[Ovation Healthcare, LLC] Response Document Report.pdf

Mississippi Department of Health

Procurement Dorthy Young, -

570 East Woodrow Wilson Drive, Jackson, MS 39216

[OVATION HEALTHCARE, LLC] RESPONSE DOCUMENT REPORT

IFB No. 3160008132

FLEX FY26: Financial and Operational Improvement for Mississippi's CAHs RESPONSE DEADLINE: July 27, 2026 at 10:30 am Report Generated: Wednesday, July 29, 2026

Ovation Healthcare, LLC Response

CONTACT INFORMATION

Company:

Ovation Healthcare, LLC

Email:

paul.storey@ovationhc.com

Contact:

Paul storey

Address:

1573 Mallory Lane

STE 200

Brentwood, TN 37027

Phone:

N/A

Website:

www.ovationhc.com

Submission Date:

Jul 26, 2026 2:48 PM (Central Time) http://www.ovationhc.com/

FLEX FY26: Financial and Operational Improvement for Mississippi's CAHs

Invitation For Bid - FLEX FY26: Financial and Operational Improvement for Mississippi's CAHs

ADDENDA CONFIRMATION

Addendum #1 Confirmed Jul 26, 2026 2:16 PM by Paul storey

Addendum #2 Confirmed Jul 26, 2026 2:16 PM by Paul storey

QUESTIONNAIRE

1. Bidder Representative - Name* Paul Storey

2. Bidder Representative - Title* Executive Strategic Advisory

3. Bidder Representative - Complete Mailing Address* ATTN: Paul Storey 1573 Mallory Lane, Suite 200, Brentwood, TN 37027

4. Bidder Representative - Telephone Number* 4794260133

5. Bidder Representative - Email Address* paul.storey@ovationhc.com

6. MAGIC Vendor ID Number* Enter your MAGIC Vendor Number here. This is a ten (10) digit number that begins with 310. This information must be submitted accurately.

Please see below for additional guidance:

• If you ARE registered with the MAGIC eProcurement system and do not know your MAGIC Vendor number, you may contact the MAGIC helpdesk by calling (601) 359-1343 or by emailing mash@dfa.gov for assistance. Webpage Call Center. (Do NOT create a new vendor number)

• If you are NOT registered, please visit the registration page here: MAGIC eProcurement system. If you require assistance, you may access the Call Center page for both a phone number and email as well as business hours for assistance.

Maximum response length: 10 characters

3102151479

7. Paymode* Is Offeror currently registered with PayMode?

Yes

8. Authorized Business in Mississippi* Is Offeror in compliance with Mississippi Code Annotated § 79-4-15.01 regarding authorization to transact business in Mississippi?

Yes

9. Release of the Bid as Public Record* Bidders shall acknowledge which of the following statements is applicable regarding release of its bid document as a public record. A bidder may be deemed non-responsive if the bidder does not acknowledge either statement, acknowledges both statements, or fails to comply with the requirements of the statement acknowledged.

Choose one:

mailto:mash@dfa.gov https://www.dfa.ms.gov/mmrs-call-center https://www.dfa.ms.gov/vendors https://www.dfa.ms.gov/mmrs-call-center

Bidder hereby certifies that the complete unredacted copy of its bid may be released as a public record by MSDH at any time without notice to bidder. Bidder explicitly waives any right to receive notice of a request to inspect, examine, copy, or reproduce its bid as provided in Mississippi Code Annotated § 25-61-9(1)(a). The bid contains no information bidder deems to be confidential commercial and financial information and/or trade secrets in accordance with Mississippi Code Annotated §§ 25-61-9, 75-26-1 through 75-26-19, and/or 79-23-1. A bidder who selects this option but submits a redacted copy of its bid may be deemed nonresponsive.

10. Confirmation of Non-Collusion* Offeror hereby certifies that the fees submitted in response to this IFB have been arrived at independently and without, for the purpose of restricting competition, any consultation, communication, or agreement with any other Offeror or competitor relating to those fees, the intention to submit a bid, or the methods or factors used to calculate the fees proposed. In submitting a bid, we certifies that the price submitted was independently arrived at without collusion.

Confirmed

11. Contingent Arrangements* Offeror hereby certifies that they _____ retained any person or agency on a percentage, commission, or other contingent arrangement to secure this contract.

have not

12. Audited Financial Statements* Please submit Independently Audited Financial Statements as part of your submittal to this IFB.

Note_regarding_financial_statements.pdf

13. Additional Information For any additional information requested or required by any of your previously provided answers or as stated within this IFB please upload the additional documentation here.

This includes but is not limited to a redacted copy (if applicable) of the Offeror's submittal in which all information deemed to be confidential commercial and financial and/or trade secrets is redacted in black.

