mc gladrey health care services overview

Experience the power of being understood.SM

Our objective is to provide you the highest-quality service while delivering maximum return on your investment. Achieving that requires gaining your trust and confidence — first, by convincing you that we truly understand your unique situation, then by demonstrating that we have the knowledge, technical expertise, creativity and passion to help you win. Because when you trust the advice you’re getting, you can be confident that your next move is the right move.

800.274.3978 mcgladrey.com

McGladrey is the brand under which McGladrey & Pullen, LLP serves clients’ business needs.

McGladrey & Pullen, LLP is the U.S. member of the RSM International (“RSMI”) network of independent accounting, tax and consulting firms. The member firms of RSMI collaborate to provide services to global clients, but are separate and distinct legal entities which cannot obligate each other. Each member firm is responsible only for its own acts and omissions, and not those of any other party.

McGladrey, the McGladrey signature, The McGladrey Classic logo, The Power of Being Understood, Power Comes from Being Understood and Experience the Power of Being Understood are trademarks of McGladrey & Pullen, LLP.

© 2012 McGladrey & Pullen, LLP. All Rights Reserved. NT10-05280Assurance n Tax n Consulting

Experience PersonalService

Experience Expert Advice

Experience a HealthierBusiness

The rapid evolution of the health care field presents a variety of tough challenges. Improving patient care and safety while

coping with ever-rising costs is difficult enough. But today’s health care leaders must also deal with complicated and fast-

changing reimbursement systems, cumbersome tax codes and unpredictable revenue cycles — all while managing disparate

risks and pursuing capital for investments in everything from information technology to advanced medical equipment.

What’s more, industry executives must adapt to an array

of complex changes mandated by recent health care

reform legislation.

With our depth of health care experience and breadth of

resources, we are uniquely qualified to help. We’re here

to address your distinct needs. We’re here to provide

customized solutions to help you succeed, now and

in the long term. And we’re here to earn your trust.

Because when you trust the advice you’re getting,

you’ll have greater confidence that your next move

is the right move.

Navigate the complexities with advice you can trust.

“The audit team’s knowledge of accounting standards and issues in the health care industry is excellent. They worked with our management and Audit Compliance Committee in a manner that was both understandable and nonconfrontational.”

E D J E N K I N S

Chair, UMC Audit and Compliance CommitteeUniversity Medical Center

Tucson, Arizona

We offer highly specialized assurance, tax and consulting services to a diverse range of health care

organizations, from small physician groups to global multifacility providers. Through our network of

international specialists, we deliver custom-tailored solutions that empower each of our health care

clients to operate healthier and more profitable businesses.

Experience the power of being understood.

McGladrey is uniquely positioned to provide the expertise, resources and guidance you need to overcome the challenges

you’re facing and to achieve your strategic objectives. McGladrey & Pullen, LLP ranks as the fifth-largest provider of

assurance, tax and business consulting in the United States.

Regardless of the client or the engagement, we are committed to having senior-level professionals provide reliable,

responsive and highly personal service.

Seeing things from your point of view is our point of difference.

Our professionals are passionate about the health care

field. In fact, we have teams of specialists exclusively

devoted to the industry, many of whom joined us after

gaining invaluable experience working with insurers,

provider organizations and regulatory agencies ranging

from Blue Cross affiliates and Ascension Health to centers

for Medicare and Medicaid services. They combine

in-depth industry knowledge and technical expertise

with the creativity needed to deliver innovative,

practical and cost-effective solutions for even the most

formidable challenges.

World-class capabilities. Personal relationships.

“The depth of talent at McGladrey has far exceeded our expectations. I can honestly say that we learn more from them each year than they learn from us — a first in my 30-plus years’ experience!”

T H O M A S J . F I T Z P A T R I C K

Chief Financial Officer — Medical Center CampusUniversity of Miami

Coral Gables, Florida

Over 6,500 professionals at more than 70 offices with approximate annual revenues of $1.5 billion

make us the fifth-largest provider of assurance, tax and business consulting in the U.S.

Experience strength in numbers.

In such a fast-moving field, it’s not enough to know what’s worked in the past. You also need to anticipate change.

By maintaining long-standing relationships with local, state and federal regulatory agencies and remaining intimately

involved with key industry associations (including AHA, NRHA, AAHAM, HIMSS and ACHE), we’re able to keep

up to the minute on trends, issues, rules and regulations that may affect our health care clients.

In addition, we regularly conduct industry surveys and benchmarking studies, oftentimes partnering with national

organizations like HFMA and AMGA. These thought-leadership initiatives enable us to remain fully abreast of best practices

and emerging concerns.

