With our state of the
sector survey in full swing, we’re already taking a look at early responses. Thanks to the organizations who have weighed
in so far, some important themes are already emerging in the qualitative responses. Over
the next few weeks, we’ll be exploring some stories survey respondents have
shared with us in discussing the challenges their organizations faced in 2012,
and how they responded to those challenges. Please do take the
survey and share your own
perspective!
Estimates indicate that, by 2050, the number of people 65 or
older will have grown by 135% since the
start of the millennium, rising from
12.7% to 20.3% of the total population. As quality of life and health care
improve in the United States, we are also living longer. Over the last thirty
years, the number of people 90 years old or above has tripled, according
to the US Census.
In this year’s survey, nonprofits are sharing stories about the
impact of these changing demographics on several dimensions of the nonprofit
enterprise including programs and services and human, social, and financial
capital.
Increased demand
Doctors and nurses are preparing for new
ways of delivering care to older patients with multiple chronic illnesses,
while government still struggles for a solution to the oncoming financial issues
facing the Social Security and health care systems. Says one survey respondent
working in the field of health care education: “Our health care system is becoming
increasingly fatigued, strained by a physician shortage, retiring practitioners
and a wave of aging baby boomers placing a tremendous strain on the
infrastructure’s ability to handle the increased patient load. The bottom line:
we need more physicians and health-care professionals…[Our organization] is stepping
up to meet the needs of our community by increasing our class size and number
of graduates by 36% from 2009 to 2017.”
Changing demand
In responding to this demographic trend, one Human Services
survey respondent observes that organizations providing elder care will see an
increasing need to expand the breadth and types of services they offer in order
to help older adults age in place. Individuals will need services to grow and
change with them, as they evolve through different stages of need, requiring
nonprofits to take a deeper role across the spectrum of care-giving activities: “We serve the elderly, keeping them safe in
their own homes. As they continue to
live longer, their needs rise. Thus our expenses rise to assist them,” she
notes. “Example: a client arrives at age
70, and we provide transportation as needed. Flash forward 14 years, and our
typical client is 84 and lives alone. She/he
now needs hot meals and light housekeeping. Flash forward another 10 years, and
that same client will need help with bathing, additional housekeeping, a phone
pal, minor home repairs, and emergency assistance for medical service
payments.” Economic stress has shifted
the demand profile as well. An
Oregon-based healthcare organization reports: “The number of seniors who will
need our meal service is increasing exponentially as the Baby Boomers turn 60.
The age group 60-69 is our fastest growing, because they have been hardest hit
by economic downturn and forced early retirement. We need to develop a
comprehensive funding plan so we aren't scrambling to make our budget each
year, but have a fund that provides enough interest to help pay for increased
programming.”
Shifting donor base
The aging population also presents a challenge to organizations’
financial capital. Several noted that many of their individual donors are above
retirement age. With government funding on the decline, organizations are
tasked with finding new ways develop reliable revenue from a broader spectrum
of donors.
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