return home with practical, actionable strategies for your business.
Thanks for joining us. Have a great Forum!
James C. ThompsonSenior DirectorSynovus Bank
Tom StanleyFounder and PrincipalCascade Living Group
Kenneth SegarnickChief Corporate Officer
Brandywine Living
Doug KoreySenior Vice President, Business Development
LTC Properties, Inc.
2017 NIC Spring Investment Forum Planning Committee Chairpersons
2 | Data • Analytics • Connections
SCHEDULE AT-A-GLANCE
WEDNESDAY, MARCH 22
9:00 AM – 6:30 PM Registration
12:00 PM – 6:30 PM NIC MAP® Data Service Hub
1:00 PM – 3:00 PM Pre-Conference Networking: Capital Connections (Exclusive opportunity for Operators and Developers)
3:15 PM – 4:30 PM Concurrent Sessions
4:30 PM – 5:30 PM First-Time Attendee Power Hour (Invitation only)
5:30 PM – 7:00 PM Welcome Reception
THURSDAY, MARCH 23
7:00 AM – 5:30 PM Registration NIC MAP® Data Service Hub
7:00 AM – 9:00 AM Continental Breakfast
8:00 AM – 9:30 AM Opening General Session
9:30 AM – 10:00 AM Networking Break
9:45 AM – 11:00 AM Concurrent Sessions
11:15 AM – 12:30 PM Concurrent Sessions
12:30 PM – 2:15 PM Conference Luncheon with Senators Tom Daschle and Bill Frist, M.D.
2:30 PM – 3:45 PM Concurrent Sessions
3:45 PM – 4:00 PM Networking Break
4:00 PM – 5:15 PM Concurrent Sessions
5:15 PM – 6:45 PM Networking Reception
FRIDAY, MARCH 24
7:00 AM – 12:00 PM Registration NIC MAP® Data Service Hub
7:00 AM – 9:00 AM Continental Breakfast
8:45 AM – 10:00 AM Concurrent Sessions
10:00 AM – 10:30 AM Networking Break
10:30 AM – 11:45 AM Concurrent Sessions
NICevent.org | 3
EDUCATIONAL PROGRAM
Primary Areas of Focus
CV Capturing Value – Discover how seniors housing and care operators and their investors are exploring operational and financial opportunities beyond traditional brick and mortar transactions, including value- based care collaboration and new technology initiatives.
CSP Creating Successful Partnerships – Think outside your silo walls to explore partnership opportunities that create value for your organization, care partners, payors, and those assuming risk, as well as for investors and seniors.
ECP Economic, Capital & Policy Trends – Explore the most recent economic, valuation, and supply and demand trends, and hear what NIC data is saying about the industry. Hear from former Senators Tom Daschle and Bill Frist as they discuss the future of health care policy, the move to value-based care, entitlement reform, and tax policy under the Trump Administration.
There are significant opportunities for seniors housing and skilled nursing operators to collaborate with innovative care delivery and coordination organizations and bring in new capabilities to care for older seniors more efficiently and effectively. These new collaborations—and the value they can create—will be a key focus area of this year’s educational program.
(See full infographic in front cover pocket.)
4 | Data • Analytics • Connections
EDUCATIONAL PROGRAM SCHEDULE
The educational program features a mix of sessions on capital and industry trends as well as strategies for unlocking value through partnerships with product and service providers outside operators’ customary, real estate-based care silos.
WEDNESDAY, MARCH 22
3:15 PM – 4:30 PM Concurrent Sessions
• The Value-Based Care Revolution CV Pg. 17
• The Economy in 2017 and Its Impact on Seniors Housing & Care ECP Pg. 18
THURSDAY, MARCH 23
8:00 AM – 9:30 AM Opening General Session
• The New World of Senior Care Collaboration
CV Pg. 20
9:45 AM – 11:00 AM Concurrent Sessions
• Managed Care: Opportunities & Challenges as a Senior Care Provider
CV Pg. 21
• Responding to Slow Seniors Housing Lease-Ups & Increased Competition ECP Pg. 22
11:15 AM – 12:30 PM Concurrent Sessions
• Seniors Housing’s Role in the Home Care Evolution CSP Pg. 23
• Real Estate Investment in a Coordinated Healthcare World CSP Pg. 24
12:30 PM – 2:15 PM Conference Luncheon with Senators Tom Daschle and Bill Frist, M.D.
The Future of Senior Care in the New Administration ECP Pg. 25
NICevent.org | 5
EDUCATIONAL PROGRAM SCHEDULE
2:30 PM – 3:45 PM Concurrent Sessions
• Using Innovative Technology to Connect Senior Care and Healthcare
CV Pg. 26
• Skilled Nursing Trends and Strategic Responses ECP Pg. 27
4:00 PM – 5:15 PM Concurrent Sessions
• Hot New Investments in Senior Care CV Pg. 28
• Building Partnerships for Clinical & Financial Success CSP Pg. 29
FRIDAY, MARCH 24
8:45 AM – 10:00 AM Concurrent Sessions
• Unlocking Value with Quality Metrics CV Pg. 31
• Redefining Valuations in Collaborative Business Models CSP Pg. 32
10:30 AM – 11:45 AM Concurrent Sessions
• A Deep Dive into Seniors Housing Local Market Conditions ECP Pg. 33
• The Medicaid Question: What’s Happening in Leading-Edge States ECP Pg. 34
CONTINUING EDUCATION UNITS (CEUS)NIC has applied for CEU credit hours with the National Association of Long Term Care Administrator Boards (NAB). Please refer to the Conference Online Community for approved credit hours.
6 | Data • Analytics • Connections
IMPORTANT PLACES TO KNOW
Registration
HOURS:
Wednesday, March 22 . . . 9:00 AM – 6:30 PM
Thursday, March 23 . . . . . . 7:00 AM – 5:30 PM
Friday, March 24 . . . . . . . . 7:00 AM – 12:00 PM
Location: Indigo Level 2—Indigo Light Wall
NAME BADGE & LANYARD COLORS Seniors Housing & Care Provider (Operator)
Developer
Payor/Convener/Insurer
Lender/Debt Provider, Investor/Equity Provider, Financial Intermediary
Industry Services/Transactional, Non-Transactional, Other
Conference attendees are required to wear their name badges throughout the conference. Name badges provide admission to receptions, networking spaces, and sessions. Badges are non-transferrable.