06.01.26_MS_Dept_of_Health_RFP_(2).docx reporting-package.pdf OVHC_Spend_Management_MOR_Example.pdf

14. IFB Confirmation* Offeror confirms and acknowledges that they have read this IFB in its entirety and fully understands all requirements. Submitting party further confirms that they are authorized on behalf of the vendor to submit such a bid.

Confirmed

PRICE TABLES

FLEX FY26

***For additional information, please refer back to the scope of work. ***

Line Item Description Quantity Unit of Measure

Unit Cost Total

1 Statewide Needs Assessment 2 Assessment $67,200.00 $134,400.00

2 Revenue Cycle Management Roundtable 4 Roundtable Sessions

$22,500.00 $90,000.00

3 Outmigration Assesment 6 Analysis $18,500.00 $111,000.00

4 Billing and coding trainings 4 Trainings $6,000.00 $24,000.00

5 Chargemaster reviews for CAHs (6 Hospitals) twice per year 24 Reviews $63,000.00 $1,512,000.00

TOTAL $1,871,400.00

Note regarding submission of audited financial statements:

Ovation Healthcare’s financial statements are considered proprietary and confidential.

Therefore, we are unable to attach them to this bid. However, we are able to hold a video conference to review the statements and discuss the company’s financial position with representatives from the State Department of Health. In addition, Ovation warrants that it is in sound financial position, has its financial statements routinely audited and certified by a 3rd party, and has no concerns about its ability to meet the obligations of this proposal.

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R F P SUPPLEMENTAL R E S P O N S E F O R

Mississippi State Department of Health

July 29, 2026

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2.1 General Requirements

1. Which Critical Access Hospitals or rural healthcare systems have you worked with directly, and what was the scope and duration of those engagements?

Currently, Ovation Healthcare has 146 critical access hospitals in 37 states as active clients. In total, Ovation has more than 500 active clients across its lines of business. The client base includes hospitals who have been clients since the 1970’s, and each year the company adds new critical access hospitals to its portfolio. These long-standing relationships demonstrate our deep understanding of the unique operational and financial challenges facing rural healthcare providers, from limited resources to complex regulatory requirements that demand specialized expertise.

Our engagement approach delivers comprehensive solutions across all our service lines -revenue cycle management, spend management, leadership advisory, and technology services.

The scope of our rural healthcare work spans end-to-end revenue cycle optimization that accelerates cash flow and reduces collection costs, strategic spend management that identifies operational efficiencies across organizational expenditures, and technology services that strengthen technological infrastructures while protecting critical systems. Our leadership advisory services specifically address the board-level financial and operational challenges that threaten rural hospital viability. With Ovation, rural healthcare systems gain a strategic partner who understands that sustainable success requires solutions tailored to community-specific needs, enabling them to reinvest administrative time into strategic growth initiatives that strengthen care access for the communities they serve.

The duration of engagements varies based on the services provided. The shortest engagements generally last 30 to 60 days, and some relationships have been in place for 30 years or more.

As client lists are confidential and proprietary information, Ovation will be pleased to review a list of current critical access hospital clients by way of a video conference with representatives from the State Department of Health.

2. How does your team stay current on CAH-specific Medicare and Medicaid regulations (cost-based reimbursement, swing beds, 96-hour rule, etc.), and can you point to recent examples where that knowledge shaped your recommendations?

Ovation’s regulatory expertise stems from our team of experienced rural healthcare leaders who have worked directly inside Critical Access Hospitals, giving us unparalleled insight into the operational realities of CAH compliance. We maintain current knowledge through a comprehensive approach that includes monthly coding forums, quarterly compliance packages, and continuous engagement with industry networks - ensuring our recommendations reflect the latest regulatory changes and real-world implementation challenges.

Our hands-on CAH experience translates into immediate, actionable solutions for clients navigating complex regulations like cost-based reimbursement, swing bed management, and 96-hour rule compliance. For example, our Chargemaster Integrity Review process has helped CAH clients optimize their Method II billing strategies while maintaining strict compliance with cost-based reimbursement requirements. We’ve also guided hospitals through swing bed acuity

OvationHC.com Page 3 management using our templates, validation tools, and governance frameworks - resources built from actual CAH operations rather than theoretical knowledge. Our structured audit process consistently identifies both compliance gaps and revenue opportunities, with clients achieving measurable improvements in reimbursement capture while reducing regulatory risk.

3. Can you share two or three case studies where your work measurably improved operational metrics or financial performance at a healthcare institution — ideally with before/after numbers?

