In many cases you, the accountant and lawyer, are the first to observe
or hear from the physicians and providers that there are problems
developing in their practices. These usually take the form of rising
expenses, falling incomes, a weakening of the provider-facility
relationship, internal partner conflict, or a combination of all of
By combining the operational, financial, and strategic
expertise of SHC with your accounting and legal acumen, and practice
specific knowledge, we can identify and resolve the problems before
they become a crisis.
In our experience the underlying
problems have an identifiable operational component. Examples that we
have found are the following:
An uneven distribution of revenue and/or expenses due to an
outdated partnership agreement that has not evolved as changes in
provider practice patterns, payer mix and referral patterns have changed
Corporate governance has not been addressed or has evolved haphazardly leading to a crisis
SHC will provide the objective, concrete analysis that will feed into
the re-writing of the partnership agreement and distribution formulas.
SHC will lead an in-depth interview and study process of the current
governance situation. We will provide a non-judgmental analysis of the
governance culture, its strengths and weaknesses, identify solutions
and lead the change process.
While never a pleasant experience, SHC will provide objective analysis in the fact finding and litigation phases of the following: