Hospitals had a challenging financial year in 2022 as expenses skyrocketed without a similar lift in revenue and reimbursement.

 Key ratios

Source: Moody's Investors Service, "Medians - Operating performance weakens as tough expense environment persists." The report was released Sept. 7, 2023 and includes data from freestanding hospitals, single-state and multistate healthcare systems for the 2022 fiscal year.

1. Operating margin: -0.3 percent

2. Excess margin: 2.4 percent

3. Operating cash flow margin: 4.9 percent

4. Return on assets: 1.7 percent

5. Three-year operating revenue CAGR: 6.5 percent

6. Three-year operating expense CAGR: 7.7 percent

7. Cash on hand: 205.6 days

8. Annual operating revenue growth rate:

9. Annual operating expense growth rate:

10. Total debt-to-capitalization: 31.9 percent

11. Total debt-to-operating revenue: 31 percent

12. Current ratio: 1.7x

13. Cushion ratio: 24.9x

14. Annual debt service coverage: 4.0x

15. Maximum annual debt service coverage: 3.6x

16. Total debt-to-cash flow: 3.6x

17. Capital spending ratio: 1.1x

Over 400 hospitals and medical facilities are now using an underpayment recovery service that is a risk-free addition to their Revenue Cycle Management (RCM) efforts. 

This forensic audit is performed on remittances AFTER all other RCM efforts have been completed including other internal or external underpayment recovery efforts. 

The company only engages remittance files that their clients expect no further revenues from. Therefore, their services compliment all other RCM efforts and provides new revenues…100% of the time.

The Underpayment System historically uncovers 5-30% of commercial payments which have been paid incorrectly on every analysis. Their collection statistics for commercial payer underpayments are 85-90% of identified claims. The majority of contracts allow providers to appeal claims that have been underpaid or paid incorrectly for up to 12 months from the last response by the insurer.

After 12 months, they will expire, at which point hosputals will never be able to bill or collect. This system recovers additional underpayments owed on zero balance accounts. Dollars underpaid after EMR/EHR and billing systems have fully processed claims as “PAID IN FULL”.

Larry G. Potter

Senior Advisor

Lgpotter33@gmail.com

Over 50 hospitals closing departments or ending services...30 minutes might have saved them!!

A number of healthcare organizations (56) have recently closed medical departments or ended services at facilities to shore up finances. 

One, Rumford (Maine) Hospital closed its maternity program March 31 after 97 years in service!!

UChicago Medicine AdventHealth GlenOaks hospital in Glendale Heights, Ill., plans to discontinue its obstetrics services.

Charlotte, N.C.-based StarMed Healthcare announced it was closing two satellite locations July 19.

Many of these could have been avoided by making use of an underpayment recovery program that these hospitals used with all work being performed solely on a contingency basis. How long does it take to complete your analysis audit process?

Minimum facility time is 30 minutes or less to upload 835-electronic billing records through our proprietary encryption platform, which uses the highest HIPAA standards. Once we have received all contracts and data files it typically will take around 14 days to complete the analysis and start the appeals process.

Sample Case Studies:

• 123-bed Texas hospital: $6 million in underpayments through BCBS alone.

• 142-bed Louisiana hospital:  $10 million+ in underpayments for top 4 payors.

• Large Pennsylvania Private Hospital: $1.2 million in underpayments from their 4th largest payer. Represents 18% of their collections for the payer.

• A hospital network: $30 million in underpayments from just three facilities.

• A large Ohio physician group: $7 million in underpayments in BCBS professional alone.

• A Tennessee clinic: $1 to $1.5 million in underpayments per payer contract

• Small Texas Community Hospital: $4,048,555.44 in underpayments from BCBS alone.

• A Missouri hospital: Over $20 million in underpayments

Larry G. Potter

Lgpotter33@gmail.com

Per Newsweek, these are the top 8 smart hospitals in the USA.

 1. Mayo Clinic-Rochester (Minn.)

2. Cleveland Clinic

3. Massachusetts General Hospital (Boston)

4. The Johns Hopkins Hospital (Baltimore)

5. Mount Sinai Hospital (New York City)

6. MD Anderson Cancer Center (Houston)

7. Memorial Sloan Kettering Cancer Center (New York City)

8. Brigham and Women's Hospital (Boston)

They are using smart technologies including the use of electronic functionalities, telemedicine, digital imaging, artificial intelligence, and robotics.

Our underpayment recovery service is a risk-free addition to your Revenue Cycle Management (RCM) efforts. Our forensic audit is performed on remittances AFTER all other RCM efforts have been completed including other internal or external underpayment recovery efforts. We only engage remittance files that our clients expect no further revenues. Therefore, our services compliment all other RCM efforts and provides new revenues…100% of the time.

We work solely on a contingency basis. There are no upfront fees, costs, ongoing tasks required from our clients. We take on 100% of the risk and effort to recovery revenues for our clients. We are only compensated when we successfully recover underpayments.

