Financial & Operational Health Check
A defined-scope first engagement of roughly three weeks. The low-risk way to see the standard before committing to anything larger.
Ask about a Health CheckAll significant financial and operational ratios calculated and benchmarked, with recommendations for setting and achieving target ratios.
A complete review of current and alternate revenue streams and customer contracts, with analysis and recommendations.
Vendor contract and operational cost analysis.
A report on high-value revenue optimization and operational efficiency opportunities.
A full board-level presentation outlining the opportunities and quantifying projected impact.
When the CFO seat is empty — or was never full.
A vacancy to cover, no CFO to begin with, or a capable CFO who needs the bandwidth for a bond issuance or a turnaround. All three are handled the same way: CFO-level analysis, reporting, and recommendations delivered to a defined scope and term, with your leadership keeping the authority and the tools.
Executive financial advisory
CFO-level financial advisory
Standing collaboration with the board and finance committee on the organization’s financial and operational goals; review, analysis, and enhancement of the monthly reporting package; and treasury and liquidity oversight across cash position, banking relationships, and debt-service planning.
Financial planning & analysis
Budget & multi-year forecasting
Collaborative budget-request packages capturing departmental input on FTEs, operating expense, and capital; an FTE benchmarking study against industry medians with staffing-optimization recommendations; a capital-needs assessment; and a multi-year forecast with scenario and sensitivity analysis across census, rates, contract mix, and capital.
Pro forma financial modeling
A live Excel decision-support model built from your status-quo budget and forecast, what-if modeling of the proposed initiative — a new service line, expansion, repricing, staffing change, or affiliation — side-by-side comparison against the base case, and a board-ready impact summary with a go/no-go recommendation.
Revenue, rates & contracts
Entrance-fee & monthly-fee pricing study
A pricing model by unit and contract type (Type A/B/C) delivered as a live Excel tool you retain, market comparables benchmarking fees against regional competitors, actuarial liaison aligning pricing and refund assumptions with your actuary, and a phase-in plan with board-resolution language and resident-communication guidance.
Resident contract review & strategy
Contract-type economics and compliance review across the resident-agreement portfolio, refund-provision analysis modeling the refund-liability exposure, financial-qualification and applicant-screening standards, and counsel coordination on revisions with your attorney drafting final language.
Revenue cycle & reimbursement review
A Medicare and Medicaid rate-integrity check against current schedules, billing and collections assessment across admissions, coding, and posting, accounts-receivable aging and denials review with root-cause findings, cost-report preparer liaison, and a prioritized cash-acceleration plan. A scoped review — not a cost-report preparation practice.
Capital & debt
Bond issuance & financing support
Feasibility-study inputs coordinated with the feasibility consultant, banker and rating-agency presentation materials with management-projection support, covenant term-sheet analysis weighing rate, structure, and flexibility, closing checklist and timeline management to the funding date, and a post-issuance compliance calendar.
Covenant & lender relations
A live quarterly covenant calculator covering days cash on hand, debt-service coverage, and additional-indebtedness tests; the lender reporting package with primary lender liaison; early-warning analysis flagging covenant pressure before it becomes a breach; and waiver or amendment strategy with negotiation support when needed.
Plan of finance & financing options
Plan-of-finance options sized to the organization’s and the project’s cash-flow needs, financing alternatives compared side by side with pros, cons, and all-in cost, term-sheet review for alignment with stated business objectives, and a board decision memo recommending a structure.
Turnaround & special situations
Financial turnaround
A thirteen-week cash-flow model delivered as a live Excel tool updated weekly, covenant workout and lender-negotiation support coordinated with counsel and the lender, an expense and census stabilization plan with quantified savings and named owners, and a monthly turnaround scorecard for the board and lenders.
Distress advisory & forbearance support
Forbearance-term analysis weighing concessions, milestones, and liquidity runway; consultant-call compliance and reporting when bond documents require it; and turnaround-plan progress reporting to lenders, trustees, and bondholders.
Turnaround work is delivered as advisory plus implementation support: OAS advises and supports, the client executes and owns the results.
Reporting & audit readiness
Monthly reporting redesign
A KPI dashboard surfacing the metrics your board actually governs by, a variance-narrative template pairing the numbers with plain-language explanation, a close calendar and checklist that tightens the monthly cycle, and a committee-pack template set your finance team retains and reuses.
Audit preparation
Prepared-by-client list coordination and audit-readiness project management, workpaper standards and supporting schedules to the auditor’s expectations, significant-estimates memos covering entrance-fee amortization, refund liability, and self-insurance reserves, external-auditor liaison through fieldwork, and an audit-committee briefing. Advisory support to management — not an audit, review, or compilation.
Form 990 governance & disclosure review
Governance-section review ahead of the preparer’s work, a Schedule J compensation-disclosure check, schedule tie-out reconciling the return to the audited financial statements, and a preparer punch list of items to resolve before filing. A governance and disclosure review — not tax preparation or tax advice; your preparer owns all tax positions and the filing.
Where else we work.
Start with a conversation.
Tell us what is in front of you — an opportunity, a challenge, or a transition. We will tell you plainly whether OAS is the right help, and what the engagement would produce.