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About Us


Ed LeBreton
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John Bair
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Dawn Snyder
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Steve Lovell
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Our clients benefit from our insight provided through independent and objective advice gained through years of experience and the constant monitoring of industry trends, government regulations and peer analyses.

We don't simply identify problems; we identify opportunities for improvement and provide recommendations that can reasonably be implemented with existing resources or with indicated supplements to existing resources. We believe in a proactive approach to consulting. That is, whenever we believe information would be of value to a particular client's situation, we communicate our ideas to stimulate creative thinking.

Our client base is nation-wide and includes long term care and senior housing providers such as skilled nursing facilities, assisted living facilities, continuing care retirement communities and HUD assisted affordable housing. Other healthcare clientele includes home health agencies, rehabilitation and other specialty hospitals and traditional IPPS hospitals. We also represent provider associations in various regulatory impact analysis and Medicaid reimbursement rate setting negotiating efforts.

We represent both for-profit and not-for-profit providers; single site and multi-site organizations. For-profit providers include privately held organizations and publicly traded companies. Not-for-profit providers include both faith-based and community sponsored.