Seniors Housing in America: Lessons Learned
|
|
|
- Ella Fox
- 10 years ago
- Views:
Transcription
1 Seniors Housing in America: Lessons Learned Patricia G. Will Founder and CEO Belmont Village Senior Living Belmont Village Hunters Creek, Houston Belmont Village Turtle Creek, Dallas
2 Seniors Housing in America: An Overview 2
3 Demand Drivers Age 85+ population cohort highest growth rate: projected 230% vs. 42% general population through year 2050 Projected increase in Alzheimer s Disease (32% of seniors age 85+ have AD today) Rise is number of centenarians: 171,000 in 2015 will grow to 834,000 by Increasing life spans Healthier lifestyles Better health care 85 is the New 65 Merle Phillips, age 108, and friends Belmont Village Geneva Road, Chicago 3
4 2030: Meteoric Growth Rate in Age 85+, Our Market MAIN EVENT WARM UP LULL WORLD WAR II Source: NIC MAP 3rd edition 4
5 Key Metrics Seniors Housing Skilled Nursing Units 538, ,000 Occupancy 90.2% 88.5% Construction vs. Inventory 3.9%.6% Annual Rent Growth 2.4% 2.5% Penetration Rate 10.2% 10.8% Source: NIC Map Monitor 1Q15 5
6 6 Belmont Village Overview
7 My Story 1980s - mid-1990s Professional roots in medical development 1994 Mother-in-law diagnosed with dementia, residential memory care not available at the time Due diligence on senior housing industry 1997 Co-founded Belmont Village Senior Living Mother-in-Law Josephine Will; Memorial Hermann, The Woodlands, Texas 7
8 The Launch: Belmont Village West University Create a place where I would want to be Manage frailty while fostering independence Proximity to the Texas Medical Center is key COMMUNITY SNAPSHOT Belmont Village West University, Houston Opened November ,000 SF 153 apartments for Assisted Living and Memory Care St. Luke s Geriatric Health Center located on-site Belmont Village West University Grand Opening, Nov. 14,
9 Ages of Belmont Village First Age Second Age Third Age Chicago San Jose, CA Thousand Oaks, CA 9
10 University Medical Collaboration Guides Programs USC Davis School of Gerontology Leadership, Longevity University of Texas Health Science Center, Texas Institute for Rehabilitation & Research Conrad N. Hilton College of Hotel and Restaurant Management, University of Houston UCLA Semel Institute for Neuroscience and Human Behavior, UCLA School of Nursing Vanderbilt University Northwestern University with Rush Hospital, Chicago Physical rehabilitation, seniors as consumers Senior dining and nutrition Alzheimer s and memory research, practicum for geriatric nursing Memory care research Alzheimer s care research 10
11 Product Mix Senior Apartments Independent Living Assisted Living Alzheimer s Disease Nursing Home Age-restricted Multi-family amenities Active, mobile Lifestyle activities No support Private pay Healthy, but frail Selected activities Daily living support Need-driven Private pay Belmont Village Communities (for rent) Cognitive impairment Specialized care required Mild to medium acuity Private pay Continuing Care Retirement Communities (for sale) Ill and frail Full medical care required Government reimbursed 11
12 What Makes Belmont Unique? Mixed use buildings in complex settings. We manage what we own. Full continuum under one roof IL/AL/ALZ with profound benefits for residents: couples can continue to live together. High level of hospitality with clinical underpinnings. Belmont Village San Jose/ Santana Row Employees among the highest tenure in the industry: 39.2 months
13 Belmont Village Today Integrated developer, owner and operator of top tier independent living, assisted living and memory care communities 2,811 employees with 70 professionals at Houston HQ $1.5 billion in assets $200 MM in revenues 24 properties with 3,400+ units, all operated by Belmont and co-owned by Belmont with institutional partners Three communities in development One community under construction in Mexico City 13 13
14 Case Study: Belmont Village Westwood A Retirement Community for UCLA 14
15 A Retirement Community for UCLA What they wanted: Site within one mile of campus Buy-in CCRC, majority IL 400 units What they got: Site within one mile of campus For-rent CCRC, fully licensed IL, AL, ALZ 176 units UCLA Campus Belmont Village Westwood 15
