Praesidian Capital to Invest $12.0 Million in Senior Subordinated Debt In Landmark Holdings of Missouri, LLC

New Funds Support Recapitalization of Long-term Acute Care Provider

NEW YORK — July 15, 2015 — Praesidian Capital, a leading provider of senior and subordinated capital for small and mid-sized businesses, announced today that it is investing $12.0 million in senior subordinated debt in Landmark Holdings of Missouri, LLC (Landmark), a multi-state operator of six long-term acute care hospitals (LTACH). The new debt effectively recapitalizes Landmark and consolidates its many financing lines into one credit entity.

Praesidians investment is subordinate only to a credit revolver provided by Gemino Healthcare Finance (Gemino) with which Praesidian has partnered in the past.

Based in Cape Girardeau, Mo., Landmark was founded by Dr. William Kapp III, a surgeon who has developed several successful healthcare businesses. The company currently operates core facilities in Cape Girardeau, Joplin and Columbia, Missouri and in Athens, Georgia. They opened a new hospital early in 2014 in Salt Lake City, Utah and another in Savannah, Georgia in November 2014. A seventh facility is scheduled to open in Naples, Florida, in September 2015.

Landmark has distinguished itself as the dominant provider of long-term acute care in each of the regions in which we operate, Dr. Kapp, CEO, stated. The industry is tightly regulated given that all beds are Medicare certified, so we have some confidence in maintaining that competitive advantage in all of our operations. We are very pleased to partner with Praesidian and Gemino to create a new capital structure and operating funds to support our growth plans.

Glenn Harrison, Partner of Praesidian Capital, stated: We are pleased to work again with Gemino and add long-term acute care to our healthcare portfolio. Landmark provides a unique opportunity to participate in this industry and at a level of high clinical care.

Creative Health Capital, LLC (CHC) acted as exclusive advisor to Landmark in arranging the senior and subordinated debt. We have worked with Dr. Kapp and Landmark over several years and are pleased to have been able to assist in raising this capital to help the Company achieve its growth objectives, noted Dan Brown, Managing Director at CHC. Both Gemino and Praesidian were able to work cohesively to provide a tailored capital solution, and we are confident they will be great partners for Landmark going forward.

About Landmark Holdings of Missouri, LLC
Landmark was formed in 2006 to establish regional hospital referral centers for medically complex patients in need of intensive post-acute care. Landmark established its first regional referral long term acute care hospital in Cape Girardeau, Missouri in 2006 and has steadily grown to six facilities in three states. Landmarks seventh facility will open in Southwest Florida in September 2015. Each Landmark hospital has experienced, proven management teams that are expected to remain in each facility. The six hospitals have approximately 600 employees. For more information, please see

About Praesidian Capital
Praesidian Capital is an innovative private investment firm focused on providing senior and subordinated debt along with growth capital to private lower middle market businesses in the United States, United Kingdom, Germany, and selectively in Northern Europe. Praesidian invests in established, small and mid-sized companies often in connection with management buyouts, recapitalizations and refinancings. Based in New York City with an office in London, Praesidian manages nearly $1 billion in committed capital. For more information, visit

About Gemino Healthcare Finance
Based in Philadelphia, Penn., Gemino Healthcare Finance is a specialty finance company with an exclusive focus on providing senior loans to healthcare service providers in the United States. Typical loans range from $2 million to $20 million in the form of revolving lines of credit and terms loan. In October 2013, Gemino was acquired by Solar Senior Capital Ltd. (NASDAQ:SUNS), a leading publicly traded business development company. With more than 50 years of healthcare finance experience, Geminos senior management team has originated more than $1.3 billion of financing commitments and has a strong industry reputation built on responsive service and a relationship-driven outlook.

About Creative Health Capital, LLC
Creative Health Capital is a boutique Health Care investment bank based in Chicago, Ill. Since 2001, the firm has been instrumental in arranging capital for growing health care providers as well as representing health care companies in strategic transactions including mergers and acquisitions. Additional information is available at

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