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Snapshot of the chains.

How well did the links hold together?

CLTC recently completed an informal phone and fax survey of long term care chains. The most significant result of this year's survey was that a number of the larger companies were non-responders. Last year's assisted living leader, Alterra, was among them. (See "Under the wire" in this issue's NewsFronts section, on page 7.) Although privately owned facilities were reluctant to divulge financial information, the respondents that did report their earnings showed either gains or only small losses. We believe you will find the information that companies were willing to release worthy of note.

Executive Q&A: Marriott's Executive VP Jeff Ferguson

Mark Zacharia, Editor-in-Chief

Jeff Ferguson joined Washington DC-based Marriott Senior Living Services in January 2000 as the division's senior vice president and COO. Now he is executive vice president and general manager.

What has been the toughest obstacle to providing the type of care that you would like?

Ferguson: Our biggest obstacle (and the biggest for the assisted living industry overall) is to communicate accurately what we do to the public. We need to do a better job about telling people what "assisted living" means, what its niche is, and how it can help the adult child and the parent.

Is it just about better marketing?

Ferguson: No, it's more than just marketing. There is confusion on the public's part because of some facilities that offer such a wide range of services, for instance, from minimal care until death. The industry has helped to promulgate some of this confusion. So we at Marriott Senior Services need to make sure the public knows what we are all about.

We've attempted to offer assisted living educational programs, we have a Web site to educate the public [less thasn]marriottseniorliving.com[greater than], and we also offer books to the adult child on how to care for aging parents.

More importantly, we offer the resident and his family a disclosure statement during the shopping process and right at the time of admissions to help people understand what services we offer. It details what we are capable of as well as what services should be more sought in another setting.

Executive Q&A: Benchmark's President John L. Hopkins

Suzanne Bilyeu, Senior Associate Editor

John L. Hopkins has been named president and chief operating officer of Benchmark Assisted Living, which operates 17 assisted living and independent living communities throughout New England. Prior to joining Benchmark, Hopkins was executive vice president for Omni Hotels.

What prompted your move from hospitality to the senior living industry?

Hopkins: The senior living industry, as everybody knows, is experiencing significant growth--and has been since the '90s. Many of my counterparts have made the leap from hospitality to senior living, so I was somewhat intrigued by it. It involves many of the same disciplines: human resources; finance; accounting; food and beverage; and, of course, sales and marketing.

If you were choosing an assisted living facility for a family member, what would be most important in making your decision?

Hopkins: I would certainly want to understand the financial strength of the ownership entity, and I would want to understand the services that are provided. Perhaps most importantly, I would want to have a very good understanding of what level of care I could expect for my mother or father. Something that I think is overlooked by many operators is the importance of the activities programs. Our focus really needs to be on the quality of life.
 Nursing facilities
 Size
 Beds owned, Percent
 leased, or change
CHAIN managed since 12/99
Beverly Enterprises 59,799 -3%
 Fort Smith, Ark.
Life Care Centers of America 28,078 3
 Cleveland, Tenn.
Extendicare Health Services 17,495 -13
 Milwaukee
The Evangelical Lutheran
 Good Samaritan Society 16,346 -3
 Sioux Falls, S.D.
Britthaven 6,485 0
 Kinston, N.C.
Lenox Healthcare Inc. 6,378 --
 Pittsfield, Mass.
Harborside Healthcare 5,960 -2
 Boston
Benedictine Health System 4,735 10
 Duluth, Minn.
Covenant Care 4,451 0
 Aliso Viejo, Calif.
Alden Management Services Inc. 4,139 19
 Chicago
Essex Healthcare Corp 4,050 11
 Atlanta
Life Care Services 3,864 2
 Des Moines, Iowa
VHS-Pruitt Corporation 3,796 --
 Tocca, Ga.
American Health Centers 3,795 0.2
 Parsons, Tenn.
Tendercare (Michigan) Inc. 3,785 0
 Sault Ste. Marie, Mich.
 Facilities Facilities Number
 owned, leased, managed of
CHAIN or managed only employees
Beverly Enterprises 534 -- --
 Fort Smith, Ark.

