Senior Group is a well-established player in Latvia and Lithuania. We have successfully launched their first Big Family House type residence in Latvia in 2018 and have since expanded to a total of 6 residences (5 in Latvia, 1 in Lithuania), all fully owned by the business.
Additionally, under the MAMA-OK brand, the Group provides remote home care services in Riga (Latvia) as well as Vilnius, Panevezys, and Ukmerge (Lithuania).
As of September 2023, the existing residence portfolio includes 223 beds in Latvia and 18 beds in Lithuania. The average occupancy rate for residences in 2023 reached 95%, which is expected to be a sustainable rate going forward. It takes approximately 1 month for a newly constructed bed to reach maturity.
Furthermore, SG owns land and construction permits for an additional 257 beds in Latvia and has acquired additional land in Lithuania.
In 2023, the total revenue is expected to reach EUR 5.3 million, with 14% contributed by the Lithuanian business launched in 2022 (the first residence became operational only in 2023). The majority of the revenue (80%) is generated by the residential business unit.
The profitability in FY 2023 is projected to reach a 20% EBITDAR adj. margin level, which is considered sustainable for fully owned mature residences at this scale.
As of September 2023, the Group employs approximately 230 people in Latvia and 70 people in Lithuania.
The historical development of the company has been fully financed by shareholder funds. To date, the shareholders have invested EUR 9.0 million into the company, with EUR 6.4 million allocated to real estate and construction, while the remaining balance was used for operations.
White Star Capital SEA 2022 Venture Capital LandscapeSanjay Zimmermann
New report from White Star underscores the growth of crypto, blockchain, and Web3 in the region, with Singapore now firmly placed as an exciting regional hub for innovation.
Asset Tokenization - An Introduction and Overview, Guest Lecture at SMU Patrick Schueffel
This presentation provides an introduction and overview to the topic of Asset Tokenization. It explains why Asset Tokenization can help to unlock massive values on a global scale by democratizing investment processes in the capital markets. It highlights the significance of these concepts by drawing historical parallels.
White Star Capital SEA 2022 Venture Capital LandscapeSanjay Zimmermann
New report from White Star underscores the growth of crypto, blockchain, and Web3 in the region, with Singapore now firmly placed as an exciting regional hub for innovation.
Asset Tokenization - An Introduction and Overview, Guest Lecture at SMU Patrick Schueffel
This presentation provides an introduction and overview to the topic of Asset Tokenization. It explains why Asset Tokenization can help to unlock massive values on a global scale by democratizing investment processes in the capital markets. It highlights the significance of these concepts by drawing historical parallels.
We’re thrilled to announce that we’ve raised Kleiner Perkins’ 18th venture fund -- $600 million to focus on early stage investing. This marks 47 years for our firm, and with a fresh team and strategy, we’re incredibly excited for the next 47 years.
This presentation was originally given at The Feast Salons (November 2010) in NYC.
Skillshare is a community marketplace to learn anything from anyone: http://skillshare.com
Let's Start a Learning Revolution: http://vimeo.com/21600601
Views expressed in this Gaming Industry Investment Thesis Report are personal & should not be produced anywhere else.
Happy to rectify the mistakes if any. Please bring it to my notice.
Susa Ventures - Fund IV - VC Pitch Deck ExamplesPitch Decks
Susa Ventures is an early-stage venture capital firm investing primarily in seed rounds, founded in 2013. The firm seeks to invest in early-stage companies operating in the enterprise software, fintech, logistics, healthcare, consumer, and frontier tech sectors.
Susa's portfolio includes fast-growing companies like Andela and Robinhood — they participated across all five funding rounds of the freight logistics unicorn Flexport ($3.2 billion valuation).
We are big advocates of transparency at Seedcamp and understand first hand just how tough the fundraising process can be. It's not just startups who go through this but funds too. In the spirit of openness, we're sharing the deck we used to go out to investors for Seedcamp Fund IV.
Read more about our plans to invest in 100 new European startups with our biggest and boldest fund yet over on our blog: http://seedcamp.com/seedcamp-fund-iv-announcement/
EY's European Banking Barometer – 2015 identifies the views of 226 senior European bankers across 11 markets regarding their views of the macro-economic outlook and the impact they think it will have on the banking industry in 2015.
