8:00 - 8:15 am  ▢  Opening Session

LTC 100 Report: The Winds of Change

The skilled nursing industry in five years from now will look very different than the skilled nursing industry of five years ago. LTC 100 Managing Director Tim Craig opens this year’s program with a forecast of where healthcare is heading and how we must adapt to remain relevant, including the need to embrace acuity, leverage technology, and promote our value across the healthcare continuum.

8:15 - 9:15 am  ▢  CEO Panel

Vision 2030: Defining the Future of Skilled Nursing

We’re taking on critical questions facing every SNF in the nation: What should our role be in a rapidly evolving care-delivery landscape, and how can we maximize our value in the eyes of our upstream stakeholders? Our discussion will focus on core strategic areas essential to our success in the coming decade, including:

• Are we the high-acuity solution to LTAC-, IRF- and IP-replacement?
• Is it time to bifurcate our business between rehab and long term care?
• Should we establish a new standard of quality (before someone imposes it on us)?
• Are we better served collaborating with, or fighting against, managed care?
• What is it going to take to attract a steady pipeline of clinical talent?
• How should we view community-based care – as a threat or opportunity?

Tim Craig
Moderator
Managing Director
LTC 100

Leigh Ann Barney
President & CEO
Trilogy Health Services

Gary Blake
Co-Founder & CEO
Creative Solutions in Healthcare

Steve Flatt, PhD
CEO & Inside Director
NHC - National HealthCare
Corporation

Lauren Murray-O’Donnell
COO
Genesis HealthCare

9:15 - 10:00 am  ▢  General Session

One-on-One with Mark Parkinson

The New Washington Agenda:
What it Means for Post Acute Care

Conventional wisdom in D.C. suggests regulatory scrutiny will wane under the new Administration. But so far nothing about this second Trump term is shaping up to be conventional.  LTC 100 Managing Director Tim Craig sits down with longtime AHCA leader Mark Parkinson to game out Washington’s new healthcare policy agenda and the impact on the senior care sector, including:

• Medicaid: Impending cuts and what they could mean for skilled nursing
• CMS: Priorities and power in a post-Chevron era
• Medicare Advantage: Appetite in Washington for installing guardrails
• SNF Inspections: Assessing risk-based surveys and other changes
• Value Based Care: Outlook for shared savings and owning risk
• Image Crisis: Provider and association roles to shift the narrative​​​​

Mark Parkinson
Principal
American Health Care Association and the National Center for Assisted Living (AHCA/NCAL)

12:30 - 12:45 pm  ▢  General Session

LTC 100 Report - Paradigm Shifts in the Healthcare Workforce

We’re synthesizing labor data and trends to predict how the workforce-economy will change dramatically in the next decade and how it will impact the SNF sector.

Tim Craig
Managing Director
LTC 100

12:45 - 1:15 pm  ▢  General Session

Creating Career Pathways for Skilled Nursing

This Maryland organization will share how to achieve an 82% retention rate by attracting underemployed individuals into nursing careers by offering training, job placement, housing, transportation and childcare.

Barb Clapp
CEO
Dwyer Workforce Development

1:15 - 1:30 pm  ▢  General Session

Successfully Navigating the Red Tape of Immigration

This Minnesota-based provider, which has recruited 25% of its nurses from the Philippines, will share how an in-house agency and good legal counsel can bring about a steady supply of RNs. ​​​

Rob Lahammer
VP Engagement & Advocacy
Presbyterian Homes and Services

1:30 - 1:45 pm  ▢  General Session

Re-Aligning Medical Directors to Meet Value-Based Priorities

This Midwest operator will show how to create clinical alignment with Medical Directors by re-drafting contracts to focus on rounding requirements, QAPI, and value-based priorities.​​​

Andrew McNamara, MD
CMO
Trilogy Health Services

1:45 - 2:00 pm  ▢  General Session

Turning Nursing School Debt into a Loyalty Lever

This FinTech startup has developed a novel approach to sourcing nurses, whereby employers contribute to a nursing student’s loan debt in exchange for greater loyalty, better retention and lower costs.

