Market Environment

  • 2009 Projected US Healthcare Spending:
    • Total $2.5 Trillion
    • 17.6% of US GDP
    • $8,160 per Resident
  • Top 5 Spending by Sector:
    • 1. Hospital Care 31%
    • 2. Physician/Clinical 21%
    • 3. Prescription Drugs 10%
    • 4. SNF 6%
    • 5. Home Health 3%
Healthcare spending is growing at a pace that far exceeds inflation and is rapidly approaching 18% of the U.S. domestic gross product. However, there are more factors than just sheer size which is making healthcare a prime political, fiscal and public policy target. The next few years will see significant changes to healthcare delivery and reimbursement. The impact of these changes can be so material, that if a healthcare provider does not anticipate and make corresponding billing and operational changes, the very existence of their business could be put in jeopardy.

It is widely understood that when CMS (Centers for Medicare and Medicaid Services) makes adjustments to reimbursement rates or billing procedures, their changes are often designed to put stress on the provider pool and force reductions and changes to companies at both ends of the financial spectrum. This is not an environment where the occasional practitioner, an audit generalist, is able to provide insightful analysis. At Watermark Healthcare Audit we are never distracted by events in other industries: keeping ahead of healthcare trends and staying current with reimbursement regulations is too important and difficult to attempt to do on a part time basis. Healthcare is our passion, our profession, our only business.

The Pillars of Our Business Model:

  • Subject Matter Expertise
  • Business Maturity
  • Service Partner Philosophy
Subject Matter Expertise - we are neither generalists nor simply practitioners, we are healthcare experts. Each of our staff has specific provider service expertise and devotes a significant time to research and healthcare intelligence update.

Business Maturity - our staff average of 15 years experience providing healthcare specific audit and consulting services is best in the industry. We been in healthcare when reimbursement was governed by cost reports, through the advent and maturity of PPS, and expect to be here through the coming, significant changes.

Service Partner Philosophy - we recognize that as a service provider, we only exist to the extent that we satisfy our customers. Because of this recognition, everything we do comes second to customer satisfaction.
Watermark Healthcare Audit Specialists
Watermark Healthcare Audit LLC is a specialty audit firm providing services to:
  • lenders
  • investor groups
  • healthcare providers
  • management companies
The services we provide include:
  • Collateral and Covenant Monitoring Exams for Lenders
  • Underwriting Due Diligence Exams for Lenders and Investors
  • Revenue and Expense Validation for Mergers and Acquisitions
  • Quality of Earnings Analysis
  • Skilled Nursing Survey Analysis
  • Inventory Valuation
Due to the complexity of healthcare reimbursement methodologies, regulations and licensing requirements, healthcare audit and consulting is our only business.

We believe that the only dependable, prudent way to provide accurate, insightful analysis of healthcare business is with healthcare operational and financial professionals; people who have dedicated their lives to this industry.