Life Care Centers of America 210 8 28,100
 Cleveland, Tenn.
Extendicare Health Services 171 -- 18,989
 Milwaukee
The Evangelical Lutheran
 Good Samaritan Society 201 -- 25
 Sioux Falls, S.D.
Britthaven 52 -- 6,500
 Kinston, N.C.
Lenox Healthcare Inc. 60 20 5,050 [*]
 Pittsfield, Mass.
Harborside Healthcare 48 1 6,250
 Boston
Benedictine Health System 42 18 --
 Duluth, Minn.
Covenant Care 38 0 4,800
 Aliso Viejo, Calif.
Alden Management Services Inc. 24 -- 2,947
 Chicago
Essex Healthcare Corp 64 -- 4,000 [*]
 Atlanta
Life Care Services 52 48 --
 Des Moines, Iowa
VHS-Pruitt Corporation 36 5 --
 Tocca, Ga.
American Health Centers 35 -- 3,550
 Parsons, Tenn.
Tendercare (Michigan) Inc. 31 -- 2,600
 Sault Ste. Marie, Mich.
 Revenues
 Number of
 states company In $
CHAIN operates in millions
Beverly Enterprises 30 $2,427
 Fort Smith, Ark.
Life Care Centers of America 28 --
 Cleveland, Tenn.
Extendicare Health Services 15 870
 Milwaukee
The Evangelical Lutheran
 Good Samaritan Society -- 596.7
 Sioux Falls, S.D.
Britthaven 3 234
 Kinston, N.C.
Lenox Healthcare Inc. 14 154.7
 Pittsfield, Mass.
Harborside Healthcare 9 310.2
 Boston
Benedictine Health System 9 --
 Duluth, Minn.
Covenant Care 7 190.9
 Aliso Viejo, Calif.
Alden Management Services Inc. 1 167.2
 Chicago
Essex Healthcare Corp 4 --
 Atlanta
Life Care Services 21 --
 Des Moines, Iowa
VHS-Pruitt Corporation 3 --
 Tocca, Ga.
American Health Centers 2 --
 Parsons, Tenn.
Tendercare (Michigan) Inc. 1 154 [+]
 Sault Ste. Marie, Mich.
 Payor mix
 Percent
 change Percent Percent
CHAIN since 12/31/99 Medicaid Medicare
Beverly Enterprises -4% -- --
 Fort Smith, Ark.
Life Care Centers of America -- 47% 23%
 Cleveland, Tenn.
Extendicare Health Services -7 54 25
 Milwaukee
The Evangelical Lutheran
 Good Samaritan Society -6 62.5 6.3
 Sioux Falls, S.D.
Britthaven -- 70 15
 Kinston, N.C.
Lenox Healthcare Inc. -- 71.5 5.8
 Pittsfield, Mass.
Harborside Healthcare 3 49.6 25.6
 Boston
Benedictine Health System -- -- --
 Duluth, Minn.
Covenant Care -10 53.8 25.8
 Aliso Viejo, Calif.
Alden Management Services Inc. 26 55 18
 Chicago
Essex Healthcare Corp -- 81 13
 Atlanta
Life Care Services -- -- --
 Des Moines, Iowa
VHS-Pruitt Corporation -- 56 24
 Tocca, Ga.
American Health Centers -- -- --
 Parsons, Tenn.
Tendercare (Michigan) Inc. 11 54 29
 Sault Ste. Marie, Mich.
 Other
 Percent Average
 Percent managed occupancy
CHAIN private pay care rate
Beverly Enterprises -- -- 86.9%
 Fort Smith, Ark.
Life Care Centers of America 21% 9% 89
 Cleveland, Tenn.
Extendicare Health Services 21 -- 87.5
 Milwaukee
The Evangelical Lutheran
 Good Samaritan Society 31.2 -- 90.3
 Sioux Falls, S.D.
Britthaven 15 -- 90
 Kinston, N.C.
Lenox Healthcare Inc. 19.2 3.4 62.4
 Pittsfield, Mass.
Harborside Healthcare 20.6 4.2 90.6
 Boston
Benedictine Health System -- -- --
 Duluth, Minn.
Covenant Care 17.2 3.2 87.2
 Aliso Viejo, Calif.
Alden Management Services Inc. 20 6 69.3 [+]
 Chicago
Essex Healthcare Corp 6 -- 90
 Atlanta
Life Care Services -- -- --
