Population Projections

140,000 126,711

112,097 120,00097,267 99,831

100,000

re 80,000

mb 60,483

u 55,861

N 60,00041,953

38,38640,000

52,717 47,560

38,899

40,357 20,000 7,618

2,588 2,891 4,915

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 174,552 100.0% White 36,045 93.9% Under 18 38,899 22.3% Black 1,289 3.4% Under 60 136,166 78.0% Other Minorities 1,052 2.7% 18-59 97,267 55.7% Total Hispanic 855 2.2% 60+ 38,386 22.0% White 751 2.0% 65+ 27,056 15.5% Non-White 104 0.3% 70+ 17,810 10.2% Total Non-Hispanic 37,531 97.8% 75+ 10,757 6.2% Total Racial and Hispanic

80+ 5 ,720 3.3% Minorities2 3,092 8.1% 85+ 2 ,588 1.5% Source: EDR, 2017

Financial Status %

Below Poverty 2,758 7.2%GuidelineBelow 125% of 4,099 10.7% Poverty GuidelineMinority Below 345 0.9% Poverty GuidelineMinority Below 125% of 507 1.3%

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

1

Profile of Older Floridians

2018 Projections

Santa Rosa 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 18,139 47.3% Female 20,247 52.7% Source: EDR, 2017

English Proficiency

With Limited English Proficiency1 385Source: 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

4542.4 41.640 40.440.0 38.8 38.3

35

30 29.627.8

25

20

15

10

5

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 4,643

65%2,487

Population 60+ 35%Living Alone-Male

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

Grandparents Medically Underserved (65+)

Living With Own 1,851 Total Medically Underserved4 6,197 Grandchildren* Living in Areas Defined as

Grandparent Responsible 835 Having Medically 0Underserved Populationsfor Own Grandchildren*

Grandparent Not Responsible 1,016 Living in Medically 6,197for Own Grandchildren* Underserved Areas

Source: DOH and U.S. HHS, Data as of 8/07/2018Not Living With Own 36,529Grandchildren**Grandchildren Under Age 18Source: DOEA calculations based on EDR and 2011-15 ACS data

SNAP or Food Stamps

Participants 1,824 Potentially Eligible 4,099 Participation Rate 44.5% 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

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

Florida Registered Voters13 Retirement (65+)

Elder Registered Voters (60+) 38,025 Disability Insurance (OASDI) 19,106Registered Voters (All Ages) 128,606 BeneficiariesSource: FL Department of State, 2017 Percent OASDI Beneficiaries 70.6%

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

Florida Driver's License

Elder Drivers (60+) 39,836 Median Household Income for All Ages

Drivers (All Ages) 152,306 2012-2016 $60,652Source: 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 6,319With Two or More Disabilities 7,433Total With Any Disability

Hearing 5,534Vision 2,086Cognitive 3,468Ambulatory 8,877Self-Care 3,175Independent Living 5,422

With No Disabilities 24,628

Probable Alzheimer's Cases (65+) 8 3,085Households 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 15,855 Percent of All Households 16.5% Medical ProfessionalsSource: The Shimberg Center for Housing Studies, 2017 Medical Doctors

Licensed 332 Cost of Living, Annual Expenses(65+)6 Limited License 0

Single Elders Critical Need Area License 2 Owner without Mortgage $19,320 Restricted 0 Renter, one bedroom $21,900 Medical Faculty Certification 0 Owner with Mortgage $29,076 Public Health Certificate 0

Elder Couple Specialties

Owner without Mortgage $29,220 Licensed Podiatric Physicians 1 Renter, one bedroom $31,800 Licensed Osteopathic Physicians 69 Owner with Mortgage $38,976 Licensed Chiropractic Physicians 33

Source: Wider Opportunities for Women Elder Economic Security Standard™ Licensed Registered Nurses 3,333 Index (Elder Index), Data as of 7/28/2018 Source: Florida Department of Health, 2017

3

Veterans

24,741

10,881 7,183

811

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

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

Profile of Older Floridians

2018 Projections

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

Skilled Nursing Facility (SNF) Utilization Assisted Living Facility

SNF Beds 410 Total Beds 684

Community Beds 410 OSS Beds9 115 Sheltered Beds - Non-OSS Beds 569 Veterans' Affairs Administration Beds - Total Facilities 10

Other Beds - Facilities with ECC License10 2

SNFs With Beds 4 Facilities with LMH License11 0

Community Beds 4 Facilities with LNS License12 4

Sheltered Beds -

Veterans' Affairs Administration Beds - Adult Family Care Homes

Other Beds - Homes -

SNFs With Community Beds 4 Beds -Community Bed Days 1 49,650Community Patient Days 1 38,177 Ambulatory Surgical Centers

Medicaid Patient Days 9 4,276 Facilities 1 Occupancy Rate 92.3% Operating Rooms 8Percent Medicaid 68.2% Recovery Beds 21

Home Health Agencies Hospitals

Agencies 4 Hospitals 4

Medicaid Certified Agencies 1 Hospitals with Skilled Nursing Units 0 Medicare Certified Agencies 3 Hospital Beds 355

Skilled Nursing Unit Beds 0 Homemaker & Companion Service Companies

Companies 6 Medicaid & Medicare Eligibility

Medicaid Eligible - All Ages 24,700Adult Day Care 60+ Medicaid Eligible 2,808

Facilities 1 Dual Eligible - All Ages 4,070Capacity 12 60+ Dual Eligible 2 ,519

4

Profile of Older Floridians

2018 Projections

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

Source for Page: AHCA, 2017

Elder Needs Index

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

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

Useful Websites

Office of Economic & Demographic Research (EDR) FL Division of Emergency Management (Shelters)

U.S. Census Bureau, American Community Survey Florida Housing Data Clearinghouse

U.S. Census Bureau, Quick Facts County Chronic Disease Profile

Agency for Health Care Administration (AHCA)

5

Profile of Older Floridians

2018 Projections

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

6

Profile of Older Floridians

2018 Projections

Santa Rosa 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