As discussed previously, gross margins are the fuel that drives the healthcare staffing industry. Cash flow, growth, and debt financing are all greatly impacted by the slightest change in basis points. Assuming you are in the ballpark of industry standards for pricing and pay rates, there are two items that
The state of California has been one of the earliest and most aggressive adopters of the Affordable Care Act. The desired outcome of the legislation is to reach into a population previously uninsured and provide health insurance for those individuals. On a macroeconomic basis, this translates into a larger pool
One of the major tenets of the Affordable Care Act was state-by-state expansion of the Medicaid program to cover the poorest residents on a state-by-state basis. The law was originally written to withhold Federal reimbursement for Medicaid payments if states did not comply with the expansion of coverage. The Supreme
As the Affordable Care Act continues through it’s implementation benchmarks, it would be naive to believe that the culture of healthcare will not be changed forever as we have known it in our generation. For better or worse, Adam Smith’s “invisible hand” metaphor for the marketplace will move the provider
Most start-ups in the staffing industry are organized under the umbrella of an S-corp or an LLC. The reasons most opt for these choices rather than a C-corp are the single pass-through taxation applied to the S-Corp and LLC. Income from a C-corp. passed through to an individual is taxable
Approximately 60% of the hospitals in the US were created within the legal context of not-for-profit status. This tax-exempt status has been enjoyed by healthcare facilities around the country as Government subsidies were awarded after World War II for mostly religious-affiliated entities providing care in local communities. One of the
Congress finally executed a last minute legislative response to the impending tax increases and spending cuts that were scheduled to become law Jan. 1, 2013. It is too soon to evaluate this stopgap measure since legislators only received the final draft of over 100 pages a few minutes prior to
Much debate is occurring on Capital Hill concerning the so-called “Fiscal Cliff”. The “Fiscal Cliff” per se was a negotiating tool between Democrats and Republicans to once again kick the proverbial debt-ceiling debacle further down the road. The deal with the devil was simple and relatively quick. “Since we can’t
This year most major retailers have started to warm to the notion that shoppers enter their brick and mortar sanctuaries with their smart phones in hand ready to cross-reference every conceivable retailer’s price. Prior to Black Friday of 2011, some retailers went as far as to ban cell phone use