OVERVIEW

Southwind Health Partners® Is The Next Generation
Physician Practice Management Company

Southwind Health Partners® is a physician practice management firm that provides long term management, interim management and consulting services to health systems, hospitals, academic medical centers and large, independent medical groups.

Our physician practice management and consulting team is a dedicated, high performance group of professionals with deep backgrounds and experience in physician practice management and revenue cycle management.

Clients retain Southwind for several reasons:

  • Southwind executives place a premium on relationships with clients, physicians, employees and other stakeholders;

  • The Southwind team has a strong, action oriented approach toward positive change;

  • Our executives are hands-on, working side by side with your staff to improve your business process;

  • Southwind has a consistent track record of delivering predictable, positive results; and

  • Integrity is paramount in all our dealings.

Southwind currently provides physician practice management and consulting services to over 20 clients in 16 states representing over 1,000 physicians.


TRENDS:

Physician Employment is a Growing Business

Much has been written about the demise of health system sponsored physician practices. While many systems have elected to divest all or a portion of their owned physician practices, most institutions continue to employ physicians. Other health systems are developing physician employment models for the first time.

The trend of health systems turning to the physician employment model is being driven by a number of factors:

  • New breed of physician wants a “JOB” – Physicians out of training are seeking employment opportunities that offer a balanced lifestyle. It is rare for new physicians to “hang a shingle” and open a private practice.

  • Ensure long term commitment – Physician employment continues to serve as an important vehicle for aligning physicians with the institution over time.

  • Facilitate succession planning – Mature physicians are reluctant to accept the business risk of recruiting and hiring their replacement. Through employment, the institution accepts this risk and the initial investment while partnering with senior physicians to serve as mentors and leaders of the employed physician practice.

  • Platform for expansion – Just as physicians are reluctant to invest in succession planning, they are reluctant to invest in growth. Employment offers a vehicle to grow a loyal physician complement, including the ability to locate new, loyal practices in strategic geographic areas.

  • Address malpractice crisis – Especially in certain specialties such as OB/GYN, physicians are increasingly seeking health system support for the cost of professional liability insurance.

  • Managed care clout – Aligning with physicians through employment offers the ability to strengthen managed care contracting leverage with third party payors.

  • Deal with unfriendly aggregators – Some health systems face competition from specialty groups seeking to open hospital-like facilities. Those institutions that maintain a strong employed primary care physician base are positioned to ensure that referrals remain inside the system. Many systems are finding ways to share financial success with their employed physicians in order to align incentives against unfriendly aggregators.

  • Vehicle for quality initiatives (EMR) – The ability to deliver documented quality health care through large physician groups on a common information system platform is the holy grail of employed physician practices. , The electronic medical record (EMR) continues to represent a significant opportunity for health system sponsored medical groups.

As today’s health systems are investing in and growing their employed physician practices, a sea change is taking place with respect to system management’s willingness to consider outsourcing the management of their physician practices. While in the 1990s hospital administrators were aspiring to own and operate HMOs, physician practices and other “non-core” services, many health system executives today see the need to own and govern practices but not manage them.


MISSION AND VALUES

Mission:
Provide Broad Range of High Value Practice Management Services

The mission of Southwind Health Partners® is to provide a broad range of quality physician practice management services to hospitals, health systems, academic medical centers and large, multi-specialty medical group practices that offer high value, return-on-investment to clients.

Values:
Key Principles Guide Southwind

  • The highest level of integrity, honesty and fairness in the way we conduct our business and the way we lead our lives;

  • Creating collaborative and mutually empowering relationships between and among Southwind management consulting executives and key client stakeholders;

  • Adhere to sound business principles; Never trade short term gain for long term loss;

  • Producing the highest quality work, even in small things;

  • Treating competitors the same way we would wish to be treated by them; and

  • Be the best place to work in the physician practice management industry.

