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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

  • #2: 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?
  • #6: 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 youre going given where you are and where youve 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.
  • #7: 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
  • #8: 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 youre going given where you are and where youve 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.
  • #11: 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.