Tech BarComputers are available for you to check email, print session presentations, and more. Tech Bar concierges are on hand and available to assist you with your mobile device and Conference Online Community needs.
HOURS:
Wednesday, March 22 . . . 12:00 PM – 6:30 PM
Thursday, March 23 . . . . . . 7:00 AM – 5:30 PM
Friday, March 24 . . . . . . . . 7:00 AM – 12:00 PM
Location: Sapphire Level 4—Sapphire Foyer
NICevent.org | 7
IMPORTANT PLACES TO KNOW
NIC MAP® Data Service HubNEW YEAR, NEW LOOK
NIC MAP® Data Service is the seniors housing and care sector’s most powerful and comprehensive
research and analysis tool. With 10+ years of market performance data within the primary markets, NIC MAP® tracks and reports data on more than 14,000 properties within 140 U.S. metropolitan markets.
Visit the NIC MAP® Data Service Hub to learn more about the product features and enhancements now available to clients as part of our recently released NIC MAP® 2.0 Client Portal. With this next generation of NIC MAP®, users can:
• access demographics by address to improve site assessment• draw polygons for customized market area boundaries• plot hospitals to identify proximity to existing properties and
prospective sites• view historical time series data using distinct classifications
for memory care and CCRCs
Stop by to learn more about how you can harness the power of our data offerings to support your next business opportunity.
4Q16 Skilled Nursing Data Report Now AvailableWhile at the Data Service Hub, be sure to sign up for access to the latest edition of the Skilled Nursing Data Report, featuring a timely snapshot of national skilled nursing revenue and occupancy trends data. This report is a complimentary resource available to industry participants in order to help further transparency.
HOURS:
Wednesday, March 22 . . . 12:00 PM – 6:30 PM
Thursday, March 23 . . . . . . 7:00 AM – 5:30 PM
Friday, March 24 . . . . . . . . 7:00 AM – 12:00 PM
Location: Sapphire Level 4—Sapphire Foyer
Your Chance to Win!Stop by the Data Service Hub for a chance to win an Apple Watch Series 2! One lucky attendee will be chosen at random—just drop your business card at the Data Service Hub for a chance to win.
8 | Data • Analytics • Connections
IMPORTANT PLACES TO KNOW
Meeting PointsMeeting Points make meeting up easier! Save time locating colleagues by using this resource to identify meeting locations throughout the NIC conference space.
Meeting Point 1: Indigo Level 2 (Lobby Level) – Escalator behind Hotel Concierge/Front Desk
Meeting Point 2: Indigo Level 2 (Lobby Level) – Outside Restrooms Near NIC Registration
Meeting Point 3: Indigo Level 2 (Lobby Level) – Outside Odysea Networking Lounge
Meeting Point 4: Indigo Level 2 (Lobby Level) – Outside Indigo Networking Lounge
Meeting Point 5: Sapphire Level 4 – Top of Escalator/Outside Sapphire Ballroom A
Meeting Point 6: Sapphire Level 4 – Outside Sapphire Ballroom M
WIRELESS INTERNET During the conference, enjoy complimentary wireless internet throughout the NIC conference space.
Network: NICFORUM17 Password: VENTASREIT
NICevent.org | 9
ATTENDEE RESOURCES & SERVICES
Networking SpacesNetworking spaces are available for use throughout the conference and provide comfortable places for attendees to conduct meetings. A NIC badge must be worn for access to these spaces.
Odysea Networking LoungeThe Odysea Networking Lounge is the ideal place to see and be seen and is exclusively available to NIC conference attendees during the following hours.
HOURS:
Wednesday, March 22 . . . 9:00 AM – 5:00 PM
Thursday, March 23 . . . . . . 7:00 AM – 5:00 PM
Friday, March 24 . . . . . . . . 7:00 AM – 12:00 PM
Location: Indigo Level 2—Odysea Lounge
Indigo Networking LoungeIf you prefer a little more privacy or space to spread out, the Indigo Networking Lounge is the place to meet, with ample seating and tables for business meetings. You can also recharge your mobile devices or get a specialty coffee drink.
HOURS:
Wednesday, March 22 . . . 10:00 AM – 6:00 PM
Thursday, March 23 . . . . . . 7:00 AM – 6:00 PM
Friday, March 24 . . . . . . . . 7:00 AM – 12:00 PM
Location: Indigo Level 2—Indigo Ballroom
Conference Online CommunityThe Conference Online Community is your one-stop portal to all conference information, including:
• conference schedule• up-to-date attendee listing• speaker presentations and handouts• attendee profiles, maps and much more You can also download the app—search for “NIC Events” in your iTunes App Store or “GooglePlay.”
10 | Data • Analytics • Connections
ATTENDEE RESOURCES & SERVICES
Attendee ListingThe Attendee Listing in your conference bag includes all attendees who registered by January 25. To view the most up-todate attendee information available, please visit the Conference Online Community.
Event Guide to Capital Provider AttendeesLocated in your conference bag, the Event Guide to Capital Provider Attendees is an additional resource to help connect operators seeking financing with debt and equity providers in the sector. The guide includes company profiles, company contact information, on-site contact information, and the types of capital provided for lenders, investors, and financial intermediaries who registered and submitted their information by February 17.
Networking Receptions First-Time Attendee Power Hour (Invitation only)
Network with fellow attendees, meet NIC leadership, and hear suggestions on how to make the most of your conference experience.
DATE/TIME:
Wednesday, March 22 . . . 4:30 PM – 5:30 PM
Location: Indigo Level 2—Indigo Ballroom C
Welcome ReceptionMeet new contacts and network with conference attendees.
DATE/TIME:
Wednesday, March 22 . . . 5:30 PM – 7:00 PM
Location: Sapphire Level 4—Sapphire Foyer & Terrace
Networking ReceptionAn additional opportunity for capital seekers to meet and connect with capital providers.
