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We blend the depth and talent of the Decosimo firm with our healthcare group's knowledge of the industry. We would like to think that we know the business of healthcare from both the inside (direct experience) and outside (Decosimo's practical business experience across a diverse set of industries). We help healthcare entities maximize opportunities. In addition to the traditional assurance and tax services of Joseph Decosimo and Company, we offer financial analysis and support to a variety of healthcare issues. We also provide valuation services through our valuation group and provide support to healthcare transactions from managing a team to due diligence to support in organizing financial and operational reports.
Financial Analysis - We use an insightful approach to analyzing profitability of various product lines and services and assist in balancing the allocation of resources (capital, marketing, etc).
Forecasts and Projections - Our independence allows us to develop an objective forecast of opportunities, challenge the underlying assumptions and allow the client to evaluate the risk of price, cost, volume, payer mix and alternative capital structures.
Acquisition and Divesture - Whether the looking to make an acquisition or a divesture, we apply analytical skills to finding value, addressing intangibles and risk of healthcare and discipline to the transaction. We provide discpline to transactions of all sizes as either a team leader or in support role with valuation and due diligence. We work with all sizes of transactions including the sale of an entire facility.
Business Valuations - We understand the issues involved in valuing healthcare; the local nature of healthcare, managed care, federal reimbursement, medical staff, capital needs and ownership structure. Our team evaluates the financial strength, healthcare payment structures and understand how the marketplace views a service or unit.
Financial Reporting and Accountability - Today, companies of all types are being held more accountable for their financial reporting. We support boards, CEOs and CFOs in fulfilling their obligations with sound financial advice and when appropriate mentoring. We can assist in reporting requirements of all types, whether for tax-exempt debt, GASB 34 or a unique need of the client.
Compliance - Our development and support of compliance activities is both investigative and balanced. Having sound compliance program that is understood and managed can enhance organizational efficiencies.
Capital Formation - We provide insight into the use of debt and equity financing, fixed versus variable rates and other complex choices. With increasing limited access to the tax-exempt bond markets, we work with clients in an advisory role to identify the best options for financing. We support clients with debt compliance reviews, arbitrage rebate calculations and continuing disclosure requirements.
Payment Analysis - In the ever changing rules and contracts governing reimbursement, we can investigate proposed contract changes, new Medicare payment rules and the effect of ownership structures.
Emerging Opportunities
Healthcare always produced some of the most exciting and profitable products and services. Decosimo assists growing companies sort through the healthcare maze. We assist in the development of a business plan, refining the product, defining the market and identifying strategic alliances. We maintain regular contact with sources of equity, debt and hybrid capital. We understand the pitfalls and benefits of outside capital and can help you understand how to maximize outside capital in your business model.
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