Steve Clark | sclark@scainc.net

Steve Clark , Senior/Founding Partner, helped establish SCA in 1994. He provides policy and technical consultation on hospital financial and reimbursement issues. Steve’s expertise in the health care industry is recognized by the major hospital associations, both at the state and federal level, which utilize his services in evaluating and responding to regulatory and legislative proposals and mandates.

Mr. Clark also helped establish the District Hospital Leadership Forum (DHLF) in 2009, which represents California’s District hospitals on matters of finance and reimbursement. In his capacity as the Executive Director of the DHLF, Steve leads the management team and provides guidance and direction to the member hospitals on technical, policy, and advocacy issues.

Prior to beginning SCA in 1994, Mr. Clark served as vice president of Finance at the California Hospital Association (CHA) for eight years where he represented California hospitals before various governmental, third-party payers, and other interest groups. He has worked closely with high-level officials in the Medicare Program through the Medicare Technical Advisory Group (M-TAG) to address and resolve numerous systemic problems affecting providers. Improvements in the Medicare cost reporting and audit processes have resulted from his leadership in this arena.

Steve has acted as a technical expert witness in OIG investigations, state administrative hearings and court proceedings on behalf of both hospitals and health care associations. He also has been instrumental in assisting various hospitals become network providers in county operated Low Income Health Programs.


David Vance | dvance@scainc.net

David Vance is a Senior Partner with SCA. David is a leading expert in identifying, analyzing, and reporting data for the Medi-Cal Disproportionate Share Hospital (DSH) and Hospital Quality Assurance Fee (HQAF) programs.

Relative to Medi-Cal DSH, he provides hospitals with years of experience and expertise working with state officials and key hospital staff to ensure that hospitals qualify for and receive their entitled level of funding. Specific to HQAF, he provides hospitals with direction and focus of the key data elements that are used in deriving both the fee and payment components. He works with the state, hospitals and health insurance plans to ensure data accuracy in order to achieve appropriate levels of funding under this key supplemental payment program.

Mr. Vance also works with individual District hospitals to analyze their various supplemental payment program dollars to help them determine how their payment levels under each program can best be achieved to ensure that they do not exceed federal payment limits. He also provides hospitals with consultation regarding their charity care policies, practices and procedures to ensure compliance with OSHPD accounting and reporting requirements. David also works on various data and reimbursement projects for the District Hospital Leadership Forum (DHLF).

Prior to joining the firm, David was the Finance Manager of Daniel Freeman Hospitals, Inc. Mr. Vance has a BS in Finance from Brigham Young University, Utah and an MBA from Pepperdine University, California.