For further information visit: www.ey.com/ebb
Pay Master App is the mobile recharging and payments app in Sri Lanka. As part of their growth plan, this is the seed+ raise they have requested from possible investors. Paymaster is a fully owned subsidiary of FirstPay Pte Ltd
Visit Messari.io and follow @MessariCrypto on Twitter for more
Messari brings transparency to the cryptoeconomy. We want to help investors, regulators, and the public make sense of this revolutionary new asset class, and are building data tools that will drive informed decision making and investment. We believe that crypto will democratize access to information, break down data silos, and ultimately give everyone the tools to build wealth.
OECD ziņojuma “Latvijas mājokļu pieejamības fonda stiprināšana” galvenās atziņas
Marks Pīrsons (Mark Pearson), Nodarbinātības, darba un sociālo lietu direktorāta direktora vietnieks, OECD
2023.gada 15.jūnijs
video: https://www.youtube.com/watch?v=GE7lCizywRY
We’re thrilled to announce that we’ve raised Kleiner Perkins’ 18th venture fund -- $600 million to focus on early stage investing. This marks 47 years for our firm, and with a fresh team and strategy, we’re incredibly excited for the next 47 years.
This presentation was originally given at The Feast Salons (November 2010) in NYC.
Skillshare is a community marketplace to learn anything from anyone: http://skillshare.com
Let's Start a Learning Revolution: http://vimeo.com/21600601
Views expressed in this Gaming Industry Investment Thesis Report are personal & should not be produced anywhere else.
Happy to rectify the mistakes if any. Please bring it to my notice.
Susa Ventures - Fund IV - VC Pitch Deck ExamplesPitch Decks
Susa Ventures is an early-stage venture capital firm investing primarily in seed rounds, founded in 2013. The firm seeks to invest in early-stage companies operating in the enterprise software, fintech, logistics, healthcare, consumer, and frontier tech sectors.
Susa's portfolio includes fast-growing companies like Andela and Robinhood — they participated across all five funding rounds of the freight logistics unicorn Flexport ($3.2 billion valuation).
We are big advocates of transparency at Seedcamp and understand first hand just how tough the fundraising process can be. It's not just startups who go through this but funds too. In the spirit of openness, we're sharing the deck we used to go out to investors for Seedcamp Fund IV.
Read more about our plans to invest in 100 new European startups with our biggest and boldest fund yet over on our blog: http://seedcamp.com/seedcamp-fund-iv-announcement/
EY's European Banking Barometer – 2015 identifies the views of 226 senior European bankers across 11 markets regarding their views of the macro-economic outlook and the impact they think it will have on the banking industry in 2015.
For further information visit: www.ey.com/ebb
Pay Master App is the mobile recharging and payments app in Sri Lanka. As part of their growth plan, this is the seed+ raise they have requested from possible investors. Paymaster is a fully owned subsidiary of FirstPay Pte Ltd
Visit Messari.io and follow @MessariCrypto on Twitter for more
Messari brings transparency to the cryptoeconomy. We want to help investors, regulators, and the public make sense of this revolutionary new asset class, and are building data tools that will drive informed decision making and investment. We believe that crypto will democratize access to information, break down data silos, and ultimately give everyone the tools to build wealth.
OECD ziņojuma “Latvijas mājokļu pieejamības fonda stiprināšana” galvenās atziņas
Marks Pīrsons (Mark Pearson), Nodarbinātības, darba un sociālo lietu direktorāta direktora vietnieks, OECD
2023.gada 15.jūnijs
video: https://www.youtube.com/watch?v=GE7lCizywRY
Presentation by Christopher Wales, DIGITAX Research Programme, at the Conference on Reshaping the tax system to support the Financial Sector Development Strategy (FSDS)
Kampala, Uganda, 14th–15th December 2022
The two-day conference was convened by Uganda's Ministry of Finance, Planning and Economic Development, and co-hosted by ICTD's DIGITAX Research Programme and TaxDev.
Many older people have equity tied up in their homes that could be used to provide them with a greater income in later life and improve their standard of living. Traditionally, the ways to unlock the equity in people’s homes have been through downsizing, equity release lifetime loans or home reversion plans. However, not everyone is in a position to downsize, there are pros and cons to each approach, and all have associated costs.
