Financial Analysis and Benchmarking

Golden Caduceus Consultants shall evaluate and make recommendations to optimize the availability of the mission critical anesthesia services.  Through survey instruments, interviews, and financial data supplied by the stakeholders, GCC shall evaluate and make stabilization recommendations in the following manner:

1. Survey the anesthesia group members and present the survey results and initial financial benchmarking data during the on-site consultation (this is assuming that the surveys are submitted to GCC in a timely manner);
2. Confirm the appropriate anesthesia staffing for the hospital utilizing GCC’s Staffing Grid;
3. Evaluate the current and proposed anesthesia coverage provided to the hospital and present a fair-market value determination that will provide the basis for a legal opinion for the  anesthesia services as compared to MGMA and AAA data;
4. Send an initial Insert Report with data relevant to the benchmarking for validation by the group;
5. Review the Financial Analysis Report for correctness with the group prior to its formalization;
6. Deliver two copies of the Financial Analysis Report to the group.  Golden Caduceus Consultants will deliver the Financial Analysis Reports in a timely manner based on the completeness and timelessness of data received.  The primary factors that would delay this project are receiving the RFI late in the process with data that is incorrect, incomplete, or in need of normalization.  Once the report is delivered, all revisions and teleconferences beyond the first review will be billed at the hourly rate. 

Fee Structure:

1.	The above services plus an on-site evaluation	$24,500
2.	Over 15 surveys (priced per survey)	$       50
3.	Handwritten, faxed, or mailed surveys surcharge per survey	$       30
4.	Additional days added to initial  on-site evaluation	$   3,000
5.	Travel expenses for two consultants (Meals and hotel are included in the project fee)	Variable
6.	Per-hour work performed after the completion of Financial Report after a follow-up conference call	$     395
7.	Per-hour work developing staffing grids and budgets for more than one site	$     395
8.	Strategic Retreat (a Saturday and Sunday morning retreat is optimal)	$10,000
9.	Extraordinary expenses (i.e., added or customized reports, extra copies of reports, outsourced consulting, on-site days greater than 10 hours, and normalizing data)	Variable
10.	Future on-site days (two day minimum plus travel for two)	$   3,000
11.	Certified procedural coding analysis (CPC)	Variable
12.	Per-hour work for focused perioperative analysis	$     395
13.	Detailed pain management analysis	Variable

An initial installment of $14,500 is required to begin the process.  The second payment of $5,000 plus travel expenses will be due during the on-site consultation, and the final payment will be due with the submission of the Financial Analysis.