DATE/TIME:
Thursday, March 23 . . . . . . 5:15 PM – 6:45 PM
Location: Sapphire Level 4—Sapphire Foyer & Terrace
NICevent.org | 11
ATTENDEE RESOURCES & SERVICES
Headshot LoungeNeed to update your 10-year-old photo? Put your best face forward and stop by the Headshot Lounge to have your complimentary executive portrait taken.
HOURS:
Wednesday, March 22 . . . 10:00 AM – 5:00 PM
Thursday, March 23 . . . . . . 7:00 AM – 5:00 PM
Friday, March 24 . . . . . . . . 7:00 AM – 12:00 PM
Location: Indigo Level 2—Indigo Terrace Foyer
LinkedIn CornerLinkedIn had a makeover — are you ready for your profile makeover?
It’s time to take a fresh look at your profile on the updated LinkedIn platform. Through powerful insights you’ll have your understanding of today’s LinkedIn platform transformed, discuss profile Dos and Don’ts, and learn straight-forward ways to re-position yourself as an expert and thought leader within your industry. You’ll walk away knowing how to:
• Engage your professional network of contacts• Build connections that are useful and meaningful• Showcase yourself as a desirable, well-rounded professional• Share ideas to stand out and be sought out
Improve Interactions. Build Connections. Increase Engagement.
Uncover the myths and truths about creating an impactful LinkedIn profile and staying engaged with your extended work world. It’s time to get the most out of LinkedIn.
HOURS:
Wednesday, March 22 . . . 10:00 AM – 5:00 PM
Thursday, March 23 . . . . . . 7:00 AM – 5:00 PM
Friday, March 24 . . . . . . . . 7:00 AM – 12:00 PM
Location: Indigo Level 2—Indigo Terrace Foyer
12 | Data • Analytics • Connections
Relaxation StationTake a break from your busy schedule and visit the Relaxation Station to enjoy an upper-body massage between business meetings and/or sessions.
HOURS:
Wednesday, March 22 . . . 10:00 AM – 5:00 PM
Thursday, March 23 . . . . . . 7:00 AM – 5:00 PM
Friday, March 24 . . . . . . . . 7:00 AM – 12:00 PM
Location: Indigo Level 2—Indigo Terrace Foyer
Shoe ShinePolish your look with a complimentary shoe shine.
HOURS:
Wednesday, March 22 . . . 10:00 AM – 5:00 PM
Thursday, March 23 . . . . . . 7:00 AM – 5:00 PM
Friday, March 24 . . . . . . . . 7:00 AM – 12:00 PM
Location: Indigo Level 2—Indigo West Foyer
Specialty Coffee BarGrab a complimentary cup of coffee in between business meetings and/or sessions.
HOURS:
Wednesday, March 22 . . . 10:00 AM – 5:00 PM
Thursday, March 23 . . . . . . 7:00 AM – 5:00 PM
Friday, March 24 . . . . . . . . 7:00 AM – 12:00 PM
Location: Indigo Level 2—Indigo Networking Lounge
ATTENDEE RESOURCES & SERVICES
SOCIAL BUZZJoin the social buzz and share your conference experience—you could show up on our social feed.
Twitter: #NICForum17 | Instagram: ntl_invctr
NICevent.org | 13
GENERAL INFORMATION A TO Z
Audio Recordings Synchronized with PowerPoint PresentationsAttendees will have complimentary access to audio recordings synchronized with PowerPoint presentations for most of the sessions shortly after the conference. For more information, visit the Conference Online Community.
Business CenterThe UPS-managed business center is equipped to provide you with all of the services you need to help make your business trip a success. UPS may be reached via telephone: 619-321-4201 or email: [email protected].
HOURS:
Wednesday, March 22 . . . 7:00 AM – 8:00 PM
Thursday, March 23 . . . . . . 7:00 AM – 8:00 PM
Friday, March 24 . . . . . . . . 7:00 AM – 8:00 PM
Location: Aqua Level 3
Conference TV ChannelBe sure to tune in for daily overviews, conference highlights, and a look at the day ahead.
Hilton San Diego Bayfront – Channel 97 Omni San Diego – Channel 42
Emergencies/Medical NeedsThe safety and security of attendees and staff is top priority for NIC and the Hilton San Diego Bayfront. For fire and medical emergencies, dial extension 55 (Emergency Hotline) or 0 from any house phone located in the hotel or 619-564-3333 to reach Hilton Bayfront Safety Services. Please be prepared to provide the nature and exact location of the emergency. We respectfully request that you do NOT call 911 directly.
Area PharmacyCVS Pharmacy645 Market StreetDistance away: 0.8 mile from hotel
Area Medical CenterSharp Rees-Stealy Downtown300 Fir StreetDistance away: 2 miles from hotel
SOCIAL BUZZJoin the social buzz and share your conference experience—you could show up on our social feed.
Twitter: #NICForum17 | Instagram: ntl_invctr
14 | Data • Analytics • Connections
GENERAL INFORMATION A TO Z
Kosher Accommodations Minyan
A space is available for use to observe Minyan.
HOURS:
Wednesday, March 22 . . . 6:00 PM – 8:00 PM
Thursday, March 23 . . . . . . 6:00 AM – 8:00 PM
Friday, March 24 . . . . . . . . 6:00 AM – 12:00 PM
Location: Sapphire Level 4—Sapphire Patio
Kosher MealsGlatt kosher options are available for attendees who requested kosher meals in advance. Continental breakfast and networking break refreshments will be offered adjacent to the area for Minyan on Thursday and Friday. Plated lunch will be served at the Conference Luncheon on Thursday, and kosher fare options will be offered at the receptions on Wednesday and Thursday.
Lost and FoundAny lost items may be available to claim at Registration. NIC will secure items until the end of each day and then turn them over to the hotel’s security.
Photos and VideosNIC reserves the right to use photographs/video taken of attendees at the conference for its purposes. Attendees waive any right to inspect or approve finished photographs/video or copy used for promotional purposes.
Speaker PresentationsAttendees can view and print available concurrent session presentations via the Conference Online Community. Click on the “Conference Schedule” tab and then click on “Presentations.”