Tess Michaels
CEO & Founder
Clasp

2:00 - 2:45 pm

Break

2:45 - 3:45 pm  ▢  Concurrent Spotlight Sessions

Spotlight on Medicaid

We’re shining a light on some of the most inventive ways to tackle Medicaid issues, including rate increases, the growth of Managed Medicaid and the shift to PDPM. 

Advocating for Increased Medicaid Rates: The Role of Private Lobbyists

One Kansas-based provider shares how the one-two punch of teaming with state associations and private lobbyists can move the needle significantly on Medicaid rates.

Stuart Lindeman
President & CEO
Mission Health Communities

Mark Dugan
President
Dugan Consulting Group

Medicaid PDPM Case Mix Index: Best Practices for Mastering the Transition 

As states shift to PDPM, we’re highlighting key strategies providers need to consider, including MDS coding accuracy and anticipated impacts to staffing and quality measures. 

Steven Littlehale 
Chief Innovation Officer 
Zimmet Healthcare Services Group

Partnering with States on Bespoke Medicaid Models 

This Connecticut-based SNF is a behavioral-health pioneer and will outline the business model of its facilities designed for previously incarcerated, high-acuity patients across New England. 

Chris Wright
Chairman of the Board & Co-Founder, iCare Health Network

Spotlight on Life Plan Communities

We’ve identified three distinct strategies for Life Plan Communities to consider when it comes their skilled bed portfolios. 

Doubling Down on Direct-Admit Rehab

This California-based Life Plan Community will show how a SNF-bed portfolio can still very much be a differentiator, a source of growth, a lead generator and a winning strategy. 

Michael Scates 
VP Healthcare Operations 
HumanGood

Outsourcing SNF Care to a For-Profit Partner

This Maryland-based Life Plan Community will show how outsourcing an entire SNF building to a for-profit partner can be a winning model for everyone involved.

Douglas Leidig
President & CEO 
Asbury Communities

Andrew Joseph
General Counsel
Asbury Communities 

Skilling in Place in the IL Setting

Leaders in the Hospital-at-Home movement will describe the benefits of a “SNF-in-Place” concept, along with the transformative impact it could have on the Life Plan business.

Maulik Majmudar, MD 
Chief Medical Officer 
Biofourmis

Spotlight on Workforce

We’re shining a light on some of the most inventive ways to tackle our workforce challenges. 

Creating Highly Efficient Scheduling through “Staffing Pods”

This Utah provider will show how to cut agency and save millions using a pod of “staffers” (all remote) who manage schedules and dispatch nurses to buildings to cover callouts.

Michael Cohen
CEO
Sandstone Healthcare Group

Alex Bejar
COO
Sandstone Healthcare Group

Optimizing Labor Management through Third-Party Contracting

This Illinois Life Plan Community will share how the outsourcing of labor management can help eliminate agency, improve communications, manage overtime, right-size HPPD and boost morale.

Amy LaCroix
COO
Lutheran Life Communities

Matt Strange
Founder & Principal Consultant
1532 Strategy

Tapping into Workforce Grants: How For-Profits Can Get in on the Action

This Michigan-based SNF landed a $38M grant, and they’ll show how you can, too. They’ll outline the grant process and show how it’s impacting recruitment, development and turnover.

Amy La Fleur
SVP Operations
Ciena Healthcare

Joyce Turner, RN
Director of Business Innovation & Strategic Planning, Ciena Healthcare

3:45 - 5:30 pm  ▢  General Session

LTC 100 Innovation Lab

State-of-the-Art Rehab Technology

As more SNFs across the nation move into high acuity rehabilitation services for their short-stay populations, LTC 100 is showcasing emerging technology on the forefront of this business, with a hard look at cost, reimbursement and ROI.