Our results are unrivaled. To date we have analyzed billions of dollars in reimbursements and remittances against 1,000s of unique and often complex payer contracts and have found noncompliance and underpayments for 100% of our clients. The typical result is 10%-20% of gross payer receipts in recovery.

Larry G. Potter

Lgpotter33@gmail.com

 Your Growth ​& Health Are​ Our Business

Tax Incentives | Expense Reduction | Retirement Plans | Corp. Financing | Smart Medical

Several hospitals in Texas have filed for bankruptcy or closed since the start of 2022.

It's shocking to see that Texas has lost more than 20 hospitals since 2005!

The four most recent include:

1. Cleveland (Texas) Emergency Hospital

2. San Antonio-based Texas Vista Medical Center, part of Dallas-based Steward Health Care

3. Trinity Regional Hospital Sachse (Texas) filed for bankruptcy at the end of August.

4. The Hospital at Westlake Medical Center, a physician-owned hospital in Westlake Hills, Texas

It's possible all 20 could have avoided that scenario using the services of  ADHC

This Recovery System consists of a team of payer contract experts and the most advanced forensic audit software system in the healthcare space. Their audit analyzes every remittance received in a 12-to-24-month period to determine contractual compliance of each reimbursement. The team then works with the payers to recover underpayments that are due their clients.

With a 100% success rate their results are unrivaled working solely on a contingency basis.

Contact Larry Potter at Lgpotter33@gmail.com for immediate info, don't wait for the storm to slam into you!!

 Your Growth ​& Health Are​ Our Business

Tax Incentives | Expense Reduction | Retirement Plans | Corp. Financing | Smart Medical

Does technology actually help accountants?

In the accounting world alone over the past decade or so, accountants and CPAs have seen OCR technology, bank feeds, automated transaction recognition, practice management and workflow software and cashflow forecasting tools all become mainstream tools. So why is the accountancy profession busier than ever?

It's probably because the volume of work in their in-tray exceeds the capacity of most firms.

Now, there is a very quick & efficient solution as over 4000 US CPAs are using our proprietary software allows small to mid-sized businesses to take a quick 60-second confidential survey to determine if they qualify for any of these benefits:

*Work Comp Insurance Audit client (can keep current provider)

*R&D Study

*Property Owner Tax Incentives

*Property Taxes Reduction For Commercial Property Owners

*Waste & Recycling

*Cost Segregation

*Parcel Shipping

*Credit Card Audit (client can keep current provider)

*Payroll Tax Incentives

*Commercial Funding

*Stryde Retirement Program (SRP)

*Strategic Partnership

**Hiring & Retaining Employees ($1200 - $26,000 per employee) thru WOTC & ERC for W2 employees

We are now allowing CPAs, accountants and bookkeepers to use our software with the signup fee being waived at http://www.StrydeAdvisors.com/143863

If the link does not work, copy & paste it and then watch the simple training and get in on the Friday 9am CST call for new users.

We do all of the heavy lifting, all you have to do is answer a few simple questions about your client(s) and see their benefits in seconds. You retain full control of your client base while you standout like a rock star!!!

Tax Credits are now a permanent part of financial planning for all businesses.

Here are some key things to know about R&D tax credits:

• R&D tax credits are a tax incentive that allows companies to reduce their tax liability based on qualifying research and development expenditures. The goal is to encourage innovation and technological development.
• In the US, R&D tax credits are available at both the federal and state level. The federal R&D tax credit is available to companies of any size and reduces a company's federal income tax liability.
• To qualify for the federal R&D tax credit, activities must meet the criteria of a systematic process to discover information, involve technological uncertainty, and be intended to develop a new or improved business component. Eligible expenses include employee wages, supplies, and certain contractor costs.
• Companies must carefully document their R&D activities and expenses to support any credits claimed. It's recommended to work with a tax advisor familiar with R&D credits to ensure proper compliance and maximize the credit amount.
• The R&D tax credit is a dollar-for-dollar reduction in tax liability, so it can provide significant tax savings especially for companies with major R&D initiatives. However, there are complex rules around qualifying activities and calculating the credit amount.
• In addition to the current year R&D tax credit, companies may be able to amend prior year returns to claim credits for eligible past R&D expenses. The ability to file amended returns depends on the open tax years under the statute of limitations.

Let's see what your R&D tax credits are!!

The nation's largest payers have evolved — what happens next?

The nation's largest health insurers are no longer just insurers — nearly all have restructured and grown into health services giants capable of paying for care and providing it too, but underpayment by insurers still remains a huge problem for Hospitals, Urgent Cares and Large Primary Care facilities!!

If they have a minimum $2M annual in payer revenue with their top 3 payers, our proprietary software and team of payer contract experts perform a forensic analysis of every remittance received in a 12-to-24-month period to determine contractual compliance of each reimbursement. We work with the payers to recover underpayments that are due to our clients. With a 100% success rate, our results are unrivaled, and we typically recover 10%-20% of collections from payers.

Underpayment Recovery

Larry G. Potter

Lgpotter33@gmail.com