The Equity Bank would provide a new way for people to unlock the equity in their home. It would be a state agency which provides people with a low cost fixed lifetime income in exchange for a fixed share of the equity in their home. The Equity Bank would take a charge on the person’s home and recover the value of the equity from the person’s estate after their death.
The event was chaired by Baroness Sally Greengross, Chief Executive of the ILC-UK. Nick Kirwan, Director of the ILC-UK Care Funding Advice Network, opened the discussion. Professor Les Mayhew of Cass Business School and co-author of the paper 'The UK Equity Bank - Towards income security in old age' then presented the concept, after which Paul Burstow MP responded. There was then time for questions and a general discussion.
Many older people have equity tied up in their homes that could be used to provide them with a greater income in later life and improve their standard of living. Traditionally, the ways to unlock the equity in people’s homes have been through downsizing, equity release lifetime loans or home reversion plans. However, not everyone is in a position to downsize, there are pros and cons to each approach, and all have associated costs.
The Equity Bank would provide a new way for people to unlock the equity in their home. It would be a state agency which provides people with a low cost fixed lifetime income in exchange for a fixed share of the equity in their home. The Equity Bank would take a charge on the person’s home and recover the value of the equity from the person’s estate after their death.
The event was chaired by Baroness Sally Greengross, Chief Executive of the ILC-UK. Nick Kirwan, Director of the ILC-UK Care Funding Advice Network, opened the discussion. Professor Les Mayhew of Cass Business School and co-author of the paper 'The UK Equity Bank - Towards income security in old age' thened present the concept, after which Paul Burstow MP responded. There was then time for questions and a general discussion.
Ireland’s Social Housing Strategy:Opportunities and ChallengesFEANTSA
Presentation given by Bairbre Nic Aongusa, Department of the Environment, Community & Local Government, Ireland, at the 2015 FEANTSA Policy Conference, "Homelessness, A Local Phenomenon with a European Dimension: Key Steps to Connect Communities to Europe", Paris City Hall, 19 June 2015
The company DAO Family on the crowdfunding platform Rontgen seeks to raise €2M. The funds will be used to refinance the bank loan and to create additional working capital for the apartments to be fully finished. Investors will get a 7% annual return. These slides are a detailed presentation of the investment opportunity.
Dace Akule “Migration, Integration, Europeanization” – Final conference 27 June Global Utmaning
The expert seminar “Migration, Integration, Europeanization – old and new challenges for policies and actors. The case of Baltic States”, which took place in Warsaw on June 27.
The seminar was the final conference in the project Migration as a part of a policy for increased competitiveness, funded by the Swedish Institute and comprising a cooperation between think tanks and research institutes working with migration and integration in the Baltic Sea region. The conference was arranged in collaboration with demosEUROPA, The Institute of Social Policy at University of Warsaw, and Norden Centrum in Warsaw.
Presentation used at the Joint Forum in the framework of UNECE Ministerial Conference on Ageing 2022 to share challenges and dilemmas in the implementation of Long Term Care policies, in general, and transition plan, in particular.
Un Marco de Referencia Europeo para la vivienda Amigable con los Mayores - Peter Wintlev-Jensen .
Deputy Head of Unit at European Commission DG-CONNECT
The 13th OECD Rural Development Conference was held in Cavan, Ireland on 28-30 September 2022 under the theme "Building Sustainable, Resilient and Thriving
Rural Places".
These are the presentations from the Conference parallel session "Rethinking Rural Development: Effective Solutions for Bottom-Up Rural
Economic and Community Development".
For more information visit https://www.oecd.org/rural/rural-development-conference/.
Similar a Senior Group Baltics Investment Teaser.pdf (20)
Safe. Letter for experts with demand to help to collect the information (1)Nicolai Kobliakov
Together with several European care professionals, we formed SAFE consortium in order to save the lives of residents of aged-care facilities by preparing national care systems for future pandemics.
CFZ. residence senior modulaire senior quartier pour les communesNicolai Kobliakov
Les cinq derniers mois de lutte contre le COVID ont montré que le concept de Senior Quartier (avec des procédures et protocoles supplémentaires) résiste très bien aux risques de pandémies.