16 Belmont Village Westwood: Long Time in Making Single family $1MM homes Condo Church Common entrance, one curb cut Wilshire Blvd Contract Site #1 UCLA Find RFP Site #2 and selection Ground lease With WUMC N hood and DRB approval Project Approval Construction Starts Grand Opening Broke even in 4th month 100% Occupancy August
17 Value Creation at Belmont Village Westwood The community opened 3Q09 and stabilized (at 100%) 4Q11, a remarkable result during the recession. During its first year, it generated operating income of $6.6 MM. Since then, income has grown at a 9.5% compounded rate. 17
18 A building with intellectual richness Jane Adler, National Real Estate Investor A building with intellectual richness Jane Adler, National Real Estate Investor Ongoing teaching / research cooperation with multiple UCLA faculties Faculty/emeriti lectures at Belmont OSHER lifelong learning classes UCLA Healthcare 50+ lectures on health & medical topics UCLA Semel Institute & UCLA Center on Aging lectures and programs UCLA School of Nursing studies and events for gerontology nursing students Emmy Award-winning Belmont Village resident and retired CBS executive, Perry Wolff, lectures on his documentary films: Michelangelo. 18
19
A Guide to. Senior Housing Options
A Guide to Senior Housing Options Throughout Chicago, there are many housing options, many of which are provided by CJE SeniorLife. The best housing choice is one that allows an older person to maintain
The Coming of Age for Seniors Housing Presented to: NCREIF
The Coming of Age for Seniors Housing Presented to: NCREIF Presented by: Beth Burnham Mace AEW Capital Management November 14, 2013 This material is intended for information purposes only. It does not
A Community of Caring
419-289-1585 www.brethrencarevillage.org 2000 Center Street Ashland, Ohio, 44805 A Community of Caring Three minutes from Samaritan Hospital Twenty minutes to Mansfield Midway between Cleveland and Columbus
RETIREMENT LIVING GUIDE
RETIREMENT LIVING GUIDE RETIREMENT LIVING ASSISTED LIVING SKILLED CARE ACCELERATED REHAB MEMORY CARE There are few things as comforting as knowing your future needs are taken care of, and you won t have
LIFE CARE AT HOME: Agenda. Risks and Opportunities
LIFE CARE AT HOME: Risks and Opportunities SESSION 99-G, LEADINGAGE ANNUAL MEETING OCTOBER 30, 2013 DALLAS, TEXAS Agenda Introduction Program description Why develop Life Care at Home Challenges Approaches
Weinberg Community for Senior Living
Weinberg Community for Senior Living A powerful sense of belonging. The moment you enter Weinberg Community for Senior Living you feel the strength of true community: the fellowship of a close-knit group
The Ida Kayne Transitional Care Unit
The Ida Kayne Transitional Care Unit Short-Term Rehabilitative Care for Seniors The Ida Kayne Transitional Care Unit (TCU) at the Los Angeles Jewish Home is designed to help seniors successfully transition
AEW. AEW Research. Seniors Housing Primer
Research Seniors Housing Primer has been an active investor in private-pay seniors housing since the mid- 1990s. Since we first began investing in seniors housing, the sector has migrated further into
Seniors Health Services
Leading the way in care for seniors Seniors Health Services Capital Health offers a variety of services to support seniors in communities across the region. The following list highlights programs and services
Continuing Care Retirement Communities:
Another White Paper Continuing Care Retirement Communities: A retirement option that s surprising people one objection at a time By David Kane, Vice President of Senior Living, Mather LifeWays At a CCRC,
College Park North Retail Development The Woodlands, Texas
SUBJECT PROPERTY FEATURES LOCATION FEATURES ±21,520 SF of prime retail space available Pad site opportunities available for ground lease Adjacent to numerous big box retailers, including Burlington Coat
The Senior Care Continuum: A quick guide to the options
The Senior Care Continuum: A quick guide to the options As they begin their searches, families may be overwhelmed by the sheer number of in-home care and senior housing choices. For some, the result is
Wichita. Many choices, one community for the way you want to live.
