About HOPE

HOPE fills some of the well-documented gaps in our nation’s healthcare system. We employ Nurse Practitioners to serve residents of partner nursing homes. HOPE is the missing structure to bridge multiple parties in the delivery of greater outcomes for both long-term care and temporary rehabilitation.


Dr. James L. Gardner III of New Wilmington, PA, provided the idea to create HOPE Extended Care as an outgrowth of his family medical practice. Over a period of several years, Dr. Gardner had regularly treated many of his patients in nursing homes throughout Lawrence and Mercer Counties. In time, he began to integrate the Nurse Practitioners of his practice in a mission to elevate the level of care for a particularly vulnerable segment of the population. Seeing both the need that existed and the opportunity to expand service as a separate entity, a team of investors formally incorporated the business in November 2013.


HOPE Extended Care brings daily medical treatment to patients of nursing homes. Our Nurse Practitioners collaborate in chronic disease management and needed health interventions. Functionally, HOPE is an extension to care made available by the facility and other physicians. We’re qualified to diagnose and treat illnesses in many ways such as performing examinations, prescribing medications, and ordering lab tests.

Executive Leadership

Dr. James L. Gardner III – Founder & Chief Medical Officer. Operates the independent practice Family Medical of Lawrence County. Graduate of Jefferson Medical College. Experienced Medical Director in long-term care and hospice service.

Christopher E. DelposenChief Executive Officer. Experienced executive in the health sciences industry. Previously CFO at SoftWriters Inc., a provider of specialized software for institutional pharmacies. MBA from West Chester University.

C. Karl Sauereisen – President. Oversees business development, recruiting, and operations. Graduate of University of Tennessee (B.S. Business Administration) and Carnegie Mellon University, Heinz School (Masters of Public Management). Former co-owner and Executive Vice President at Sauereisen Inc., a global manufacturer of chemical-resistant coatings.

Dr. Margaret Delposen – Corporate Medical Director.  Dr. Delposen is certified in Family Medicine. She provides supervision and development to the HOPE network of Nurse Practitioners.