Population Projections

120,000102,334

93,048 100,00085,008 86,559

80,000 89,618

r 82,776

em

b 60,000

u 69,201 66,317

N 40,273 37,633 33,924 34,549 40,000

20,0007,778 10,512 7,396

13,945

0Year

2 0 1 8 2 0 2 0 2 0 3 0 2 0 4 0

<18 18-59 60+ 85+

Source: Office of Economic and Demographic Research, 2017

Population by Age Category Population by Race and Ethnicity

All Ages 185,249 100.0% White 62,979 95.0% Under 18 33,924 18.3% Black 2,539 3.8% Under 60 118,932 64.2% Other Minorities 799 1.2% 18-59 85,008 45.9% Total Hispanic 4,523 6.8% 60+ 66,317 35.8% White 4,154 6.3% 65+ 52,404 28.3% Non-White 369 0.6% 70+ 38,210 20.6% Total Non-Hispanic 61,794 93.2% 75+ 24,955 13.5% Total Racial and Hispanic

80+ 14,551 7.9% Minorities2 7,492 11.3% 85+ 7 ,396 4.0% Source: EDR, 2017

Financial Status %

Below Poverty 5,109 7.7%GuidelineBelow 125% of 8,177 12.3% Poverty GuidelineMinority Below 771 1.2% Poverty GuidelineMinority Below 125% of 1,261 1.9%

Poverty GuidelineSource: DOEA calculations based on EDR and 2011-15 ACS data

1

Profile of Older Floridians

2018 Projections

Hernando CountyUnless otherwise noted, the data presented refers to individuals age 60 and older.

Source: Office of Economic and Demographic Research (EDR), 2017

Population by Gender

Male 30,304 45.7% Female 36,013 54.3% Source: EDR, 2017

English Proficiency

With Limited English Proficiency1 1,115Source: DOEA calculations based on EDR and 2011-2015 American CommunitySurvey (ACS) Special Tabulation on Aging tabulated for AoA

Pe

rce

nt

3Dependency Ratios of Minors and Elders

8073.2 73.6

7063.061.660

50

40 39.9 39.9 40.4 39.4

30

20

10

02018 2020 2030 2040

YearAged Dependency Ratio (65+) Youth Dependency Ratio (0-17)

Source: Office of Economic and Demographic Research, 2017

Living Alone

Population 60+Living Alone-Female 9,624

65%5,246

Population 60+ 35%Living Alone-Male

Source: DOEA calculations based on EDR and 2011-15 ACS data

Grandparents Medically Underserved (65+)

Living With Own 1,815 Total Medically Underserved4 15,525 Grandchildren* Living in Areas Defined as

Grandparent Responsible 635 Having Medically 15,525 Underserved Populationsfor Own Grandchildren*

Grandparent Not Responsible 1,185 Living in Medically 0for Own Grandchildren* Underserved Areas

Source: DOH and U.S. HHS, Data as of 8/07/2018Not Living With Own 64,502Grandchildren**Grandchildren Under Age 18Source: DOEA calculations based on EDR and 2011-15 ACS data

SNAP or Food Stamps

Participants 4,124 Potentially Eligible 8,177 Participation Rate 50.4% Source: Florida Department of Children and Families, 2017

Rural Designation

Rural (Yes/No) NOSource: Rural Economic Development Initiative

2

Profile of Older Floridians

2018 Projections

Hernando CountyUnless otherwise noted, the data presented refers to individuals age 60 and older.

