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Home > Publications > Health Care

Health Care

MA Now

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2010

January 2010—Our practitioners discuss health care M&A activity and the types of transactions they see unfolding in 2010. Potential due-diligence guidelines and approaches are also addressed.

2009

Volume 4—Through better financial and retirement planning, physicians can gain financial peace of mind and a clear road map to a prudent retirement. Personal financial planning is also good for the practice—a differentiator that invests in the success of its people.

Thought Leadership Gallery—Gain perspective on how the economic climate is impacting health care organizations and current legislative efforts in Washington, D.C.

Volume 3-Special Edition—As a prelude to the annual Moss Adams Health Care Education Conference, the Moss Adams Health Care Group turned to four industry leaders and conference guest speakers to provide their perspective and insights on health care reform—what is coming and what is at stake:

• Three Areas to Watch
• Three Areas to Fix
• Three Points to Address
• Toward a More Equitable System

Volume 2—Learn some of the potential risks that can impact construction project objectives, and some best practices to build wisely and responsibly while reducing exposures. Explore the financial benefit of cost segregation.

Volume 1—One of the major components of the 2009 stimulus package is the earmark of $18.9 billion for electronic health records (EHRs). Discover some of the potential risk areas involved during EHR implementation and get some up-front guidance. Explore the changes and the need for compliance the stimulus legislation brings to HIPAA Privacy and Security rules.

Special Report—In MA Now's Special Report, our industry practice leaders analyze the impact of the stimulus package.

Articles

The Role of Healthcare Reform on the 2010 Financial Markets by Luc Arsenault, Partner, and Chris Pritchard, Partner, Moss Adams LLP (California Healthcare News, March 2010; used with permission)

In 2009, when healthcare reform became a legislative priority in Washington, D.C., the healthcare mergers and acquisitions market came to a halt. Over the course of last year, as healthcare took on greater shape in the public sector, the uncertainty in the capital markets decreased and there was a renewal of healthcare M&A activity.

Looking ahead, 2010 offers a tremendous amount of opportunity for a variety of healthcare transactions. The next twelve months could easily make up for the stop-and-start nature of last year's market.

Recapitalization in the Healthcare Industry: We've Only Just Begun by Wiley Kitchell, Managing Director, Moss Adams Capital LLC (Washington Healthcare News, September 2009; reprinted with permission)

The extraordinary impact of the ongoing national economic crisis has profoundly affected most sectors of the healthcare industry. The financing landscape has shifted and limited access to capital threatens the quality of care. Prior to the middle of 2007, capital was readily abundant. During the past 18 months, many healthcare facilities encountered tightening credit and restricted access to capital.

When facing the decision of refinancing or recapitalizing, it is critical to identify all available alternatives and to then clearly analyze each option. In the shifting landscape, nontraditional sources of capital will emerge and, in many cases, may offer strategic advantages to the professionals who are first to embrace the new sources. Plan Ahead. Be Prepared.

Ready? or Not? A First Look at Washington Hospital Succession Practices by Cathy Gibson, Principal and Practice Leader, Human Capital Consulting (Washington Healthcare News, August 2009; reprinted with permission)

The Good News: Succession planning in Washington is considered a priority by two thirds of the CEOs, Board members and strategic HR Executives responding to the recently concluded Moss Adams/Washington State Hospital Association Succession Readiness Survey.

The Bad News: Many hospitals fall short when it comes to a documented succession plan. Of all survey respondents, less than half acknowledged having a documented succession plan in place.

The Risks and Rewards of Healthcare Facility Construction by Sharon Hartzel and Shirley Komoto, Senior Managers, Business Risk Management and Control Solutions Group (Washington Healthcare News, July 2009; reprinted with permission)

The healthcare industry has spent about $150 billion on facility construction over the past five years, and spending will continue even in this tough economy. The challenge of today’s tight money has a silver lining—the market is more competitive, and prices of construction labor, materials, and supplies are starting to come down. The key to effectively moving forward with facility construction is to scrupulously identify and aggressively manage your construction risks.

Personal Health Information: Compliance and Security by Chris Kradjan, Partner, Moss Adams Information Technology Auditing and Consulting Group (Washington Healthcare News, May 2009; reprinted with permission)

Estimates indicate that close to one in five hospitals have experienced an information breach in the past six months, and surveys suggest that one in 23 individuals have been the victim of identity theft. Compromised personal health information (PHI) is indeed a real risk, and thanks to increased public scrutiny and media attention––as well as direct legal, monetary, and reputational implications––PHI compliance and security often top the list of IT projects for health care organizations.

Balancing Labor Costs with Quality Care by Michael Bernstein, Director of Hospital Operations, Moss Adams Health Care Group (Health Management Technology, January 2007, reprinted with permission of Nelson Publishing, Inc.)

Balancing labor costs with quality care is even more important in 2009's economic environment. In January 2007, Michael Bernstein, now Moss Adams' Director of Hospital Operations, wrote this article as the CFO of a major health care provider. Learn why improving productivity, managing workforce performance, and reducing labor costs are still critical to delivering high-quality patient care.

A Perfect Charge Description Master Isn't Enough by Rob Smull, Senior Manager, Moss Adams Health Care Consulting (Washington Healthcare News, March 2009, reprinted with permission)

What happens when you cross a perfect Charge Description Master (CDM) with imperfect charging processes in your clinical departments? You lose money. Often lots of it. What’s the solution? The best way to address this challenge is to integrate outpatient charge captures reviews with the CDM management function.

Personal Financial Planning: Not Just for the Rich by Lars Landrie, CFP, Partner and Investment Advisor, Moss Adams Wealth Advisors (Washington Healthcare News, February 2009; reprinted with permission)

Do you picture yourself putting your children through college, creating a trust to protect your family, and being able to retire on a schedule that allows you to enjoy your retirement? These are a few of the financial goals that may be important to you, and each comes with a price tag attached. Are you prepared?

Administrative Performance Reviews at Moss Adams: Managing Your Health Plan’s Performance by Will Norris and Jason Carr, Health Care Consulting Group (Orange County Business Journal, May 19-25, 2008; reprinted with permission)

To control the rising costs of employee health care benefit programs, many employers are insuring their benefit programs themselves, and using third-party administrators or insurers to administer benefits and process medical claims. Are you confident that your administrator is paying only eligible claims? 

Cost Segregation: A Common Cure for Your Bottom Line by Rob Grannum (Washington Healthcare News, July 2008; used with permission)

Cost segregation is a tax savings strategy that can improve the economic health of your bottom line by accelerating the manner in which you recover the investment in your facility costs for income tax purposes.

Industry Updates

2009

• 2009 Health Care Fall Tax Update
  • Legislative Update
  • Form 990, Schedule H: What Hospitals Can Do To Be Prepared
  • FIN 48 Update
  • Sales Tax Observations––Healthcare
• California Welfare and Veterans' Organization Exemption Requires Hospitals to File New Form
• 2009 Health Care Summer Tax Update
  • IRS Posts FAQs on Website Regarding New Form 990
  • RHIO Update
  • Treasury Addresses Cell Phone Tax
  • Will Community Benefit Standard Change?
  • Report Released from Advisory Committee on Tax Exempts

2008

• IRS Releases Final Redesigned Form 990
• Another Major Step in Redesign of Form 990
• IRS Compliance Checks for Issuers and Borrowers of Tax Exempt Bonds

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