The officers and group leaders of Landmark have specialized in the full-service development of outpatient buildings for a combined total of more than 200 years. The leadership of Landmark successfully developed 250 outpatient buildings that range in value from $10 million to more than $100 million.

As of December 31, 2023, the combined net worth of Landmark Healthcare Facilities LLC and the Landmark Healthcare Properties Fund LLC was $155 million, and the combined cash and cash equivalent position of the two Landmark companies was $18 million.

Landmark provided more than $2 billion of equity and debt financing to fund the development and construction of the outpatient buildings Landmark was selected to develop in recent years. The proven ability of Landmark to provide equity and debt financing demonstrates that Landmark is in a position to finance all the outpatient buildings Landmark is selected to develop and own in the foreseeable future.

Landmark Companies are primarily family-owned by Joseph Checota, Executive Chairman, and Benjamin Checota, Principal, along with principals Deeni Taylor, Chairman and CEO; Michael Cleary, President and COO; and Joel LaBlonde, Chief Financial Officer.

The 25 most recent outpatient buildings of Landmark include 2,805,829 square feet in the aggregate, an average of 112,233 square feet per building.

The 25 most recent outpatient buildings of Landmark include two buildings with less than 50,000 square feet, five buildings with 50,000 to 75,000 square feet, eight buildings with 75,000 to 100,000 square feet, six buildings with 100,000 to 150,000 square feet, two buildings with 150,000 to 200,000 square feet and two buildings with more than 200,000 square feet.

When it comes to leasing office space to the independent staff physicians the clients of Landmark elect to include in their new outpatient buildings, few companies in the United States are able to claim the prior experience and current capabilities of Landmark.

Landmark makes a determined effort to lease office space to the independent physicians who are most strategically important to the healthcare providers that become clients of Landmark.

Over the years, the professionals who own and manage Landmark have leased millions of square feet of medical space to independent staff physicians. Leasing physician medical space is a core competency of Landmark.

During recent years, approximately 40 percent of the dollar volume of Landmark was derived from multiple outpatient building client relationships. Two healthcare providers selected Landmark to develop three outpatient buildings, four healthcare providers selected Landmark to develop two outpatient buildings and one healthcare provider selected Landmark to develop one outpatient building and acquire three existing outpatient buildings.

Landmark has demonstrated an ability to “think outside the box” in order to resolve problems and remove roadblocks that could not have been anticipated. Landmark has also demonstrated an ability to create Class A outpatient buildings that meet the highest standards of design and engineering excellence.

Hospitals, health systems and academic medical centers that select Landmark to develop their outpatient buildings receive a single guaranteed price for all their professional services and hard construction costs. Guaranteed-price protection is the cornerstone of Landmark’s full-service development program. With Landmark’s guaranteed price, there are no cost overruns or extras.

Landmark acquires existing outpatient buildings from hospitals, health systems and academic medical centers that have decided to monetize their healthcare real estate. Through its acquisition program, Landmark enables healthcare providers to convert their accumulated equity in healthcare real estate into cash.

The senior officers and department heads of Landmark personally supervise the significant majority of the work that is associated with the design, development and construction of the outpatient buildings of Landmark. As an organization, Landmark is large enough to provide all the personnel and professional services that are required to achieve successful development, but small enough to ensure the hands-on involvement of its principals.

Under the unique no-cost ownership program of Landmark, healthcare providers that become clients receive no-cost ownership interests in their new outpatient buildings. Healthcare providers that participate in the no-cost ownership program of Landmark receive a percentage of the cash flow from the operation of their new outpatient buildings and net proceeds that are realized from future refinancings and an eventual sale based on the ownership percentage.

Healthcare providers that participate in the no-cost ownership program of Landmark are not required to invest equity or incur or guarantee debt in order to receive their no-cost ownership interests. Landmark invests 100 percent of the equity that is required, obtains and guarantees the construction and permanent loans and assumes all the risks that are associated with design, development and construction.