Part I: The Economics of High-End Rehab

The ability to offer patients the very latest in high-end rehab technology can be a major point of differentiation for a skilled nursing business. But this type of technology does not come cheap. So to understand if, where and how this makes sense for the future positioning of your organization, our panel of transitional care experts will break down the business considerations of investing in advanced rehab services, including market need, volume thresholds, reimbursement levels and staffing considerations.

Susan Coppola
(Moderator)
Advisory Specialist
Sabra Health Care REIT

Tim Fields
Co-Founder & CEO
Ignite Medical Resorts

Rob Heitz
President
Heitz Technologies

Part II: Demo Lab

We’re showcasing six emerging rehab technologies in a forum designed for executive interaction. Meet the manufacturers, kick the tires and learn how to integrate high-end rehab technology into your organization.

Advanced Gait Training

The Andago by Hocoma is among the most advanced overground gait therapy systems on the market. It addresses gait and balance training for patients with walking or balance impairments, and can serve as a show piece in a rehab environment.

Presenter: Rob Heitz, President, Heitz Technologies 

Robotic Therapy 

This upper extremity robotics module called ROBERT (by Life Science Robotics) simulates complex movements, isolated exercises (in seated and lying positions) or simply activities of daily living. Its mobility affords the option of serving patients in a facility or at bedside.  
Presenter: Lasse Bindslev Larsen, Clinical Project Manager, Life Science Robotics

High-Velocity O2 

The HVT 2.0 by Vapotherm is oxygen therapy that facilitates breathing for acutely ill patients, including those with hypercapnic retention. It is considered more efficient than High-Flow Nasal Cannula because it flushes the upper airway at a faster rate.
Presenter: Jessica Whittle, MD, PhD, CMO, Vapotherm

Wound Healing

The VHT wound care system by Vaporox treats hard-to-heal-wounds in a process called Vaporous Hyperoxia Therapy (or vapor mist through low-frequency ultrasound).  It is FDA-cleared to treat nine types of major skin wounds.
Presenter: Trey Fricke, VP Sales & Marketing, Vaporox

Virtual Rehab

The XR Therapy System by Neuro Rehab VR is a fully mobile virtual reality-based technology with applications for a wide range of rehabilitation, including upper and lower extremities, chronic pain, anxiety, cognition, balance and ADLs.  
Presenter: Veena Somareddy, CEO & Co-Founder, Neuro Rehab VR

Cycling Therapy

The OmniTour™ Virtual Exercise Experience delivers immersive virtual outdoor cycling landscapes that boosts patient engagement and outcomes. By seamlessly connecting with multiple OmniCycle® Connect devices, OmniTour enables group therapy options that improve care efficiency and encourage socialization.
​​​​​​​Presenter: Amy Hobbs, VP & General Manager, Accelerated Care Plus

8:00 - 8:50 am  ▢  General Session

Unlocking The Medicare Advantage Value Equation

The growth of Medicare Advantage is an existential threat to skilled nursing facilities. Frequently defined by poor rates, punitive UM practices, and routine denials, the relationship between SNFs and MA Plans has reached a dysfunctional low. But it doesn’t have to be this way. Through a greater understanding of how MA plans work and what motivates their actions, providers can start to build healthier relations, craft better contracts and generate more negotiating leverage. We’re taking an up-close look at the Medicare Advantage business model to understand:

• How MA manages (or doesn’t manage) post acute spend
• Why it’s essential for providers to understand Medical Loss Ratio
• What performance metrics MA plans value most

Anne Tumlinson
(Moderator)
CEO & Founder
ATI Advisory

Steve Fogg
CFO
Marquis Companies

Iliana Grever, MD (INVITED)
Medical Director
WellMed Medical Management (Optum)

Lisa Leveque
VP, Strategic Alignment & Care Transformation; Director of Contracting/Payer Relations, Bandera Healthcare (Ensign Group Affiliate)

Mona Siddiqui, MD
SVP
Highmark Health

8:50 - 9:20 am  ▢  General Session

Creating Leverage in MA Negotiations

Three provider organizations will share successful strategies for generating higher reimbursements rates from MA plans.​​​

Larry H. Miller Senior Health: Contracting Custom Bundles for the PAC Episode

Utah’s leading transitional care organization has contracted with an MA plan in Las Vegas for a capitated bundle for the full post-acute episode. They’ll share how they negotiated the deal and what it takes to operationalize a capitated clinical model.