 Des Moines, Iowa
VHS-Pruitt Corporation 6 14 92
 Tocca, Ga.
American Health Centers -- -- --
 Parsons, Tenn.
Tendercare (Michigan) Inc. 15 2 86
 Sault Ste. Marie, Mich.
 Average
 Company revenue per
CHAIN status [**] patient day
Beverly Enterprises Pub/FP --
 Fort Smith, Ark.
Life Care Centers of America Pri/FP $141
 Cleveland, Tenn.
Extendicare Health Services Pub/FP 146.26
 Milwaukee
The Evangelical Lutheran
 Good Samaritan Society Pri/NFP 114.88
 Sioux Falls, S.D.
Britthaven Pri/FP --
 Kinston, N.C.
Lenox Healthcare Inc. Pri/FP 112.02
 Pittsfield, Mass.
Harborside Healthcare Pri/FP 163.48
 Boston
Benedictine Health System Pri/FP --
 Duluth, Minn.
Covenant Care Pri/FP 135
 Aliso Viejo, Calif.
Alden Management Services Inc. Pri/FP 132.16
 Chicago
Essex Healthcare Corp Pri/FP 120
 Atlanta
Life Care Services Pri/FP --
 Des Moines, Iowa
VHS-Pruitt Corporation Pri/FP --
 Tocca, Ga.
American Health Centers Pri/FP --
 Parsons, Tenn.
Tendercare (Michigan) Inc. Pri/FP 127
 Sault Ste. Marie, Mich.
Care Initiatives 3,713 -- 45 -- 3,100 1
 West Des Moines, Iowa
Miller's Health Systems 3,190 0.1% 31 0 2,840 1
 Warsaw, Ind.
Athena Health Care Centers 3,112 -9 24 14 4,670 3
 Southington, Conn.
Heritage Enterprises 3,041 1 30 7 2,700 1
 Bloomington, Ill.
Grace Living Centers 2,719 0 24 0 -- 1
 Oklahoma City
Medicalodges Inc. 2,612 -- 28 -- 2,214 4
 Coffeyville, Kan.
ABCM Corp Nursing Care Management 2,535 2 31 -- 2,533 1
 Hampton, Iowa
Laurel Health Care Management Co. 2,420 -- 21 -- 3,000 5
 Westerville, Ohio
Berkshire Healthcare Systems 2,307 -6 17 -- 2,727 3
 Pittsfield, Mass.
Autumn Corp. 2,279 7 23 1 2,300 2
 Rocky Mountain, N.C.
Vetter Health Services 2,212 2 31 1 2,300 [*] 5
 Omaha, Neb.
Community Eldercare Services 2,113 -- 26 -- -- 6
 Tupelo, Miss.
Apple Health Care Inc. 1,776 0 21 -- 2,100 3
 Avon, Conn.
Americare Properties Inc. 1,533 31 20 -- 1,012 2
 Sikeston, Mo.
The McGuire Group 1,494 0 8 -- 2,294 2
 Buffalo, N.Y.
Care Initiatives $103.3 9% 51% 13% 35% 0%
 West Des Moines, Iowa
Miller's Health Systems 108.1 -3 54 20 19 0
 Warsaw, Ind.
Athena Health Care Centers 148.4 3 59 16 20 5
 Southington, Conn.
Heritage Enterprises 66.3 10 -- -- -- --
 Bloomington, Ill.
Grace Living Centers -- -- 63 19 17 1
 Oklahoma City
Medicalodges Inc. 70.6 5 64 13 19 4
 Coffeyville, Kan.
ABCM Corp Nursing Care Management -- -- 60 7 30 --
 Hampton, Iowa
Laurel Health Care Management Co. 108.2 24 44 27 26.6 2.4
 Westerville, Ohio
Berkshire Healthcare Systems 111.4 -8 56 10 19 15
 Pittsfield, Mass.
Autumn Corp. 81 15 70 9 20 --
 Rocky Mountain, N.C.
Vetter Health Services 74.6 6 36 10 54 0
 Omaha, Neb.
Community Eldercare Services -- -- -- -- -- --
 Tupelo, Miss.
Apple Health Care Inc. 101.7 4 49 18 30 3
 Avon, Conn.
Americare Properties Inc. 35.6 8 59 17 21 1
 Sikeston, Mo.
The McGuire Group 98.7 5 -- -- -- --
 Buffalo, N.Y.
Care Initiatives 86% Pri/NFP $93.62
 West Des Moines, Iowa
Miller's Health Systems 78.25 Pri/FP 118.70
 Warsaw, Ind.
Athena Health Care Centers 98 Pri/FP 190
