Gain Control of Underperforming Assets With SCALE’s Turnaround & Restructuring Program
The SCALE T&R team is built on decades of experience in the provider performance space. SCALE T&R Consultants have a broad set of skills that allow them to support the entire spectrum of provider business needs, in all specialties. However, T&R consultants also possess additional, important character traits that set them apart:
- Inquisitive mindsets that are highly focused on problem solving
- An analytical approach to support innate experience
- A deep respect for the medical profession of medicine and the important role it plays in society.
The SCALE Difference
Effectively Managing Underperforming Assets Takes a Coordinated, Multidisciplinary Approach
SCALE begins with the end in mind first-which is creating a business improvement plan and execution pathway that will lead to long term success, while maintaining the historical integrity of the business.
With the end product in mind, SCALE T&R engagements turns to Research & Analysis that draws on decades of domain and subject matter expertise to quickly identify the root causes of underperformance.
SCALE R&T projects are led by our core Operations team, but is frequently assisted by other key SCALE assets including SCALE RCM, Finance. Marketing, HR, and Payor Contracting, along with an array of industry specific SME’s to provide a holistic, deep approach to solution creation for our clients.
With this information, SCALE provides insight to and collaborates with Key Stakeholders to collaboratively build, test, and refine custom solutions that provides better:
SCALE’s Healthcare Services Platform Combined with Turnaround & Restructuring Expertise Offers A Complete Business Solution
Operations
Management
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.
Suite of Services
Financial Analysis and Planning
SCALE delivers comprehensive financial analytics and specifies cost reductions and revenue enhancement opportunities. Our team of experts complete scenario planning analysis to support client decision making.
Operational Analysis and Planning
SCALE domain experts evaluate operational performance in order to identify gaps and inefficiencies. We partner with clients to develop sustainable interventions to improve local and corporate performance.
Interim Leadership
SCALE offers interim management services across a wide variety of senior leadership positions including COO, CFO CRO as well as PMO leadership and staff.
Operational Analysis and Planning
SCALE domain experts evaluate operational performance in order to identify gaps and inefficiencies. We partner with clients to develop sustainable interventions to improve local and corporate performance.
Process Improvement Execution
SCALE offers comprehensive services to manage change across an organization which may include project leadership, interim operational leaders, and interim financial leaders.
Project Management
Using SCALE for project and program management enables clients to quickly execute, build organizational confidence and produce sustainable outcomes.
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.
Debtor Advisory
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
CASE STUDY:
DSO Turnaround Assessment
Client Profile
Size
40 Providers
Location
VA, MD, PA, NJ, NY
Specialty
Dentistry
SCALE was engaged by a lender to assess a DSO business that is failing, and provide a recommended course of action to management to support closure, or stabilization & future success.
- DSO was owned jointly by a PE firm that held the primary equity stake, and lender holding the debt.
- Management team was in chaotic state and business was losing approximately $1-$1.25mm a month over a 18 month period
- Lender understandably concerned about future prospects given routine capital calls
