Thomas Lettieri

Mr.  Lettieri  has  been  engaged  in  the  consulting  and  valuation  profession  since  1995 and the healthcare industry since 1993. Prior to entering the consulting industry, Mr. Lettieri was employed by a vertically‐integrated regional healthcare system  located  in  the  Philadelphia  area.  Mr.  Lettieri’s  consulting  experience  includes the completion of appraisals, business valuations, financially feasibility studies  and  market  studies  of  various  healthcare  and  senior  housing  assets,  including primary care and multi‐specialty physician group practices, hospitals, clinics,  free  standing  outpatient  facilities,  continuing  care  retirement  facilities,  active adult retirement communities, assisted living facilities, independent living facilities and skilled nursing and subacute facilities. The purpose and use of these studies  includes  project  acquisition,  project  development,  traditional  or  REIT  financing, tax‐exempt bond offerings, HUD mortgage insurance financing and corporate strategic planning.

Mr.  Lettieri  has  developed  detailed  market  assessments  to  analyze  the  market  feasibility of proposed and existing healthcare, senior housing and real estate projects. Real estate assets have included market rate apartment complexes and government subsidized apartment complexes that were financed, in part, through low  income  housing  tax  credits.  These  engagements  include  defining  a  primary  market area, detailing area competition and estimating demand in the defined primary market area.

Mr.  Lettieri’s  healthcare  experience  has  also  included  the  formation  and  development of primary care and multi‐specialty physician group practices, physician practice compensation plans and primary care physician development plans for regional hospitals and healthcare systems.

Mr. Lettieri serves as senior editor/writer of the “Information Digest for the Skilled Nursing Industry”, a national online nursing home publication. This publication is used  by  investment  banks,  senior  housing  operators  and  developers  and  other  consulting firms for underwriting and internal planning purposes. Responsibilities included researching, writing and/or editing overviews of nursing home regulations for all fifty states and the District of Columbia. These overviews included providing detailed    summaries  of  each  state’s  certificate  of  need  regulations,  bed  need  methodology, provider tax/assessment fee methodology, and Medicaid rate calculation system.