We believe each of our clients deserves a carefully tailored,

custom-fit approach. So we work diligently to gain a

thorough understanding of your unique situation — your

challenges, opportunities and resources. Only then will we

recommend a course of action, one specifically developed

to address your particular needs.

You may turn to us for an integrated mix of services that are

seamlessly coordinated to achieve a variety of goals. Other

times you may choose to retain us for our expertise in a

single specialty. When circumstances warrant, we’ll team

up with professionals from other practice areas to offer

fresh, imaginative perspectives. We’ll even partner with

experts outside our organization — if that’s what it takes to

meet your needs.

Understanding the value of forward thinking.

“One-size-fits-all” doesn’t fit you.

“If you’re looking for results, McGladrey is the top health care advisor, bar none. Unlike other firms we’ve worked with, McGladrey was able to identify millions in additional Medicare funding — and they’re not even done yet. What’s more, they understand us and openly share methodology so the results can be sustained over time.”

P A T K E E L

Executive Vice President and Chief Financial OfficerGood Shepherd Health System

Longview, Texas

We’re so committed to understanding the needs of businesses like yours, we have teams of expert

advisors devoted solely to the health care industry.

Experience dedicated service.

Our capabilities go beyond superb assurance and tax services to include an unparalleled array of specialized health

care consulting services. Further, our integrated delivery model enables us to skillfully orchestrate a diverse range of

complementary expertise. The result? Comprehensive, coordinated and cost-effective solutions. Following are some of

the health care services offered by McGladrey.

Enterprise Risk ManagementInternal AuditRegulatory Compliance

ICD-10 Readiness / ImplementationACO Advisory ServicesPerformance Improvement

EHR Meaningful UseUnified Communications & MobilityTechnology Assessment, Planning & SelectionBusiness Intelligence & Data AnalyticsNetwork Design & Security

Tax Planning & PreparationCommunity Benefit ReportingSales & Use Tax

Financial Statement AuditForecast & Financial FeasibilityRegulatory Reporting

Health Care Industry Services.

One piece isn’t the whole picture. So we take an integrated approach that enables us to bring

a diverse range of expertise to the table.

Experience true integration.

“By far, the best service I have experienced in my 25 years in senior health care financial management. The support level of the partners has been exceptional. They are always a phone call away, and their professionalism and subject matter expertise are unmatched.”

S H A R O N K E L L E Y

Chief Financial OfficerMetroHealth System

Cleveland, Ohio

Tax

McGLADREY HEALTH cAREMcGLADREY

HEALTH cARE

Assurance

Risk Advisory

Financial Advisory

Technology

Experience the power of being understood.SM

Our objective is to provide you the highest-quality service while delivering maximum return on your investment. Achieving that requires gaining your trust and confidence — first, by convincing you that we truly understand your unique situation, then by demonstrating that we have the knowledge, technical expertise, creativity and passion to help you win. Because when you trust the advice you’re getting, you can be confident that your next move is the right move.

800.274.3978 mcgladrey.com


McGladrey & Pullen, LLP is the U.S. member of the RSM International (“RSMI”) network of independent accounting, tax and consulting firms. The member firms of RSMI collaborate to provide services to global clients, but are separate and distinct legal entities which cannot obligate each other. Each member firm is responsible only for its own acts and omissions, and not those of any other party.

McGladrey, the McGladrey signature, The McGladrey Classic logo, The Power of Being Understood, Power Comes from Being Understood and Experience the Power of Being Understood are trademarks of McGladrey & Pullen, LLP.

© 2012 McGladrey & Pullen, LLP. All Rights Reserved. NT10-05280Assurance n Tax n Consulting

Experience PersonalService

Experience Expert Advice

Experience a HealthierBusiness

Our capabilities go beyond superb assurance and tax services to include an unparalleled array of specialized health care consulting services. Further, our integrated delivery model enables us to skillfully orchestrate a diverse range of complementary expertise. The result? Comprehensive, coordinated and cost-effective solutions. Following are some of the health care services offered by McGladrey.

Health care industry services

Consulting services

Financial advisory

Health care organizations not only need to thoroughly understand

the financing mechanisms supporting their operations, they also

must remain compliant with complex and continually changing

regulatory requirements and reimbursement methodologies.