CLIENTS

Southwind Provides Physician Practice Management Services to Hospitals, Health Systems, Academic Medical Centers and Large, Multi-specialty Physician Medical Groups

Engagement categories:

> Medical Group Turn Around Engagements

> Revenue Cycle Performance Improvement

> Aligning Physician Incentives

> Practice Acquisition/Start-Up/Consolidation

> Physician Practice Management Information System Selection

> Physician Manpower Planning

> Strategic Planning

The following are examples of recent client engagements:

Medical Group Turn Around Engagements

  • Managed a large, Midwest health system with a 183 physician, mostly primary care medical group in 65 locations and an annual financial operating loss of over $27 million. Over three years, restructured the medical group for long term financial sustainability with no measurable diminution in physician referrals, improving financial performance by over $20 million annually.

  • An academic medical center affiliated health system in New England was experiencing a deteriorating $8 million annual financial operating loss on its 100 provider employed physician practice. During an 18 month interim management engagement, we restructured legacy physician employment agreements, instituted a new physician compensation plan and consolidated four practice management software platforms and nine hardware configurations with 17 unique databases onto a single professional fee revenue cycle platform. The result: a 22 percent increase in professional fee cash collections and a $4+ million improvement in annual financial operating performance.

  • Provided interim management for a mid-size health system in Michigan experiencing financial operating losses of over $2.5 million associated with its 18 employed physician primary care practice. Through a combination of practice restructuring and selective divestiture, the health system realized $2.0 million in annual savings with no measurable reduction in physician referrals.

Revenue Cycle Performance Improvement

  • Directed the restructuring of the professional fee billing process for a 150 physician practice sponsored by a Midwest health system. The result was a $4.5 million dollar improvement in cash collections. The practice has consistently maintained days in accounts receivable in the high 30’s for the three years following this engagement.

  • Redesigned the revenue cycle process for a 155 physician multi-specialty group practice in the Northwest through a five month focused engagement. Mentored local staff through significant changes in front end and central business office functions that resulted in doubling time of service collections, improving net revenue per visit by 16% and reducing gross days in accounts receivable by 28 days.

Aligning Physician Incentives

  • Led the restructuring of physician compensation for the Division of Cardiology in a New England academic medical center. Aligned financial incentives around overall cardiac services financial performance and individual physician productivity.

  • On behalf of a large, national Catholic health system, developed an innovative physician compensation model. The model supported the development of a new, integrated delivery system composed of a 175 physician multi-specialty group practice and 89 bed hospital in the North Midwest.

Practice Acquisition/Start-Up/Consolidation

  • Facilitated the turn-key development of the physician practice management infrastructure required to support a health system sponsored employed primary care physician network of up to 50 physicians in the Midwest.

  • Developed turn-key and managed the physician practice management infrastructure for a new, 28 physician hospital sponsored physician network. Grew the physician compliment to over 50 physicians within 12 months, recruited permanent management and continue to provide ad hoc support as needed.

  • Provided interim CEO services to support the successful merger of three independent gastroenterology groups in the Pacific Northwest. Recruited a highly qualified permanent CEO and facilitated a graceful transition, including a strategic planning process to support post merger growth and development.

Physician Practice Management Information System Selection

  • Southwind led a thorough and independent selection process for a practice management information system for a health system sponsored physician billing service organization in Michigan.

Physician Manpower Planning

  • Southwind has conducted numerous data driven physician manpower needs assessments identifying both community needs as well as institutional strategic needs for key physician specialties. Recommended innovative alternative models of physician alignment to meet physician manpower needs.

Strategic Planning

  • Facilitated a strategic planning retreat for a multi-specialty physician group practice composed of 25 physicians in the Northwest, resulting in a consensus plan for growth and the development of new specialty and ancillary services over the following three to five years.

MANAGEMENT TEAM
 John A. Deane
John A. Deane

CEO & Chief Development Officer

John Deane is founder and Chief Executive Officer of Southwind Health Partners, a physician practice management, interim management and consulting firm based in Nashville, Tennessee. Southwind specializes in working with physician organizations sponsored by hospitals, health systems and academic medical centers. Prior to founding Southwind in 1998, John has worked for thirteen years in executive level positions focused on managing physician organizations, including service as an Operating Vice President at PhyCor from 1993-1998, Executive Director of UT-MED, the faculty practice plan at the University of Texas Medical Branch from 1988-1992, and Executive Director of the Washington University Medical Alliance Corporation, a joint venture between Washington University School of Medicine and its affiliated hospitals from 1985-1988. John began his health care career as a consultant and later senior consultant for VHA Enterprises Consulting Services where he worked with health system clients participating in the development of a broad range of managed care physician organizations. John earned his BA and MPA at The American University in Washington, D.C.