NICevent.org | 15
DAILY SCHEDULE
WEDNESDAY, MARCH 22
9:00 AM – 6:30 PM RegistrationIndigo Level 2—Indigo Light Wall
12:00 PM – 6:30 PMNIC MAP® Data Service HubSapphire Level 4—Sapphire Foyer
1:00 PM – 3:00 PM Pre-Conference Networking: Capital Connections (Exclusive opportunity for Operators and Developers)Sapphire Level 4—Sapphire Ballroom B
3:00 PM – 3:30 PM Networking Break
3:15 PM – 4:30 PM Concurrent SessionsSapphire Level 4—Sapphire Ballroom
4:30 PM – 5:30 PM First-Time Attendee Power Hour (Invitation only)Indigo Level 2—Indigo Ballroom C
5:30 PM – 7:00 PM Welcome ReceptionSapphire Level 4—Sapphire Foyer & Terrace
i
WIRELESS INTERNET During the conference, enjoy complimentary wireless internet throughout the NIC conference space.
Network: NICFORUM17 Password: VENTASREIT
16 | Data • Analytics • Connections
PRE-CONFERENCE NETWORKING
WED. | 1:00 PM – 3:00 PM
Capital ConnectionsSapphire Level 4—Sapphire Ballroom
Capital Connections is a not-to-be missed pre-conference networking opportunity exclusively for owners/operators and developers of post-acute care, long-term care, and seniors housing properties to meet select capital providers, including
debt lenders, equity, and REITs, and discuss various financing options.
Debt Lenders:
• BMO Harris
• BOKF
• Capital One
• CapitalSource
• Formation Capital Lending Group
• KeyBank Real Estate Capital
• MB Financial
• MidCap Financial Services, LLC
• Opus Bank
• Oxford Finance
• Sunwest
• Synovus Bank
• The PrivateBank
• Wells Fargo
Debt Agency Lenders:
• Berkadia
• Cambridge Realty Capital
• Capital Funding
• Dougherty Mortgage
• Greystone
• Housing & Healthcare Finance
• JLL
• Lancaster Pollard
• Love Funding
• RED Capital Group
• Walker Dunlop
Equity, REITs, & Other Partnerships:
• Blue Moon Capital Partners, LP
• Care Investment Trust
• Capital Care Properties
• CNL
• Greene Court Partners
• Harrison Street
• HCP, Inc.
• HJ Sims
• LTC Properties, Inc.
• National Health Investors, Inc.
• Omega Health Investors, Inc.
• PGIM
• RSF Partners
• Sentio Healthcare Properties
• Ventas, Inc.
• Welltower Inc.
• Zenith Capital
NICevent.org | 17
CONCURRENT SESSIONS
WED. | 3:15 PM – 4:30 PM
The Value-Based Care RevolutionSapphire Level 4—Sapphire Ballroom A
The federal government is pushing to reduce the cost of care while improving outcomes, especially for frail seniors, by shifting away from traditional fee-for-service to value-based care delivery and payment strategies such as alternative payment models, bundled payments, and Medicare Access and CHIP Reauthorization Act (MACRA). Key to these strategies is the assumption of risk, whether for episodes of care or in a population health model. This session will explore further regulatory changes likely in 2017, and what they may mean for seniors housing and skilled nursing.
Takeaways:
• Know how value-based care will affect seniors housing and skilled nursing
• Understand what CMS has planned for the next year
• Explore value-based care strategies that hospitals and physicians are already implementing
• Identify possible partnership opportunities
Moderator:
Lynne S. Katzmann, Founder & President, Juniper Communities
Speakers:
Brian Fuller, Vice President, Value-Based Care, naviHealth
Erik Johnson, Vice President, Optum
CV
NEED ASSISTANCE? Our conference concierges are located throughout the conference space and will be delighted to assist you with any needs you might have—from mobile device chargers to photocopies and much more.
18 | Data • Analytics • Connections
CONCURRENT SESSIONS
The Economy in 2017 and Its Impact on Seniors Housing & CareSapphire Level 4—Sapphire Ballroom I
The U.S. general election outcome shifted the near-term economic outlook, with many now predicting faster growth and higher interest rates in 2017. In this session, NIC Chief Economist Beth Mace will provide an overview on macroeconomic trends and NIC data on the seniors housing and skilled nursing sectors through fourth-quarter 2016, including occupancy rates, supply and demand conditions, and a comparison of metropolitan market performance across the U.S. Capital market experts will also share their strategies for navigating changing market conditions.
Takeaways:
• Hear anticipated 2017 economic trends, including changes in fiscal and monetary policy, and how they may affect access to capital
• Understand how rising interest rates could impact seniors housing and skilled nursing
• Discover economic influences on investment strategies, business plans, and deployment of capital; what considerations are important for your own enterprise?
• Leverage the expertise of panelists from who are positioning their organizations for 2017 market conditions as well as the new administration’s policies and priorities
Moderator:
Beth Burnham Mace, Chief Economist, NIC
Speakers:
Timothy J. Fox, Executive Vice President/Chief Investment Officer, Senior Resource Group
Justin Hutchens, President, HCP, Inc.
Imran Javaid, Managing Director, BMO Harris Bank
WED. | 3:15 PM – 4:30 PM
ECP
NICevent.org | 19
DAILY SCHEDULE
THURSDAY, MARCH 23
7:00 AM – 5:30 PM Registration
Indigo Level 2—Indigo Light Wall
NIC MAP® Data Service HubSapphire Level 4—Sapphire Foyer
7:00 AM – 9:00 AM Continental Breakfast
8:00 AM – 9:30 AM Opening General SessionSapphire Level 4—Sapphire Ballroom
9:30 AM – 10:00 AM Networking Break
9:45 AM – 11:00 AM Concurrent Sessions Sapphire Level 4—Sapphire Ballroom
11:15 AM – 12:30 PM Concurrent Sessions Sapphire Level 4—Sapphire Ballroom
12:30 PM – 2:15 PM Conference Luncheon with Senators Tom Daschle and Bill Frist, M.D. Sapphire Level 4—Sapphire Ballroom
2:30 PM – 3:45 PM Concurrent Sessions Sapphire Level 4—Sapphire Ballroom
3:45 PM – 4:00 PM Networking Break
4:00 PM – 5:15 PM Concurrent SessionsSapphire Level 4—Sapphire Ballroom
5:15 PM – 6:45 PM Networking ReceptionSapphire Level 4—Sapphire Foyer & Terrace
i
20 | Data • Analytics • Connections
OPENING GENERAL SESSION
The New World of Senior Care CollaborationSapphire Level 4—Sapphire Ballroom
Discover new collaborations seniors housing and skilled nursing operators are exploring to partner with innovative care delivery and coordination organizations in home care, transitional and chronic care management, and enhanced primary care. These service providers are bringing forward new capabilities that add value and help operators serve frail seniors effectively, efficiently, and profitably. Hear from operators and investors in senior care and home care about the collaborative, cross-silo partnerships they’re pursuing, and why these relationships drive both operational and financial success and create long-term value— for all partners.
