The architectural and engineering services of Landmark include conceptual design, program development, site and master planning, compliance with code and licensing requirements and the supervision and overall management of all architectural activities

Landmark outsources the preparation of the schematic and design development drawings and construction documents to leading architectural firms that specialize in the design of outpatient buildings.

The construction management services of Landmark include estimating and pricing, material purchasing, cost management, value engineering, the selection of the general contractor, subcontractors and material suppliers, the negotiation of construction contracts and the overall management of all construction activities.

Landmark outsources the actual construction of its outpatient buildings to local and regional general contractors who demonstrate significant financial strength and the ability to perform construction work of the highest quality. Relevant experience in the construction of outpatient buildings is an important consideration. The ability to provide performance and payment bonds is another important consideration.

Landmark provides the professional services that are required to market office space to the independent physicians the clients of Landmark decide to include in their new outpatient buildings. Landmark makes a determined effort to lease physician office space to the independent physicians who are the most strategically important to the clients of Landmark.

Landmark conducts demographic studies and community need evaluations. The work product of Landmark includes an evaluation of current strategic and master plans, outcome-based visioning, the creation of business models and the preparation of market and demand studies. Landmark also examines service line trends and the outpatient services of competitors in the service areas of its clients. Landmark participates in the development of programs and the preparation of plans for the functions and service lines the clients of Landmark decide to include in their outpatient buildings.

One hundred percent of the asset and property management services of Landmark are provided on an in-house basis.

The on-site property management services of Landmark include the collection of rent and other amounts due, the management of vendors and the evaluation of the quality of their work, the preparation of contract specifications for building services, the payment of all amounts due on a timely basis, with a continuing effort to benefit from all the available discounts, the preparation of an annual operating budget, the annual preparation of common area maintenance estimates and reconciliations, the administration of tenant leases, the provision of customer services to tenants and their guests, the issuance of monthly invoices to tenants, as required, the operation of a web-based service request system that enables tenants to report maintenance requirements and special concerns and the performance of all the work that must be performed to meet the requirements of the Joint Commission on Accreditation of Healthcare Organizations and other accreditation agencies.

The on-site property managers and on-site maintenance engineers are full-time employees of Landmark and perform the majority of maintenance and repair work. Facility management services may be contracted out at times for specific reasons, such as specialized expertise or operational efficiency. When contractors or outside vendors are required, Landmark arranges for and supervises all work and competitively bids contracts to ensure cost control.

As a matter of corporate policy, senior officers of Landmark travel to all the outpatient buildings that are under the ownership of Landmark at least once each quarter to review the performance of the on-site property managers and on-site maintenance engineers