Wichita Many choices, one community for the way you want to live. Independent living We believe independent living is all about choice. What will you choose to do with each day, now that you re free to
Corporate Real Estate Service Delivery Model at Prudential Financial
Corporate Real Estate Service Delivery Model at Prudential Financial CoreNet Global Chicago Discovery Forum May 1, 2011 Kathy Winkler - Vice President, CRE Agenda Overview Prudential Financial Company
Seniors Housing Market Overview
Seniors Housing Market Overview NCREIF Fall Conference 2013 Eden Roc, Miami Beach, FL November 14, 2013 www.nic.org www.nicmap.org This document was presented during the 2013 NCREIF Fall Conference. Seniors
SOMERBY. The Stephens Tract A Proposed Campus Style Senior Residential Community. To be Located on a Portion of The Stephens Tract
SOMERBY of Peachtree City The Stephens Tract A Proposed Campus Style Senior Residential Community To be Located on a Portion of The Stephens Tract Request to Lift the Existing Multi-Family Moratorium By
1Q15 PROPERTY ADVISOR REPORT TM. Date Printed: 4/9/2015 11:28:19 AM
TM Q5 205 National Investment Center for Seniors Housing & Care (NIC). All rights reserved. Data believed to be accurate but not guaranteed; subject to future revision. This report is a part of the NIC
Resume EDUCATION AWARDS. William Brummett Principal William Brummett Architects, P.C.
Resume William Brummett Principal William Brummett Architects, P.C. Mr. Brummett brings 19 years of experience focusing on innovative and user-centered design and programming for seniors, particularly
1Q15 PROPERTY ADVISOR REPORT TM. Date Printed: 4/9/2015 11:19:22 AM
TM Q5 205 National Investment Center for Seniors Housing & Care (NIC). All rights reserved. Data believed to be accurate but not guaranteed; subject to future revision. This report is a part of the NIC
Providence Place Senior Health and Housing
Providence Place Senior Health and Housing www.providenceplacenc.com However you define living well every day, Providence Place is here for you. At Providence Place we honor the individual with the full
2016 AGING SERVICES PROGRAM DESCRIPTIONS
2016 AGING SERVICES PROGRAM DESCRIPTIONS Contents Adult Day Services... 2 Assisted Living... 2 Person-Centered Long-Term Care Community... 3 Home and Community Services... 3 Case Management... 4 Independent
ELDERBERRY HEIGHTS SENIOR CARE FACILITY
ELDERBERRY HEIGHTS SENIOR CARE FACILITY OFFERING PRESENTATION Presented by JNM Company Commercial Real Estate John McCormack, Broker 27250 Los Arboles Drive Carmel, CA 93923 831.625.1414 ELDERBERRY HEIGHTS
Kathleen A. Byrnes, Ph.D. The University of Texas at Dallas 800 West Campbell Road, Mail Station HH30 Richardson, Texas 75080-3021 (972)883-2323
Kathleen A. Byrnes, Ph.D. The University of Texas at Dallas 800 West Campbell Road, Mail Station HH30 Richardson, Texas 75080-3021 (972)883-2323 Education Texas Woman s University, Denton, Texas. Doctor
7/29/2014. Optometric Care in the Nursing Home setting- Is it worth it? Disclosure. Objectives of this lecture. James F. Hill III, OD, FAAO
A little bit about me Charleston, SC Optometric Care in the Nursing Home setting- Is it worth it? James F. Hill III, OD, FAAO Please silence all mobile devices. Unauthorized recording of this session is
Policy for the Organization of Curricula for Undergraduate Degrees. Policy for the Management of Curricula for Undergraduate Degrees
Nishikyushu University Policy for the Organization of Curricula for Undergraduate Degrees 1. In order to achieve the educational objectives of its faculties and departments, Nishikyushu University shall
GUIDESHEET FOR EVALUATING CONTINUING CARE RETIREMENT COMMUNITIES
GUIDESHEET FOR EVALUATING CONTINUING CARE RETIREMENT COMMUNITIES Introduction The Ohio State University Retirees Association Benefits Committee has prepared this guidesheet to help members who are considering
