Rusty Metcalfe, Chief Information Officer Of Fundamental Administrative Services, LLC.

764 Words2 Pages

The purpose of this report is to summarize the findings of an interview with Rusty Metcalfe, Chief Information Officer of Fundamental Administrative Services, LLC, and analyze the competitive and strategic positioning of the firm within the long-term, post-acute senior care industry. I interviewed Mr. Metcalfe on Wednesday November 15, 2016 and covered a broad array of topics including the department’s history and structure, risks and opportunities, strategic alignment and near and long-term goals. 1. Company Overview Fundamental Administrative Services, LLC (FAS), along with Fundamental Clinical and Operational Services, LLC (FCOS) are the two main subsidiaries of Fundamental LTC Holdings, LLC (FLTCH), a private firm operating in the aforementioned …show more content…

The executive team is constantly scrubbing the portfolio, looking to divest underachieving investments while performing the necessary due diligence to acquire new facilities from competitors and struggling chains of the like. In order to mitigate litigation risk, the firm is legally structured as a consulting firm at the parent level with FAS, FCOS and each facility structured as an owned subsidiary and its own LLC. Flexibility and maneuverability are paramount in this industry as conditions change frequently in the form of demographic, legislative, and economic trends. For example, a senior care facility may become more or less attractive as an investment as a result of an aging population in the target area, federal Medicare reimbursement policies or declining job market …show more content…

As previously mentioned, reimbursement rates are, and have been at the forefront in this industry for years. President Obama’s Affordable Care Act (ACA) and Medicare sequestration budget cuts have put several operators out of business (FLTCH instituted a 25% across the board layoff in 2013). Further, President-Elect Donald Trump’s proposed policies such as the repeal (or more likely reconciliation) of the ACA could be a boon to the industry, but replacement policies such as cross-state insurance sales, high-deductible insurance plans and block grant Medicaid funding will make running a senior care facility potentially even more difficult in the coming

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