We own and manage 6 different skilled nursing facilities in California totaling 700 employees and growing. Cultura provides a health plan that is far advanced from anything we see in themarket. Our employees love the Care Coordinators. And our measured cost per employee per year is less now than it was three years ago. Cultura provides a state-of-the-art platform for employer healthcare and the service we receive is exceptional.

Cultura has been a great partner in helping us accomplish our vision at Impact Healthcare: to bring together the best people, practices and ideas to set the standard for healthcare in the home. Our team of 600+ team members serve patients across multiple states and in 2019 we moved our account from a national brokerage to Cultura. Since then, the transparency and spend control of our benefits has been exponentially better. As the Cultura team staged us for transition to their platform they reworked the program we had in place in a way that not only allowed us to keep the same benefits, but also helped us realize large cost savings out-of-the-gate. We then moved to Cultura's Care Coordination based platform in 2020 and have seen our long-term cost trend dramatically flatten while maintaining high employee satisfaction. Overall, Cultura has proven time and again to be ahead of the curve in benefit consulting-- particularly with solving the black box of employer healthcare. A big thanks to the Cultura team.

We are an independent investment advisory firm, founded in 1988. We serve endowments, foundations, healthcare organizations and families with $27 Billion in assets under advisement. To help us attract and maintain an elite labor force, we provide benefits that easily compete with larger firms. Cultura has demonstrated how to give our people a concierge experience at a cost that is far less than anything else available. Our 12-year relationship keeps getting better as Cultura adds more and more elements to their platform that reduce costs for our company and gives our employees outstanding benefits.