Landmark Health Solutions acquired a 76 unit Assisted Living Facility in southern New Hampshire representing a capital investment of $12MM. This project was specifically designed and operated to serve a dementia and memory impaired resident population in a residential setting. Further campus development has included the strategic integration of added assisted living and independent living products representing capital investments aggregating in excess of $25MM.

LHS was engaged as turnaround managers associated with Neville Manor, a 112 bed skilled nursing facility controlled by the City of Cambridge in Massachusetts. At the time, Neville Manor was experiencing deteriorating operating losses exceeding $2MM annually. Our strategic plan included stabilization of existing operations, introduction of replacement owners and divestiture of the asset. This plan concluded with the development of a replacement nursing facility representing a capital investment of $15MM and introducing an assisted living component to the project. Landmark Health Solutions successfully managed the strategic operating solutions to this now independent 501c3 corporation.

Landmark Health Solutions participated with a group of investors representing the successful acquisition bid for a 164 skilled nursing facility in bankruptcy and located in Northampton, Massachusetts. LHS served as operators and advisors associated with repositioning, re capitalizing and renovating the facility. Strategic initiatives included the successful renegotiation of specialized Pediatric program rates, labor union contract concessions, elimination of nursing agency and material census improvements. Current efforts include the further expansion of the project campus representing over 12 acres of developable property.

LHS was engaged in an operations improvement capacity to a regional hospital provider in the Cape Cod area of Massachusetts involving a distressed 82 bed skilled nursing facility: The Pavilion. This engagement evolved into a full scope management capacity. Material operating losses were eliminated and regulatory compliance was restored while this asset was positioned for divestiture. Landmark Health Solutions purchased the center through a re capitalization event and is currently operating as a premier sub-acute nursing facility in its market area.

Landmark Health Solutions served as strategic advisors and replacement managers for a 123 bed skilled nursing facility located in Boston, Massachusetts experiencing severe challenges in both clinical care and financial management. Owned by a major Catholic health system provider, this asset was stabilized and achieved EBITDAR improvement from a $2MM operating loss to a $1MM operating profit within twenty four months. This facility was successfully purchased by interests representing the replacement managers and is perched for a recapitalization event.

LHS was hired as clinical consultants and turnaround managers to a 164 bed non-profit skilled nursing facility owned by UMASS Memorial Health System, a tertiary teaching hospital of the State university campus and medical school. This facility was experiencing operating losses exceeding $3MM annually and was threatened with closure by regulatory authorities. The facility has now achieved regulatory compliance evidenced by several deficiency free survey and near break-even EBITDAR operating performance. This asset is currently being marketed for sale to meet the changing mission.

LHS served in the executive management capacity for a distressed religious based not for profit long term care facility. Provided strategic advisory, reorganization and disposition services in connection with redirecting distressed business operations, including interim full service management and eventual acquisition.

LHS was hired by the New Hampshire Housing and Finance Authority in connection with resolution of monetary credit defaults associated with a portfolio of privately owned senior housing and assisted living facilities. Served in a financial advisory and consulting capacity. LHS positioned the client for replacement management and foreclosure proceedings. Our intervention resulted in restored compliance for the conditions of default and the avoidance of planned legal proceedings.

Our services were attained through Secured Creditor interests of multiple long-term care and assisted living facilities. Located in Virginia and North Carolina, representing 24 properties and over 2700 beds. Provided financial advisory, operations consulting and oversight management services in connection with developing and implementing strategic business plans for continuing operations. Provided direct assistance in supporting lender relations representing defaulted senior credit interests exceeding $115MM.

LHS served as strategic advisors and operational consultants associated with a family owned nursing and assisted living facility located in New Hampshire. Strategic initiatives achieved included a recapitalization of the project with HUD financing; Medicare and Medicaid certification to achieve maximum skilled nursing capacity; marketing and census development of the ALF component to exceed 92% occupancy; and the development of improved financial and clinical practice standards.