Steve Clark | sclark@scainc.net

Steve Clark is a principal with the firm. 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. In this capacity, Steve provides management and technical/policy guidance to the District Hospital Leadership Forum, which represents California’s District hospitals on matters of finance and reimbursement.

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. For individual hospitals, Steve continues to provide consultation regarding Medi-Cal PIRL limitation projections and appeals. He also has been instrumental in assisting District hospital clients establish and implement various Medi-Cal and low income programs that are subsidized through government supplemental payments. These have included participation as network providers in county operated Low Income Health Programs (LIHP) and establishment of programs under the Public Hospital Redesign and Incentive Program (PRIME). Steve helped establish the firm’s consulting practice after eight years of service to the California Hospital Association (CHA).

As vice president of Finance at CHA, Steve represented California hospitals before various governmental and 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.

Tim Loechl | tloechl@scainc.net

Tim Loechl is a principal for the firm. He is responsible for the firm’s hospital accounting and government reporting practice. In this role Tim has become a national expert with respect to the Medicare cost report Worksheet S-10. He provides technical advice to the American Hospital Association with all data collection and reporting aspects related to this reimbursement mechanism. For individual hospitals and health systems Tim provides the necessary guidance to ensure that each hospital client is able to capture and accurately report the data that can become critical to maintaining or increasing their reimbursement levels. He has assisted both AHA and CHA in analyzing proposed Federal regulatory changes and preparing written responses to CMS.

Tim’s reimbursement advisory role also includes preparation of Medicare and Medi-Cal reports, responding to cost report audits, and preparing appeals. He provides hospitals with consultation regarding third party payer reviews, monthly and annual contractual allowances, valuation of accounts receivable, third party payer contract development and negotiation, external audit preparation, and feasibility studies.

Prior to joining the firm, Tim has over eighteen years of direct hospital financial management experience as a Controller and Chief Financial Officer.

David Vance | dvance@scainc.net

David Vance is a principal with the firm. David is a specialist in providing hospitals with reimbursement expertise under the Medi-Cal disproportionate share program, working with state officials and key hospital staff ensuring that hospitals both qualify for and receive level of funding for which they are entitled.

David oversees firm’s hospital data functions. This includes the preparation of OSHPD hospital accounting and disclosure reports and management of state data audits. David provides hospitals with consultation regarding their charity care policies, practices and procedures to ensure compliance with OSHPD accounting and reporting requirements.

In addition, he provides the District Hospital Leadership Forum with data and reimbursement analysis. He has also been involved with other hospital association projects and/or studies which are of an operational, financial, or reimbursement nature, including analysis as it relates to the California’s Hospital Provider Fee program, the State of Nevada’s Medicaid DSH program overhaul, and the determination of the fiscal impact of the Medi-Cal managed care Roger’s Rate reimbursement reductions as a legal expert witness.

Prior to joining the firm, David was employed by the Daniel Freeman Hospitals, Inc. (a subsidiary of the Sisters of St. Joseph of the Carondolet) in the positions of Finance Manager, Sr. Financial Analyst, Cost Analyst and Budget Analyst.