Summerfield Health & Rehabilitation Center
1877 Farnsley Road
Louisville, KY 40216

January 25, 2001

Mr. John Luken
John T. Luken Associates
5110 MacIntosh Avenue
LaGrange, KY 40031

Dear Mr. Luken,

We have been very pleased with our arrangement with your company to provide Case Management for our facility in the hospital setting, as I believe that our increased admissions can be attributed to this service. Your employees, Mary Beth Butler and Suesan Buetenbach, are very professional and represent our facility well. They are very knowledgeable about the Medicare Prospective payment system, and are able to give us accurate and complete information, which is essential for making decisions regarding potential admissions. I also believe that their presence in the hospitals on a daily basis benefits Summerfield because it gives us increased exposure, but also benefits the hospitals because they are able to discharge quicker and with less work on their part. Before this service was available, our Admissions Director would have to leave our facility to make hospital visits, which was a very time-consuming and inefficient way to use our staff. Now, the need to do this has been eliminated - thus our Admissions personnel are available in-house to take calls and give tours as needed. Lastly, I also feel that Mary Beth and Suesan create goodwill for our facility by their presence in the hospital, among the families and patients. It is very comforting for patients to know that they have already met someone who represents our facility before they come here to live.

In short, we are very happy with this service and feel that it has been both beneficial and cost effective for our facility.

Sincerely,

Carol Bottoms
Administrator