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.
Most organizations that call are in one of three situations. 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.
A vacancy to cover
Your CFO left, the search will take months, and the close, the board package, and the lender reporting still have to happen. Often called interim CFO work — here it means the analysis and reporting get carried while your controller and CEO keep the decisions.
No CFO to begin with
You are too large for a bookkeeper and too small to justify the seat. Often called fractional or outsourced CFO support — a standing monthly cadence that gives the board CFO-standard numbers without a permanent hire.
A CFO who needs the bandwidth
You have a capable CFO and a bond issuance, a repricing study, or a turnaround on top of the day job. Senior capacity for the one project, so the close and the covenant reporting never slip.
In every case the engagement is advisory support to management. OAS does not fill the officer seat, hold signing or banking authority, or supervise your staff — a designated member of your leadership owns the decisions and oversees the work.
Talk through which one you areExecutive 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.