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Appraisal of Nursing Facilities

    Online Education
 
  Seminar    
Category  General [Gen]  
Attendance Hours  9.0  
Current Price  $ 137.00 Member
$ 164.00 Regular
 
  Instructor    
James K. Tellatin, MAI  
    
 
  Location    
Appraisal Institute - Online Education
 
Click Here to check state approvals
     
 
  Sponsor / Contact    
Contact Name  John Witham  
  Appraisal Institute  
Email  tbe@appraisalinstitute.org  
Phone  (312) 335-4207  
 
  Description    
Overview:

The purpose of this extended seminar is to provide an overview of the issues that propel nursing home value. It will couple reading and discussion with abbreviated case-study problems to illustrate the material. The material will be presented in an order that follows the steps of a self-contained appraisal report. While spreadsheet applications are used to make certain calculations in the material, use of computers
is not essential to the understanding of the principles and problem-solving results presented in this course. To perform the calculations for the case studies, a financial calculator should suffice. This seminar will count for seven or nine hours of CE for states, and nine hours of CE for AI members.





Syllabus:

Module 1: Types of Long-Term Care Facilities

Module 2: History of the Nursing Home Industry

Module 3: Ownership and Interest Appraised Issues

Module 4: Regional and Neighborhood Analyses

Module 5: Property Data

Module 6: Market Analysis - Supply and Demand Factors

Module 7: Market Analysis - Payor Mix Analysis and HBU

Module 8: Revenue Development - Private Medicaid

Module 9: Revenue Development - Medicare and Managed Care

Module 10: Income Approach - Operating Expense Analysis

Module 11: Income Approach - Capitalization

Module 12: Sales Comparison Approach

Module 13: Cost Approach and Allocation of Value




Learning Objectives:


  • Develop an understanding for the history of the nursing home industry as it goes through dramatic shifts in a short period of time, driven by government health care programs and changes in family and social structures.

  • Identify various types of nursing home facilities, and the kinds of services that are provided in each type.
  • Identify issues in ownership and interest appraised in nursing homes.

  • Recognize the importance of the regional and neighborhood aspects that impact nursing home valuation issues.

  • Identify specific physical characteristics in a nursing home property and learn how physical qualities affect competition for patients, management of operating costs, and Medicaid and Medicare reimbursements.
  • Discover techniques to identify and estimate supply and demand factors that impact the competitive market and current or future occupancy, payer mix, and rates of the appraised facility.

  • Examine issues relating to the income capitalization approach, including the variance between Medicaid and Medicare reimbursement issues, ancillary revenue, operating expenses, and capitalization techniques.

  • Use the sales comparison analysis to measure the economic aspects of a facility, and examine factors such as differences in payer mixes, occupancy levels, and reimbursement rates to develop objective value indications from comparable sales.

  • Recognize issues concerning the cost approach relating to obsolescence and allocation of real estate value.
 
  For Further Reading    
•  Senior Housing: Looking Toward the Third Millenium  
 
  Disclaimer    
Cancellation Policy
If you are unable to complete a seminar once it begins, you may cancel out of the seminar before the official seminar end date. Once you cancel out of a seminar, however, you must start the seminar over at the beginning in any later enrollments. You cannot be placed into the seminar where you left off before canceling.

The following tuition refund policy is in effect for canceled online seminars based on the amount of material completed in a seminar:

• Less than 25% of the seminar completed: full tuition refund

• More than 25% of the seminar completed: no tuition refund

   Transfer Policy
If you wish to transfer a registration from one seminar to another, the following transfer policy applies based on the amount of material completed in a seminar:

• Less than 25% of original seminar completed: transfer allowed

• More than 25% of original seminar completed: no transfer allowed

If you transfer from a lower priced seminar to a higher priced seminar, you will be responsible for paying the difference using the automated online system. If you transfer from a higher priced seminar to a lower priced seminar, an appropriate tuition refund will be issued.

    
I agree to the terms and policies set forth under the Appraisal Institute Online Education Policy. I also certify that I am the person identified above under Personal Data and that I will personally complete each assigned module of instruction and any examination(s). I understand and agree that if I misrepresent my identity or arrange for someone else to represent himself or herself as me at any time during the Appraisal Institute online course or seminar, I will be immediately removed from the course or seminar and I will not be entitled to any refund. I further understand that if I am a member of the Appraisal Institute and participated in any misrepresentation of identity, by affirmative act or failure to act, that I will be the subject of a peer review proceeding under Regulation No. 6 for violation of the Appraisal Institute's Code of Professional Ethics and Standard of Professional Appraisal Practice, and that such peer review proceeding may result in termination of my Appraisal Institute membership.
 
  Additional Information    
For online education, you will receive an email from the instructor on the morning of the session start date that will remind you of your login information and the website address to begin your program.

To start immediately if you registered for an online education session in progress (on or after the session start date), go to www.appraisalinstitute.org and log in with the username and password you used when you registered. You will automatically be taken to the "My Appraisal Institute" page. Near the middle of that page your course will be listed with a link next to it that says "Go To Class".

If you have any questions, please email us at tbe@appraisalinstitute.org.


•  Online Education Homepage  
 

 
 
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