AREAS OF REVIEW
The kind of results experience produces.
These categories are just a sampling of the major areas of recurring spending we can impact. If a recurrent expense matters to you, we have the resources to study and optimize related operational and purchasing considerations.
FOOD & DINING SERVICES
Whether your organization is served by an outstanding dining services provider or your program is entirely in-house, our dining experts help you to identify cost reduction strategies in both operations and purchasing, without negatively impacting resident experience.
WE REVIEW
- Dining services management agreements
- Food and beverage purchasing
- Kosher and specialty diet programs
- Labor Allocation & Cost Assessment
- GPO alignment and rebate structures
- Linen
REHABLITATION SERVICES
Expense Consulting engages with national rehab services consulting experts to ensure your rehab program is optimized to provide the best possible service to your residents and offers an ideal value proposition. Our services are customized to address your organization’s needs depending upon if your program is operated independently in-house, has management support, or is fully outsourced.
OUTSOURCED
- Clinical performance, quality metrics, and CMI support
- Billing rate across all payers vs local/regional market
- Contract rate re-negotiation and/or re-bidding
IN-HOUSE
- Labor Allocation & Cost Assessment
- Clinical Services Efficacy Review
- Billing / Revenue Assessment
- Operational & Billing Strategies
PHARMACY
Institutional pharmacy is a primary source of cost in skilled care settings. Our subject matter experts explore utilization patterns, formulary selection, and comparative pricing against name brand and generic pricing in the local market. We negotiate to secure the best possible rates by harnessing comparative data to achieve mutually beneficial continued long term engagement.
FACILITIES MANAGEMENT
Clients tell us they interact with some service provider only once annually. When we evaluate, we may recommend a biannual or even more frequent service schedule to ensure you receive value for your investment.
WE REVIEW
- Fire and security systems
- HVAC service and maintenance
- Elevators and escalators
- Laundry equipment and services
CLINICAL SERVICES
We negotiate best in class services on your behalf regardless of the kind of service or size of the incumbent provider. We do so without ever sacrificing quality of care or resident experience.
WE REVIEW
- Labs and radiology
- Medical gasses and respiratory
- Clinical equipment and service agreements
- Ancillary clinical vendors
SUPPLIES
We ensure you pay competitive prices for the products your teams know and trust. Our forensic accounts payable reviews uncover billing inaccuracies, and our proprietary database pinpoints savings opportunities line by line. Where it benefits you, we negotiate directly with manufacturers to bypass unnecessary third-party markups. If a product change is ever recommended, your staff evaluates samples before anything moves.
WE REVIEW
- Medical supplies
- Office supplies
- Janitorial supplies
- Maintenance, repair, and operations supplies
SOFTWARE & SAAS
Software and cloud spending grows every year, and so does its complexity. Within that complexity lie real opportunities for optimization. By pairing purpose-built analysis tools with traditional negotiating expertise, we identify redundant licenses, right-size subscriptions, and secure competitive renewal terms across your technology stack.
WE REVIEW
- Software licenses, agreements and subscriptions
- Telecom
- Cloud computing and storage
UTILITIES & ENERGY
Some of our most significant cash recoveries come from utilities and third-party energy suppliers. We examine supply contracts against actual billing to identify discrepancies, and even without a third-party supplier, distribution rates and billing frequently contain errors. In deregulated markets, our energy experts confirm you have not been overpaying and secure favorable pricing matched to your facility’s load profile.
WE REVIEW
- Electricity
- Natural gas, oil, and propane
- Water and sewer
- Supply contracts and distribution rates
PAYROLL & HR SERVICES
Payroll, HR, and benefits administration fees compound quietly over time through per-employee charges, module add-ons, and annual escalators that rarely get challenged. We benchmark your platform costs and service agreements against current market pricing, eliminate charges for unused modules, and negotiate terms that scale sensibly with your census and workforce.
WE REVIEW
- Payroll processing services
- HR services and platforms
- 401(k) administration
- Employee benefits
WASTE MANAGEMENT
Our waste strategy begins with a comprehensive review of your waste stream to ensure containers and collection schedules match your facility’s actual requirements. We verify billing against contract pricing and renegotiate collection rates and surcharges using national data metrics, with particular attention to the regulated medical waste streams unique to healthcare.
WE REVIEW
- Municipal solid waste
- Hazardous and regulated medical waste
- Recycling
- Shredding and e-waste