Looking for Senior Residence project chief.
In spite of... we continuer to develop our network of small family- style Senior Residence in Riga.
The landplot is acquired, the financing is secured. We need a person who can supervise the construction and start the operations. The brut salary after 2 months training is 1800 euros.
Land plots requirements. bfh by senior groups. 2018. Latvia.Nicolai Kobliakov
We've constructed the first Big Family House in Quartier Senior Babite. We've filled it in a couple of months, now we are searching for other landplots around big towns in Latvia.
Multi factor analysis of Big Family House residentsNicolai Kobliakov
We've used MDS (multidimensional scaling) as a tool of visualizing the level of similarity of individual residents of Big Family House and their relatives.
Land plots requirements. Big Family House by Senior Group. 2018.Nicolai Kobliakov
Slides about the requirements for Land Plots for Big Family House by Senior Group. Based on the 1st BFH constructed in Babite, Latvia. Opened in 2018, January.
The telephone research of all the licensed Senior Residences in Latvia. 127 residences contacted. 63 of them found to belong to "free-market" domain. The different segments are identified with help of MDS Factor analysis.
Damage to the spinal cord above the sacral region causes reflex incontinence. This condition causes loss of voluntary control of urination; but the micturition reflex pathway often remains intact, allowing urination to occur without sensation of the need to void
Overflow incontinence occurs when a bladder is overly full and bladder pressure exceeds sphincter pressure, resulting in involuntary leakage of urine. Causes often include head injury; spinal injury; multiple sclerosis; diabetes; trauma to the urinary system; and postanesthesia sedatives/hypnotics, tricyclics, and analgesia
Hyperreflexia, a life-threatening problem affecting heart rate and blood pressure, is caused by an overly full bladder. It is usually neurogenic in nature; however, it can be caused functionally by blockage
Diseases that cause irreversible damage to kidney tissue result in end-stage renal disease (ESRD).
uremic syndrome- An increase in nitrogenous wastes in the blood, marked fluid and electrolyte abnormalities, nausea, vomiting, headache, coma, and convulsions characterize this syndrome. As the uremic symptoms worsen, aggressive treatment is indicated for survival
Nocturia - awakening to void one or more times at night
An excessive output of urine is polyuria.
. A urine output that is decreased despite normal intake is called oliguria.
increased urine formation (diuresis)
a stoma (artificial opening)
Urinary Retention. Urinary retention is an accumulation of urine resulting from an inability of the bladder to empty properly.
URINE OVERFLOW- The sphincter temporarily opens to allow a small volume of urine (25 to 60 mL) to escape. With retention a patient may void small amounts of urine 2 or 3 times an hour with no real relief of discomfort or may continually dribble urine.
pain or burning during urination (dysuria) as urine flows over inflamed tissues
blood-tinged urine (hematuria)
Urinary incontinence is the involuntary leakage of urine that is sufficient to be a problem. It can be either temporary or permanent, continuous or intermittentUrinary elimination depends on the function of the kidneys, ureters, bladder, and urethra. Kidneys remove wastes from the blood to form urine. Ureters transport urine from the kidneys to the bladder. The bladder holds urine until the urge to urinate develops. Urine leaves the body through the urethra. All organs of the urinary system must be intact and functional for successful removal of urinary wastes. Intact efferent and afferent nerves from the bladder to the spinal cord and brain must be present
INTAKE AND OUTPUT OF URINE
Assess the patient’s average daily fluid intake.
at home, ask him or her to estimate his or her intake by showing a measurement on a commonly used glass or cup
Special receptacles (urimeters) that attach between indwelling catheters and drainage bags are a convenient means of accurately measuring urine volume. A urimeter holds 100 to 200 mL of urine. After measuring urine from a urimeter, drain the cylinder
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
ASSISTING WITH THE USE OF BED PAN BY ANUSHRI SRIVASTAVA.pptxAnushriSrivastav
When a patient uses a bedpan, promote comfort and normalcy and respect the patient’s privacy as much as possible. Be sure to maintain a professional manner. In addition, provide skin care and perineal hygiene after bedpan use
Regular bedpans have a rounded, smooth upper end and a tapered, open lower end. The upper end fits under the patient’s buttocks toward the sacrum, with the open end toward the foot of the bed
. A special bedpan called a fracture bedpan is frequently used for patients with fractures of the femur or lower spine
Fracture bedpan - used for patients with fractures of the femur or lower spine. The fracture pan has a shallow, narrow upper end with a flat wide rim, and a deeper, open lower end. The upper end fits under the patient’s buttocks toward the sacrum, with the deeper, open lower end toward the foot of the bed.
