Hospitals and CAHs
Service-line yield, program election, price transparency, capital, and system reporting.
Healthcare finance consulting
Healthcare finance, policy, and capital advisory
CareNumerix is an independent practice for hospitals, senior care, home health, community providers, and public programs. Work covers operations, reimbursement, capital, Medicaid policy, and the filings those decisions rest on.
CPA
30+ years healthcare finance
25 years capital advisory
35 years Medicaid and public finance
National consulting (CLA, EY)
Operations, policy, and capital
What we do
Services
01
Operating and financial analysis
Service-line, census, and staffing models that connect the general ledger to day-to-day operations.
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02
Revenue cycle
Find leakage in coding, coverage, denials, and contract yield, then put the cash fixes in a 90-day sequence.
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03
Reimbursement strategy
Rate, wage-index, outlier, and program-election choices modeled before you commit the building.
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04
Capital advisory and restructuring
Debt, joint ventures, campus projects, and turnaround plans for boards that have to fund the next five years.
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05
Medicaid policy and public finance
Program design, waivers, rate setting, and supplemental payments for states and the providers who live under them.
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06
Quality reporting and compliance
QRP, Five-Star, and UDS reporting reviewed against payment, survey, and the operating plan.
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07
Multi-entity budgeting and debt
CCRC and health-system consolidations, intercompany schedules, covenant reporting, and board packages.
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08
Medicare and Medicaid cost reporting
Prepare, review, and support institutional cost reports when the filing is part of the year's work.
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09
Contracted accounting
Fractional to full-time accounting support from CFO-level leadership and controllership through staff accounting and data entry. Flexible coverage when a provider needs capacity, continuity, or an interim finance team.
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How we work
How an engagement runs
We start with the records, not a slide deck. The first product is a shared set of facts, then a model, a board memo, or a filing.
01
Review
We start with the records and the question: operating data, the general ledger, capital, program rules, or a filing. Two weeks is usually enough to locate the dollars and the decision.
02
Model
Options are modeled in census, labor, cash, capital, and program design so you can see the numbers before anyone files, borrows, or hires.
03
Deliver
The product is a memo, a model, a board pack, or a filing. Your team keeps ownership of the file.
04
Follow-up
A periodic review of results, covenants, quality submissions, and the next decision so the following year is planned, not discovered.
Where we work
Provider types we work with
Skilled nursing
PDPM, Five-Star staffing, labor, Medicaid, and operating performance.
CCRC / senior living
Multi-entity consolidations, entrance-fee accounting, covenants, and campus capital.
FQHCs
PPS wrap, UDS, sliding-fee, 330 grants, and visit-level productivity.
Home health
PDGM, visit productivity, cash conversion, and cost reporting.
Hospice
Hospice cap, visit productivity, cash conversion, and cost reporting.
Public programs and specialty
Medicaid, PACE, MLTSS, LTCH, and behavioral health payment and policy.
The practice
Principals
Founder and Principal
Timothy J. Jalbert, CPA
Timothy is a CPA with more than thirty years in healthcare finance. He has closed books as a community CFO and as a national consultant, so the work covers both the board packet and the trial balance behind it.
About the practice
Principal
Jason A. Mills
Jason A. Mills is a healthcare financial executive and strategy consultant with 25 years in financial operations, capital advisory, and turnaround work. His work includes national accounting and advisory firms, investment banking, and executive roles covering financial reporting, institutional growth, and operational restructuring.
About the practice
Principal
Richard Lager
Richard Lager is a healthcare policy and financial executive with 35 years in health administration, public-sector financing, and Medicaid policy. He advises state governments on delivery models, public health funding, and state-administered programs.
About the practiceInsights
Recent notes
Capital · 6 min
Model the capital before you approve the drawing
Campus projects fail in the sources-and-uses, not in the renderings. Tie debt, covenants, and operations together before the board votes.
Medicaid · 6 min
Medicaid policy only works if operations can run it
Waivers, capitation, and supplemental payments fail when the budget office, CMS, and the provider are looking at three different pictures of the same dollar.
Ready to discuss operations, capital, or a board question?
The contact page walks through a short engagement form. We review it before we call.
Request an engagement