This presentation was developed to share an overview of By the River, a non-profit agency that provides innovative affordable housing solutions for seniors and training and support programs for caregivers.

1. A Presentation for the Indian River County Legislative Delegation December 5, 2008 A SUSTAINABLE VISION FOR AGING IN COMMUNITY

8. Maximum Impact on Care Home Care Nursing Home Care Family Caregiving Family Caregiving

9. Comparative Asset Value Healthcare Administration Education Family Caregiving Family Caregiving

16. Compassionate Ripple-Effect 1 2 1 By the River Senior Living Communities Caregiving Families 2 2 3 3 3 3 3 3 3 2 3

18. Operational Partnerships A Team Approach A SUSTAINABLE VISION FOR AGING IN COMMUNITY

19. Financial Partnerships A Team Approach Sebastian Clambake Foundation A SUSTAINABLE VISION FOR AGING IN COMMUNITY F O U N D A T I O N

21. Research/Footnotes Sources: 1,2 - The Senior Citizen’s League, 2008, www.seniorsleague.org 3 - Aging Services: The Facts , AHHSA Website, www.aahsa.org 2 - Trends in Medicare payments in the last year of life . N Engl J Med. 1993 3 - Valuing the Invaluable: The Economic Value of Family Caregiving, 2008 Update , AARP Public Policy Institute 6 - Expenditure data from Office of the Actuary, CMS, Smith C, et al., Health Affairs, 2006 Thank You for Your Support!