BAPTIST MEDICAL PARK
Pensacola, Florida

Provided demographic needs analysis for six ambulatory care services in an area where the hospital desired to build a 50,000 square foot multi-service, ambulatory care center. Developed pro formas identifying staffing, revenue per case, expected contractual allowance, and all other operational expenses for each in concert with hospitalŐs finance department. Coordinated with large, national design/build firm for construction and equipment costs to deliver an integrated financial projection to client. Client has re-engaged The Firm to assist with interviewing physicians related to the surgery center part of the project, and to develop a successful joint ownership opportunity between the hospital and the local physicians. Client reference available upon request.

ASPEN CENTER
MULTI-SERVICE AMBULATORY CARE CENTER
Simi Valley, California

W/ASD developed all services in 36,000 square foot, multi-service ambulatory facility, containing an MRI unit, full imaging diagnostic service, surgery center, joint ventured home health care business, durable medical equipment business, independent primary and reference laboratory, and a rehabilitation unit. Responsible for leasing all physician space, developing all operating systems, and overall management during first 12 months of operation.

• Developed financial scenarios to ascertain which services to offer and developed capital and operating budgets.
• Coordinated and negotiated construction contracts for shell and tenant space.
• Assisted project's attorney in negotiating terms of joint venture agreement with local hospital. Operation setup of:diagnostic imaging center; MRI unit; sergicenter; centralized business office and medical records;
• Initial development of home health care and comprehensive pain mgmt. services
• Leasing of physician office space in the building
• Provided equipment planning and acquisition for the project. Established group purchasing program for medical supplies and film.
• Negotiated third party payor contracts for all services.
• Established Management relationships with the center.
• Developed corporate marketing materials.

KPMG, Peat Marwick, CPA
Chicago, Illinois

Worked with the accounting firm to develop integrated operations of a large, primary care center to be constructed by a large Chicago-area hospital. Operational focus included review and validation of performance, and analysis of patient visits, patient flow, staffing, and organizational management. Assisted planning team with implementation methodology, and market share and penetration strategies.

METHODIST MEDICAL CENTER OF ILLINOIS
Peoria, Illinois

Performed a demographic analysis and extensive physician interviews to recommend specific services that may be offered in a suburban community where the hospital desired to develop a multi-service, ambulatory care center. Worked with a national design/build firm to develop a space program that complemented the services we specified. Developed a complete equipment budget for the project. Validated location of ambulatory center that Medical Center had purchased. Developed a market positioning strategy for the center. Developed financial projections for each service along with staffing models and equipment needs. Client reference available upon request.

PORT HURON HOSPITAL
Port Huron, Michigan

Surveyed a rural hospital and made recommendations to the local hospital board members and administration of Port Huron Hospital related to whether to convert a rural hospital to a nursing home or an ambulatory care center. Worked with VHA of Michigan as a consultant on this project. Developed a list of ambulatory care services that would best fit for market area population, reviewed and rendered opinion on site selection for new ambulatory care center, validated financial projections developed by hospital CFO for primary care and other services we recommended, assisted architect and client in reviewing single-line drawings for the ambulatory care center and recommending space requirement for each service W/ASD recommended. Client reference available upon request.

NORTH DENVER MEDICAL CENTER
Denver, Colorado

North Denver Medical Center contracted with Ambulatory Systems Development to assist with the program development of services in this 16,000-square-foot multi-service ambulatory facility. W/ASD provided the following assistance:

• Turn-key development of systems related to opening the surgery center. Recruitment and orientation of Director of Nursing, all business systems, fees, personnel policies.
• Assistance in contracting with HMOs and other third party payors as well as direct contracts with large employers.
• Assistance and establishment and contract negotiations related to the laboratory services.
• Negotiation of space with physicians for generic office space.

TRINITY MOTHER FRANCES HEALTH SYSTEM
Tyler, Texas

Analyzed 6 counties surrounding Tyler, Texas where said health system is located to ascertain what type of physicians and ambulatory care services should be offered in each county. Determined locations for each of these Multi-service Ambulatory Care Centers. Prepared a program of service specific to the demographic and competitive composition of each market and worked with architectural firm to develop a space program and plan for each center. Developed pro formas for the urgent care services and reviewed hospital prepared pro formas for each service to be housed in the MACCs. Determined site and worked with architectural group to develop space program for Urgent/Primary care center in South Tyler. Developed program of service and pro formas for this project. Provided valuation and negotiated purchase of an Ophthalmology ambulatory surgery center on behalf of TMF Health System. We will redevelop the hospitalŐs other multi-specialty surgery center and syndicate it to other local physicians in Tyler. Client reference available upon request.

ROCKFORD CLINIC
Rockford, Illinois

Provided feasibility studies for a 70-physician multi-specialty medical group to develop, own, and operate freestanding CT scanner, GI lab, surgery center, and cast room. Also, coordinated the development of the surgery center.

VAIL VALLEY MEDICAL CENTER
Vail Valley, Colorado

Firm has provided interim CEO and overall hospital management services. Board retreats conducted by Mr. Woodrum, Partner W/ASD, related to future direction of the Medical Center. W/ASD contracted to complete a two county assessment of demographics, competition, acquisition opportunities, and make recommendations related to an ambulatory care strategy for the Medical Center. Client reference available upon request.