Joseph Walker
President

Hill Valley Healthcare: Creating Opportunities through Specialty Programs 

This multi-region SNF has built a specialty care strategy gaining traction with MA in West Virginia. They’ll share how they manage the plan’s COPD members with pulmonary physiologists, what it takes to drive down RTH, and how they’ve negotiated better rates.

Austen Arnesen Director of Managed Care

PACS: Walking Away from Unsustainable MA Reimbursement Rates

The nation’s second largest SNF is testing a contentious payer strategy: Walking away from toxic MA contracts. They’ll describe how the relationship went south in the first place, what drove them to decide to “play chicken”, and how they ended up with a favorable outcome.

Kelly Colvin Jenks
VP Managed Care

9:20 - 10:20 am  ▢  General Session

New Frontiers: Emerging Opportunities for Skilled Nursing Facilities

We’ve identified several new growth opportunities for enterprising SNF organizations, from value-based care to newly emerging models. Presenters will emphasize the economics of each respective idea, including staffing considerations, reimbursement, and the contribution to the organization’s bottom line.​​​​

The New TEAM Bundle: Is This the Next Big Chance for Upside Risk?

A new mandatory acute bundle goes live Jan. 1, 2026. But the opportunity for SNFs is now! This session will serve as a playbook for how to approach health systems with proactive solutions to manage cost and quality for the 30-day episode post hospital discharge.

Brian Fuller
Managing Director
Value-Based Care Design
& Delivery, ATI Advisory

iSNP Consortiums: A New Iteration of Provider-Led MA Plans

A half dozen Indiana SNFs are standing up a new iSNP model based on a larger pool of members and a 51% ownership stake. Architects of this JV will share the upside/downside risk and show how seamless data exchange will be critical to success.

Zachary Cattell
Chief Strategy & Legal Officer CarDon & Associates

Geri-Psyche Hospital: Making the Leap into High-Acuity Behavioral Health

This Southeast SNF provider is opening an acute-license Geriatric Psychiatry Hospital. In this business strategy overview, they’ll show how it fills a market need, broadens their services, expands the range of BH patients they accept, and opens new revenue channels.

Steve Nee
CEO
Diversicare Healthcare Services

Bed Reservations: The Ultimate Preferred Provider Arrangement 

Large Academic Medical Centers are reserving beds in this fast-growing SNF organization in partnerships that not only decant the hospitals but also increase the clinical capabilities on the post-acute end, including advanced cardiac, pulmonary, trach, vent and dialysis.

Andrea Gele
VP Case Management
Marquis Health Services

Marlene Sheehy
VP Strategic Development
Marquis Health Services

Dementia-Patient Rehab: Honing the Short-Stay Behavioral Skill Set 

This Illinois skilled nursing facility has embraced a short-stay dementia-care strategy through a model that co-mingles short- and long-stay patients in “neighborhoods”, optimizes labor management and leads to higher per-diem reimbursement rates.

Amy LaCroix
COO
Lutheran Life Communities

Matt Strange
Founder & Principal Consultant
1532 Strategy

High-Needs ACO REACH: Partnering with Physicians on Risk Sharing

This Virginia-based SNF has partnered with a physician-led ACO for the management of its high-acuity long term care residents. They’ll discuss the model’s capitated PMPM payment structure, along with the quality measures required for shared savings.

