About Pivotal

Our Management

What we do

Pivotal Health Care is a management company that consults or manages senior living and senior adult health care facilities. Pivotal assists its clients by helping them identify their goals and then achieve them with the institutional knowledge and resources available only at Pivotal.

These goals could include, but are not limited to: survey compliance; vendor contract negotiations; project remodeling; HUD compliance; financing assistance; and reimbursement review and assistance for both Medicaid and Medicare. Our clients benefit from our more than 50 years of experience in the management of long-term health care facilities, the turnaround of underperforming properties, and the development of new facilities

Pivotal Health Care specializes in senior living management by providing quality support and resources to the communities it serves.


Our goal is your goal

We strive to deliver high-quality senior living and healthcare services for independent living, assisted living and skilled nursing environments. We analyze and streamline operations, improve financials, and identify opportunities within your current facility and beyond.

What WE offer

The skilled senior-level team members at Pivotal consult and work hands-on with management, investors, and other business stakeholders to navigate the complicated and often murky waters of senior care as they relate to issues of facility financial performance, managerial oversight, business assessment, and new facility development. Working together, Pivotal can help you:

  • Build better local relationships to improve presence in your market.
  • Hire and retain expert staff for increased quality and efficiency of care.
  • Define and achieve short and long term performance goals.
  • Develop operational transparency and encourage on-site executive thinking.
  • Establish benchmarks for service and care to protect your investment and reputation.
  • Evaluate potential purchases and investments.
  • Analyze opportunities for increased profitability and efficiency.
  • Remodel and expand services to maximize your facility’s value.
  • Support your brand.

Our Team


Scott Gulledge


Overland Park, Kansas — Scott Gulledge has been involved in the operations of healthcare facilities for 37+ years; it has been his primary focus since graduating from college. Scott is currently the CEO and Managing Partner of Pivotal Health Care, which manages the properties development by Scenic Development. Scott oversees the operations of all of the projects that are under Pivotal Health Care’s management or consulting relationships. His responsibilities include (but not limited to) contract negotiations, risk management, insurance, vendor management, and state and federal regulation compliance. Before Pivotal Health Care, Scott was the Chief Operations Officer of the Tutera Group for 19 years, where he oversaw the operations of 50–70 facilities on average at any given time. He has operated in as many as 20 states during his tenure. Scott is a former member of the St. Luke’s South (Overland Park, KS) President’s Advisory Board, Illinois Health Care Association President’s Advisory Board, eight years as a Leawood, Kansas Councilman, and past Board member of Marillac and Cornerstone. He currently is a Board Member for the Iowa Health Care Association, Pastor Serve and is the Elder Chair for Christ Community Church.


Gib Wood


Gib Wood has been an owner of Scenic Living Communities and Scenic Development, LLC, in Iowa Falls, Iowa, since 1977 and currently serves on its board of directors. Wood is also CEO of Scenic Development, LLC, in Overland Park, Kansas, where he oversees project development, including land acquisition, design, and construction.


Wayne Anderson


Wayne Anderson is the founding owner of Scenic Living Communities and is the President of the Board. He was involved in the development of Scenic Living Communities and its subsequent additions. Wayne is in charge of investor relations and assists in site selection and community relations for Scenic Development. Wayne is also the President and co-owner of Poky Feeders (cattlefeeding.com), Scott City, Kansas, an 85,000 head cattle feedlot and has been in Ag-business his whole life. Additionally, Wayne is the co-founder of MARS Foundation, a non-profit organization that benefits research into a cure for Multiple Sclerosis.