Current Engagements

Financial Advisory – CCA currently serves in a financial advisory capacity for a New England based owner and operator of skilled nursing centers.  Recent initiatives have included capital formation and transactional support in connection with the purchase acquisition of a 137 licensed bed property and securing of a $2.5MM working capital credit facility for two affiliated operating centers.  Routine services extend to providing Oversight Management Reporting for its diverse business operations and related responsibilities with regard to managing Lender Relations.  In addition, CCA serves as an Advisory Board Member in connection with supporting corporate governance and strategic business planning for the enterprise.  In collaboration with the management and consulting affiliates of this client, CCA has originated and secured new business opportunities aligned with strategic plans for growth.  Among these, a consulting services engagement involving a  distressed skilled nursing center has evolved to a full scope management contract and a direct purchase opportunity.  

Campus Development – CCA has been engaged in a strategic business development and financial advisory capacity involving a closely held and family controlled 156 bed SNF property in Rhode Island. The project involves the development of a senior campus community – expanding the existing operation to include a 75 unit ALF addition including a specialty ALZ component.. The project financing which includes recapitalization of existing asset interests approximates $20M. The project financing has recently been secured with a regional commercial lender and is now proceeding to the active development phase. Secondary development plans include the introduction of an ILF component to the master planned seniors housing and care community.

Turnaround Management – CCA has been engaged in a strategic business development and financial advisory capacity involving a closely held 120 bed SNF property in Connecticut. This property, having recently emerged from a Chapter 11 Bankruptcy Proceeding, represents the strategic acquisition of a distressed asset by a regional owner and operator. The project involves the renovation and expansion of the existing nursing center and campus expansion to develop a 90 unit ALF building on the campus site. The project financing which includes recapitalization, capital improvements and development funding approximates $30M. The project is currently being underwritten by a national healthcare commercial lender.

Strategic Planning – CCA has been engaged by the Board of Directors of a community not-for-profit 160 bed SNF property in Massachusetts to develop and implement a strategic business plan for operations improvement and property development. Current activities include the implementation of a number of operations improvement initiatives extending to census development, revenue enhancement, cost containment and increased profitability. Particular emphasis is focused on further developing rehabilitative services and clinical programming. Property initiatives include capital improvements to existing asset interests and long range planning for a replacement project. The capital plan associated with this project is HUD financing.

Project Renovation – CCA has been engaged in a financial advisory and property development capacity involving the revitalization of a 100 bed SNF property in Massachusetts owned by a regionally based multi-facility and family controlled provider. The project involves the recapitalization, major capital renovation and expansion of asset interests – accommodating the merger of a 43 bed Specialty SNF recently acquired from a University Hospital Provider. The project represents a capital plan including the recapitalization of affiliate properties approximating $25M being underwritten by a participation of regionally based healthcare commercial lenders. Future plans contemplate the development of an expanded campus community represented by ALF, ILF and Medical Office Building components to be developed on the adjacent property site of approximately 20 acres of recently acquired land.

Special Assets Workout – CCA has served as Financial Advisor to secured lenders associated with a $226MM securitized credit facility associated with over eighty (80) long-term care nursing and assisted living facilities located in Texas and Illinois and involved in a Chapter 11 Bankruptcy Proceeding. CCA was engaged as Executive Management Advisor associated with the Plan of Reorganization to effect the stabilization of continuing operations and orderly liquidation of asset interest. Currently, CCA serves and supports an independent Director role of the restructured and reorganized debtor company having successfully emerged from bankruptcy and achieved stabilized operating performance with sustained regulatory compliance. To date, nearly half of the properties portfolio has been successfully divested.