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PACE Provider - Serious Investor Only

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This document discusses the aging population trends globally and in Indonesia. Some key points: - The world's population aged 60+ will nearly triple from 2020 to 2050, bringing new challenges. - Indonesia is also experiencing an aging population, with those aged 60+ expected to increase from 18 million in 2010 to 48 million in 2035. - Issues arising from population aging include increased rates of mental disorders like Alzheimer's, disabilities, need for healthcare and living arrangements, as dementia cases are projected to increase dramatically. - Reasons for population aging include increased life expectancy and reduced fertility rates leading to more people surviving to older ages.

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3/26/2015 1 CaseAnalysis-NitrofixGhana,Inc. Binus Business School MM Executive Batch 20 Evergreen Project PACE Provider: Where Caring is Our Calling Alexander Christian Dina Sandri Fani Jenna Widyawati Ridwan Martawidjaja

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3/26/2015CaseAnalysis-NitrofixGhana,Inc. 2 Where caring is our calling

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3/26/2015CaseAnalysis-NitrofixGhana,Inc. 3 Segment II Ageing Population: Facts and Figures

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Facts about Ageing Population Seniors are the fastest growing population in the world 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 4 A 1950 205 million persons aged 60+ throughout the world Only 3 countries had more than 10 million people aged 60 or over: China (41 million), India (20 million), and the United States (20 million) B 2009 737 million aged 60+ 12 countries with more than 10 million people aged 60+ D 4-6% of elderly people in high- income countries (USA, Japan, European countries) experienced of maltreatment at home D 2050 The population aged 60+ to increase again nearly threefold to reach 2 billion

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Facts about Ageing Population Some of them may have some degree of cognitive decline 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 5 ±30% “people aged 85+ have some degree of cognitive decline. Lose of their ability to live independently…” 395 million in 2050 The world will have more people who live to see their 80s or 90s than ever before

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How about Indonesia? Indonesia is also heading toward an ageing population 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 6 2025 33.7 million of people aged 60+ (or 11.8% of the total population) 2010 18.1 million of people aged 60+ (or 7.6% of the total population) 2035 48.2 million of people aged 60+ (or 15.8% of the total population)

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How about Indonesia? … lead to the changing of characteristicfeatures of population ageing 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 7 Increasing proportions of single The proportion of singles among older persons increases with age. 31% 50% 65% 69% 50% 35% 60-69 70-79 80+ Single Married Feminization of ageing 54% of Indonesians aged 60+ were women according to 2010 Census reported figures 51.7% 51.3% 51.6% 57.3% 54.5% 54.7% 2010 2025 2035 60-69 70+ Greater vulnerability of older women

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EmergingAgeing-Related Issues in Indonesia Main challenges arising as a result of population ageing 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 8 0101 Increasing incidence of mental disorder 0102 Increasing incidence of disability 0103 Provision of appropriate living arrangements 0104 0105 Meeting the growing demand for health services Increasing incidence of disability

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Increasing Incidence of Mental Disorder Number of older persons living withAlzheimer’s will be increasing 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 9 1 million of Indonesians suffer from Alzheimer’s disease Predicted to continuously grow Patients with Alzheimer’s disease in 2050 will reach 3 million

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Increasing Incidence of Disability Likelihood of disability increases with age 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 10 0102 01 02 03 04 Hearing loss Visual impairment Hampered mobility Amnesia Key Types of Disability 78% 22% Having no difficulties Having some difficulties Single-difficulty, 10.5% Multiple- difficulty, 10.7% “74% of the older persons claimed that they had no difficulties in any of the four domains”

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Increasing Incidence of Disability Common problems suffered by older Indonesians 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 11 0102 01 02 03 Difficulties in seeing Difficulties in hearing Difficulties in climbing stairs Loss of sight  Hampers older people from conducting their usual activities  Hampers from work leading to income loss Difficulties in communication with others  Prevent from social activities  Increasing loneliness and being socially excluded Arthritis

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Continues to be traditional  Main responsibilities providing care lies with the older offspring and other younger relatives  Intergenerational contract 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 12 0103 54.8% Lived with their single or married offspring in one or two basic living arrangement Providing appropriate living arrangements Intergenerational contract:the younger generation “repay” the older generation by taking care of them during their old age  The proportion of older people living alone increases with ageing of the older population  May result in loneliness

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3/26/2015CaseAnalysis-NitrofixGhana,Inc. 13 Segment III Reason of Growing Ageing Population

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Reduction of fertility Total fertility has dropped almost by half Reasons of GrowingAgeing Population 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 14 “Why ageing population is increasing?” 01 People are living longer Life expectancy at birth increased globally by 21 years 02 More people will survive to older ages  75% of every newborns in the world are expected to survive to age 60  About 3 out of every 8 to age 80 03

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Major Concerns of Getting Old 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 15 Wrinkles Gray hair 01 02 “What are your biggest worries about growing old?” Mental function 01 Physical function 02 “What are your biggest worries about growing old?”

