Landmark Holdings of Missouri, LLC. owns and operates Long Term Acute Care Hospitals with four facilities currently in operation. The first Landmark Hospital opened in February 2006, and is located in Cape Girardeau, Missouri. Landmark Hospital of Cape Girardeau is a joint venture between Landmark Holdings of Missouri, LLC and Saint Francis Health Development Services, Inc. It is a freestanding 30-bed, single-story, facility with all private rooms, and is designed to be easily expanded to 42 private rooms. Landmark Hospital of Cape Girardeau received Medicare certification on March 16, 2006.