Pursuing excellence

ALOS complex query

ALOS complex query

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What do you get when you ask two academics, one geriatrician, one reimbursement specialist, and an analyst to define average length of stay? Five different answers.

Scramble for returns

Scramble for returns

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Dividend-paying common stocks and "income generating strategies" are attracting nonprofit executives' attention. And with good reason: The stock market has been volatile and many finance committees have been disappointed with the rates-of-return of their investment portfolios.

Charitable thoughts

Charitable thoughts

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As we look ahead into 2013 for senior living finances, a very brief review of donations to nonprofits might prove helpful.

State of senior living

State of senior living

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There is some good news about the state of the senior living business: Senior living providers are operating with more strength financially than in recent years.

Smart money: Ancillary services push

Smart money: Ancillary services push

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The senior living industry currently has very favorable supply and demand dynamics. Occupancy is trending higher and financing avenues are opening.

Be measurably fabulous

Be measurably fabulous

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On the heels of American Health Care Association announcing the adoption of PointRight's OnPoint-30 rehospitalization metric, you may be wondering what it means exactly and what's at stake. The answer is: plenty.

Inaction may seal our fate

Inaction may seal our fate

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The 4th of July is usually a really great time to feel warmly about America. But after watching my dog driven insane by a barrage of exploding devices, my patriotism has ebbed.

Thoughts on the Fed

Thoughts on the Fed

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When will the Fed raise interest rates? Probably not until we are out of the debt morass.

What's really your rate?

What's really your rate?

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With a clear and certain voice, the administrator announces to the room that his rehospitalization rate at Mossy Knoll is 9%. His peers nod with appreciation; one even applauds.

My Mayan grandmother

My Mayan grandmother

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So here we are, halfway through a brand new year — and what a topsy-turvy time it's already been. I just wish my Mayan grandmother could have lived to see it.

Smart Money: Diversify with caution

Smart Money: Diversify with caution

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Harvard's endowment has been famous for investing to generate enormous gains. From 1990 to 2005, the investment returns averaged 15% per year, growing the assets from almost $5 billion to almost $23 billion.

You must see the future

You must see the future

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Nonprofit community "Type A" contracts require the organization to offer extensive life care services. This may include a refundable portion of the entrance fee to the resident's estate in exchange for guaranteed lifetime occupancy.

Analytically Speaking: Analytics and PL loss

Analytically Speaking: Analytics and PL loss

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New York Times reporter Paula Span penned an article last April based upon a research initiative headed by David G. Stevenson, Ph.D., a health policy analyst for the Harvard Medical School, based on legal claims against nursing homes.

Smart Money: Update on insurance

Smart Money: Update on insurance

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Natural disasters earmarked 2011 as the second worst year in history for insured property losses and the worst year for economic loss.

Smart Money: Understanding rates

Smart Money: Understanding rates

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All CFOs are taught that past performance is not an indication of future performance. Performance data is only part of how investment consultants evaluate money managers — and they use it with caution.

Smart Money: Seeing through rates

Smart Money: Seeing through rates

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Rates of return are often used as a benchmark for investment performance. As Joan Dixon, CFO of Morningside Ministries in San Antonio, TX, says, "performance reporting can at times be very confusing. It is important to know the difference between time and dollar-weighted returns so performance is accurately reflected in the reports."

Smart Money: Value propositions

Smart Money: Value propositions

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William C. Fisher, President Investment Advisory Group LLC

Smart money: Still spooked? (Part II)

Smart money: Still spooked? (Part II)

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By William C. Fisher, President, Investment Advisory Group LLC

Smart money: Managing your cash

Smart money: Managing your cash

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President, Investment Advisory Group LLC

Smart money: Your investment risk

Smart money: Your investment risk

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William C. Fisher, President Investment Advisory Group LLC

Weigh liability insurance

Weigh liability insurance

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William C. Fisher, President, Investment Advisory Group LLC

Smart money: Get to know EB-5

Smart money: Get to know EB-5

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Access to capital is challenging for every company. You might be surprised to learn that the government has had an interesting funding program in place for 20 years and that it could be an answer to your financing challenges.

Smart Money: Have what it takes?

Smart Money: Have what it takes?

William C. Fisher, President, Investment Advisory Group LLC

Smart Money

Smart Money

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President, Investment Advisory Group LLC

Smart Money: It's time to take risks

Smart Money: It's time to take risks

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William C. Fisher, President, Investment Advisory Group LLC

Smart Money: Take this to the bank

Smart Money: Take this to the bank

Experienced investment advisers can provide more diversification with the investments beyond the local area.

Smart Money: Lessons from retirees

Smart Money: Lessons from retirees

Having an effective finance committee helps create the environment and financial decision-making necessary to have a flourishing community for the residents.

Smart Money: Getting back to the basics

Smart Money: Getting back to the basics

I thought it might be helpful to share some basic insights on choosing an investment adviser.

Smart money: Chief financial officers should prepare for multiple scenarios

Smart money: Chief financial officers should prepare for multiple scenarios

What is next in the investment arena? It's what is always next: Uncertainty!

Smart Money: Senior living executives are thinking about capital, capital, capital

Smart Money: Senior living executives are thinking about capital, capital, capital

My recent 3,400-mile trip through nine states yielded one recurring theme: access to capital.

Smart Money: Questions for CFOs

Smart Money: Questions for CFOs

Here are questions chief financial officers should ask.

Smart Money: effective methods for cutting long-term care expenses

Smart Money: effective methods for cutting long-term care expenses

The top concern these days for senior living CFOs is getting the budget in order.

Smart Money: Senior living CFOs take a fresh look at the "new norms" of investing

Smart Money: Senior living CFOs take a fresh look at the "new norms" of investing

Senior living CFOs understand that the "investing as usual" mentality simply is not acceptable to boards and CEOs, and is giving way to the "new norm."

Smart Money: Senior care providers can benefit significantly from a donor trust

Smart Money: Senior care providers can benefit significantly from a donor trust

Have you ever heard of a Charitable Lead Annuity Trust (CLAT)? As a senior care provider, you can benefit significantly from this.

Smart Money: What are you doing with your investments?

Smart Money: What are you doing with your investments?

The stock market rally that began in early March has been fueled by a string of evidence indicating that credit conditions are improving and the economy is stabilizing, or at least poised to recover.

High-tech home excels: going paperless is one path to success

High-tech home excels: going paperless is one path to success

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Employees may be a facility's most important asset, but technology can help them to better do their jobs.

'Five Star' is progress

'Five Star' is progress

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The Centers for Medicare & Medicaid Services recently released a new rating system to grade the 16,000 nursing homes in the United States that participate in Medicare or Medicaid.

Brinton Manor joins club

Brinton Manor joins club

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Brinton Manor of Glen Mills, PA, knows how to maintain close ties to the community. This forward-thinking facility has teamed with global service organization Kiwanis International, which focuses on humanitarian efforts and strengthening communities worldwide, to found the very first SNF-based "Aktion Club."

Grieving takes its course

Grieving takes its course

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This month we continue our discussion with Joyce Ebmeier of Tabitha Health Care Services.

Growth in a Green House

Growth in a Green House

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The nursing home industry isn't known for setting trends, but that landscape may be changing.

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