• Census Development:  Strategies to enhance occupancy, improve payor mix techniques, while increasing patient, family and employee satisfaction.
  • Resident Care:  Effective case management and care planning that increase Medicare utilization as well as providing the environment for a quality patient standard of living.
  • Fiscal Control/Reimbursement:  Upgrade financial performance and reporting through better asset and cash management, improved third party and accounts receivable monitoring. Provide training to achieve maximum reimbursement through MDS & state formularies while addressing enhanced Medicare/Third party reimbursement.
  • Reimbursement:  Provide training to achieve maximum reimbursement through the MDS & state formularies while addressing enhanced Medicare/Third party reimbursement.
  • Workouts & Strategic Redirection/Court Appointed Receiver/Trustee:  Proven management and administrative strategies that save poorly performing facilities from bankruptcy or foreclosure. Experienced and trusted custodian of managed health care facilities, to care for and maintain their assets and operations during bankruptcy proceedings and out of court workouts.
  • Clinical Staff Training & Retention:  Expert DON/CNA training, liability & risk management strategies and other proven initiatives to train and maintain a more productive staff.
  • Regulatory Compliance:  Achieve state and federal regulatory compliance through implementation of staff inservices, drafting plans of correction, creating operating efficiencies and other effective strategies.
  • Expert Witness:  Experience, knowledge and, most importantly, credibility.
  • Patient Care Ombudsman:  Most frequent court-appointed Patient Care Ombudsman to oversee the patients' care during bankruptcy and ensure adequate standards for patient care are met.
  • Specialized Service Capabilities:  Lends experience, knowledge and proven initiatives that enable healthcare facility owners to maintain efficient and effective operations.

Breaking News:

CHAPTER 11:

  • Suzanne Koenig, of SAK Management Services, LLC, was appointed Patient Care Ombudsman, by Roberta De Angelis, UNITED STATES TRUSTEE, for the District of New Jersey by Assistant United States Trustee Martha R. Hildebrandt Region 3 of the United States Bankruptcy Court, DISTRICT OF New Jersey, in the Christ Hospital, a New Jersey not for profit.
  • Suzanne Koenig, of SAK Management Services, LLC, was appointed Patient Care Ombudsman, by Tracy Hope Davis, United States Trustee for Region 2 ,, UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF NEW YORK in the MERIDIAN BEHAVIORAL HEALTH, LLC, et al.
  • Suzanne Koenig, of SAK Management Services, LLC, was appointed Patient Care Ombudsman, by William K Harrington, UNITED STATES TRUSTEE, for Region 1 of the United States Bankruptcy Court, DISTRICT OF MASSACHUSETTS, in the QUINCY MEDICAL CENTER, INC.,QMC ED PHYSICIANS, INC., QUINCY PHYSICIAN CORPORATION, Jointly Administered Chapter 11 case.
  • Suzanne Koenig of SAK Management Services, LLC has been court-appointed as Receiver in the Circuit Court of THE FIFTEENTH JUDICIAL CIRCUIT, Lee County, Illinois, for Northbrook Bank and Trust Co, an Il. State Chartered bank as successor to First Chicago Bank and Trust vs. Amboy Real Estate Holdings, LLC Amboy Nursing Acquisition and Management LLC, Lewis Borsellino an individual and unknown owners , a 97 bed Skilled Nursing Facility, located in Amboy, Illinois.
  • Suzanne Koenig of SAK Management Services, LLC has been court-appointed as Financial Receiver in the Circuit Court of THE THIRTEENTH JUDICIAL CIRCUIT, Grundy County, Illinois, for Northbrook Bank and Trust Co, an Il. State Chartered bank as successor to First Chicago Bank and Trust vs. Morris Real Estate Holdings II, LLC , Morris Senior Living LLC, Lewis Borsellino an individual and unknown owners , 40 units that are studios and 18 one bedroom units, all of which is a Senior Supportive Living Facility, located in Morris, Illinois.
  • Suzanne Koenig of SAK Management Services, LLC had been court-appointed as the Financial Receiver in the Circuit Court of THE TWENTIETH JUDICIAL CIRCUIT, ST. CLAIR COUNTY, Illinois, Chancery Division, for SWANSEA REAL ESTATE, INC. and ROSEWOOD CARE CENTER, INC. of SWANSEA, , a 120 bed Skilled Nursing Facility, located in Swansea, Illinois
  • Richard M Fogel, not individually but as a Chapter 7 Trustee, for the bankruptcy estate of Nachshon Draiman, employed Suzanne Koenig and the firm of SAK Management Services, LLC, as his Health Care Advisor, in connection with the Debtor’s Chapter 7 Case.
  • Suzanne Koenig, of SAK Management Services, LLC, was appointed Patient Care Ombudsman, by Jill Sturtevant Assistant UNITED STATES TRUSTEE of the United States Bankruptcy Court, for the Central District of California, Los Angeles Division, in the Johnny Kumar Jain MD, Case,
  • Suzanne Koenig, of SAK Management Services, LLC, has been court-appointed as the Chapter 11 Trustee in the United States Bankruptcy Court, Middle District of Florida, Tampa Division, by Cynthia P. Burnette, Assistant United States Trustee, in the Beam Management LLC, d/b/a Harmony Healthcare and Rehabilitation Center of Sarasota, Florida.
  • SAK Management Services, LLC, through Suzanne Koenig, has been court-appointed in the United States Bankruptcy Court Middle District of Florida Tampa Division, for Beam Management LLC, d/b/a Harmony Healthcare and Rehabilitation Center of Sarasota, Florida, with powers to include: full operational and management responsibilities of a 120 Bed Skilled Nursing Facility, located in Sarasota, Florida.