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 Peter Kindrachuk
Peter Kindrachuk

President and COO

Peter Kindrachuk has twenty-two years of healthcare experience with physician practice management and managed care risk contracting in a variety of settings. Peter serves as Interim CEO for select Southwind management engagements, oversees Southwind operations to ensure client satisfaction and provides consultation in strategic planning, physician income distribution and managed care contracting. Prior to joining Southwind, Peter served as Senior Vice President and General Manager for North American Medical Management (NAMM), a division of Aveta Health (formerly PhyCor). During eight years with PhyCor, a pioneer in the physician practice management arena, Peter oversaw a wide variety of multi-specialty physician group practices ranging in size from 25 to 200 physicians as well as independent practice associations (IPAs), most of which were extensively engaged in managed care risk contracting. As Vice President Operations at PhyCor, and later Group Vice President, Peter was responsible for recruiting, hiring and directing local management teams executing in the field. Prior to joining PhyCor, Peter served as Administrator of the Ochsner Clinic’s largest satellite operation in Baton Rouge, Louisiana where he successfully grew the group from 40 to 80 physicians. Peter’s early career experience includes serving as administrator of an independent physician group in Green Bay, Wisconsin and other positions at the Ochsner Clinic in New Orleans, Louisiana. Peter holds an MHA from Duke University and a BA in political science and economics from Northwestern University.


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 Margaret Hoban
Margaret Hoban

Executive Vice President

Margaret is Southwind’s key executive for assessment of physician practice operations and revenue cycle management, including billing, collections and accounts receivable. In addition, Margaret provides Southwind clients with technical assistance in the selection and implementation of new generation information systems supporting practice operations. For two years, Margaret served as Solutions and Services Executive for PhyCor, Inc. where she specialized in bringing design, development and implementation of integrated best practice solutions to multi-specialty groups. Previously, Margaret held positions as Executive Director in both primary care and multi-specialty group practices. She also served as Associate Vice President for Ambulatory Services and as Executive Director for Primary Care Network Development within the Sisters of Mercy Health System in Pontiac, Michigan for five years.


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 Randy Gott
Randy Gott

Senior Vice President

Randy Gott leads Southwind’s medical staff development planning services and augments the firm’s physician compensation development expertise. Randy has over sixteen years of experience in the fields of physician services, physician compensation, medical staff development planning, and recruitment. His background includes consulting with hospitals, group practices and physicians in areas such as compensation, practice development, manpower planning, practice acquisitions and mergers. He is a nationally recognized expert in physician manpower planning for health systems. His expertise in physician compensation planning has been utilized by medical groups, hospitals involved in practice acquisitions, and not-for-profit organizations wishing to employ physicians. He is national speaker and author of numerous articles on medical staff issues such as physician recruitment, physician manpower planning, physician retention and is often quoted in healthcare publications.


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 Dick Wright
Dick Wright

Senior Partner

Richard Wright is a Senior Partner with more than 35 years of health care management experience in a wide variety of organizations. He has operated health maintenance organizations, a leading physician practice management company, hospitals, (both domestic and international), insurance companies, a healthcare technology firm, a management consulting firm and a company delivering services in the field of correctional medicine. He is a unique resource for strategic planning, mergers and acquisitions, executive coaching and evaluation/resolution of operational challenges in physician organizations.

Mr. Wright recently completed a rebuilding effort as part of the America Service Group (ASG) management team serving as the Vice Chairman of ASG and President and Chief Executive Officer of Prison Health Services. ASG is the leading provider of managed care services to the correctional healthcare market and he remains on the Board of Directors. Prior to joining ASG, Mr. Wright was Chairman, President and Chief Executive Officer of Covation, LLC, a provider of software integration and data management services for healthcare payors until acquired by Perot Systems.

