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Deloitte Expands Health Care Provider Business Risk Services Practice with Six New Strategic Hires

NEW YORK, November 2, 2009 — Deloitte has significantly enhanced its Health Care Provider practice with the hiring of six health care/regulatory experienced professionals in its Business Risk Services practice.

“As health care providers increasingly confront a wide variety of regulatory and financial management challenges from managing bad debt to reimbursement and compliance issues, we have also recognized the importance of expanding our practice to help our clients address these important business issues,” said Russ Rudish, vice chairman and U.S. leader of Deloitte’s Health Care Provider practice. “Health care reform will likely bring new regulations to the table, and we are well-prepared to address these new changes.”

The new Deloitte hires include:

  • Ray Albertina, director in the St. Louis office. Albertina, who has more than 26 years of experience in the health care industry, brings extensive interdisciplinary experience in the fields of financial analysis, regulatory cost analysis and reporting, process improvement and revenue management. His strengths include third-party reimbursement, billing compliance, profitability analysis, rate/level restructuring, financial forecasting, business valuation and due diligence.
  • Joe Becht, director in the Richmond, Virginia office. Becht has more than 30 years of health care provider consulting experience. He has extensive experience in reimbursement, including disproportionate share (DSH), Medicare bad debts, wage index and medical education, and cost reporting. Becht also led numerous feasibility studies for academic medical centers, hospitals, nursing homes, cancer centers and others and has assisted clients with developing and implementing strategic plans to respond to the changing health care environment.
  • Julie DiFrancesco, director in the Cleveland office. DiFrancesco has more than 18 years of experience in the health sciences industry, with extensive experience in provider reimbursement, delivering a wide variety of services to academic medical centers, ambulatory surgery centers, community hospitals, health care systems, managed care organizations and skilled nursing facilities. She has been a frequent speaker on Medicare reimbursement issues at the Healthcare Financial Management Association’s (HFMA’s) Annual National Institute (ANI) and the American Health Lawyers Association (AHLA) Conferences.
  • Tom Hubner, director in the Chicago office. Hubner has more than 22 years of health care industry experience. Hubner has extensive experience in all areas of provider reimbursement, including bad debts, disproportionate share (DSH), wage index, capital cost issues, and cost reporting. His focus has also included mergers and acquisitions and the related analyses required around provider number designations, financial impacts, reimbursement strategy planning and Centers for Medicare and Medicaid Services (CMS) and state process issues. Hubner also specializes in providing comprehensive analyses of financial and operating characteristics of medical education programs for academic medical centers and large teaching hospitals with a focus on reimbursement, compliance and expansion programs.
  • Mark Nichols, director in the Miami office. Nichols has more than 20 years of experience in the health care industry, specializing in serving academic medical centers, for profit national health care organizations, community hospital and governmental medical centers among other provider and payor organizations. He has led engagements involving development of prospective financial statements around prospective joint ventures or service lines, revenue analysis of Medicaid and non-governmental payors, analysis of health system charge structures and price strategies, analysis of proposed federal and state legislative payment revisions for local, state and national health care organizations and due diligence for proposed transactions.
  • Gordon Sanit, director the Jericho, New York office. Sanit has more than 25 years of experience in the health care industry. He has extensive interdisciplinary project management experience in the fields of financial analysis, regulatory cost analysis and reporting, focused process improvement and revenue management. Particular strengths are Medicare and New York state third-party reimbursement, billing compliance, litigation support, profitability analysis, managed care, pricing and financial analysis.

In addition, approximately 30 managers and other professional staff have joined this practice since June 2009.

About Deloitte
As used in this document, “Deloitte” means Deloitte & Touche LLP and Deloitte Services LP, separate subsidiaries of Deloitte LLP. Please see for a detailed description of the legal structure of Deloitte LLP and its subsidiaries.


John Pappas
Job Title:
Public Relations
+1 203 905 2608

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