Honor Chriscoe
Director of Operational Initiatives & Support
Commonwealth Care of Roanoke

Keith Persinger
ISNP COO & CEO ACO Reach
Provider Partners  

12:50 - 2:10 pm  ▢  General Session

LTC 100 Think Tank
Strategies to Influence the Consumer Perception of Nursing Homes

The current narrative on nursing homes is dominated by negativity. To reverse this narrative – and get credit for our accomplishments – SNFs must proactively perpetuate a message of positivity. This Think Tank session is the roadmap for how to get there. It is the culmination of six months of research co-produced by LTC 100 and Jarrard Inc., and is designed to empower leaders with insights and tools to optimize the positioning of SNFs among a critical healthcare stakeholder: the consumer. We will: 

• Analyze the current state of consumer perception.
• Discuss the most effective means of influencing consumer perception.
• Develop a consistent script that we can collectively communicate throughout our communities and across the country. 

All attendees will receive a proprietary executive report called The Playbook for Influencing Consumer Perception of Nursing Homes.

Tim Craig
Managing Director
LTC 100

Dan Schlacter
VP Health Services
Jarrard, Inc

8:00 - 9:30 am  ▢  General Session

LTC 100 Shark Tank

Innovative Technology Transforming the Skilled Nursing Sector 

Early-stage companies will pitch SNF-specific technologies to a panel of tech-friendly provider “Sharks”, who along with the audience will vote on their favorite. Technologies will be judged on innovation, scalability, and ROI. And while all presenters will reflect the next generation of transformative technology, only one will be crowned “The LTC 100 Most Innovative SNF Technology of 2025”.

Susan Coppola
Advisory Specialist
Sabra Health Care REIT

Jess Dalton
Chief Strategy Officer & President, Long Term Care, Larry H. Miller Senior Health

Tom McClelland
VP & Chief Technology Officer CarDon & Associates

Ray Thivierge
Owner
Loadstar Advisor

Infection Screening (by AION Biosystems)

• The Technology: A continuous monitoring system that uses a wearable sensor called TempShield.  

• The Solution: Through early detection of changes in body temperature, it identifies infections before symptoms appear, thereby reducing incidents of sepsis and preventing readmissions.

Samara Barend
CEO
AION Biosystems

Rhonda Dempsey, RN
SVP & CNO
Trilogy Health Services

Patient Monitoring (by Inspiren)

• The Technology: A resident-safety platform built around a wall mounted continuous monitoring device called “AUGI”. 
   
• The Solution: Through the use of continuous video monitoring and AI, it detects falls, issues alerts and reduces staff interventions.

Michael Wang
Founder & Chief Clinical Officer, Inspiren

Early Respiratory Assessment (by Accelerated Care Plus)

• The Technology: Software that proactively identifies pulmonary dysfunction with objective data that helps clinicians with treatment plans and documentation to support reimbursement.
   
• The Solution: The ACPlus Respiratory Assessment, along with a spirometer and an iPad, can identify undiagnosed respiratory deficits and help ensure the accuracy of PDPM pulmonary coding.

Amy Hobbs
VP & General Manager Accelerated Care Plus

Kami Horsman
AVP Rehabilitation Services
NHC - National HealthCare Corporation

Voice-Based Companionship (by Meela)

• The Technology: An AI-enabled phone-based platform designed to simulate companionship.  
   
• The Solution: Through proprietary learning technology, it customizes conversations between Meela and residents on topics like current affairs, appointment reminders and connecting with family. 

Josh Sach
Founder & CEO
Meela

David Finkelstein
CIO
RiverSpring Living

Lung Fluid Detection (by Sensible Medical)

• The Technology: A wearable, tethered device call ReDS that uses radar frequency for the detection of lung fluid in CHF patients.  
   
• The Solution: The system’s remote dielectric sensing takes 90 seconds to generate a lung-fluid assessment with an accuracy comparable to a CT scan.

John DeChellis
EVP, US
Sensible Medical

Daniel Bensimhon, MD
Medical Director Advanced Heart Failure & Mechanical Circulatory Support Program, Cone Health