Wright was a co-founder of PhyCor, Inc., where he served as Director and Executive Vice President of Operations over a ten-year period. PhyCor, the pioneering physician practice management firm grew to 55 clinics with 3,800 physicians in 28 states with $1.2 billion in revenue. PhyCor paved the way for many of today’s health system and other health care firms working with organized physician practices.

He also held senior management roles at HCA International and its group health venture, EquiCor, while living and working in Saudi Arabia, Pakistan, England, Brazil and Nashville.

Mr. Wright holds a Masters of Health Administration from Georgia State University and a Bachelor of Science degree from Michigan State University. He was honored with the GSU Institute of Health Administration Professional Achievement Award in 2006.


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 Bob Vernon
Robert B. Vernon

Director of Development

Mr. Vernon joins Southwind with over twenty-five years experience in health care, focused on health system and health plan strategy, and new business development. At Southwind Bob will lead the business development, marketing and communication activities, as well as provide Southwind clients with assistance related to physician alignment, consumer-directed care and managed care.

In his role, Bob is charged with ensuring that, as the company grows, we maintain our high level of responsiveness to new and existing Southwind clients. He also offers clients strategic expertise in consumer directed health care, as it reshapes the way physicians and health systems conduct business.

In his career, Bob has served as an advisor to numerous health systems and health plans on issues related to physician ventures, managed care and consumer-directed healthcare. Prior to joining Southwind, Bob led product implementation and customer relations for a consumer-directed healthcare software company.

Previously, he provided product development, marketing expertise, and health plan management services for a worldwide insurance services firm. In his role as a consultant with Voluntary Hospitals of America, Healthcare Venture Associates and Trigon Health Ventures, Bob established several successful managed care organizations and provided turn-around and interim management services to many others. Related to consumer directed health care, Bob has consulted with and presented to health systems, physicians, insurance brokers, technology companies, attorneys, and financial institutions. He has also published several articles on the topic.


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 Anthony D’Eredita
Anthony D’Eredita, JD, MBA

Senior Vice President

Anthony D’Eredita provides short and long-term executive project management, as well as strategic and operational services to Southwind clients. Anthony has more than ten years health care leadership and operations experience and has been an attorney for 18 years.

Since joining Southwind, Anthony led the turnaround as interim CEO of a 115-provider multi-specialty practice. He significantly increased revenue and decreased operating losses, leading operational re-design and improvements in compensation programs, financial reporting, management staffing, governance structure, physician leadership, and marketing and branding. Additionally, Anthony leads the development of senior-focused Medicare risk clinics for a publicly traded health plan and conducts third-party payor negotiations and strategic planning for physician clients.

Previously Anthony led consulting services for iLIANT Corporation, an application service provider and business process outsourcing firm. At iLIANT, he led physician group mergers and divestitures, billing office turnarounds, business planning, compliance management and implementation project management. Previously Anthony was with the North Medical Companies, the owner of a multi-specialty group practice, HMO, senior housing facility and extensive medical real estate. There he served as CEO of PhyLinc Practice Management, LLC and COO of North Medical, PC. Anthony also served as senior counsel and led the physician practice group at the New York law firm of Bond Schoeneck and King.

Anthony has been an adjunct professor and is a national speaker. He has authored books on HIPAA and other compliance issues. He earned his MBA at the Whitman School of Business, Syracuse University; his Master of Studies in Law, magna cum laude, and JD at Vermont Law School and his B.S. at Lemoyne College.


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 Jack Hickey
Jack R. Hickey

Director

With 25 years of experience in both financial and operational management in service industries, Jack brings to Southwind’s clients critical cost saving and operational improvement resources as both a consultant and interim executive. Prior to joining Southwind, Jack served as Chief Operations Officer at a 100+ multi-specialty physician clinic, with responsibility for 75 departments at nine locations, handling a gross revenue budget of $111 million. Jack facilitated the conversion to a national group purchasing program for 55 multi-specialty clinics and approximately 3,700 physicians, and identified over $20MM in savings opportunities. He has designed and implemented a standardized pharmacy distribution program for 28 pharmacies and 46 clinics resulting in lower pharmaceutical acquisition costs and increased management reporting capabilities. In addition, Jack has conducted over 30 operational assessments within materials management, identifying and implementing recommended improvement strategies. Trained in the area of finance, Jack held multiple financial positions at American Airlines, including Central Division Controller with responsibility for 41 cities. Jack also served as Assistant Treasurer for National Auto/Truckstops and as Director, National Contracts for PhyCor, Inc.