 Southington, Conn.
Heritage Enterprises -- Pri/FP --
 Bloomington, Ill.
Grace Living Centers 72 Pri/FP --
 Oklahoma City
Medicalodges Inc. 89.6 Pri/FP 102.91
 Coffeyville, Kan.
ABCM Corp Nursing Care Management -- Pri/FP --
 Hampton, Iowa
Laurel Health Care Management Co. 88.6 Pri/FP 161
 Westerville, Ohio
Berkshire Healthcare Systems 88 Pri/NFP 154.03
 Pittsfield, Mass.
Autumn Corp. 97 Pri/FP --
 Rocky Mountain, N.C.
Vetter Health Services 86.6 Pri/FP 107.80
 Omaha, Neb.
Community Eldercare Services 84 Pri --
 Tupelo, Miss.
Apple Health Care Inc. 91 Pri/FP 176
 Avon, Conn.
Americare Properties Inc. 75 Pri/FP 96.26
 Sikeston, Mo.
The McGuire Group 98 Pri/FP --
 Buffalo, N.Y.
 Assisted living
 Size
 Units owned, Percent
 leased, or change
CHAIN managed since 12/99
Atria 9,676 -7%
 Louisville. Ky.
Merrill Gardens 5,675 19
 Seattle
Encore Senier Living 2,500 -4
 Portland, Ore.
Southern Assisted Living Inc. 2,128 --
 Chapel Hill, N.C.
George M. Lender Family Corp. 2,007 1
 Hershey, Pa.
Extendicare Health Services 1,925 0.6
 Milwaukee
Life Care Services 3,042 30
 Des Moines, Iowa
Castle Senior Living 1,430 --
 Summit, N.J.
Evangelical Lutheran Good
 Samaritan Society 1,299 13
 Sioux Falls, S.D.
Beverly 1,132 -0.5
 Fort Smith, Ark.
Life Care Centers of America Inc. 1,121 35
 Cleveland, Tenn.
Americare Properties Inc. 1,057 12
 Sikeston, Mo.
Benchmark Assisted Living 1,021 --
 Wellesley Hills, Mass.
Benedictine Health System 828 -9
 Duluth, Minn.
Covenant Retirement Communities 614 --
 Chicago
 Facilities Facilities
 owned, leased, managed
CHAIN or managed only
Atria 101 --
 Louisville. Ky.
Merrill Gardens 59 --
 Seattle
Encore Senier Living 42 2
 Portland, Ore.
Southern Assisted Living Inc. 46 5
 Chapel Hill, N.C.
George M. Lender Family Corp. 29 --
 Hershey, Pa.
Extendicare Health Services 41 --
 Milwaukee
Life Care Services 25 19
 Des Moines, Iowa
Castle Senior Living 12 5
 Summit, N.J.
Evangelical Lutheran Good
 Samaritan Society 58 12
 Sioux Falls, S.D.
Beverly 34 --
 Fort Smith, Ark.
Life Care Centers of America Inc. 15 --
 Cleveland, Tenn.
Americare Properties Inc. 47 --
 Sikeston, Mo.
Benchmark Assisted Living 15 3
 Wellesley Hills, Mass.
Benedictine Health System 14 --
 Duluth, Minn.
Covenant Retirement Communities 15 --
 Chicago
 Number Number of
 of states company
CHAIN employees operats in
Atria -- 26
 Louisville. Ky.
Merrill Gardens 2,500 --
 Seattle
Encore Senier Living 1,500 9
 Portland, Ore.
Southern Assisted Living Inc. 1,855 3
 Chapel Hill, N.C.
George M. Lender Family Corp. -- 1
 Hershey, Pa.
Extendicare Health Services 724 10
 Milwaukee
Life Care Services -- 10
 Des Moines, Iowa
Castle Senior Living 500 3
 Summit, N.J.
Evangelical Lutheran Good
 Samaritan Society -- 17
 Sioux Falls, S.D.
Beverly -- 15
 Fort Smith, Ark.
Life Care Centers of America Inc. 475 11
 Cleveland, Tenn.
Americare Properties Inc. 768 3
 Sikeston, Mo.
Benchmark Assisted Living 600 6
 Wellesley Hills, Mass.
Benedictine Health System -- 4
 Duluth, Minn.