Ordinary Bedpan
EQUIPMENTS
Bedpan (regular or fracture)
Toilet tissue
Disposable clean gloves
Additional PPE, as indicated
Cover for bedpan or urinal (disposable waterproof pad or cover)
ASSESSMENT
Assess the patient’s normal elimination habits.
Determine why the patient needs to use a bedpan (e.g., a medical order for strict bed rest or immobilization).
Assess the patient’s degree of limitation and ability to help with activity.
Assess for activity limitations, such as hip surgery or spinal injury, which would contraindicate certain actions by the patient.
Check for the presence of drains, dressings, intravenous fluid infusion sites/equipment, traction, or any other devices that could interfere with the patient’s ability to help with the procedure or that could become dislodged.
Assess the characteristics of the urine and the patient’s skin
Assisting With Use of a Bedpan When the Patient Has Limited Movement
Patients who are unable to lift themselves onto the bedpan or who have activity limitations that prohibit the required actions can be assisted onto the bedpan in an alternate manner using these actions
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Unlocking the Benefits of Cognitive Behavioural Therapy (CBT) with Renewed Edgerenewed edge
Discover the transformative potential of Cognitive Behavioural Therapy (CBT) with Renewed Edge. This presentation covers the core principles of CBT, its development, practical applications, benefits, and how to get started with this evidence-based approach to improving mental well-being.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Achieve optimal dental health with 5 easy steps recommended by dentists. Visit Bayview Village Dental for expert care and advice to maintain a healthy smile.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
2. STRICTLY CONFIDENTIAL 2
Executive summary
Creating pan-Baltic market leader in long-term care residences
Experienced
management
Existing platform
Significant market
potential
Unique operational and
real estate concept
Target project metrics
• Sophisticated founders with 15+ years of experience in
healthcare and senior care industries
• Experienced team is well positioned to develop existing
operations and implement ambitious development plan
• Underinvested market compared to Western and Nordic
neighbours
• Existing requirement for up to 10,000 beds already now
• By 2040 there will be a need to introduce additional 80,000
beds in the Baltics to support the ageing population trends
• One of the leaders in the Latvian market. Presence in Lithuania
• 6 residences, 223 operating beds and 257 beds in pipeline
• Profitable operations with 20% adj. EBITDA margin based on
fully owned real estate
• Already successful Big Family House concept. New Urban
Residence concept being introduced
• Multipurpose real-estate in marketable locations which can also
be used as residential real estate for lower-middle class
population
• Building pan-Baltic market leader in LTC residences with 6%
overall market share and 20% of the private market
• 2,200 operating beds and further 4,000 beds in the pipeline
• 50% SLB ratio. Rent yield to property owners 8% + VAT
• Operating targets: EUR 72 mln in revenue and EUR 15 mln
EBITDAR
Investment requirements
(50% SLB case*)
Exit route
How: sale to strategic or specialized PE/infra fund
When: 2029 or later
Expected CoC: 3.5x
Expected IRR: 39%
EUR 87.8 mln
Total external funding requirement
EUR 26.4 mln
Total Equity
EUR 61.4 mln
Total Debt**
17.5
24.2
19.6
7.6
10.4
8.5
Latvia Lithuania Estonia
* Scenario where 50% of constructed real estate is sold under long-term sale-
lease back agreement to real estate investors
** Assumption that 70% of real estate construction CAPEX is financed by debt
12.0 14.0
2023 2026
Equity requirement timeline, EUR ‘000
3. Institutional elderly care market in the Baltics
Underdeveloped market lacking investment
• The market value for long-term care amounted to EUR 600 mln in the Baltics and was growing by 10% CAGR before
COVID. In terms of per capita spending Baltic states are 2-3 times below EU-27 average rates and even further behind
the leading countries
• Around 30% of people older than 80 years of age are residents of professional long-term care facilities. The remaining
part stays at home with their family. Current indicator for the Baltic States is around 10-15% and is limited with a number
of beds available
• As of 2023 there were 357 ths. people in the Baltics older than 80 years, which constitute 5.8% of regional population.
