Successfully Navigating Health Care Reform Vol. 1 | Page 2

Secure your Future “Brown Smith Wallace is a partner. They are not a vendor. They are not a client. They are not consultants. We look at this as a partnership. Brown Smith Wallace has given us a whole range of possibilities for the future, especially with the Affordable Care Act. We are being well positioned to face the future of health care, in a position of strength… and that’s just great for us.” Industry Expertise that exceeds Your Expectations Strategic Planning Services Nessa Joseph President and Chief Executive Officer Visiting Nurse Association of Greater St.Louis With the implementation of the Patient Protection and Affordable Care Act (PPACA), the Health Care industry is undergoing the most significant financial and operational changes since the passing of Medicare and Medicaid legislation. PPACA affects employers and providers in different ways, but both must face the industry changes with thoughtful and deliberate strategies. At Brown Smith Wallace, our Health Care Industry Group includes the traditional accounting firm services of both internal and external audits as well as tax advisory services. In addition, our Health Care Advisory Services is a great complement to our traditional services and adds tremendous value to our health care client partners. Working with a partner to be able to develop meaningful strategies requires that partner to be flexible, focused on local market activity, and able to think nationally related to trends and best practices. Additionally, your strategic advisor must have insights into and experience with many components within the health care industry. The Brown Smith Wallace team combines years of strategic, financial and operational expertise within the health care industry including experience as board members, operators, investors and advisors. Together, we could work with you in the development of a long-term strategy or short-term decision support. Some of the detailed strategic planning services include: • • • • • • Balanced scorecard preparation and monitoring Culture change services Data analytics Education and team building Market analyses Financial projections • • • • • Customer analyses Scenario planning Financing alternatives Dashboard preparation and monitoring Competitor analyses