Takeaways:
• Identify the larger trends in risk-based payment that are pushing clinical and operational collaborations
• Hear the investor perspective on senior care collaboration and how it could affect deal valuations
• Get the inside story on the home care investing craze and how senior care collaboration offers a crucial distribution channel for scale
Moderator:
Anne Tumlinson, Founder Anne Tumlinson Innovations, LLC
Speakers:
Dexter Braff, President The Braff Group
Lynne S. Katzmann, Founder & President Juniper Communities
Kelsey Mellard, Head of Health System Integration, Honor
Kurt Read, Principal RSF Partners
THU. | 8:00 AM – 9:30 AM
CV
NICevent.org | 21
CONCURRENT SESSIONS
THU. | 9:45 AM – 11:00 AM
Managed Care: Opportunities & Challenges as a Senior Care ProviderSapphire Level 4—Sapphire Ballroom A
About one-third of Medicare beneficiaries are enrolled in managed care today and nearly half of all seniors are expected to be enrolled within the next 10 years. But as more senior care organizations experiment with managed care products, strategies, and partnerships, will they add value to their operations and enhance the quality of care? This session looks at the unique business opportunities and challenges of managed care, including enabling risk management, that operating companies and providers face in the seniors housing, post-acute care, and long-term care markets.
Takeaways:
• Uncover opportunities and overcome challenges in managed care
• Review real-life case studies of successful operating company initiatives
• Gain insights into innovative clinical practices that produce consumer value
Moderator:
Michael Torgan, Executive, Business Development & Strategy, First Quality Healthcare Group
Speakers:
Melanie Bella, Independent Consultant and Former Director, Medicare-Medicaid Coordination Office, CMS
Jason Feuerman, Senior Vice President, Strategic Development & Managed Care, Genesis HealthCare, Inc.
Kurt Hubler, Chief Network Officer, Inland Empire Health Plan
Will Saunders, CEO, AllyAlign Health
CV
STAY CONNECTED!Charging kiosks are available and offer compatible plugs for a variety of mobile devices; including iPhone, iPad, and microUSB.
22 | Data • Analytics • Connections
CONCURRENT SESSIONS
THU. | 9:45 AM – 11:00 AM
Responding to Slow Seniors Housing Lease-Ups & Increased CompetitionSapphire Level 4—Sapphire Ballroom I
You did the research and developed in a great market. But how do you respond when lease-ups are slower than expected? Why do some properties fare well, while others do not? In this session, get the latest NIC MAP® seniors housing data by property type, including memory care, to find out where supply is low and where development is hot. Then follow along as experienced panelists share their strategies for adjusting business plans or pro formas when new competition changes the competitive landscape and lease-ups fail to materialize as forecasted.
Takeaways:
• Discover how different seniors housing property types— independent living, assisted living, and memory care—are performing by metropolitan market across the U.S.
• Get practical and tactical strategies for succeeding in a competitive landscape
• Hear contingency plans that can be implemented when a property fails to meet its pro forma
Moderator:
Lana Peck, Senior Principal, NIC
Speakers:
Liz Bush, Senior Vice President, Community Performance, Life Care Services
Taylor Russ, Vice President – Senior Housing Group, BOK Financial
Courtney Siegel, Vice President of Operations, Oakmont Senior Living
ECP
SOCIAL BUZZJoin the social buzz and share your conference experience—you could show up on our social feed.
Twitter: #NICForum17 | Instagram: ntl_invctr
NICevent.org | 23
CONCURRENT SESSIONS
THU. | 11:15 AM – 12:30 PM
Seniors Housing’s Role in the Home Care EvolutionSapphire Level 4—Sapphire Ballroom A
The private-pay home care industry is changing rapidly. While the old contractor-agency model persists, more home care organizations are increasingly moving toward technology-enabled, employment-based models as well as online direct-to-consumer platforms. Some are even exploring retail avenues to attract consumers. As these home care organizations—and the capital providers who invest in them—experiment with different distribution channels, how can seniors housing partner with them?
Takeaways:
• Find out how today’s home care market is competing for post-acute care income
• Explore opportunities for home care to leverage seniors housing’s established distribution channels
Moderator:
Anne Tumlinson, Founder, Anne Tumlinson Innovations, LLC
Speakers:
Jacquelyn Kung, Principal, Altruya, LLC
Kelsey Mellard, Head of Health System Integration, Honor
Daniel Schwartz, Chief Operating Officer, Almost Family
CSP
CONFERENCE TV CHANNELBe sure to tune in for daily overviews, conference highlights, and a look at the day ahead.
Hilton San Diego Bayfront – Channel 97 Omni San Diego – Channel 42
SOCIAL BUZZJoin the social buzz and share your conference experience—you could show up on our social feed.
Twitter: #NICForum17 | Instagram: ntl_invctr
24 | Data • Analytics • Connections
Real Estate Investment in a Coordinated Healthcare WorldSapphire Level 4—Sapphire Ballroom I
In a world rapidly changing from fee-for-service to a setting-neutral, value-based environment, all health care providers—including those in seniors housing and care—will have to coordinate and partner to expand their capabilities. In this session, get expert insight from a panel of senior care providers and investors, as well as private equity investors in non-real estate care businesses. The panelists will share the practical realities of investing in a world where senior living and its associated care is blended with home care as well as other programs and services in order to complete a coordinated continuum.