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 Andrew G. Kellar
Andrew G. Kellar

Director

Andy has twenty years of progressive healthcare experience in physician practice management and managed health care. At the executive level, Andy has served as Vice President for Ochsner Clinic Foundation, New Orleans, La.; a 600 physician integrated delivery system with 24 regional and satellite clinics and 4 hospitals. His responsibilities included managed care contracting with over $400 million in net revenue, business and referral development, hospital integration, international health services and corporate programs.

Additional senior management positions include Regional Vice President of multiple networks for North American Medical Management (NAMM), an IPA/PHO development and management company, and Vice President of Managed Care Contracting for a statewide health plan, insuring 200,000 commercial and Medicare covered lives. Earlier experience includes business operations and revenue cycle management of the regional Ochsner Clinic in Baton Rouge, La. As a charter member of the Administrative team with 17 physicians, the practice grew to 80 physicians in five years including construction of a 110,000 square foot multi-specialty facility.

Andy earned a Bachelor of Science in Business Administration degree with a double major in healthcare management and marketing from Appalachian State University.


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 Susan Mackintosh
Susan Mackintosh, CPA

Director

At Southwind, Sue is responsible for developing detailed financial planning and physician compensation models for medical practices undergoing restructuring. She also performs financial assessments for consulting clients and executive coaching. For five years, Sue served in senior financial operations positions at PhyCor, Inc., including Chief Financial Officer of a 135-provider multi-specialty group practice in Northwest Georgia and Director of Financial Operations for an IPA headquartered in Nashville. She also served as Vice President of Finance for a major health system-sponsored HMO and IPA affiliate in Virginia for 12 years. A CPA, Sue began her career with five years at KPMG in Charlotte and Norfolk, Virginia.


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 Maureen M. Madigan
Maureen M. Madigan

Director

Maureen is a Southwind Director of physician practice operations and revenue cycle management. With greater than 20 years of healthcare management experience, Maureen has held a variety of positions as Executive Director in primary, single, and multi-specialty group practices. While serving as Director of Operations for the Mercy Medical Group in Pontiac Michigan, Maureen was instrumental in managing practice acquisitions, transitioning hospital-owned practices into a physician-governed medical group, and served as project manager for the selection and implementation of an information system that supported practice operations. As the Administrator of a busy single specialty surgical group in Michigan, Maureen redesigned the revenue cycle which dramatically reduced days in accounts receivable. Since joining Southwind Maureen has been dedicated to the assessment of physician practice operations, information system implementations and the entire revenue cycle process bringing best practice solutions to Southwind clients.


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 Vince Manoogian
Vince Manoogian

Director

Vince Manoogian is a Southwind Principal who serves as Interim Executive Director for troubled medical groups and is a specialist in the transition of health system employed physicians to private practice. Vince has served as Interim Regional Practice Operations Director for a 189 physician medical group in the Midwest where he was responsible for the turn around of a 60-physician former staff model HMO group practice. Under Vince’s leadership, this group experienced a $7 million improvement in financial performance with no measurable diminution in physician referrals by physicians affected by the restructuring. As a part of this engagement, Vince played a lead role in implementing successful transitions into private practice or other practice arrangements. Vince’s specialty is in finding the "happy ending" for each individual physician or group that, in nearly every case results in continued strong loyalties to the Health System. Prior to joining the Southwind team, Vince was an independent physician practice management consultant for 20 years where he facilitated billing system conversions, designed and implemented medical group organizational structure and governance, developed physician income distribution plans and served as interim CEO for medical groups ranging in size from three to 100 physicians.


