Management Vice President

Jeff E. Hutton, CPA

**** ********** **** **** *****, AR 72903

479-***-**** (cell)

Certified Public Accountant (CPA) with a highly successful career built on a strong and varied

financial/operational background adapted to an ever-changing government/industry environment, and

a proven record of achieving desired results.

Areas of Expertise

Financial Accounting and Treasury, Analysis and Reporting – Progressively more responsible

positions have included operational responsibility for and/or close interaction with

corporate/facility accounting and reporting. Direct responsibilities encompassing

financial/regulatory analysis, cash management, auditing and reporting required a thorough

knowledge of each company’s internal accounting systems and procedures, GAAP, GAAS, and a

variety of Federal/State healthcare laws and regulations.

Operations and Management Decision Support – Developed financial systems and decision

support tools and analysis processes for the direct support of operations and senior management.

Prepared regular impact analyses of changing government reimbursement/regulatory/compliance

laws, policies and regulations as well as internal operational alternatives/strategies.

Audit, Compliance, and Internal Controls – Audit, reporting and compliance aspects of my

positions necessitated my review of applicable Internal Audit programs/procedures, the oversight

of government program related financial statement presentation and external audit review of same.

Developed a “Regulatory Review” function (precursor to a formal compliance program).

Team Building and Communication – Demonstrated experience in leading a large, diverse, and

highly technical function. Excellent analytical, organization and, communications skills. Duties

required extensive and effective interaction with executive management (including the Board of

directors), external auditors (financial and a myriad of Federal/State auditors), internal and external

legal counsel, bankers, operations management, and peers on the senior management staff.

Experience and Career Highlights

U.S.A. Healthcare, Inc. November 2003 - Present

U.S.A. Healthcare, Inc. and its' affiliated companies are privately held and operated. It operates skilled

nursing facilities in the states of Alabama and Iowa, as well as a number of other related health care

service providers (assisted living, pharmacies, laboratory services, physician and medical director

services, medical supplies).

As Executive Vice President, Chief Financial Officer and Treasurer

Direct all financial related functions for the company and selected other interests held by the

company's owner.

Responsible for development and maintenance of an internal information technology program.

Included selection and implementation of an upgraded centralized financial, clinical software package

along with the necessary hardware platform. Created in-house IT support capability. Developed a full

range of financial and operational reports and analyses (including an interactive budget model,

overtime reporting and Medicaid rate analysis).

Implemented a change in the Company’s primary banking relationship, obtaining favorable terms

(including reduced collateral and reporting requirements). Renegotiated and/or paid off various long

term debt instruments, resulting in interest savings and a predictable payment schedule.

Established a company-wide procurement process, including applicable policies and procedures,

resulting in cost and interest savings. Also, implemented cost saving procedures in the critical areas of

outside contract services (legal, accounting, audit, and IT, company vehicles and telephone service).

Actively participates as a member of the Board of Directors of Restore Therapy Services, LTD., the

privately held therapy provider servicing the company's facilities (those owned by its' other major

stakeholders, as well as numerous outside customers). Through an affiliate, Restore also operates

twelve (12) Hospice locations and four (4) Home Health sites.

Established internal case mix review/consulting unit in order to ensure accurate reporting and optimize

applicable reimbursement.

Successfully executed multi-year strategy to exit five (5) under-performing, out-of-state facilities

leased from a REIT.

Provide a variety of consulting services including such activities as:

Consultant to Merrill Lynch's newly-formed Healthcare Finance Group. Perform due diligence

examinations on a wide spectrum of healthcare companies for the purpose of evaluating pending

loan transactions and monitoring existing clients.

Advising a start-up company with regard to development of its' national Medicare cost reporting

(patent-pending) practice for national and regional employers who self-insure their group retiree

health plans.

Assisted Counsel with a detailed assessment of the relevant laws and regulations pertaining to cost

allocations, reviewed and commented on applicable witness statements, critiqued available case

documentation.

Advising a start-up senior housing company as to current government payment/subsidy processes,

reviewed/commented on financial and operational aspects of projected housing complexes and related

resident services programs.

Advising a start-up medical procedures/service company as to related clinical trial procedural

requirements, current and future government payment processes, and potential service opportunities.

Beverly Enterprises, Inc. and its operating subsidiaries comprised a leading provider of healthcare

services to the elderly in the United States. Beverly operated skilled nursing facilities, as well as

assisted living centers, home care and hospice centers and outpatient clinics. Through AEGIS

Therapies, they also offer rehabilitative services on a contract basis to nursing homes.

As Senior Vice President – Government Programs (1998 – 2002), Vice President – Finance and

Reimbursement (1995 – 1998).

Direct staff of 100, including 10 of which are at or above the Senior Manager level. Staff included

financial and clinical expertise.

Responsible for the development, implementation, and maintenance of a patient-level cost accounting

system.

In conjunction with Clinical Services and Operations staff, responsible for developing and

implementing the necessary processes, training materials, etc. for a successful transition to managing

Medicare reimbursement under PPS. Similarly, provided direct support to Operations in transition of

various State payment systems to acuity-based (case-mix) methodologies.

Established the Company’s “Regulatory Review” function (prior to existence of the Corporate

Compliance Office) to identify, research, resolve and report (as appropriate) compliance issues of a

reimbursement/regulatory nature. In conjunction with this, developed/implemented the Government

Program’s portion of a subsequent Corporate Compliance plan (encompassing all operating

subsidiaries and corporate office functions).

Established the Company’s “Decision Support” group to provide Corporate and Operations

management with reimbursement related data and analysis, including an array of system-generated “ad

hoc” reports and Medicare/Medicaid impact analyses.

Responsible for coordinating Medicare clinical coverage and compliance activities as well as all

related documentation processes (claims review/submission, denied claim review/appeal, etc.)

Directed the Company’s General Accounting department.

EDUCATION

Bachelor of Science in Accounting, University of South Carolina.

PROFESSIONAL CERTIFICATIONS AND MEMBERSHIPS

Certified Public Accountant (member, American Institute of Certified Public Accountants).

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