When hospitals, health systems and academic medical centers that become clients elect to become the sole owner of their new outpatient buildings, Landmark limits its role and professional responsibilities to the guaranteed-price, full-service development of their buildings.

Landmark self-funds all the outpatient buildings Landmark is selected to develop and own. With Landmark as the developer and owner, the same principals who provide all the professional services that are required to achieve successful development also provide all the capital that is required to fund development and construction.

Landmark operates throughout the United States. The national headquarters office of Landmark is located in Milwaukee, Wisconsin and Landmark operates 10 regional offices in California, Florida, Illinois [ 2 ], Michigan, New Jersey [ 2 ] and Virginia [ 3 ].

The majority of the outpatient buildings of Landmark include the functions and service lines of the healthcare providers who sponsored the buildings and office space for the complete range of physician specialties. Sixty-five percent of the space in the 25 most recent outpatient buildings of Landmark is allocated for the functions and service lines of client healthcare providers, thirty-three percent of the space is allocated for physician offices and two percent of the space is allocated for retail services.

• 17 Imaging Centers
• 2 Emergency Departments
• 10 Ambulatory Surgery Centers
• 3 Urgent Care Centers
• 7 Cancer Centers
• 8 Physical Therapy Centers
• 8 Cardiac Centers
• 6 Sleep Laboratories
• 6 Laboratories
• Pain Management Clinics
• 11 Women’s Centers
• Pulmonary Centers
• 6 Wound Care Centers
• Orthopedic Centers
• 3 Fitness Centers
• Urology Centers
• 3 Infusion Centers
• 2 Endoscopy Centers
• 3 Pre-Admission Testing Centers
• 7 Medical Education Centers

The management of outpatient buildings that include significant amounts of physician office space and the complex functions and service lines of healthcare providers that become clients are the sole property management focus of Landmark. All the asset and property management services of Landmark are provided on an in-house basis from the headquarters office of Landmark in Milwaukee, Wisconsin and 10 regional offices.

The accumulated experience and unique asset and property management program of Landmark distinguish Landmark from asset and property management firms that are not exclusively focused on the management of outpatient buildings.

The hospitals, health systems and academic medical centers that are clients of Landmark will confirm that Landmark operates in strict conformance with the traditional Midwest values of integrity, honesty and mutual trust. The absolute adherence to the most important Midwest value that your word is your bond is the foundation of the Landmark development and ownership programs.

The focus of the business activities of Landmark are dedicated to the design, development, construction, ownership and management of the complete range of outpatient buildings.

Architects and engineers who work with Landmark perform a significant amount of value engineering work during the preparation of the architectural drawings that are required for all the outpatient buildings of Landmark.

The time-tested value engineering program of Landmark is based on the accumulated design and engineering experience of the Landmark team over the last 27 years. With the value engineering program of Landmark, construction costs are reduced and new outpatient buildings are more efficient and less expensive to operate.

Healthcare providers that select Landmark to develop and own their new outpatient buildings are able to achieve significant control over the design, development, construction, ownership and management of their buildings. Landmark obtains advance concurrence from its clients on the selection of the principal architect and general contractor. Landmark obtains advance concurrence from its clients on the conceptual design of their outpatient buildings and the selection of exterior and interior materials. Landmark submits the schematic and design development drawings and construction documents to its clients for their advance review and approval.

The ground leases and other documents that govern the operation of outpatient buildings that are under the ownership of Landmark prohibit the execution of leases with physicians who are not able to qualify for staff membership and physicians and other healthcare providers who compete with healthcare providers that are clients of Landmark.

The ground leases and other documents also give the clients of Landmark the Right of First Refusal to lease all the vacant space in their outpatient buildings.

The ground leases and other documents also give the clients of Landmark Purchase Options and the Right of First Refusal to acquire their outpatient buildings, in the event Landmark considers the sale of their buildings at some future time.