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 Rosemon Martin
Rosemon Martin

Director, Southwind Revenue Cycle Solutions

As Director of Southwind’s Revenue Cycle Solutions Team, Rosemon brings substantial depth as an experienced, large medical group business office director. She will be providing interim management of the professional fee revenue cycle and relating consulting services under the direction of Margaret Hoban. Prior to joining Southwind, Rosemon worked for 18 years in progressively responsible positions leading to the Director of Patient Account Services at The Warren Clinic, a 150 physician multi-specialty group practice sponsored by St. Francis Health System in Tulsa, Oklahoma. Rosemon will work with other members of the Revenue Cycle Solutions Team to dramatically improve the performance of the professional fee revenue cycle for Southwind clients. Her extensive background in working with large, multi-specialty medical groups positions her well to meet that need.


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 Kerri Kelly
Kerri Kelly

Senior Consultant

Kerri comes to Southwind as a Senior Consultant, with over 12 years of experience in physician practice related consulting experience, most recently at Cejka Consulting in St. Louis where for nearly 10 years she was a team member and/or lead consultant on large scale consulting engagements. She also served as Manager and client liaison for smaller scale engagements including practice valuations, operational assessments and salary/productivity surveys. Kerri is responsible for supporting Southwind’s new physician manpower planning consultancy under the leadership of Randy Gott.


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 Mimi Hagar
Mimi Hagar

Consultant and Human Resources Specialist

Mimi Hagar brings to her role at Southwind over 20 years of experience in the human resources field. Mimi will be supporting Southwind management and consulting engagements by facilitating the recruitment, evaluation and selection of practice management executives; providing technical assistance with practice management job classification restructuring; and other human resource related consultation. Mimi is currently the President of the Middle Tennessee Chapter of the American Society for Training and Development (ASTD).


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 Stacy Moss
Stacy Moss

Consultant

Stacy Moss is a Southwind consultant specializing in revenue cycle design and management. Stacy serves as a member of the Southwind and local team to bring best-practice solutions into practice operations. Prior to joining Southwind, Stacy served as a manager for 4 years with the Kroger Corporation beginning in a management development program and culminating in Assistant General Manager responsibilities at a number of grocery stores within the corporation. For 3 years she served as manager for a large veterinary hospital and boarding kennel where she was instrumental in redesigning front-end operations to reduce accounts receivable and enhance customer service.


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 Eric Passon
Eric Passon

Senior Consultant

Eric Passon leads the financial analysis and compensation benchmarking activities at Southwind Health Partners. Eric is responsible for financial benchmarking of physician compensation, production and practice operations, pro forma financial modeling of start-up practices, practice acquisition due diligence, and physician compensation plan design and restructuring.

In his three years at Southwind, some of Eric’s significant client engagements include:

  • Over 35 financial assessments and compensation plan designs or restructurings for health system sponsored physician practices;
  • Pro forma modeling for start up multi-specialty physician practices in Idaho, Georgia and Nebraska;
  • Financial acquisition due diligence for a $65 million, 60-physician cardiology practice in the mid-Atlantic, a $120 million, 125-physician multispecialty group in the Midwest, and a $30 million, 46-physician multi-specialty group in the mid-Atlantic;
  • Serving as Interim Finance Director for a multi-specialty start-up practice which grew to thirteen physicians during his tenure;
  • Innovative compensation plan development for multiple departments of a major academic medical center in the Northeast; and
  • Pro forma modeling for multiple start-up clinics dedicated to Medicare HMO patients.

Prior to joining Southwind, Eric was Vice President of Finance and Administration in the anesthesia services division of TeamHealth. In this role, Eric’s responsibilities included developing and presenting physician practice financial models to health system executives, and establishing operational and financial metrics for multiple physician groups. Earlier he served as Manager of Acquisition Analysis for TeamHealth, in which he oversaw the due diligence and financial modeling for several acquisitions, and the integration of three healthcare companies including two management service organizations. Eric began his healthcare career as a financial analyst for TeamHealth.

Eric’s educational background includes an MBA from the University of Tennessee and a Bachelor of Science in accounting from the University of Central Florida.


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