Operator-led healthcare management built for stability, compliance, and care.

Aaron Beller

Principal & Healthcare Operator

Aaron Beller is a seasoned healthcare operator and consultant with more than seventeen years of experience in the healthcare industry. He began his career at a skilled nursing facility in Queens, New York, where he was involved in facility management and marketing while completing his master’s degree.

Following graduate school, Aaron served as a consultant on long-term care acquisitions totaling more than $500 million across multiple states, advising on underwriting, reimbursement, case mix, labor trends, census strategy, referral relationships, life-safety requirements, and compliance matters.

In 2014, Aaron co-founded Serene Health Services, a housekeeping, laundry, and dietary services platform serving skilled nursing facilities across six states with approximately 1,000 staff members. Aaron co-founded Adir Healthcare LLC to bring that operator-led discipline directly into healthcare facility management. Through Adir, Aaron remains focused on facility-level operations, regulatory readiness, staffing coordination, vendor management, and practical oversight. Adir Healthcare was created to offer hands-on operating discipline to owners, lenders, and stakeholders seeking a capable management partner.

Avi Berger

Partner

Avi Berger is an experienced operator and investor with a background in real estate, structured finance, healthcare support services, and multi-site operating businesses. He began his career in mortgage and finance, developing expertise in underwriting, capital structures, asset-based lending, and financial analysis.

In 2014, Avi co-founded Serene Health Services, overseeing financial management, budgeting, business-office operations, compliance oversight, and quality control. In 2021, he co-founded ISH Dining Services, a dining and housekeeping platform serving long-term care facilities in Pennsylvania. Across affiliated operating platforms, Avi and his partners now oversee more than $100 million in annual revenue.

Avi co-founded Adir Healthcare LLC to expand the team’s healthcare facility management platform. Through Adir, Avi focuses on facility-level budgeting, business-office oversight, staffing coordination, compliance follow-through, vendor controls, and operational reporting. Adir Healthcare was built to provide that management capability to facilities, owners, investors, and lenders seeking stronger operational oversight.

Alex Paley

Chief Operating Officer

Alex Paley is a healthcare operations and growth executive with nearly forty years of executive leadership experience, including more than twenty-five years in C-suite long-term care operations. He has led skilled nursing, assisted living, independent living, rehabilitation, physician services, pharmacy, and healthcare asset-management platforms across multi-state portfolios.

Prior to joining Adir, Alex held senior leadership roles with Healthcare Navigator and related operating platforms, helping grow a senior housing and healthcare services business from eight facilities and approximately $20 million in revenue into a national platform with more than 140 facilities, approximately 15,000 employees, and operations across 20 states.

Alex brings deep experience in multi-site operations, M&A integration, asset value maximization, regulatory improvement, budgeting, team building, business development, and facility turnaround strategy. At Adir, he supports operational transfer, reorganization, growth, and performance improvement across skilled nursing, senior housing, and hospital assets.

Alex holds a Master of Public Health from Boston University School of Public Health and studied and researched International Health Policy at the London School of Economics and Political Science.

Paulette DiDomenico

Chief Financial Officer

Paulette DiDomenico is a finance executive with more than twenty years of experience in healthcare accounting, financial reporting, and multi-entity oversight. She spent over two decades as Corporate Controller at Courville Company, Inc., where she managed all phases of budgeting, financial reporting, investment management, internal controls, and compliance across twelve companies, while supervising a seven-person accounting team.

At Courville, Paulette led payer negotiations and reimbursement contracting, managed key relationships with banks, lenders, attorneys, and auditors, and was responsible for cash flow forecasting, credit and collections, and quarterly compliance filings. Earlier in her career, she managed accounting and cash operations through corporate bankruptcy reorganizations, and served as Accounting and Cash Management Manager at a manufacturing company with international operations.

At Adir, Paulette brings this multi-entity financial discipline to healthcare facility operations, overseeing financial reporting, budgeting, owner and lender reporting, and internal controls across the platform.

Paulette holds an MBA in Healthcare Administration and a Bachelor of Science in Accounting, both from Southern New Hampshire University. She is a member of the Healthcare Financial Management Association (HFMA), the Society for Human Resource Management (SHRM), and the New Hampshire Healthcare Association (NHHA).

Donna Lawlor

Vice President of Clinical Services

Donna Lawlor is a clinical operations, regulatory compliance, and healthcare informatics leader with extensive experience across skilled nursing, senior living, and hospital organizations. Her background includes senior clinical leadership, Director of Nursing experience, regional quality oversight, survey preparedness, clinical systems implementation, and multi-site regulatory support.

Donna has served in senior clinical and compliance roles across long-term care organizations, with experience developing clinical policies and procedures, supporting Administrators and Directors of Nursing, improving survey readiness, strengthening documentation practices, and guiding facilities through complex regulatory and operational challenges.

At Adir, Donna supports clinical department development, clinical education, PointClickCare configuration and training, DON onboarding, clinical policy implementation, vendor and pharmacy initiatives, and facility-level quality improvement efforts designed to support stronger care outcomes and regulatory readiness.

Caitlin Stroh

Vice President of Ancillary Services

Caitlin oversees all elements of therapeutic care provision for Adir Healthcare, including physical, occupational, and speech therapies. She also manages strategic clinical projects for the organization.

Caitlin is a healthcare operations leader with a background in occupational therapy, holding an MBA, an MSOT, and active OTR/L licensure in Connecticut, New Jersey, and New Hampshire. She has led regional, multi-site clinical teams of up to 29 across Nursing, OT, PT, ST, and Social Work, with experience across home health, hospice, post-acute care, and psychiatric hospital settings.

At Adir, Caitlin brings experience in strategic planning, clinical operations, budget and P&L oversight, regulatory compliance, and program implementation to support ancillary service quality and operational performance across the platform.