This indicator is at par with EU27 average of 6.0%.
• It is expected that by 2040, the Baltic population of elderly people >80 y.o. will increase by 26% to almost 450 ths. or
8.2% of population. The growth rates of population aging are lower compared to EU27 (46%) which is related to a
number of factors including healthcare quality and life expectancy
• Total capacity of the LTC facilities in the Baltics is expressed in the number of beds which amounted to 37,548 in 2021
which is significantly below market needs. There is up to 10,000 gap in beds required to cover today’s demand and
further 80,000 beds need to be commissioned until 2040
• Per capita density of LTC beds in the Baltic countries has significant room for improvement as compared to market
leading countries, for example from 12.4 beds per capital in Latvia to 63.9 beds per capita in Sweden
• There is around 440 LTC residences in the Baltics, including 127 private residences, 185 municipal residences and the
balance is non-for-profit and other organizations
• Furthermore, based on the independent research around 30-40% of beds in the region were constructed before 1991,
which means that the sector required significant capital investments
80,933 106,227
114,097
132,924
161,918
209,445
2023 2040
Estonia Latvia Lithuania
Addressable market (population >80 y.o.),
number of people
356,948
448,596
+26%
12.4
38.5
41.4
47.4
50.8
63.9
Latvia Lithuania Estonia France Finland Sweden
Number of LTC beds per capita*
4,887
11,198
21,463
Latvia Estonia Lithuania
Number of LTC beds, 2021
Source: OECD, Eurostat statistics
LTC market size*, EUR mln
*Based on healthcare expenditure on long-term healthcare
145 159 178 196
80 85 101 113
230 239
257
293
2017 2018 2019 2020
Estonia Latvia Lithuania
454 483
563
602
10% CAGR
0.38
0.59 0.73
2.01
1.66
2.98
Latvia Lithuania Estonia France Finland Sweden
LTC spending, as % of GDP
EU average = 1.80
∑=37,548
*per 1000 population population >65yo
3
STRICTLY CONFIDENTIAL
4. Existing platform
Well established player in Latvia and Lithuania
• Following successful launch of its first Big Family House type residence in Latvia in 2018, SG grew in
size to reach 6 residences (5 in Latvia, 1 in Lithuania) which are fully owned by the business
• In addition, the Group provides remote home care services in Riga (Latvia) as well Vilnius,
Panevezys, Ukmerge (Lithuania) under MAMA-OK brand
• Existing residence portfolio includes 223 beds in Latvia and 18 beds in Lithuania as of September
2023
• In 2023 average occupancy rate for residences reached 95% which is expected to be a sustainable
rate going forward. Average time for a newly constructed bed maturity is 1 month
• Furthermore, SG owns land and construction permits for 257 beds in Latvia and additional land in
Lithuania
• In 2023 total revenue is expected to reach EUR 5.3 mln, where 14% are contributed by Lithuanian
business launched in 2022 (first residence became operation only in 2023). Most of the revenue (80%)
is generated by residential business unit
• Profitability in FY 2023 is expected to reach 20% EBITDAR adj. margin level which is a sustainable
indicator for fully owned mature residences at such scale
• The Group employed ca 230 people in Latvia and 70 people in Lithuania as of September 2023
• Historical development was fully financed by shareholder funds. Up to date shareholders invested
EUR 9.0 mln into the company, including EUR 6.4 mln in real estate and construction, while the
balance was used for operations
812
1,916
3,597
5,254
2020 2021 2022 2023E
Latvia Lithuania
Historical revenue dynamics, EUR ‘000k
80%
20%
Residences
Home care
3Y CAGR 87%
Existing business highlights
95%
occupancy
rate
20%**
EBITDAR
margin
238
beds
6
residences
#2* private player
in Latvia
* Lost market leadership following consolidation of 2 players in the market
** Currently EBITDA is equal to EBITDAR as all real estate is fully owned
4
STRICTLY CONFIDENTIAL
Brands
Key milestones
Beginning of 2018,
opened the 1st
residence in Riga
suburb (Lapsas)
June 2019, completed
the 2nd phase for an
additional 12 people
Start of 2020,
completed 3rd phase
for 42 additional
places
End of 2020, new Senior
Vecmīlgrāvis residence was
opened in Riga (two-story
building with 4 blocks, incl. for
those suffering from dementia)
Start of 2021,
completed 4th and
final phase of the
complex in Lapsas
September 2021, the
“Senior Ogre” was
opened in Ogre
region (6 residential
buildings)
April 2022, the first stage
of the Senior residence in
Ādaži region was
completed (2 twin houses)
