Financial Performance

Improve margins, cash flow and work process efficiency with expert financial assistance. Gain the tools, strategies and information required to achieve maximum financial performance.

In the past several years, Winthrop has established relationships with over 400 hospitals, as a leading health care technology acquisition partner, and has built a solid reputation in the marketplace financing hardware, software and services. Winthrop has earned multiple peer-reviewed designations from the Healthcare Financial Management Association based on quality and usability, price, value and customer and technical support. Winthrop is a wholly owned subsidiary of TCF Bank (NYSE: TCB) - an industry leader with over $18 billion in assets.  Winthrop's value proposition has been helping health care providers to stay current with the latest technologies, while avoiding the risk of technology obsolescence, preserving capital and keeping access to lines of credit open. Winthrop retains 100% ownership of every lease agreement entered into with a customer, offering greater flexibility should conditions change that warrant adjustments to the lease.

Kyle Fredette Virginia Territory Representative 11100 Wayzata Blvd Suite 800 Minnetonka, MN 55305 (952) 936-0226 (952) 936-0201 fax (804) 380-7802 cell kfredette@winthropresources.com www.winthropresources.com/healthcare.html More Information

Commerce Bank’s innovative ControlPay® Advanced allows you to pay your invoices electronically through the Visa® Network. ControlPay® reduces check writing costs and pays a monthly revenue share based on an aggregate volume from all Virginia hospitals that participate in this program. Working with Commerce’s solution will enable you to generate a steady revenue stream and easily improve your overall accounts payable process. This solution requires no financial investment or cost to participating hospitals and is a web-based application so no software is required. Commerce also has a dedicated team to contact vendors, present the different payment options and enroll them in the ControlPay Advanced solution. As the number of enrolled vendors grows, so does the aggregate volume, which increases the monthly revenue share to each participating Virginia hospital.

Larry Selleh Vice President - Sales 410-798-6649-Office 804-716-0959-Fax larry.selleh@commercebank.com www.commercebank.com/commercial/card-products/accounts-payable/ More Information

DSH Mgmt Solutions, LLC (DMS) provides services for public and private acute care and rehabilitation hospitals to maximize their federal and state Disproportionate Share (“DSH”) revenue and to qualify or retain/re-instate hospital entitlement to the 340B Pharmaceutical pricing program. MDSS©, our proprietary software system, makes heavy use of EDI transaction sets, regulatory based logic, UnivEligHicanDb©, State Data Exchange (SDX) Files with clinical profiling and Medical Group admission tracking. DMS utilizes a multi-faceted approach with surrounding and seasonal state level data feeds, retrospective eligibility and with specific expertise on appeal package development and representation with CMS for the SSI ratio. We offer full cycle DSH revenue management by integrating prospective and concurrent DSH/340B management capabilities that allow hospitals to improve oversight of these critical sources of funding.

Chalene Mathis Chief Marketing Officer (571) 455-5336 Office/Mobile Charlene.Mathis@dshmgmtsys.com www.dshmgmtsys.com More Information

RHC’s Surgical Services Revenue Capture™ program addresses a problem many hospitals don’t even know they have: the failure to capture all of the billable procedures, supplies and equipment used in surgical cases, as a result of misapplied federal billing regulations. Our SSR Program assists clients in taking advantage of federal regulations that permit your hospital to bill for all chargeable services that are documented. Our process strengthens documentation and charge recovery protocols going forward and enables you to recover lost charges for the past year. RHC offers hospitals a complimentary initial review of OR charts and bills to identify your current revenue opportunity. RHC’s Emergency Department QuickGains® program enables hospitals to maximize revenue capture for patient visits while reducing throughput time and admission delays. Our comprehensive assessment of the charging process identifies weaknesses in documentation, coding, charging, pricing, and billing that prevent the hospital from correctly charging and billing for ED visits. During implementation of the changes RHC provides education for hospital staff that supports maximum revenue capture going forward. RHC offers hospitals a complimentary initial review of ED charts and bills to identify your current revenue opportunity.

Thomas W. Northrop, FACHE Ryerson Healthcare Consultants (804) 405-4983 tnorthrop@ryersonhealthcareconsultants.com www.ryersonhealthcareconsultants.com More Information

Under this partnership agreement, VHHA members are automatically enroled in the voluntary program with Provista serving as a secondary GPO option, with no additional cost, minimal participation level or other obligation on the part of members. Participation is voluntary, extends to all VHHA members and their affiliates, and does not conflict with primary GPO contracts and relationships. Nearly 10,000 customers turn to Provista for strategic supply chain solutions that deliver bottom-line results. Provista's group purchasing and business solutions have proven successful in meeting the various needs of health care facilities nationwide.

Chris Davis                             Mike Schwalm   VP, VHHA Services                Senior Director, Provista (804) 965-1280                      (972) 910-6629 cdavis@vhha.com                 mschwalm@provistaco.com   www.provistaco.com            www.provistaco.com More Information

Baker Healthcare Consulting (BHC) is a national consulting firm offering Medicare wage index services through hospital associations (including Virginia through VHHA) and select appeal issues such as the Medicare SSI and Disproportionate Share Group Appeal. Additionally, BHC contracts with individual hospitals and groups of hospitals for geographic reclassification matters. BHC is also a registered Federal lobbying firm working with hospitals and groups on selected issues generally involving Medicare geographic reclassification.

Dale E. Baker One American Square Suite 2000 Indianapolis, IN 46282 (317) 631-3613 (317) 631-0302 fax bakerhealthcare@yahoo.com www.baker-healthcare.com More Information