Recent Success Stories

New York, NY
Patient Care Ombudsman Appointment
North General Hospital

Suzanne Koenig, of SAK Management Services, LLC, was appointed Patient Care Ombudsman, by Tracy Hope David, Acting United States Trustee for Region 2 of the United States Bankruptcy Court, for the Southern District of New York, in the North General Hospital Case.


New York, NY
200 Bed Medicare SNF

SAK was engaged by a major non-profit organization to strengthen operations and dramatically improve financial performance for a 200 Bed Skilled Medicare Nursing Facility.

Los Angeles, CA
Patient Care Ombudsman Appointment
Downey Regional Medical Center

Suzanne Koenig, of SAK Management Services, LLC, was appointed Patient Care Ombudsman, by Jill Sturtevant Assistant United States Trustee of the United States Bankruptcy Court, for the Central District of California, Los Angeles Division, in the Downey Regional Medical Center-Hospital, Inc. Case.


New York, NY
650 Bed Academic Medical Center

  • Charge Capture
  • Contract Review

We were asked to review the charges and process for capturing charges in all ancillary departments. The operating room offered the most opportunity. Charges were adjusted based upon current pricing and the charge capture process was completely redesigned. The organization saw a 52% increase in charges and 65% increase in the charge capture rate.

Select vendor contracts were reviewed and analyzed. Review included appropriateness of services provided, consistent with contract terms, and invoices and payments were all processed correctly. We identified $3.6M of invoices that we billed incorrectly


New York, NY
400 Bed Urban Medical Center

  • Operational Review

Under threat of receivership, we were asked to re-engineer Patient Access, Admitting, Registration, Insurance Verification & Peri Operative Services. We developed and implemented systematic, processes for an electronic scheduling system and electronic medical records.

Surgery volume increase 7% in first year. Charge capture and accounts receivable increased from less then $1 million a month to $28 million over a 12 month time frame. Billing for implants rose from $2.8 million to over $5 million in 9 months.


New York, NY
350 Bed Academic Medical Center

  • Medicare RAC (Recovery Audit Contractor) Review

Assisted hospital in responding to a $5M Medicare RAC Audit. We reviewed the cases that were denied and wrote the appeals. Our efforts recouped $3.5M. As a result of our appeals work, we were asked to design and implement a Physician Documentation Improvement Program. This Program increased the CMI and DRG Pairings, which increased the hospital’s revenue.


Practice Plans
Jacksonville, FL
155,000 Member PHO

  • Provided Financial Advisory Services to Unsecured Creditors

Provided financial advisory services to the unsecured creditors in this PHO Bankruptcy filing. The PHO had $50M in unsecured debt, which provided a distribution of 90% to the unsecured creditors. We were asked to stay on and assist the debtor with the liquidation of their remaining assets.