Florida Registered Voters13 Retirement (65+)

Elder Registered Voters (60+) 59,242 Disability Insurance (OASDI) 38,642Registered Voters (All Ages) 131,025 BeneficiariesSource: FL Department of State, 2017 Percent OASDI Beneficiaries 73.7%

Source: DOEA calculations based on EDR and the U.S. Social Security Administration data, 2017

Florida Driver's License

Elder Drivers (60+) 61,819 Median Household Income for All Ages

Drivers (All Ages) 156,852 2012-2016 $42,274Source: FL Department of Highway Safety & Motor Vehicles as of 07/08/2018 Source: U.S. Census Bureau, 2012-2016 American Community Survey 5-Year

Estimates

Disability Status

With One Type of Disability7 11,725With Two or More Disabilities 10,463Total With Any Disability

Hearing 9,727Vision 3,738Cognitive 5,282Ambulatory 13,886Self-Care 4,008Independent Living 7,364

With No Disabilities 44,135

Probable Alzheimer's Cases (65+) 8 7,137Households With Cost Burden Above 30% and Income Source: DOEA calculations based on EDR, 2011-15 ACS data, and

Alzheimer’s Disease Facts and Figures Report, 2017Below 50% Area Median Income (65+)5

Elder Households 31,581 Percent of All Households 14.3% Medical ProfessionalsSource: The Shimberg Center for Housing Studies, 2017 Medical Doctors

Licensed 227 Cost of Living, Annual Expenses(65+)6 Limited License 0

Single Elders Critical Need Area License 4 Owner without Mortgage $14,604 Restricted 0 Renter, one bedroom $19,872 Medical Faculty Certification 0 Owner with Mortgage $23,568 Public Health Certificate 0

Elder Couple Specialties

Owner without Mortgage $22,176 Licensed Podiatric Physicians 12 Renter, one bedroom $27,444 Licensed Osteopathic Physicians 40 Owner with Mortgage $31,140 Licensed Chiropractic Physicians 34

Source: Wider Opportunities for Women Elder Economic Security Standard™ Licensed Registered Nurses 2,878 Index (Elder Index), Data as of 7/28/2018 Source: Florida Department of Health, 2017

Veterans

20,025

9,977

5,067 2,612

Total Age 45-64 Age 65-84 Age 85+

Source: U.S. Department of Veterans Affairs, 2016

3

Profile of Older Floridians

2018 Projections

Hernando CountyUnless otherwise noted, the data presented refers to individuals age 60 and older.

Profile of Older Floridians

2018 Projections

Hernando CountyUnless otherwise noted, the data presented refers to individuals age 60 and older.

Assisted Living Facility

Total Beds 1,092 OSS Beds9 101 Non-OSS Beds 991

Total Facilities 26 Facilities with ECC License10 0 Facilities with LMH License11 2 Facilities with LNS License12 6

Adult Family Care Homes

Homes 13Beds 57

Ambulatory Surgical Centers

Facilities 4 Operating Rooms 10Recovery Beds 39

Home Health Agencies Hospitals

Agencies 20 Hospitals 5

Medicaid Certified Agencies 4 Hospitals with Skilled Nursing Units 0 Medicare Certified Agencies 12 Hospital Beds 670

Skilled Nursing Unit Beds 0 Homemaker & Companion Service Companies

Companies 8 Medicaid & Medicare Eligibility

Medicaid Eligible - All Ages 37,459Adult Day Care 60+ Medicaid Eligible 5 ,168

Facilities 1 Dual Eligible - All Ages 7,810Capacity 12 60+ Dual Eligible 4,663Source for Page: AHCA, 2017

4

Skilled Nursing Facility (SNF) Utilization

SNF Beds 660Community Beds 660Sheltered Beds - Veterans' Affairs Administration Beds -Other Beds -

SNFs With Beds 5Community Beds 5Sheltered Beds -

Veterans' Affairs Administration Beds -Other Beds -

SNFs With Community Beds 5Community Bed Days 2 40,900Community Patient Days 2 17,231Medicaid Patient Days 1 31,267Occupancy Rate 90.2% Percent Medicaid 60.4%

Elder Needs Index

The Elder Needs Index (ENI) is a composite measure that includes: (1) the percentage of the 60 and older population that is age 85 and older; (2) the percentage of the 55 and older population who are members of racial or ethnic minority groups; (3) the percentage of the 65 and older population with one or more disability; and (4) the percentage of the 55 and older population living below 125% of the Federal Poverty Level. The Index is an averaged score that indicates senior citizens’ overall level of risk for a probable need of social services within a geographic area. It is not a percentage of the area’s population. The green areas of the map represent current conservation land such as national parks, state forests, wildlife management areas, local and private preserves. The blue areas of the map represent current water features such as lakes, streams, rivers, and coastlines.Complete maps available at http://elderaffairs.state.fl.us/doea/eni_home.php