We can assist with revenue performance, regulatory reporting

and compliance requirements to ensure proper reimbursement

without compromising organizational integrity. Our services

include:

• Revenue performance

- Revenue cycle and cash acceleration

- Revenue integrity (e.g., DRG, APC, RUG, & PFS – assurance

services)

- CDM review, charge capture, and medical coding

(including ICD 10 education, readiness, and

implementation, MDS and oasis) compliance

- RDS (rational, defensible, and strategic) pricing

- Contract performance analysis

• Regulatory reporting, compliance, and recovery

- Regulatory reporting (e.g., hospital, SNF, FQHC, RHC, OPO,

HHA); Medicare/Medicaid cost report preparation and

review services

- Regulatory recovery (e.g., GME/IME, DSH/SSI, 340B, organ

transplant, Medicare bad debts, transfer DRG, Medicare

cost-finding assessment)

- Reimbursement strategy (e.g., including provider-based,

provider consolidation impact analysis, Medicare change

of ownership (CHOW) - merger/acquisition regulatory

analysis)

- Medicare compliance/OIG work plan risk assessment

- Medicare appeals and reopenings/litigation support

services

- Wage index (and occupational mix) improvement services

- Certificate of need preparation

- Provider enrollment

• FQHC specialized services

- FQHC clinic spin-off analysis

- FQHC/FQHC look-alike designation

- Federal grants management

- Operational productivity/performance improvement

- Financial and operational training

• Claims administration review services

- TPA/PBA claims processing accuracy

- Plan eligibility review services

- Contract compliance/performance guarantee

assessment

• Performance improvement

- Profitability analysis and cost accounting

- Service line performance analysis

- Budgeting, modeling and financial projections

- Cost and working capital optimization

- Financial operations and controls

- Project management and professional resources

• Mergers and acquisitions

- Buy-side/sell-side due diligence

- Working capital assistance

- Merger integration and optimization

- Divestures and carve-outs

• Valuation

- Fair value reporting

- Tax and business succession

- Dispute advisory

- Complex financial instrument

• Forensics, litigation and dispute advisory

- Damage assessment

- Arbitration and mediation

- Expert testimony

- Corporate recovery

• IPO readiness

800.274.3978www.mcgladrey.com/healthcare


Member of the RSM International network of independent accounting, tax and consulting firms.

© 2012 McGladrey & Pullen, LLP. All Rights Reserved.

Technology

We help health care organizations align their people, processes

and technology to enhance performance and reduce costs. Our

professionals have significant operational, technical and clinical

experience — delivering technology solutions that help manage

information and achieve the organization’s strategic objectives.

Our services include:

• Clinical, financial and business application strategy

• Business intelligence and data analytics

• Financial and practice systems selection and implementation

• Data sourcing, mining and integration

• Network design, implementation and security

• Platform installation and management

Risk advisory

Health care organizations face a host of potential risks as they

seek to meet the often incompatible demands of diverse

constituencies, including employees, patients, payers, investors,

regulators and legislators. We can help anticipate, evaluate and

manage such risks. Our services include:

• Enterprise risk management (ERM)

• Governance and corporate compliance

• Regulatory compliance (e.g., Medicare/Medicaid)

• HIPAA compliance

• Technology risk assessment

- Information systems controls, policy and procedure review

- Business continuity and disaster recovery

• Sarbanes-Oxley advisory and related implementation

• Internal audit partnering and outsourcing

• Model audit rule (MAR) assistance and implementation

• Fraud prevention and investigation

Tax

Strategic tax planning and accurate, timely compliance are

critical issues for all organizations. Our tax advisors have the

specialized expertise needed to address the complex issues

facing health care organizations. Locally-based specialists

draw on our national resources and experience to help

manage federal, state and local obligations while bringing

innovative tax planning ideas to your leadership team.

Our tax services include:

• Tax-exempt organization compliance

• Community benefit reporting

• Tax planning and return preparation

• Unrelated business income

• Sales and use tax

• Intermediate sanctions

• Tax research and analysis for strategic tax planning

• IRS examination and appeals representation

• Special needs planning

Assurance

Your stakeholders need to know they can trust the financial

statement you deliver. Our industry knowledge, integrity and

thoroughness leads to independent and objective opinions

regarding your financial statements. We also go beyond the

numbers, turning data into information and recommendations

that can assist you in better decision making and improving

future performance.

McGladrey is one of the nation’s top providers of assurance

and assurance-related services to health care organizations

and providers. Our assurance services include:

• Financial statement audits

• Regulatory reporting services

• Examined forecasts/financial feasibility

• SSAE 16 (formerly SAS 70) reports

• Employee benefit plan audits

• OMB circular A-133 audits

mc gladrey health care services overview

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