Organizational Readiness Self-Assessment
Mission Questions
Have we clearly defined what success looks like for a middle market project?
Target financial return on investment
Break-even financial performance over time
Financial viability as standalone business
Expansion of service reach to underserved populations
Other
How will success be measured?
Occupancy rates
Financial performance
Resident satisfaction / quality of life
Health and Wellness houtcomes
Other
What does “success” mean in both the short-term (0–3 years) and long-term (5–10 years)?
What are the non-negotiables that must be included in any project for our organization to feel that we are fulfilling our mission?
What is required to succeed?
New partnerships
Internal capacity building
New staffing / expertise
Strategic mission revision
Is our organization willing to take on the risks and challenges of a new and unproven product model?
Yes
No
What is our organization’s core competency? Does serving a middle market customer fit within that area of expertise?
What do we believe is our “moral covenant” to all those we serve? Do we believe it can continue in a middle market venture?
Does this initiative:
Expand our mission
Change our mission
Extend beyond our mission boundaries
Should this initiative operate under:
Existing organizational brand
Sub-brand
Seperate brand
Operational Questions
What financial resources are we willing to commit to a middle market project?
Equity investment
Donation or grant capital (if applicable)
Land contribution or land lease
Credit enhancement (e.g. guarantees, backing debt)
Financing this project within our obligated group
Other
What levels of living and services are required for our organization to feel comfortable in serving the middle market?
Full continuum of care (Independent Living, Assisted Living, Memory Care, Skilled Nursing)
Assisted living and Memory Care only
Land contribution or land lease
Full service (meals, housekeeping, utilities)
Limited service / a la carte
Where will responsibility for this initiative sit within our organizational structure?
Existing leadership structure (fully integrated)
Hybrid structure (shared responsibility across departments)
Dedicated new division / team
Separate affiliated entity
Which services might support older adults in a middle market community?
Wellness programming
Service coordination
Maintenance support
Social engagement opportunities
Other
Do we have the discipline to operate a community with a different operating philosophy / cost structure from our existing Continuing Care Retirement Community/Life Plan Community model?
Yes
No
Does our current management team have the capacity and capability to oversee a middle market initiative?
Yes
No
How do we define the middle market customer? What income and/or asset base?
Should we dedicate a separate team focused solely on the middle market product?
Yes, fully separate team
Hybrid / shared team model
No, integrate into existing system
Is this strictly a private pay customer or are we expecting/willing to accept third party / government support?
Private Pay
Willing to accept third party and / or government support
Partnership Questions
Do we have to control all of the components of the project, including delivery of all of the services, or are we willing to partner with other providers for delivery of services (home health, home care, assisted living, nursing, etc.)
Full internal control
Hybrid model (mix of internal + partners)
Primarily partner-led service delivery
What type of commitment of care are we willing to make to the residents of our middle market housing? Where are we willing to let partners and other providers take over?
Are we willing to partner with for-profit providers for services within the community?
Yes
No
Case-by-case
Are there schools or religious institutions nearby that could volunteer their time to both offset certain operational functions, as well as integrate an inter-generational component to the community?
Are we willing to use services that aren’t ours, that we would ordinarily use in one of our Life Plan Communities (e.g., home care, home health, hospice)?
Yes
No
Only under specific conditions
What dining model is most appropriate for this community?
Full on-site dining program required
Hybrid (some on-site dining + local partnerships)
Off-site / community-based dining partnerships)
What are the dining options for the residents nearby? Is dining necessary to have on campus or can we partner with a local restaurant or service?
Name
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First Name
Last Name
Email
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example@example.com
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