NEIL BLUHM THE COMPANIES OF RUSH STREET GAMING JMB REALTY CORPORATION WALTON STREET CAPITAL
NEIL BLUHM THE COMPANIES OF RUSH STREET GAMING JMB REALTY CORPORATION WALTON STREET CAPITAL EXPERIENCE EXPERTISE EXCELLENCE Creating International Landmarks For over 40 years, Neil Bluhm s companies have
2015 OUTLOOK Demographics Sector Trends Capital Markets 2015 Forecast
Seniors Housing & Health Care Specialty Practice Seniors Housing 2015 OUTLOOK Demographics Sector Trends Capital Markets 2015 Forecast TYPES OF SENIORS HOUSING Senior Apartments Multifamily residential
AEW. AEW Research. Seniors Housing Investment Opportunity
Research Seniors Housing Investment Opportunity The aggregate U.S. population continues to get older led by the baby boomer generation, which is seeing approximately 10,000 people turn 65 each day. Executive
Senior Housing News Webinar. New Construction is Back
Senior Housing News Webinar New Construction is Back June 25, 2014 Seniors Housing Market Performance & Trends Senior Housing News Seniors Housing Construction Webinar June 25, 2014 www.nicmap.org Presentation
National Aged Care Alliance
National Aged Care Alliance Leading the Way Our Vision for Support and Care of Older Australians September 2009 Contents Preamble 3 1 The Vision 4 2 The Underpinning Principles 4 2.1 Older Australians
Associate Professor of Social Work
ELLEN SANDRA STEVENS-ROSEMAN 914 Ruthven Street Houston, Texas 77019 Phone: (713) 571-9023 E-mail: [email protected] TITLE: Associate Professor of Social Work EDUCATION: DSW, 1988 MSW, 1976 BS, 1972 Columbia
BUILDING INFORMATION
BUILDING INFORMATION Building Features 2-story/49,000 s.f. Class-A Office Building 25 private offices 18,000 s.f. of open space Executive conference room with additional conference rooms 144 seat auditorium
ELDER CARE FACILITIES BY TYPE OF FACILITY in YOLO COUNTY
TYPES of ELDER CARE SENIOR LINK - 619 North Street, Woodland, (530) 207-4250 or (877) 883-4927. In-office services are also available Monday, Wednesday, and Friday from 10 am to Noon. Senior Link, which
INVESTOR SURVEY & MARKET OUTLOOK SENIORS HOUSING & CARE
INVESTOR SURVEY & MARKET OUTLOOK SENIORS HOUSING & CARE February 2016 A CBRE Valuation & Advisory Services Publication Investor Survey & 2016 In This Issue: Key Observations....pg 2...pg 3...pg 4...pg
ASSISTED LIVING COMMUNITY
Guide to Choosing an ASSISTED LIVING COMMUNITY CHOICE DIGNITY INDEPENDENCE QUALITY CARE QUALITY OF LIFE RESIDENT-CENTERED SUPPORT COMMUNITY ASSISTANCE CARE PRIVACY PEACE OF MIND CHOICE DIGNITY INDEPENDENCE
MULTIFAMILY (5 or more apartment units)
Multifamily Loan Quote form MULTIFAMILY (5 or more apartment units) MULTIFAMILY PROPERTY DESCRIPTION Total Number of Units Monthly Income Year Built Laundry Income Gross Building Area (Sq Ft) Utility Reimbursement
Choosing Your Retirement Community. A guide to finding a perfect home for your retirement
Choosing Your Retirement Community A guide to finding a perfect home for your retirement choose to move closer to children and grandchildren who have moved away. Others seek a more tropical environment
SENIOR LIFE COMMUNITIES
A d t u l L i v i n g f o r SENIOR LIFE COMMUNITIES t h o s e Spring o n the ake Kank e Riv er w h o k s e e Riversideseniorlife.com Assisted Living & Memory Care 85 East Burns Road Bourbonnais, IL 60194
Houston s Class A Medical Office Rental Rate Increases by 7.4% in First Half of 2012
MIDYEAR 2012 MEDICAL OFFICE COLLIERS HEALTHCARE SERVICES GROUP - Houston Texas HEALTHCARE MARKET COMMENTARY Houston Houston s Class A Medical Office Rental Rate Increases by 7.4% in First Half of 2012
FROM JUILLIARD AND AROUND THE WORLD TO THE BUCKINGHAM LIFELONG FRIENDS REUNITE AS NEIGHBORS
