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Case Study: U.S. Healthworks, Inc.

Overview
Decosimo serves as the exclusive buy-side due diligence consultant for U.S. HealthWorks, a leading operator of occupational healthcare centers in the nation, on 20 transactions and 35 centers in six states.

About U.S. Healthworks
Based in Valencia, Calif., U.S. HealthWorks was founded in 1995. With approximately 161 centers, U.S. HealthWork’s centers serve thousands of patients each day throughout the country. These centers help employers control work-related injury costs through quality medical care and effective management of claims and lost work time.

Client Objectives
The vision of U.S. HealthWorks is to provide innovative occupational health services that ensure continuous improvement to American productivity. Their growth strategy includes center acquisitions.  As part of the target center acquisition process a due diligence process was developed. The process includes the performance of financial and operational due diligence procedures.

Maximizing Value
After reviewing U.S. HealthWorks transaction due diligence process, we encouraged the development of a participative process to include financial management, development, regional operations, and Decosimo representatives. The team approach enhances the financial due diligence process, facilitates managements’ identification and analysis of relevant information, accelerates buyer decision making,  assists in gathering closing information, and improves the ownership transition process.

Disciplined Process
The financial due diligence process was developed to accumulate, analyze and report information in a timely manner. The Decosimo process is generally initiated when a letter of intent (LOI) is executed. The LOI triggers a timeline and a series of tasks that include electronic data portal access, information requests, analysis of data, planning procedures, site-visit(s), interviews, findings development, a review process and a report.

Proven Results
Over a span of several years, the Decosimo process has provided qualitative and quantitative information for consideration by U.S. HealthWorks. This information, combined with the company’s internal analysis, has resulted in a better understanding of the quality of earnings, assets and liabilities, and other factors positively impacting purchase decisions, agreements, budget accuracy and return on investment. 

By Cole Powell

Announcements
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PowerPoint: Cost of the Future Newly Insured under the Affordable Care Act (ACA)

PowerPoint: Cost of the Future Newly Insured under the Affordable Care Act (ACA)

Article: Minimizing Working Capital Disputes in Healthcare Deals

Article: HUD Launches New Federal Mortgage Insurance Program for Acquisition and Refinancing of Acute Care Hospitals

Decosimo CPA Firm Adds Larry Felts as Assurance Principal in Nashville

Decosimo Promotes Shannon Farr to Director of Healthcare Valuation

Decosimo Provides Leadership for TSCPA Forensic and Valuation Conference

PowerPoint: Life Cycle of a Physician Practice - Shannon Farr

Case Study: The Stark Statute and Tuomey Healthcare

Decosimo's Shannon Farr Addresses Health Care Attorneys at TN Bar Health Law Primer

Article: What’s Trending Now: Healthcare Reform Spurs Hospital-Physician Alignment

Case Study: How Credible Expert Witness Testimony Ended Litigation

Decosimo Advisory Services Has Strong 2011

Article: The Fraud Risk Checkup: Is Your Practice a Target for Embezzlement? - MD News Knoxville, July 2012

Case Study: Urgent Care Center Embezzlement

PowerPoint: Health Care Reform Tax Update - Kim Lawrence

Article: CMS Reconciliation of Outliers - A Day of Reckoning?

Case Study: Pulmonary Practice

Case Study: Oncology Practice

Case Study: Woods Memorial Hospital

Published: Have You Considered Your Practice's Curb Appeal for Potential Hospital Acquisition? - MD News, Knoxville May 2012

Case Study: Physician Practice Embezzlement

Case Study: U.S. Healthworks, Inc.

Published: Practice Review -To the Health of a Practice - MD News Knoxville, March 2012

PowerPoint: Fair Value in Healthcare Entities' Financial Reporting - Shannon Farr

Article: HUD Mortgagee Compliance for Long-Term Care Providers

Decosimo is an independently owned and operated member firm of both the Moore Stephens North America (MSNA) association of member firms and the Moore Stephens International Limited (MSIL) network of member firms.  Neither MSNA nor MSIL provide services to clients.  Decosimo is a separate and distinct legal entity, subject to the laws and professional regulations of the jurisdictions in which it operates, and is not authorized to obligate or bind MSNA, MSIL, or any other member firm of MSNA or MSIL.  Decosimo is liable only for its own acts or omissions and not those of any other person or entity including MSNA, MSIL and other member firms of MSNA and MSIL.