Source: Florida Department of Elder Affairs using U.S. Census Bureau, 2012-16 ACS data

Useful Websites

Office of Economic & Demographic Research (EDR) FL Division of Emergency Management (Shelters)U.S. Census Bureau, American Community Survey Florida Housing Data ClearinghouseU.S. Census Bureau, Quick Facts County Chronic Disease ProfileAgency for Health Care Administration (AHCA)

5

Profile of Older Floridians

2018 Projections

Hernando CountyUnless otherwise noted, the data presented refers to individuals age 60 and older.

6

Profile of Older Floridians

2018 Projections

Hernando CountyUnless otherwise noted, the data presented refers to individuals age 60 and older.

1 Those who report speaking English "Not well" or "Not at all" are defined as having Limited English Proficiency (LEP) in this profile.2 Total Minorities = (60+ Population) - (White Non-Hispanic 60+)3 A “dependency ratio” is commonly depicted as a ratio of workers to non-workers. Rather than using labor-force participation rates, which fluctuate, a stable dependency ratio can be estimated by using the number of individuals in the population who fall into age groups generally aligned with school-aged kids, working age adults, and retired seniors. For this graphic, working age adults (defined as 18-59) were compared to minors (age 0-17)(youth dependency ratio) and seniors (age 65+)(aged dependency ratio). Some of the potential implications of a higher dependency ratio include labor shortages, lower tax revenues, higher government spending, higher taxes, and pressure to raise retirement age.4 Medically Underserved Areas/Populations are areas or populations designated by Health Resources & Services Administration(HRSA) as having too few primary care providers, high infant mortality, high poverty or a high elderly population.5 Households age 65 and older paying more than 30 percent of income for housing costs (including utilities) and have an

income below 50 percent of the area median income.6 Wider Opportunities for Women Elder Economic Security Standard™ Index (Elder Index) measures how much income retired older adults require to meet their basic needs without public or private assistance. The Elder Index measures basic expenses for elders age 65+ living in the community, not in institutions. Annual expenses include: housing, including utilities, taxes, insurance; food; transportation; health care, based on good health; and miscellaneous. Data found at http://www.basiceconomicsecurity.org/EI/7 With One Type of Disability: 60+ people who have only one type of disability8 Probable Alzheimer’s Cases = (65-74 Population x 0.036596) + (75-84 Population x 0.169158) + (85+ Population x 0.427599)

Alzheimer’s by Age in 2017 Alzheimer’s Disease Facts and Figures Report used to develop calculation can be found at

https://www.alz.org/getmedia/4d0840b6-0baa-4b97-8a0e-1775cfbf44a4/statesheet_florida

9 OSS Beds: Optional State Supplementation Beds. Optional State Supplementation (OSS) is a cash assistance program. Its purpose is to supplement a person's income to help pay for costs in an assisted living facility, mental health residential treatment facility, and adult family care home. It is NOT a Medicaid program. 10 ECC License: Extended Congregate Care License. The ECC license is a specialty license that enables a facility to provide, directly or through contract, services beyond those permissible under the standard license, including acts performed by licensed nurses, and supportive services defined by rule to persons who otherwise would be disqualified from continued residence in a facility licensed under this part.11 LMH License: Limited Mental Health License. Any facility intending to admit three or more mental health residents must apply for and obtain a limited mental health license from AHCA’s Assisted Living Unit before accepting the third mental health resident. 12 LNS License: Limited Nursing Services License. The LNS license is a specialty license that enables a facility to provide a

select number of nursing services. 13 Florida Registered Voters: Totals reflect the number of active registered voters in Florida on 03/20/2018