8580 Woodway Drive Houston, Texas 77063 Phone (832) 426-1372 Fax (713) 660-6512 www.buckinghamhouston.com News Release Contact: Natasha Baker/Beth Wilbins, Forté PR Phone: (214) 890-7912, (469) 939-6233
THE FIRST RETIREMENT COMMUNITY IN HOUSTON
THE FIRST RETIREMENT COMMUNITY IN HOUSTON OUR ROOTS RUN DEEP Welcome to a retirement community rich in history a place where solid Christian values and principles meet the genteel warmth of a gracious
Health Healing Wellness
Health Healing Wellness Short-Term Rehab Mental Health Health Healing Wellness Senior Life Short-term Rehab Mental Health Stay in touch! To receive our print or electronic newsletter, sign up online at
SUSTAINABLE DEVELOPMENT DEVELOPMENT AND INVESTMENT
SUSTAINABLE DEVELOPMENT DEVELOPMENT AND INVESTMENT Trammell Crow Company, founded in Dallas, Texas in 1948, SUSTAINABLE DEVELOPMENT is one of the nation s oldest and most prolific developers of and investors
SENIOR LONG-TERM CARE + SUPPORTED LIVING GUIDE
SENIOR LONG-ERM CARE + SUPPORED LIVING GUIDE Introduction Center on Halsted and Howard Brown Health Center are pleased to offer this resource directory of long-term care and supportive living facilities
CBRE CAP RATE SURVEY. Seniors Housing. A CBRE Valuation & Advisory Publication First Half 2014. In This Issue:
CBRE CAP RATE SURVEY Seniors Housing A CBRE Valuation & Advisory Publication In This Issue:...pg 2....pg 3...pg 4....pg 5....pg 7 On behalf of CBRE Valuation & Advisory Services, we would like to express
HAWTHORN SUITES 11400 College Blvd Overland Park, KS 66210
HAWTHORN SUITES 11400 College Blvd Overland Park, KS 66210 A Hotel to Apartment Repositioning Opportunity in the Heart of Johnson County, KS DISCLOSURES, NOTICES AND CONFIDENTIALITY CBRE, Inc. operates
How To Treat A Mental Illness
CURRICULUM VITAE Lisa Jeanette Hayden, Psy.D. October, 2008 Business Address: 1000 Paseo Camarillo, Ste. 114 Camarillo, CA 93010 Phone: (805) 389-4770 License Number: PSY17034 CURRENT PROFESSIONAL ACTIVITIES
THE ART OF COMMERCIAL REAL ESTATE
THE ART OF COMMERCIAL REAL ESTATE SM art (art) 1. The use of skill and imagination in the creation of aesthetic objects, environments, or experiences that can be shared with others. A Leader in Commercial
Skilled Nursing Facilities
4400 N. Big Spring Ste. C-32 - Midland, Texas 79705 Helpline 1-800-272-3900 or visit our Website at www.alz.org/westtexas or www.alz.org Skilled Nursing Facilities Nursing facilities provide 24-hour care
Buying Long-Term Care Insurance
1 A Consumer s Guide to: Buying Long-Term Care Insurance And other ways to pay for long-term care Washington State Office of the Insurance Commissioner www.insurance.wa.gov 2 1 No one likes to think about
EXPERIENCE INVESTMENT MANAGEMENT & REAL ESTATE SERVICES
INVESTMENT & REAL ESTATE SERVICES Who We Are A trusted advisor. A consistent presence. A valued resource. Forest City Investment Management & Real Estate Services is the investment management and third-party
Seniors Housing & Healthcare 2014 Market Outlook Canada
Seniors Housing & Healthcare 2014 Market Outlook Canada Table of Contents Section Section Description Slide No. Intro Industry Overview 1.0 State of the Market: Fundamentals 5 Demographic Trends in Canada
D A T A C E N T E R S R E A L E S T A T E A C Q U I S I T I O N S R E P O R T YEAR IN REVIEW 2 0 1 4 F I V E 9 S D I G I T A L
DATA CENTERS REAL ESTATE ACQUISITIONS REPORT YEAR IN REVIEW 2014 FIVE 9S DIGITAL 2014 Year In Review Data center real estate acquisition activity for the full year 2014 yielded at total of $1.148 Billion
Strategic Planning, Development and Management Consulting
Strategic Planning, Development and Management Consulting Steinfeldt & Associates Senior Living Specialists 122 East Arrellaga Street Santa Barbara, CA 93105 [email protected] Steinfeldt & Associates
Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211
Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 QUALIFIED LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR THE EMPLOYEES OF OREGON EDUCATORS BENEFIT BOARD
MIDTOWN ONE AND TWO. Executive Summary TWO CLASS A OFFICE BUILDINGS IN MIDTOWN ATLANTA S INNOVATION DISTRICT 100% LEASED LONG-TERM TO AT&T
TWO CLASS A OFFICE BUILDINGS IN MIDTOWN ATLANTA S INNOVATION DISTRICT 100% LEASED LONG-TERM TO AT&T MIDTOWN ONE AND TWO 754 PEACHTREE STREET & 725 WEST PEACHTREE STREET ATLANTA, GEORGIA Executive Summary
Tax Action Memo TAM-1517
Tax Action Memo TAM-1517 Deducting Continuing Care Retirement Community Fees as Deductible Medical Expenses This Tax Action Memo was written by Tax Action Panel member William R. Bischoff, CPA of Colorado
INTERIOR DESIGN-BUILD
INTERIOR DESIGN-BUILD Pink Hard Hat 1201 Main Street, Suite 2100, 803.256.0000 www.gmka.com II GMK INTERIORS Doing more for every client, every day. We have been successfully helping clients grow their
Sustainable Senior Living. Stan Ingman, PhD Professor of Applied Gerontology University of North Texas January 2015
Sustainable Senior Living Stan Ingman, PhD Professor of Applied Gerontology University of North Texas January 2015 Definition Sustainability well-being without harm to the environment Individual well being
A LETTER FROM THE CEO
2014 A LETTER FROM THE CEO Kushner Companies is a diversified real estate organization headquartered in New York City. Our Company is responsible for the ownership, management, development and redevelopment
MULTI-FAMILY DEVELOPMENT AND INVESTMENT
MULTI-FAMILY DEVELOPMENT AND INVESTMENT IT S ALL ABOUT LIVING HIGH STREET RESIDENTIAL, a wholly-owned operating subsidiary of Trammell Crow Company, specializes in the development of multifamily housing.
Third Quarter Multi-Family Market Report 2014
Third Quarter Multi-Family Market Report 2014 National Economy The national economy is improving as it continues to the fourth quarter of the year, mainly driven by the sales of motor vehicle, business
SENIOR NETWORK SERVICES HOUSING PROGRAM 1777-A Capitola Road, Santa Cruz, CA (831) 462-6788
SENIOR NETWORK SERVICES HOUSING PROGRAM 1777-A Capitola Road, Santa Cruz, CA (831) 462-6788 HOUSING OPTIONS FOR SENIORS IN SANTA CRUZ COUNTY Finding housing that is both adequate and affordable is a major
About See Me Communications
About See Me Communications Founded in 2011, See Me Communications is dedicated to honoring and improving the lives of the frail, elderly and disabled people whose voice and essence may be hidden from
END TO END HEALTHCARE SOLUTIONS
END TO END HEALTHCARE SOLUTIONS FRANKLIN SQUARE HOSPITAL CENTER EMERGENCY DEPARTMENT & PATIENT TOWER EXPANSION, BALTIMORE, MD FOCUSED ON HEALTH Lend Lease is one of the world s leading fully integrated
Ronald Reagan UCLA Medical Center. Emergency Department
Ronald Reagan UCLA Medical Center Emergency Department Welcome. We ve prepared this brochure for you to help make your visit to the Emergency Department as comfortable as possible. If you are admitted
Senior Housing Plan Comprehensive Plan Update. Village of Lombard Department of Community Development. October 2011
Senior Housing Plan Comprehensive Plan Update Village of Lombard Department of Community Development October 2011 This page intentionally left blank. Introduction The purpose of the Senior Housing Plan
QUARTERLY QUALITY & ACCOUNTABILITY REPORT
QUARTERLY QUALITY & ACCOUNTABILITY REPORT SYMPHONY POST ACUTE NETWORK Happy 2015! I hope you had an enjoyable holiday and happy new year. Our member facilities ended 2014 with some exceptional events,
SENIOR LIVING 2015 SURVEY. An Industry Poised for Change
SENIOR LIVING 2015 SURVEY An Industry Poised for Change Senior Living 2015 Survey In an industry poised for change, Perkins Eastman Research surveyed major not-for-profit providers and industry consultants
