Examples of Consulting Engagements that added value to Practice endeavors. University Practice- Texas The Radiology practice covering all imaging facilities within this network contacted Proforma shortly after a severe system failure that crippled both their management information and receivable systems. At the time of initial call matters were at a crisis stage. Proforma redirected the planning focus in light of a detailed cost analysis of operations. Within 24 hours of the initial on-site visit Proforma helped negotiate a contract with a local vendor and then assisted the practice with restructuring the remainder of it's internal organization. The Firm was retained to continue monitoring the progress of the transition and build new trend reports that helped benchmark progress. This relationship continued until the practice merged with a new healthcare delivery system eight years later. The receivable backlog was recovered in 240 days. The operating expenses of the practice were reduced, from year 2 forward, by $700,000 per annum. University Practice - Missouri Proforma participated in an annual retreat run by the Chairman of the department. It was asked to evaluate the performance of the receivable system handling one of the largest exam volumes in the country. The department was unique within the Medical School in that it was allowed to process it's own receivables; all other clinical departments used the Medical School's internal system. Cost accounting within a Medical School is difficult because no single account is used to pay for dedicated expenses. This masked the inefficiencies of the internal system, which proved to be very expensive. Proforma build a consolidated cost model to quantify the extent of overrun. It then oversaw the submission of bids by specialized vendors to validate the conclusions of the study. Medical school policy limited the ability of the department to outsource the receivable processing. The Chairman used the information in the study to negotiate an agreement with the Medical School to take over processing at market rates. The annual savings ranged between $270,000 to $350,000 per year. Private Practice - New England The largest private Radiology practice in New England retained Proforma to help determine a strategy for the possible sale of it's captive billing company. It was the largest client; other clients were insignificant and unprofitable. The practice intended to seek a buyer who would also assume responsibility for processing it's receivables. Proforma convinced the practice that the processing rate it was paying it's own company was so non-competitive that it would be better off selling the company assets and negotiating an arms-length agreement with a vendor. It introduced the practice to one of the leading specialty companies in the region and helped negotiate the terms. The immediate savings to the Practice were $600,000 per year. Proforma's knowledge of the market rates help the Practice quickly realize that their captive organization was too costly. Private Practice, Pennsylvania A practice with a dominant market position owned a very profitable imaging center where it's major hospital intended to construct an Ambulatory Care campus. A large percentage of physicians who referred patients to the practice's facility had committed to taking space in adjoining office buildings on this campus. The hospital informed the group that it expected the physicians to send their patients to the Center's radiology department, and implied a linkage of the practice's exclusive hospital contract with their decision to close their facility. Proforma, as part of a team of consultants, helped the Practice determine the implications of alternative strategies. It was Proforma's economic models that became the basis for the hospitals purchase of the facility.