Events Calendar

What Can Be Done About Financial Distress in U.S. Nursing Home Care?

Live and On Demand Access

The program will be recorded. All participants registered prior to the live event will have access to both the live and on-demand version. Participants registered after the live event will have access to the on-demand version.

Program Description

Iowa is experiencing distress in its nursing homes with 26 facility closures just between June 2022 and July 2023. Understanding financial distress and what can be done about it is essential for nursing homes. Experience in financial distress situations shows a behavior pattern by organizational leaders where many often wait too long to seek the specialized advisors needed to work through financial distress successfully. Such delay can lead to bankruptcy and unplanned closure.

This panel will provide Iowa nursing home leaders relevant education to support management through the financial distress the senior care sector is experiencing. The presentations will look at financial performance in a fresh way where there are many options available to achieve long-term sustainability. Participants will be encouraged to monitor their organizations’ potential for financial distress, as well as act on the information in a timely manner to maintain excellent services for their communities.

This program will be offered in two 45-minute sessions.

• Session 1: Operational Strategies for Nursing Home Financial Distress and Board Communications During Financial Distress
• Session 2: Legal Strategies for Nursing Home Financial Distress

You must watch both sessions (either live or on-demand) in order to qualify for CEUs.

Live Schedule

Session 1
Wednesday, May 1st
1:00 – 1:45 PM

Session 2
Thursday, May 2nd
1:00 – 1:45 PM

Continuing Education Credit

This program is approved for 1.5 contact hours for:

• NF Administrators

Registration Fees

Members:   $45 per person
Non-Members:    $135 per person

Speaker Bios

Jeanne Goche is the founder and President/CEO of Solutions in Healthcare Management. Jeanne is a seasoned healthcare executive with experience in payer, regulatory, and provider healthcare sectors. She now focuses on helping healthcare organizations avoid and/or revitalize from financial distress. Her experience includes interim management, organizational assessments, turnarounds, preparation for refinancing or acquisition, merger and acquisition due diligence, executive coaching and recruitment, and strategic planning. Jeanne can function effectively as a consultant or line management executive. Her broad span of experience allows for prompt and meaningful organizational assessments, including go-forward options, for her clients.

Krystal Mikkilineni has over eight years of experience representing clients and collaborating with colleagues on complex commercial reorganizations and restructurings, including in-court and out-of-court workouts. She represents businesses, creditors, trustees, and individuals with reorganizations, insolvency matters, Chapters 7, 11, 12, and 13 bankruptcies. Krystal advocates for her clients, negotiating with opposing counsel and handling litigation matters in court. She assists with corporate and transactional work and mergers and acquisitions matters both within and outside bankruptcy. Krystal is actively involved in the bankruptcy and restructuring industry and was recently recognized by two national organizations as a rising star in the legal community. The International Women’s Insolvency and Restructuring Confederation (IWIRC) named Krystal as one of five 2021 Rising Star Semi-Finalists. She is one of only two semi-finalists from the United States. America’s largest community of bankruptcy professionals, the American Bankruptcy Institute (ABI), named Krystal as a member of its 2021 40 Under 40 class.

Tirzah Roussell is a bankruptcy lawyer who takes a personal approach with her clients, getting to know the stories behind each matter as she steers them through significant financial challenges. Tirzah represents a broad range of clients, such as businesses, creditors, trustees, and individuals with reorganizations, insolvency matters, and Chapter 7, 11, 12, and 13 bankruptcies. Tirzah represents clients from a variety of industries, including healthcare, senior housing, agriculture, manufacturing, construction, trucking, retail, and restaurant franchise industries. Tirzah also has experience representing companies in sales and acquisitions outside of bankruptcy. She has represented creditors across several industries including agriculture and healthcare in creditors’ rights and collections. Before joining Dentons, Tirzah gained experience representing debtors in complex Chapter 11 cases. After graduating from Drake University Law School, Tirzah served as a judicial law clerk to the Honorable Thad J. Collins, Chief Judge for the United States Bankruptcy Court for the Northern District of Iowa. Tirzah is actively involved in the restructuring and bankruptcy industry and serves as Events Chair for the International Women’s Insolvency and Restructuring Confederation (IWIRC), Midwest Network.

Register to attend