2010 NIC National Skilled Nursing Investment Forum
Moving From Yesterday to Tomorrow: Capital & Reimbursement Strategies
Program
Forum General Sessions
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to download a PDF of the 2010 National Skilled Nursing Investment Forum Preliminary Program.
The Business Case for Modernizing Your Facility: Moving from Yesterday’s Skilled Nursing Model to Tomorrow’s
Tuesday Morning Opening Session • 9:00 a.m. – 10:30 a.m.
How do you combine an aging structure with today’s available capital to provide a product that competes
and meets the needs and desires of the modern resident? Find out in this session, where you’ll hear
current data that describes the state of the nursing home sector, including age of properties, revenue,
market trends, bed needs and design obsolescence. Two very different case studies – one from national
operator Genesis HealthCare Corporation with Formation Capital LLC, and one from California-based regional
operator Plum Healthcare Group with GI Partners LLP – will demonstrate their individual business cases
and explain their rationales for renewing their facilities. You’ll learn how both the operators and
equity partners evaluated the merit of investing in older buildings, calculated return on investment
and analyzed the market and environmental factors used to determine which types of replacements/renovations
would be most beneficial. You’ll get real numbers that explain why modernization is a logical choice,
in addition to strategic approaches designed to help you assess, prioritize and implement your own improvements.
Moderator:
John J. (Sean) Nolan, CFO, Fundamental
Panel:
Alexander Fraser, Director, GI Partners LLP
George V. Hager, Jr., Chief Executive Officer, Genesis HealthCare Corporation
Michael Hargrave, Vice President-NIC MAP®, NIC
Paul Hubbard, Co-CEO, Plum Healthcare Group
Arnold Whitman, CEO & Co-Chairman, Formation Capital, LLC
The Impact of Healthcare Reform on Long-Term Care and Especially on Skilled
Nursing Facilities: The View from Washington, D.C.
Tuesday Luncheon • 12:00 p.m. – 1:45 p.m.
You’ve heard and read about healthcare reform, but what could it mean for the long-term care provider?
A panel of experts—including a leading analyst, two major operators, the president of The Alliance for
Quality Nursing Home Care, and a capitol hill veteran—will examine effects of potential legislation
and RUG IV on long-term care. These knowledgeable experts will discuss what may emerge from the health
care debate, including employer insurance requirements, post-acute bundling, transparency requirements,
the CLASS Act, and the merging of payment mechanisms with quality measures. In addition, panelists will
focus on the potential “game changing” impact of RUG IV for skilled nursing providers. This experienced
panel will take all the news about healthcare reform and drill it down to the bottom line, so you’ll
learn how you’re likely to be affected as a result of the possible 2009 healthcare legislation.
Moderator:
Brian Fortune, Chief Political Strategist, Marwood Group
Panel:
Eric Gommel, Vice President, Stifel Nicolaus
Greg Miller, Senior Vice President-Corporate Development, Kindred Healthcare, Inc.
Rick Miller, CEO, Avamere
Alan G. Rosenbloom, President, Alliance for Quality Nursing Home Care
Medicaid Funding and Policy Directions: The View from Individual States
Tuesday Evening Session • 4:30 p.m. – 6:00 p.m.
Pressure on state budgets and cuts in Medicaid reimbursement have created even more challenging conditions
for long-term care providers. At the same time, many states are looking for ways to move more of their
Medicaid dollars into home and communitybased services and away from institutional care. In this session,
you’ll hear insights from four state nursing home association presidents and learn about the trends
they’re seeing. They’ll respond to the two previous general sessions with specifics about their individual
states. In addition, they’ll look at their new local policy initiatives, such as the push for patient-centered
or person-directed care, and the impact of budget constraints on their local Medicaid rates. You’ll
discover how these policies may have applications beyond their individual states—and how they may relate
to your own circumstances. Find out what these pros are seeing locally, what these trends mean for aging
nursing home stock and the need for renovation or replacement, and whether these policies are making
modernizing easier or more difficult.
Moderator:
Mark Ballif, Co-CEO, Plum Healthcare Group
Panel:
Jim Carlson, CEO/President, Oregon Health Care Association
James H. Gomez, CEO/President, California Association of Health Facilities (CAHF)
Tim Graves, President & CEO, Texas Health Care Association
Dick Herrick, President & CEO, New York State Health Facilities Association, Inc.
Practical Realities of HUD LEAN
Wednesday Morning Session • 8:30 a.m. – 10:00 a.m.
HUD/FHA insured funding has become the dominant source of capital in the tenuous credit environment.
The Lean application process is the most dramatic change in the program’s history, and it has been instrumental
to the program’s success. Now that it’s been operational for more than a year, its practical realities
are better defined. This panel will use several case studies to illustrate project and application characteristics
that are necessary for a successful funding outcome, as well as action steps that can prevent delays
or outright rejections. The timing of the program—in light of extraordinary demand, program staffing,
and continuous refinements—will also be discussed.
Moderator:
Alan Plush, President, HealthTrust
Panel:
Leonard A. Lucas, First Vice President-Senior Loan Originator Love Funding Corp.
Scott Moore, Managing Director
T. Brian Pollard, Managing Director, Lancaster Pollard
State of the Industry: How do Capital Markets View Skilled Nursing?
Wednesday Closing Session • 10:15 a.m. – 11:45 a.m.
How do lenders really view the Skilled Nursing industry? A panel of top financial experts will answer
that question and more as they examine Skilled Nursing from a capital markets perspective. This session
will provide you with the opinions and viewpoints of financiers, and you’ll discover what these lenders
like—and don’t like—about the sector. In a Q&A format, the panel will discuss how investors assess Skilled
Nursing as a specific asset type. You’ll hear about the unprecedented run of stability for nursing home
funding, as well as the transactions that are happening on a regional level. The panel will also discuss
the capital markets outlook on public and private companies’ equity, in addition to the debt markets.
Moderator:
Raymond Braun, Managing Member, Prospects Advisory Group LLC
Panel:
Taylor Pickett, CEO, Omega Healthcare Investors, Inc.
Jim Pieczynski, President-Healthcare Real Estate Group, CapitalSource
Kurt C. Read, Partner, Javelin Capital Partners
Jim Sullivan, Managing Director, Green Street Advisors
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