End of 2022, was opened
new residence in Jurmala
region and the first
Lithuaninan residence in
Panevežys
Ongoing construction of
the 2nd phase of "Senior
Vecmīlgrāvis“ and "Senior
Ādaži“ residences
5. Existing platform
Big Family House Concept
• At the beginning of 2018, Senior Group opened the doors of the first residence for the elderly Big Family House (BFH) in Riga
(Latvia). In June 2019, Senior Group completed the second phase of the project providing accommodation for an additional 12
people. At the start of 2020, completed the third phase, providing 42 additional places for older people (including 14 in a
specialist home for people with Alzheimer's and dementia).
• BFH concept is an alternative to regular long-term care approach which combines family-style life and institutional care through
combination architectural, technological and social solutions. It allows residence to embrace a feeling of living in a family
environment for people over 80 years old
• Architectural solution evolves around detached twin houses made using panel technology provided Nordic Homes. Such houses
are able to accommodate up to 15 residents. BFH concept can be scaled into a small village with shared operational
infrastructure. Such approach makes this solution affordable even to lower-middle class families
• As a result, Big Family Houses are typically located in or near residential areas of major cities which makes residents a part of
local social infrastructure as well as allows for easy visits of family members
• Basic services principles are built around the following fundamentals:
• Accommodation and food (proper living environment and homemade food)
• Safety (training residents to live in a suitable environment minimizing the risk of falls; emergency help and medication
available 24/7)
• Care (regular assessment, personal ADL Activities of daily living)
• Social stimulation (stimulation of independence, support for community and family interactions)
• Additional social activities are being promoted within organization allowing residents to fill-in gaps in social belonginess, which
becomes a new industry standard in the Baltics
• Furthermore, SG is testing a new concept of Urban Residences designed for people over 70 years which typically have different
physiological condition and respective needs. In addition, there are specific residence concepts designed for people with
different diseases, such as Alzheimer for example.
5
STRICTLY CONFIDENTIAL
6. Development strategy
Creating a market leader in elderly LTC residence management in the region
• SG has a vision to build a market leading network of elderly LTC facilities network
across all Baltic States over the next 5-year period
• This would require construction of 2,238 operational beds in total including:
• 839 in Latvia (including 223 existing beds),
• 780 Lithuania (including 18 existing beds), and
• 619 in Estonia
• This would allow to take 6% overall market share in the Baltics by number of beds or
20% of the private market in the region
• Under the base case scenario SG finances construction of the entire LTC facility
portfolio and sells 50% of the constructed property under long-term sale-lease back
(SLB) agreements. The model assumes 8% [+VAT] yield from the SLB value to the
real estate investors
• Such combination of owned/leased property has proven to be the most resilient
business model on the European scale
• Total investment into construction and working capital is estimated to be EUR
125 mln, of which EUR 26.4 mln is equity requirement, EUR 61.4 mln is debt and
remaining EUR 37.2 mln are expected to be generated from SLB transactions
(which together with operating cash flow would also cover interest payments and debt
amortization)
• The projected revenue is expected to reach EUR 72 mln by 2029. For the purpose of
the model, home care revenue has been forecasted to growth with inflation level
• EBITDAR adj. is expected to exceed EUR 15 mln (21% margin) by 2029. Taking into
consideration 50% SLB scenario and respective rent payments, EBITDA should exceed
EUR 10 mln (14% margin) by 2029
• There is also an option to create infrastructure for constructing [4,000] additional
development pipeline beds across the region (acquisition of land, receipt of construction
permits and other operating permits) ahead of exit in order to ensure continuous
development and increase exit valuation
Number of beds evolution over timeline
Projected revenue and EBITDA, EUR mln
6,238
6
STRICTLY CONFIDENTIAL
427 679 931 1,183 1,238