Takeaways:
• Discover avenues of participating in an owned, partnered, or third-party managed matrix of care
• Explore different investment models, from a real estate-centric approach to an operating-oriented focus, and find out which types of investors are considering or even targeting investments within a coordinated continuum strategy
Moderator:
Dexter Braff, President, The Braff Group
Speakers:
Phil Fogg, Jr., President & CEO, Marquis Companies & Consonus Healthcare
Peter Martin, Managing Director, JMP Securities
Arnold Whitman, Chairman, Formation Capital, LLC
CONCURRENT SESSIONS
THU. | 11:15 AM – 12:30 PM
CSP
NICevent.org | 25
CONFERENCE LUNCHEON
The Future of Senior Care in the New AdministrationSapphire Level 4—Sapphire Ballroom
Since the government began pushing toward a system of value- based care in 2010, many senior care operators have responded by making investments in new clinical capabilities, infrastructure, and data. Now the election outcome has created uncertainty for health care integration and delivery reform—and casts doubts on future payoffs for these senior care investments.
Hear from Washington insiders on the ever-changing political landscape just two months after the inauguration. Senators Tom Daschle (D-South Dakota) and Bill Frist (R-Tennessee) will draw on their deep knowledge of the Affordable Care Act and its impact on seniors housing and care as they discuss how the new president and Congress are likely to prioritize and execute their ambitious agenda, which could include capping federal contributions to Medicare coverage and block granting Medicaid, as well as other health and tax reform measures. The Senators will also provide insights on their work together on the Bipartisan Policy Center’s long-term care financing reform effort, and why it’s so hard to change how we pay for long-term care.
Moderator:
Kenneth Segarnick, Chief Corporate Officer Brandywine Living
Keynote Speakers:
Senator Tom Daschle (D-SD), Founder and CEO The Daschle Group
Senator Bill Frist, M.D. (R-TN), Partner & Chairman Cressey & Company
THU. | 12:30 PM – 2:15 PM
ECP
26 | Data • Analytics • Connections
Using Innovative Technology to Connect Senior Care and HealthcareSapphire Level 4—Sapphire Ballroom A
Technology can potentially be the most powerful tool to transfer information from one site of care to the next. In this session, discover how to harness technology to facilitate communication and coordination across organizations.
Takeaways:
• Discover how seniors housing can leverage technology to exchange information with healthcare providers
• Learn how operators are adding health information exchanges as a key capability for adding value in their healthcare systems
Moderator:
Lori Alford, COO, Avanti Senior Living
Speakers:
Kari Olson, Chief Innovation & Technology Officer, Front Porch
Craig Patnode, CEO, Simply Connect
THU. | 2:30 PM – 3:45 PM
CONCURRENT SESSIONS
CV
WIRELESS INTERNET During the conference, enjoy complimentary wireless internet throughout the NIC conference space.
Network: NICFORUM17 Password: VENTASREIT
NICevent.org | 27
CONCURRENT SESSIONS
Skilled Nursing Trends and Strategic ResponsesSapphire Level 4—Sapphire Ballroom I
Uncertainty around skilled nursing’s outlook in the changed political landscape continues to create a disruptive environment, and operators and capital providers are adapting their strategies to prepare for additional uncertainty and future success. The market has reacted with increased merger and acquisition activity —from divesting of skilled nursing holdings to investing heavily in the sector. This session will build on the earlier presentation “The Economy in 2017 and Its Impact on Seniors Housing & Care,” providing you with an in-depth look at NIC’s skilled nursing data and trends. Hear the perspectives of an operator and a REIT on how they have each embraced and adapted to the current environment.
Takeaways:
• Get critical insight on the evolving skilled nursing trends, including patient day mix, transaction activity, and occupancy
• Understand how the year-over-year trends have evolved in 2016 versus 2015 and hear thoughts on future trends
• Discover both operational and financial strategies for capturing opportunities and managing risk
Moderator:
Bill Kauffman, Senior Principal, Research & Analytics, NIC
Speakers:
Derek Prince, President & CEO, HMG Service, LLC
Nancy Schwalm, Chief Business Development Officer, Vivage Senior Living
Wendy Simpson, Chairman, CEO, & President, LTC Properties, Inc.
ECP
THU. | 2:30 PM – 3:45 PM
Coffee?Grab a cup from the specialty coffee
bars located on Indigo Level 2 in the Indigo Networking Lounge.
28 | Data • Analytics • Connections
THU. | 4:00 PM – 5:15 PM
CONCURRENT SESSIONS
Hot New Investments in Senior CareSapphire Level 4—Sapphire Ballroom A
The increasing focus on value has not escaped investors’ notice. Venture capital alone invested more than $200 million in home care companies in 2016, and investors who traditionally focused on biotech and pharmaceutical health care spaces have funded new primary care service enterprises that are innovating care for frail seniors. This session will explore how these companies who are targeting frail seniors use sophisticated platforms designed to increase value to payors and consumers, and why investors increasingly are paying attention.
Takeaways:
• Understand the opportunities, challenges, and risks of scaling evolving business models
• Gain insight into innovative business models and how they can enhance your operational capabilities, including technology, data, and clinical pathway management
• Anticipate future opportunities for adding value to the health care delivery system
Moderator:
Anne Tumlinson, Founder, Anne Tumlinson Innovations, LLC
Speakers:
Melanie Bella, Independent Consultant and Former Director, Medicare-Medicaid Coordination Office, CMS
Benjamin Berk, CEO, Attuned Care
Burt Yarkin, Managing Director, The McLean Group
CV
CONFERENCE TV CHANNELBe sure to tune in for daily overviews, conference highlights, and a look at the day ahead.
Hilton San Diego Bayfront – Channel 97 Omni San Diego – Channel 42
NICevent.org | 29
CONCURRENT SESSIONS
THU. | 4:00 PM – 5:15 PM
CSPBuilding Partnerships for Clinical & Financial Success Sapphire Level 4—Sapphire Ballroom I
The focus on quality and value is compelling operators/providers to seek solutions outside their building walls. To ensure success for each partnering organization, it is key to identify the right prospective partners and to develop a collaborative framework with shared operational and financial goals.