Independent Healthcare Facilities

Tucson, Arizona
256 Bed SNF, 72 Unit, Independent Retirement Living / ALF

Dramatic Care Improvement
Increased Occupancy
Launched Assisted Living Program

This CCRC was on Probation with the State regulatory agency at the time of SAK's engagement. A front page article in the local newspaper had reported abusive treatment and substandard care. A dramatic improvement of quality of care was established within 90 days of SAK's arrival. Within the first year of operation under new ownership, the facility received a zero deficiency rating from the State and Federal agencies overseeing the care for residents. Read More


Assisted Living

North Canton, OH
Patient Care Ombudsman Appointment
Heather Ridge Commons

SAK Management-Ohio, LLC, through Suzanne Koenig, has been court-appointed as the Receiver in the Court of Common Pleas Stark County, Ohio, for Extended Family Concepts, Inc., d/b/a Heather Ridge Commons, with powers to include: full operational and management responsibilities of a 104 Unit Adult Care Facility, located in North Canton, Ohio.


Fort Lee, New Jersey
53 Assisted Living Facilities Nationwide, 1 Skilled Nursing Facility in San Antonio

Stabilized operations and maximized performance
Responded to facility need with priority initiatives
Property emerged from Bankruptcy

SAK Management Services accepted court-appointment to oversee resident care, regulatory compliance and economic performance for all 54 facilities operated by the Debtor during Bankruptcy Proceedings. SAK faced unique health care challenges and significant property challenges, and was charged with reporting facility progress to the US Bankruptcy Court throughout. Read More


Long Term Care

New York, NY
200 Bed Medicare SNF

SAK was engaged by a major non-profit organization to strengthen operations and dramatically improve financial performance for a 200 Bed Skilled Medicare Nursing Facility.

In 60 days SAK was able to Dramatically Improve occupancy from 74% to 100% in a 60 day period Stabilized local market influences and referral resources Maximized Medicare and Medicaid occupancy while initiating a Short Term Therapeutic Rehabilitation Program Stabilized interim operations, maximized interim operating performance In-service training for improved patient care Initiated budgetary compliance Preserved the Facility’s Mission and Increased the Financial Asset of the Organization


Dallas, Texas
27 Skilled Nursing Facilities in Central & Southern Illinois

Complete operational review
Risk, exposure and compensation claim reductionv
Addressed regulatory and licensing issues

Engaged by the Secured Creditor as Financial Advisor, SAK Management reviewed statements and made recommendations on the operational analysis of all 27 nursing facilities in the Illinois Portfolio. Several months later SAK resigned from the Creditor side and through Corporate Restructure and emergence from bankruptcy was placed as Interim Manager for the Debtor of 1,853 licensed beds.Read More

Oak Park, IL
Financial Receiver

Suzanne Koenig of SAK Management Services, LLC had been court-appointed as the Financial Receiver in the Circuit Court of Cook County, Illinois, Chancery Division, for the Woodbine Nursing Home, LLC, a 66 bed Skilled Nursing Facility, located in Oak Park, IL.


Oak Park, IL
66 bed Medicare Skilled Nursing Facility

Suzanne Koenig, of SAK Management Services LLC, was granted expanded powers beyond the Financial Receiver’s powers to include: full operational and management responsibilities for the 66 bed SNF in the Circuit Court of Cook County, Chancery Division.-Chicago, Illinois. Occupancy rose in the first year, operations stabilized and Medicare Revenue tripled in 6 months. Friendly negotiations with creditors were reached. SAK stabilized staff and market influences while successfully assisted the lender to complete a sale of the property and operations.


Belleville, IL
154 Bed Skilled Nursing Facility/Medicare

SAK was engaged by the Owner to act as a Monitor for the facility on behalf of the Owner after a 200 page survey document with multiple regulatory deficiencies was received by The Centers for Medicare/Medicaid Services (CMS) (2567) after a joint regulatory survey was conducted with the Illinois Department of Public Health and CMS on the facility . This facility was issued several IMMEDIATE JEOPARDY citations and severity level G deficiencies contributing to the facility status in fast track, threatening loss of funding as well as its licensing and certification. Engagement included 5 day a week observation of all shifts involving 24/7 site visits. SAK continues to provide situational monitoring and recommendations involving all aspects of facility operations to the Owner. The facility avoided adverse actions and was re-surveyed with favorable and compliant outcomes.