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Major Concerns of Getting Old 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 16 2 1 433% Being fear of will not be able to take care themselves 20% Afraid of loosing mental abilities 3 16% Afraid they will grow very ill and be in a lot of pain or distress 7% Afraid of looking old and wrinkly

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Biggest Priority at OlderAge 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 17 60% Staying strong and healthy 40% Keeping the mind sharp 0103 0102 66% They would outlive their friends and family if they’d be in fairly good health

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3/26/2015CaseAnalysis-NitrofixGhana,Inc. 18 Segment IV Implications of Population Aging

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Implications of PopulationAgeing 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 19 The world will have more people who live to see their 80s or 90s than ever before 01 25%-30% Aged 85+ have some degree of cognitive decline 02 35.5 million People worldwide have dementia 03 604 billion USD Yearly annual global cost of dementia 05 76 million The number of people living with dementia worldwide is set to skyrocket in 2030 04 Loss the ability to live independently 06

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PACE Provider - Serious Investor Only

  • 1. 3/26/2015 1 CaseAnalysis-NitrofixGhana,Inc. Binus Business School MM Executive Batch 20 Evergreen Project PACE Provider: Where Caring is Our Calling Alexander Christian Dina Sandri Fani Jenna Widyawati Ridwan Martawidjaja
  • 4. Facts about Ageing Population Seniors are the fastest growing population in the world 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 4 A 1950 205 million persons aged 60+ throughout the world Only 3 countries had more than 10 million people aged 60 or over: China (41 million), India (20 million), and the United States (20 million) B 2009 737 million aged 60+ 12 countries with more than 10 million people aged 60+ D 4-6% of elderly people in high- income countries (USA, Japan, European countries) experienced of maltreatment at home D 2050 The population aged 60+ to increase again nearly threefold to reach 2 billion
  • 5. Facts about Ageing Population Some of them may have some degree of cognitive decline 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 5 ±30% “people aged 85+ have some degree of cognitive decline. Lose of their ability to live independently…” 395 million in 2050 The world will have more people who live to see their 80s or 90s than ever before
  • 6. How about Indonesia? Indonesia is also heading toward an ageing population 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 6 2025 33.7 million of people aged 60+ (or 11.8% of the total population) 2010 18.1 million of people aged 60+ (or 7.6% of the total population) 2035 48.2 million of people aged 60+ (or 15.8% of the total population)
  • 7. How about Indonesia? … lead to the changing of characteristicfeatures of population ageing 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 7 Increasing proportions of single The proportion of singles among older persons increases with age. 31% 50% 65% 69% 50% 35% 60-69 70-79 80+ Single Married Feminization of ageing 54% of Indonesians aged 60+ were women according to 2010 Census reported figures 51.7% 51.3% 51.6% 57.3% 54.5% 54.7% 2010 2025 2035 60-69 70+ Greater vulnerability of older women
  • 8. EmergingAgeing-Related Issues in Indonesia Main challenges arising as a result of population ageing 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 8 0101 Increasing incidence of mental disorder 0102 Increasing incidence of disability 0103 Provision of appropriate living arrangements 0104 0105 Meeting the growing demand for health services Increasing incidence of disability
  • 9. Increasing Incidence of Mental Disorder Number of older persons living withAlzheimer’s will be increasing 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 9 1 million of Indonesians suffer from Alzheimer’s disease Predicted to continuously grow Patients with Alzheimer’s disease in 2050 will reach 3 million
  • 10. Increasing Incidence of Disability Likelihood of disability increases with age 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 10 0102 01 02 03 04 Hearing loss Visual impairment Hampered mobility Amnesia Key Types of Disability 78% 22% Having no difficulties Having some difficulties Single-difficulty, 10.5% Multiple- difficulty, 10.7% “74% of the older persons claimed that they had no difficulties in any of the four domains”
  • 11. Increasing Incidence of Disability Common problems suffered by older Indonesians 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 11 0102 01 02 03 Difficulties in seeing Difficulties in hearing Difficulties in climbing stairs Loss of sight  Hampers older people from conducting their usual activities  Hampers from work leading to income loss Difficulties in communication with others  Prevent from social activities  Increasing loneliness and being socially excluded Arthritis
  • 12. Continues to be traditional  Main responsibilities providing care lies with the older offspring and other younger relatives  Intergenerational contract 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 12 0103 54.8% Lived with their single or married offspring in one or two basic living arrangement Providing appropriate living arrangements Intergenerational contract:the younger generation “repay” the older generation by taking care of them during their old age  The proportion of older people living alone increases with ageing of the older population  May result in loneliness
  • 14. Reduction of fertility Total fertility has dropped almost by half Reasons of GrowingAgeing Population 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 14 “Why ageing population is increasing?” 01 People are living longer Life expectancy at birth increased globally by 21 years 02 More people will survive to older ages  75% of every newborns in the world are expected to survive to age 60  About 3 out of every 8 to age 80 03
  • 15. Major Concerns of Getting Old 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 15 Wrinkles Gray hair 01 02 “What are your biggest worries about growing old?” Mental function 01 Physical function 02 “What are your biggest worries about growing old?”
  • 16. Major Concerns of Getting Old 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 16 2 1 433% Being fear of will not be able to take care themselves 20% Afraid of loosing mental abilities 3 16% Afraid they will grow very ill and be in a lot of pain or distress 7% Afraid of looking old and wrinkly
  • 17. Biggest Priority at OlderAge 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 17 60% Staying strong and healthy 40% Keeping the mind sharp 0103 0102 66% They would outlive their friends and family if they’d be in fairly good health
  • 19. Implications of PopulationAgeing 3/26/2015CaseAnalysis-NitrofixGhana,Inc. 19 The world will have more people who live to see their 80s or 90s than ever before 01 25%-30% Aged 85+ have some degree of cognitive decline 02 35.5 million People worldwide have dementia 03 604 billion USD Yearly annual global cost of dementia 05 76 million The number of people living with dementia worldwide is set to skyrocket in 2030 04 Loss the ability to live independently 06