Takeaways:
• Hear how operators/providers are partnering to design care pathways, processes, and handoffs that produce successful and measurable results
• Review case studies of collaborations designed to integrate clinical operations
• Hear strategies for establishing roles and responsibilities within partnerships
• Hear how to create legal and financial structures for successful partnerships across organizations
Moderator:
Nanci Wilson, Vice President, Research & Development, Plum Healthcare Group, LLC
Speakers:
Joseph W. Alegre, Chief Financial Officer, OnPointe
Don Kelly, Senior Director, Healthcare Finance, CapitalSource
Troy Langsdale, Chief Financial Officer, Legend Healthcare
Eric Tanner, President/COO, OnPointe
SOCIAL BUZZJoin the social buzz and share your conference experience—you could show up on our social feed.
Twitter: #NICForum17 | Instagram: ntl_invctr
30 | Data • Analytics • Connections
DAILY SCHEDULE
FRIDAY, MARCH 24
7:00 AM – 12:00 PM Registration
Indigo Level 2—Indigo Light Wall
NIC MAP® Data Service HubSapphire Level 4—Sapphire Foyer
7:00 AM – 9:00 AM Continental Breakfast
8:45 AM – 10:00 AM Concurrent SessionsSapphire Level 4—Sapphire Ballroom
10:00 AM – 10:30 AM Networking Break
10:30 AM – 11:45 AM Concurrent SessionsSapphire Level 4—Sapphire Ballroom
i
STAY CONNECTED!Charging kiosks are available and offer compatible plugs for a variety of mobile devices; including iPhone, iPad, and microUSB.
NICevent.org | 31
CONCURRENT SESSIONS
FRI. | 8:45 AM – 10:00 AM
Unlocking Value with Quality MetricsSapphire Level 4—Sapphire Ballroom I
Measuring quality matters—not just to increase overall enterprise value but to demonstrate that value to referral partners and increasingly savvy consumers. Both private-pay seniors housing and government-reimbursed skilled nursing operators need to track and demonstrate quality outcomes of the services they provide. Hear from a panel of experts on the most prevalent quality indicators being measured today and the metrics some operators are exploring in order to deliver and demonstrate value whether it be to consumers, payers, physicians, hospitals or lenders.
Takeaways:
• Discover why quality metrics are key to mitigate risk and provide better revenue streams
• Explore current health care quality metrics and understand how the new presidential administration may influence them
• Understand how seniors housing and skilled nursing operators will need to demonstrate an alignment of interests with hospital systems and physician groups
Moderator:
Michael Torgan, Executive, Business Development & Strategy, First Quality Healthcare Group
Speakers:
Kim Estes, Senior Vice President, Clinical Services, Brookdale Living
Kim Barrows, President, KB Post-Acute Strategic Specialists
CV
32 | Data • Analytics • Connections
CONCURRENT SESSIONS
FRI. | 8:45 AM – 10:00 AM
Redefining Valuations in Collaborative Business ModelsSapphire Level 4—Sapphire Ballroom A
Collaborations beyond customary real estate transactions are presenting new opportunities for investors, operators, and providers of senior care products and services. But determining the worth of these changing business models is a challenge. In this session, a panel of experts will evaluate changes to valuation methodologies and metrics in the evolving health care delivery landscape.
Takeaways:
• Understand how appraisers, investors, and operators may assess the true value of a potential acquisition
• Determine the impact of value-based payment models on pro forma calculations
• Learn about the health care metrics lenders are using to evaluate quality of care
• Hear about current valuation trends, including cash flow multiples and desirable cap rates, and how reimbursement policy changes can impact valuations
Moderator:
Brady Johnson, Director, Seniors Housing & Healthcare, RED Capital Group
Speakers:
Colleen Blumenthal, Managing Director, HealthTrust, LLC
Kevin Harbour, Managing Director, Head of Healthcare Originations, Wells Fargo Capital Finance – Healthcare Finance
Adam Klein, Principal, ECG Management Consultants
CSP
NICevent.org | 33
CONCURRENT SESSIONS
FRI. | 10:30 AM – 11:45 AM
A Deep Dive into Seniors Housing Local Market ConditionsSapphire Level 4—Sapphire Ballroom I
Looking down from 10,000 feet, the seniors housing sector is in equilibrium. Occupancy has oscillated around 89.9% for the past three years, and demand has largely matched new supply, despite the run-up in construction since 2013. Zoom in a little closer, however, and the view changes. Results often vary significantly at the local level, proving that the old adage “location, location, location” can ring true. In this session, Beth Mace will discuss seniors housing conditions at the local market level, highlighting the contrasts between the generally healthy markets in California with those in Texas that are struggling with oversupply.
Takeaways:
• Identify which markets performed well in 2016, which missed the mark, and what factors influenced their performance
• Discover critical concepts for gauging winning and losing markets
• Hear which markets offer opportunities with the most promise
Presenter:
Beth Burnham Mace, Chief Economist, NIC
ECP
DID THE CONFERENCE MEET YOUR EXPECTATIONS?Help us improve your experience at future NIC events — be on the look out for a short evaluation to provide us your feedback.
34 | Data • Analytics • Connections
The Medicaid Question: What’s Happening in Leading-Edge StatesSapphire Level 4—Sapphire Ballroom A
Providers across the care continuum are responding to both changes in Medicaid programs at the state level that are designed to limit or cap state financial exposure, as well as a potential overhaul of the federal funding model. In this session, panelists will give you a deep dive into Medicaid’s approach to long-term services and supports (LTSS) in three states—California, Texas, and North Carolina—and what these approaches may mean for models in other states. Hear their predictions for how Medicaid could change in the future, including the potential transition to block grants, the growing proliferation of home and community-based services (HCBS), and the impact of the increasing reliance on managed Medicaid organizations (MCOs).
