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“RESULTS-ORIENTED” SERVICES
FOR HEALTHCARE
ORGANIZATIONS
August 2013
RS&F Healthcare Advisors
(RSFHA) Overview
 Boutique healthcare and business consulting services
firm that caters to hospital and physician organizations
 Joint venture between RS&F and SHR
Associates, Inc.
 Services provided throughout the United States, with
an emphasis on the Mid-Atlantic region
 Firm profile
 Three Maryland offices: Owings Mills, Annapolis, and
Lanham
 Human capital: 55+ employees, including 50+
RSFHA Service Platform
SPECIALIZED
SERVICES
PRACTICE AND
ORGANIZATION
CONSULTATION
ACCOUNTING &
TAX
STRATEGIC
ADVISORY
Specialized Healthcare
Services
 Coding, Medical Record Audits, and Compliance Plans
 Fee Schedule and RVU Analyses
 Third Party Provider Credentialing and Negotiations
 ACO and NCQA/PCMH Recognition and Support
 Community Health Center/FQHC Operational and Billing Support
 Patient Satisfaction Surveys and Customer Service Training
 CLIA/OSHA/HIPAA Compliance Review, Training, and Implementation
 Outsourced Practice Management
Strategic Advisory
• Deal Negotiation
• Practice Integration
• Transaction Due Diligence, Structuring, and Tax Impact Analysis
• Operations Review
• Risk Mitigation
M&A Advisory
(Buy-Side &
Sell Side)
• Corporate Structure Analysis
• New Practice or Department Start-Up
• Strategic Planning, Partnerships, and Business Plan Development
• Long-Range Forecasting
• Organizational Restructuring
Business
Planning
• Institutional
• Private Capital
• Refinancing
• Alternative Financing
Capital
Formation
Practice and Organization
Consultation
• Coaching
• Corporate Culture
• Succession Planning
Executive
Advisory
• Growth Strategy
• Demographics
• Value Proposition Identification
• Marketing and Practice Promotion Programs
Sales &
Marketing
• Incentive Plans – Bonus, Deferred Compensation, Phantom Equity
• HR Forms, Job Descriptions, and Personnel Manuals
• Physician and Staff Recruitment and Performance Evaluations
• Personnel Training and Education
Human
Capital
• EMR Evaluation, Implementation, and Meaningful Use
• Process Efficiencies
• Internal Controls
• Information Technology
Systems
Accounting & Tax
• Financial Statements – Audits, Reviews, Compilations, Internal Reports
• Projections and Forecasts
• Management Reporting and Dashboards
• Analytical Review and Key Indicator Benchmarking
• Revenue Cycle Management, Overhead Analysis ,and Budgeting
Accounting
Services
• Tax Planning
• Deal Structuring
• Estate Planning
• Short and Long-Term Tax Liability Mitigation
• High Net Worth Family Services
Tax
Services
• Valuations
• Litigation Support
• Shareholder Disputes
• Fraud Investigation, including Medicare and Medicaid
Forensic
Accounting
Our Clients Include…
 Independent medical practices and physician
networks
 Hospital-affiliated medical practices
 Community health centers and FQHCs
 For-profit and non-profit hospital organizations
 Public health-related agencies
Differentiators
 Dedicated to best practice
implementation in
healthcare organizations
 Team has extensive
healthcare industry
experience
 Growing base of
knowledge
 Clients include
organizations of all size
 Organizational and
financial matters are not
mutually exclusive
 Resource for financial and
non-financial questions
 Our network supports
clients
 Complementary services
yield successful outcomes
Healthcare-Focus
Comprehensive Suite of
Services
Why Choose RSFHA?
 Comprehensive suite of services to address the strategic,
organizational, and financial/accounting needs of healthcare
organizations
 Proactive planning for short and long-term organization
needs
 Emphasis on client engagement and lifecycle management
 Think and act as extension of management team
 Discuss what clients need to hear, not just what they want to
hear
Contact Information
RS&F Healthcare Advisors LLC
Results-oriented Healthcare Solutions
300 Red Brook Blvd., Suite 200 130 Admiral Cochrane Dr., Suite 102
Owings Mills, MD 21117 Annapolis, MD 21401
410-581-0800 (Balto)  301-470-7476 (DC)  410-897-9888 (Annapolis)
Website: http://bit.ly/rsfhallc
LinkedIn: http://linkd.in/rsfchart  Twitter: http://bit.ly/rsfchart
Contact: Jeffrey S. Rosen, CPA, CGMA, MBA  jeffreyr@rsfchart.com

