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SCALE Turnaround & Restructuring

Gain Control of Underperforming Assets With SCALE’s Turnaround & Restructuring Program

Building modernized healthcare delivery platforms that yield better results

SCALE Is Positioned to Improve Results Across the Entire Spectrum of Underperforming Asset Management

Effectively Managing Underperforming Assets Takes a Coordinated, Multidisciplinary Approach

Unlike traditional restructuring firms, SCALE offers a dynamic platform that melds technical restructuring expertise with leading healthcare management advisory, execution & fully-managed services.

Gain command over weaker portfolio company performance through SCALE’s underperforming asset turnaround & restructuring services.

Restructuring Team
Clinical Specialty Team
Core Operations Team

SCALE’s Healthcare Services Platform Combined with Turnaround & Restructuring Expertise Offers A Complete Business Solution

Core MSO
Operations
Site-of-Service
Management
Clinical Specialty Management
Core Clinical Operations & Ancillary Services
SCALE Turnaround & Restructuring

SCALE’s healthcare services platform is designed to enhance results across the diverse range of domains that contribute to aggregate performance: facilitate performance clarity; gain an expert second opinion on strategic alternatives; enhance on-going execution.

Advisory
Project Management
Execution Oversight & Leadership
Interim Leadership & Fully Managed Services

Preliminary Assessments

Efficiently Define & Prioritize Value Enhancing Objectives

Evaluation:

What Key Opportunities & Concerns Should We Focus On?

Prioritization:

How Should We Sequence Execution?

Market Positioning:

How Do We Build Defendable Equity Value?

Healthcare & Restructuring Domain Experts Present Management, Board & Lenders With Preliminary Strategic Outlook Findings

  • Historical & projected financial performance
  • Cost savings & underperforming site / service line restructuring opportunities
  • Strategy, growth & development plans
  • Market positioning
  • Scope of clinical & ancillary services
  • Team & operational infrastructure
  • Broader specialty market trends & considerations

Efficient Assessment Process

  • Engagement of only seasoned domain experts
  • Assessment delivered within 1-4 weeks
  • Recommendation report – access to SCALE’s team of domain experts

“Early Intervention” Turnaround Execution:

With Early Intervention and Sufficient Planning & Resources, Many Assets Can Avoid Formal Restructuring Processes

SCALE’s tailored turnaround teams have proven track records working on behalf of, and side-by-side with, management teams, Boards, sponsors and lenders to augment execution wherewithal and performance.

SCALE integrates restructuring expertise into Early Intervention Turnaround Execution teams to complete preliminary restructuring strategy development & contingency planning simultaneous with efforts to redirect the Company’s standalone performance.

Illustrative SCALE “Early Intervention” Turnaround Team

SCALE Clinical Services Advisory

Core Specialty

Pathology

Radiology

ASC

Service Line Development

Pharma

Infusion

SCALE Operations & Management

Payor Contracts

Payor Strategy

HR

Finance Icon

Finance

Executive / Board Advisor

Revenue Cycle Icon

Revenue Cycle

Data Mangement Icon

IT

Email Marketing Icon

Marketing

Analytics Benchmarking

Analyst

SCALE Restructuring

Capital Restructuring

Business ASC Restructuring

Traditional Restructuring Services:

Approach Formal Restructuring Processes with Confidence, Empowered by Proven & Practical Restructuring Expertise

Creditor Advisory

Business model / plan & financial forecast – deep dive due diligence.

Evaluate the Company’s strategic restructuring alternatives & assess projected lender recovery rates.

Analyze restructuring plans & scenarios prepared by the Company.

  • Projection models
  • Cash flow forecasts
  • DIP budgets
  • Credit agreement advisory


Represent creditors in negotiations with debtor and debtor advisors.

Efficient Assessment Process

Evaluate the Company’s current liquidity profile & cash position.

Reassess business plan & develop strategic alternatives.

  • Out-of-court vs. Chapter 11 bankruptcy
  • Develop viable plan of reorganization; obtain creditor buy-in
  • Bankruptcy preparation


Establish communication protocols with key stakeholders, including the Company Board and its lenders.

Represent debtors in negotiations with creditors and creditor pool advisors. Fully-Managed Services.

  • CRO
  • Interim CEO
  • Interim CFO & Controller services

Leverage SCALE’s Platform to Tackle Execution in a Manner That Best Aligns With Project-Specific Needs

Your Turnaround / Restructuring Team

Restructuring

Frank Turner

Restructuring

David Friend

Financial Systems & Controls

Richard Veltre

Project Specific
Clinical Executive

Project Specific
Clinical Executive

Dynamic Range of Utilization Models Tailored to Best Achieve Tangible Results

Advisory / Light Execution Support
Heavy Execution Support
CRO / Interim Management / Fully Managed Solutions

SCALE Physician Group at a Glance

Our partners represent a broad network

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Physician Group engagements
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Providers across our partners
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States our partners operate across
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Service line and operational solutions offered by SCALE

Our team’s extensive and diverse expertise

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Healthcare companies founded by our team
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Exits from healthcare companies our team has led
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Healthcare c-suite roles our team has held
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Healthcare private equity funds our team has advised (operating partner)

SCALE Partners

Select Turnaround & Restructuring Experience

Select Lenders SCALE Has Worked With To-Date

Select SCALE Turnaround & Restructuring Engagement Experience

Pharma / Infusion Texas

Women’s Health New York

Multispecialty Texas

Multispecialty California

Select Prior Restructuring Experience

Power Equipment Distributor New Jersey

Oil & Gas E&P Oklahoma

Retailer New Jersey

Precision Manufacturer New Jersey

Technology New Jersey

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