The SK Philosophy: A solution to your situation

The guiding philosophy for SK is that the situation should drive the solution.  There are no preconceived notions or cookie cutter approaches to our engagements. Our purpose is to listen to our clients, offer our deep industry experience, and help you find the solution that’s right for your situation.  To this end, we tailor our services to meet your specific situation (rather than offering preset products and packages and asking you to choose).  And whether we ourselves can provide that solution, or if the solution will require finding other resources, we pride ourselves in assisting our clients in getting to the answers and finding the right pathway forward, whatever that path may be.  We have a unique passion for problem solving.  So lets talk.

The SK Approach: Insight. Interpretation. Guidance

What makes SK different is the ability to go beyond the numbers and analysis, and understand how these “micro factors” fit within the larger goals and objectives of our clients.  Our unique blend of experiences also allows us to guide our clients on how other key constituents (capital partners, professionals, boards, etc.) think and react to new information.  We absolutely provide expert research and analysis, honed through years of industry experience.  But beyond this, we are unparalleled in our ability to provide valuable insight and interpretation of analysis and trends, communicate this in a concise and effective manner, and work collaboratively as a member of the executive leadership team.  This enables executive leadership to plan and execute successfully. 

The SK Advantage: Value…with a focus on quality, not quantity

We believe our approach as a boutique, advisory-focused practice provides a distinct advantage in tailoring services to your situation and in delivering flexibility and personal attention.  Rather than a firm with a long list of active projects, providing the same widgets and square pegs over and over, SK delivers much more dedicated time and focus on your situation.  And in hiring SK you get the benefit of the focus and continuity of working directly with principals Toby Shea and Michael Kivov. Simply put, more added value with less added cost.

The SK Network: All the resources, when they are needed

Sometimes the situation requires additional resources.  SK not only has the ability to bring added “bandwidth” to the table as needed, it serves to coordinate them under one point of contact.  And we are humble enough to admit when a specific need is beyond our core strengths.  We have strong industry partnerships and relationships forged over our years in the industry that create an interdisciplinary team to provide for broader expertise.  This allows us to tailor the team to ensure the proper philosophical fit.  Our partners cover a wide range of disciplines including development, operations, architecture and design, sales and marketing, and accounting.  In other words, additional resources are available and accessible should they be necessary and appropriate.


We have extensive experience with and work across the spectrum of senior living and long-term care.  In addition to CCRCs, we work in situations focused on independent living, assisted living, Dementia care, long-term and skilled nursing care, at-home care and home and community based services.

Our clients include:

  • Non-profit providers (both single site and multi-property systems)
  • For profit owners and operators
  • Developers/builders
  • Lenders/underwriters
  • Investors    
  • Health systems (acute and sub-acute or skilled based)
  • Other Not-For-Profit organizations (education, religious, community-based)