357
609
861 1,000
1,008
3,024
4,000
2024 2025 2026 2027 2028 2029
Owned SLB Pipeline
5,068
2,548
1,036
532
238
839
780
619 Latvia
Lithuania
Estonia
5Y revenue CAGR 62%
6.4 8.2
20.8
36.9
54.5
71.8
0.7 0.2 2.3
5.9
10.1
15.1
11%
2%
11%
16%
19%
21%
2024 2025 2026 2027 2028 2029
Revenue EBITDAR EBITDAR margin
7. Management team
Experienced management team in elderly LTC facility management and healthcare
• Launched first long-term elderly care facility together with French Group Almage
back in 2007 which he exited in 2011
• Launched Senior Group operations in Latvia in 2018 which became one of the
industry leaders in a highly fragmented market
• Launched Senior Group operations in Lithuania in 2023
• Over the course of his carrier in long-term care facility management, Nikolai has
developed Big Family House concept and and introduced in the Baltic States
• Holds a EMBA degree from the London School of Economics and Political
Science
Nikolai Kobliakov Josifs Apts
• Over 20 year-experience in healthcare industry in Latvia as one of the
founders of Repharm Group
• Successfully developed VCA Poliklinika (outpatient healthcare clinics
network) and Centrala Laboratorija (invitro medical testing laboratory) into
industry leaders in Latvia
• In 2020 facilitated acquisition of Medica Group (leading private healthcare
provider in Lithuania) by Repharm Group and subsequent merger with
InMedica (private healthcare provider in Lithuania) which effectively turned
out to be the largest transactions in private healthcare sector in Lithuania
7
STRICTLY CONFIDENTIAL
8. 8
This document is strictly private and confidential and may not be communicated, photocopied, reproduced, disclosed or distributed to any other person at any time.
This document does not constitute an offer or invitation for the sale or purchase of the businesses or assets described herein and it does not constitute any form of commitment or recommendation
on the part of any company mentioned herein. Neither this document, nor any other written or oral information made available to you in relation to matters described in this document, will form the
basis of any contract.
This document does not purport to be all-inclusive or to contain all the information about matters described herein. No representation or warranty, expressed or implied, is or will be made in relation
to the accuracy or completeness of this document or any other written or oral information. No responsibility or liability is or will be accepted by Baltic Partners or by any of its respective subsidiaries
and associated companies or any officers, employees, advisers or agents of any of them (each an “Indemnified Person”). Each Indemnified Person expressly disclaims any and all liability which may
be based on this document or such information, and any errors therein or omissions there from. In particular, no representation or warranty is given as to the achievement or reasonableness of future
projections, targets, estimates, prospects or returns, if any. Any user of this document must conduct its own investigation of all information provided herein.
No duty of care or otherwise is owed by Baltic Partners or any company mentioned herein or any of their respective connected persons, agents or affiliates in relation to this document. Any
prospective user of this document interested in the matters contained herein is recommended to seek its professional advice. Baltic Partners and any of the companies mentioned herein do not
undertake any obligation to provide the recipient with access to any additional information or to update or to correct any inaccuracies in or omission from this document.
In accepting receipt of this document, the recipient agrees to be bound by the conditions and limitations of this Disclaimer.
No announcement, circular or disclosure of your interest or potential interest in the matters contained herein shall be made by you, unless required by applicable laws.
Under no circumstances should any director, officer, or employee of any of the companies mentioned herein apart from Baltic Partners, or any their affiliates be contacted regarding this document or
its contents. All communications should be directed to Baltic Partners at contacts indicated in this document.
Contacts of Baltic Partners representatives:
Andriy Shcherbyna, CFA
Associate Director
Mob: +38 067 538 99 35
E-mail: a.shcherbyna@balticpartners.eu
Dmitriy Smirnov
Partner
Mob (Latvia): +371 28 899 888
E-mail: dmitry.smirnov@balticpartners.eu
Disclaimer
8
STRICTLY CONFIDENTIAL