Takeaways:
• Hear how changes to LTSS and HCBS could influence market share
• Explore approaches for successful partnerships with MCOs
• Understand why some providers are using creative approaches to capture Medicaid revenue streams, including forming managed care plans and ACOs as well as expanding services to include home care and home health
• Get insiders’ perspectives on the latest Medicaid developments and NIC’s data on top-level trends through 2016
Moderator:
Mike Cheek, Senior Vice President, Reimbursement Policy, AHCA
Speakers:
James H. Gomez, CEO/President, California Association of Health Facilities
Kevin Warren, President & CEO, Texas Health Care Association
Larry Atkins, Executive Director, National MLTSS Health Plan Association
CONCURRENT SESSIONS
FRI. | 10:30 AM – 11:45 AM
ECP
NICevent.org | 35
CORPORATE PARTNERS
NIC PREMIER PARTNERS
We would like to thank our year-long partners for their support and commitment to advancing NIC’s mission.
®
TM
NIC OFFICIAL PARTNERS
THANK YOU
36 | Data • Analytics • Connections
Mobile Charging Wednesday Evening Turndown Service
Conference Luncheon Keynote Speaker
Odysea Networking Lounge
Conference Luncheon Opening General Session Keynote Speaker
Headshot Lounge Kosher Accommodations
Networking Mints Event Guide to Capital Provider Attendees
Badges and Lanyards Tech Bar
Kosher Accommodations Elevator Cling Signage
THANK YOU
SPONSORS
We would like to thank our sponsors for their support and commitment to advancing NIC’s mission.
EVENT SPONSORS
NICevent.org | 37
Escalator Cling Signage Relaxation Station
Specialty Coffee Bar Bottled Water Service
Graphic Recording Networking Reception
Hotel Room Keys Wednesday Evening Amenity
Networking Reception First-Time Attendee Power Hour Meeting Points Signage
®
TM
Morning Newspaper Opening General Session
Schedule at-a-Glance Conference Bag
Welcome Reception Opening General Session Keynote Speaker
THANK YOU
SPONSORS
We would like to thank our sponsors for their support and commitment to advancing NIC’s mission.
EVENT SPONSORS
38 | Data • Analytics • Connections
American Health Care Association/National Center for Assisted Living (AHCA/NCAL)
American Seniors Housing Association (ASHA)
Argentum
California Assisted Living Association (CALA)
McKnight’s Long-Term Care News & Assisted Living
National Real Estate Investor (NREI)
Provider Magazine
Seniors Housing Business
Senior Housing Forum
Senior Living Executive
Senior Housing News
The Senior Care Investor
Thursday Afternoon Networking Break
Thursday Evening Amenity
Shoe Shine Deal-Making Kits
Kosher Accommodations Indigo Networking Lounge
Wireless Internet
Welcome Signage Welcome Reception
THANK YOU
SPONSORS
We would like to thank our sponsors for their support and commitment to advancing NIC’s mission.
INDUSTRY & MEDIA SPONSORS
EVENT SPONSORS
NICevent.org | 39
Doug KoreySenior Vice President, Business Development, LTC Properties, Inc., Committee Co-Chair
Kenneth SegarnickChief Corporate Officer, Brandywine Living, Committee Co-Chair
James C. ThompsonSenior Director – Senior Housing Lending, Synovus Bank, Committee Co-Chair
Thomas StanleyFounder & Principal, Cascade Living Group, Committee Co-Chair
2017 SPRING INVESTMENT FORUM PLANNING COMMITTEE
Lori AlfordChief Operating Officer, Avanti Senior Living
Dexter BraffPresident, The Braff Group
Ben FirestoneManaging Director, Blueprint Healthcare Real Estate Advisors
James H. GomezCEO/President, California Association of Health Facilities
Gary JacobsExecutive Vice President – Strategic Partnerships, CareCentrix
Erik JohnsonVice President, Optum
Mike JonesVice President – Portfolio Management, Care Capital Properties Inc.
Lynne S. KatzmannFounder & President, Juniper Communities
Chad KeetchExecutive Vice President & Secretary, Ensign Services
Michelle KellyVice President of Business Development, Senior Housing, Welltower Inc.
Keith KodrinManaging Director, Capital One Bank
Kevin MaddronCOO & Chief Financial Officer, CNL Healthcare Properties
40 | Data • Analytics • Connections
2017 SPRING INVESTMENT FORUM PLANNING COMMITTEE
Sheryl MarcetManaging Director, Omega Healthcare Investors, Inc.
Joe McCarronPrincipal, Capital Care Associates, LLC
Kelsey MellardHead of Health System Integration, Honor
Ryan NovaczykPresident & Chief Financial Officer, New Perspective Senior Living
Ann O’ShaughnessyManaging Director, The PrivateBank
Torey RisoCEO/President, Care Investment Trust, LLC
Julie RobinsonVice President, Acquisitions, Ventas, Inc.
David RussManaging Director, Formation Capital, LLC
David SharpManaging Director, MidCap Financial Services, LLC
Jason SmeckSenior Managing Director, RED Capital Group
Michael TorganExecutive, Business Development & Strategy, First Quality Healthcare Group
Anne TumlinsonFounder, Anne Tumlinson Innovations, LLC
Kevin WarrenPresident & CEO, Texas Health Care Association
Nanci WilsonVice President, Research & Development, Plum Healthcare Group, Inc.
DID THE CONFERENCE MEET YOUR EXPECTATIONS?Help us improve your experience at future NIC events — be on the look out for a short evaluation to provide us your feedback.
SAVE DATES2017 NIC Fall Conference
This year’s Fall Conference will begin on a
Tuesday and end on a Thursday.
September 26–28 Chicago, IL
2018 NIC Spring Investment Forum
March 7–9 Dallas, TX
2018 NIC Fall Conference
October 17–19 Chicago, IL
www.nic.org/events
100closed transactions
600+counties
14,000+
1.8M+ units
properties reporting occupancy and rate data quarterly
90%property response rate
each quarter
10+ years of market performance data
To learn more, visit:
NIC MAP Data HubSapphire Level - Fourth Floor
info.nic.org/demo
140 metro markets
Wednesday, March 22: 12:00 PM – 6:30 PMThursday, March 23: 7:00 AM – 5:30 PM
Friday, March 24: 7:00 AM –12:00 PM
Timely and comprehensive market performance data on the seniors housing and care industry