Covenant Retirement Communities -- 8
 Chicago
 Revenue
 Number of Number of
 units units In $
CHAIN acquired built millions
Atria -- -- $241.1 [+]
 Louisville. Ky.
Merrill Gardens 465 286 83.3
 Seattle
Encore Senier Living -- -- 54
 Portland, Ore.
Southern Assisted Living Inc. 676 59 --
 Chapel Hill, N.C.
George M. Lender Family Corp. -- -- --
 Hershey, Pa.
Extendicare Health Services -- -- 35.8
 Milwaukee
Life Care Services -- -- --
 Des Moines, Iowa
Castle Senior Living -- 70 20.7
 Summit, N.J.
Evangelical Lutheran Good
 Samaritan Society 36 101 15.1
 Sioux Falls, S.D.
Beverly -- -- 198
 Fort Smith, Ark.
Life Care Centers of America Inc. 86 120 --
 Cleveland, Tenn.
Americare Properties Inc. 117 117 23.1
 Sikeston, Mo.
Benchmark Assisted Living -- -- 18.5
 Wellesley Hills, Mass.
Benedictine Health System -- -- --
 Duluth, Minn.
Covenant Retirement Communities -- -- 15.8
 Chicago
 Other
 Percent Average
 change since occupancy
CHAIN 12/31/99 rate
Atria -- --
 Louisville. Ky.
Merrill Gardens 54% --
 Seattle
Encore Senier Living 14 90%
 Portland, Ore.
Southern Assisted Living Inc. -- 83.8
 Chapel Hill, N.C.
George M. Lender Family Corp. -- --
 Hershey, Pa.
Extendicare Health Services 8 84.59
 Milwaukee
Life Care Services -- --
 Des Moines, Iowa
Castle Senior Living -- 94
 Summit, N.J.
Evangelical Lutheran Good
 Samaritan Society 12% 71.8
 Sioux Falls, S.D.
Beverly -17 --
 Fort Smith, Ark.
Life Care Centers of America Inc. -- 88
 Cleveland, Tenn.
Americare Properties Inc. 17 90
 Sikeston, Mo.
Benchmark Assisted Living -- --
 Wellesley Hills, Mass.
Benedictine Health System -- --
 Duluth, Minn.
Covenant Retirement Communities 2 86
 Chicago
 Average
 Company revenue per
CHAIN status [**] resident day
Atria Pri/FP --
 Louisville. Ky.
Merrill Gardens Pri/FP --
 Seattle
Encore Senier Living Pri/FP $74
 Portland, Ore.
Southern Assisted Living Inc. Pri/FP 67.70
 Chapel Hill, N.C.
George M. Lender Family Corp. Pri/FP --
 Hershey, Pa.
Extendicare Health Services Pub/FP 61.16
 Milwaukee
Life Care Services Pri/FP --
 Des Moines, Iowa
Castle Senior Living -- --
 Summit, N.J.
Evangelical Lutheran Good
 Samaritan Society Pri/NFP 58.95
 Sioux Falls, S.D.
Beverly Pub/FP --
 Fort Smith, Ark.
Life Care Centers of America Inc. Pri/FP 77
 Cleveland, Tenn.
Americare Properties Inc. Pri/FP 63.93
 Sikeston, Mo.
Benchmark Assisted Living Pri --
 Wellesley Hills, Mass.
Benedictine Health System Pri/FP --
 Duluth, Minn.
Covenant Retirement Communities -- 82.72
 Chicago


All numbers apply only to nursing facilities and beds except gross revenue figures, which apply to the company as a whole. These figures reflect the company's status as of 12/31/00.

(*.)Estimate

(**.)Public or private; for-profit or not-for-profit

(+.)Company total
COPYRIGHT 2001 Non Profit Times Publishing Group
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2001, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Contemporary Long Term Care
Date:May 1, 2001
Words:2633
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