Minnesota’s Seniors Public Policy Issues Crisis in Long Term Care Minnesota’s Seniors Public Policy Issues March 13, 2013

% of Nursing Facilities at Risk of Closure (Operating Margins of -5% or Worse) Approximately 85 Nursing Facilities in MN are facing a financial crisis, placing more than 12,000 jobs at risk. Northwest 21.1% Northeast 45.0% West Central 20.8% Legend East Central 29.4% =<15% =15%-25% =25%-35% Metro 8.2% =>25% Southwest 23.7% Southeast 32.7% LTC Imperative 2011 Nursing Facility Financial Survey Prepared by CliftonLarsonAllen LLP

The Wage Gap Senior Living Workers Underpaid in the Marketplace Gap=$17.39 per hour or $36,171 per year Gap=$15.77 per hour or $32,802 per year Gap=$2.07 per hour or $4,306 per year Gap=$1.81 per hour or $3,765 per year Gap=$5.79 per hour or $12,043 per year Gap=$6.13 per hour or $12,750 per year Sources: 2011 LTC Imperative Salary Survey and 2011 MN Health Care Cost Information Service Hospital Salary Data

Staff Turnover Source: American Health Care Association, LTC Trend Tracker

Assisted Living (Elderly Waiver Customized Living) Rate Changes Nursing Facility and Elderly Waiver/Customized Living Assisted Living (Elderly Waiver Customized Living) Nursing Facility No base increase in last four years In 2011, 70 low rate homes received increases of up to 2.45% In 2012, 7 homes were designated “critical access” and received rate increases Source: LTC Imperative 2012