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RSFHA Introduction

  • 2. RS&F Healthcare Advisors (RSFHA) Overview  Boutique healthcare and business consulting services firm that caters to hospital and physician organizations  Joint venture between RS&F and SHR Associates, Inc.  Services provided throughout the United States, with an emphasis on the Mid-Atlantic region  Firm profile  Three Maryland offices: Owings Mills, Annapolis, and Lanham  Human capital: 55+ employees, including 50+
  • 3. RSFHA Service Platform SPECIALIZED SERVICES PRACTICE AND ORGANIZATION CONSULTATION ACCOUNTING & TAX STRATEGIC ADVISORY
  • 4. Specialized Healthcare Services  Coding, Medical Record Audits, and Compliance Plans  Fee Schedule and RVU Analyses  Third Party Provider Credentialing and Negotiations  ACO and NCQA/PCMH Recognition and Support  Community Health Center/FQHC Operational and Billing Support  Patient Satisfaction Surveys and Customer Service Training  CLIA/OSHA/HIPAA Compliance Review, Training, and Implementation  Outsourced Practice Management
  • 5. Strategic Advisory • Deal Negotiation • Practice Integration • Transaction Due Diligence, Structuring, and Tax Impact Analysis • Operations Review • Risk Mitigation M&A Advisory (Buy-Side & Sell Side) • Corporate Structure Analysis • New Practice or Department Start-Up • Strategic Planning, Partnerships, and Business Plan Development • Long-Range Forecasting • Organizational Restructuring Business Planning • Institutional • Private Capital • Refinancing • Alternative Financing Capital Formation
  • 6. Practice and Organization Consultation • Coaching • Corporate Culture • Succession Planning Executive Advisory • Growth Strategy • Demographics • Value Proposition Identification • Marketing and Practice Promotion Programs Sales & Marketing • Incentive Plans – Bonus, Deferred Compensation, Phantom Equity • HR Forms, Job Descriptions, and Personnel Manuals • Physician and Staff Recruitment and Performance Evaluations • Personnel Training and Education Human Capital • EMR Evaluation, Implementation, and Meaningful Use • Process Efficiencies • Internal Controls • Information Technology Systems
  • 7. Accounting & Tax • Financial Statements – Audits, Reviews, Compilations, Internal Reports • Projections and Forecasts • Management Reporting and Dashboards • Analytical Review and Key Indicator Benchmarking • Revenue Cycle Management, Overhead Analysis ,and Budgeting Accounting Services • Tax Planning • Deal Structuring • Estate Planning • Short and Long-Term Tax Liability Mitigation • High Net Worth Family Services Tax Services • Valuations • Litigation Support • Shareholder Disputes • Fraud Investigation, including Medicare and Medicaid Forensic Accounting
  • 8. Our Clients Include…  Independent medical practices and physician networks  Hospital-affiliated medical practices  Community health centers and FQHCs  For-profit and non-profit hospital organizations  Public health-related agencies
  • 9. Differentiators  Dedicated to best practice implementation in healthcare organizations  Team has extensive healthcare industry experience  Growing base of knowledge  Clients include organizations of all size  Organizational and financial matters are not mutually exclusive  Resource for financial and non-financial questions  Our network supports clients  Complementary services yield successful outcomes Healthcare-Focus Comprehensive Suite of Services
  • 10. Why Choose RSFHA?  Comprehensive suite of services to address the strategic, organizational, and financial/accounting needs of healthcare organizations  Proactive planning for short and long-term organization needs  Emphasis on client engagement and lifecycle management  Think and act as extension of management team  Discuss what clients need to hear, not just what they want to hear
  • 11. Contact Information RS&F Healthcare Advisors LLC Results-oriented Healthcare Solutions 300 Red Brook Blvd., Suite 200 130 Admiral Cochrane Dr., Suite 102 Owings Mills, MD 21117 Annapolis, MD 21401 410-581-0800 (Balto)  301-470-7476 (DC)  410-897-9888 (Annapolis) Website: http://bit.ly/rsfhallc LinkedIn: http://linkd.in/rsfchart  Twitter: http://bit.ly/rsfchart Contact: Jeffrey S. Rosen, CPA, CGMA, MBA  jeffreyr@rsfchart.com

Editor's Notes

  1. What keeps them up at night?What are their current challenges? When customers or employees complain, what are their issues?Generally speaking, what is the short and long-term plan – growth, succession, etc.Who runs the business and its various divisions/departments?Who do they turn to for business advice and guidance?What services are they getting from their current accountants?How proactive are they with tax strategies and planning?
  2. M&A Advisory – Take advantage of strategic opportunities with prudence and cautionWe have done over 30 M&A transactions and provide various type of support for these transactions – due diligence, structuring, negotiation, etc.Business Planning – Develop the road map for where you’re going given where you are and where you’ve beenWe have helped companies enter new lines of business - created/evaluated business plans and developed forecastsCapital Formation – Ensure you have the capital needed to execute your plan.
  3. Executive Advisory – help busy managers solve business problems and take business to next levelSales & Marketing – help focus and improve company efforts to grow the top lineHuman Capital – get the right people on the bus into the right seats and proactively keep them thereSystems – make sure the plumbing is installed correctly
  4. M&A Advisory – Take advantage of strategic opportunities with prudence and cautionWe have done over 30 M&A transactions and provide various type of support for these transactions – due diligence, structuring, negotiation, etc.Business Planning – Develop the road map for where you’re going given where you are and where you’ve beenWe have helped companies enter new lines of business - created/evaluated business plans and developed forecastsCapital Formation – Ensure you have the capital needed to execute your plan.
  5. To RS&F, the compliance reports are a means to an end – not the end. We seek to help our clients grow through various financial and non-financial services. Rather than being historical in nature, we are proactive and prospective with clients to help them meet their goals and objectives.