Ovation’s track record demonstrates measurable financial transformation across diverse healthcare settings. At a 130-bed mountain state hospital, our revenue cycle management services delivered a 37.5% net collection rate increase in the first year alone, while a 500-bed southeast hospital achieved a 46% increase in self-pay cash collections. These results stem from our comprehensive approach that combines staff training, workflow optimization, and proven methodologies that consistently reduce accounts receivable days by 10-20 days within 6-12 months.

Our partnership with Cody Regional Health exemplifies sustained operational excellence over thirty years. Across our client portfolio, some institutions typically experience a 25% reduction in net days in accounts receivable, 12% reduction in supply spend, and up to 17% year-over-year revenue growth. At Lawrence County Memorial Hospital, our revenue cycle management implementation reenergized staff while dramatically improving collections performance through targeted training and new methodologies.

4. Walk us through your assessment and discovery process: how do you tailor strategy to a specific CAH’s circumstances rather than applying a templated approach?

Ovation follows a standardized format to complete assessment and discovery when engaging with a new client. However, upon engagement with a particular client the assessment and discovery work is tailored based on the needs and requests of the client along with the scope of work proposed. For Mississippi, the phases of work will include:

Phase 1: Data collection and validation.

Phase 2: Financial and operational risk scoring.

Phase 3: Identification of vulnerable hospitals.

Phase 4: Selection of at least 12 facilities for enhanced assistance.

Phase 5: Development of hospital-specific action plans.

Assessment criteria will include operating margin, days cash on hand, debt burden, payer mix, revenue cycle performance, workforce stability, service line viability, market demographics, outmigration trends, and quality indicators.

5. What training materials and workshop formats do you currently have ready to deliver, and what’s your typical approach for facilitating sessions with hospital staff (clinical, administrative, finance)?

Ovation’s educational approach is designed to be practical, interactive, and implementation-focused with an emphasis on helping participants apply concepts directly within their organizations. Each year, Ovation’s Learning Institute delivers more than 70 educational opportunities to 3,500 hospital leaders, staff, and governing boards through live webinars, on-

OvationHC.com Page 4 demand education, in person events, curated networking opportunities, and leadership conferences.

Ovation has experience facilitating:

• CFO roundtables,

• revenue cycle education sessions,

• governance education programs,

• operational improvement training,

• and strategic planning retreats.

Training materials are customized to the audience and may include:

• financial benchmarking tools,

• operational dashboards,

• workflow improvement frameworks,

• reimbursement education,

• case studies,

• implementation checklists,

• and best practice guidance.

Ovation’s team has the operational depth and staffing resources necessary to conduct both virtual and in-person educational sessions statewide, including collaborative cohort-based learning models designed specifically for rural hospitals.

2.2 Financial Analysis

1. What does your comprehensive financial assessment include — what data do you pull, what frameworks do you apply, and what’s the typical deliverable?

Ovation’s comprehensive financial assessment draws from multiple critical data streams across the hospital. The financial assessment includes a comprehensive review of the balance sheet, income statements, revenue cycle reports, volume statistics, local market data, regional and national comparative databases. The assessment provides a complete picture of the hospital’s financial position and opportunities.

Our methodology combines proven frameworks across revenue cycle optimization and spend management with strategic market analysis tailored to your specific service lines. We apply end-to-end revenue cycle evaluation techniques that have delivered 25% reductions in net days in accounts receivable and over 20% cash acceleration improvements for our clients.

Simultaneously, our spend management framework systematically identifies cost savings opportunities, achieving an average of 12% supply spend reduction per facility. This dual approach ensures we address both revenue enhancement and cost optimization simultaneously rather than treating them as separate initiatives.

Your deliverable includes a comprehensive market assessment report featuring demographics analysis; market projections for acute, outpatient, and physician services; and detailed recommendations for financial performance improvement. Following delivery, we conduct a detailed review session to discuss findings, answer questions, and refine recommendations based on the hospital’s strategic priorities.

2. How do you approach cost structure and revenue cycle reviews specifically for

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CAHs given their cost-based reimbursement model? Any tooling or methodology you’d highlight?

Ovation recognizes that Critical Access Hospitals face unique financial challenges under the cost-based reimbursement model. Our specialized approach begins with a comprehensive Chargemaster (CDM) evaluation that ensures technical integrity and regulatory alignment, followed by detailed cost structure analysis that maximizes allowable cost recovery while maintaining strict compliance with Medicare cost reporting requirements.

Our proven methodology combines a 360 Claims Audit with real-time dashboard technology to provide complete visibility into your revenue cycle performance. We conduct structured reviews of all CDM entries, validate CPT and HCPCS codes, and ensure revenue code alignment while addressing CAH-specific complexities like Method II Billing and 340B program integration. Our technology solutions seamlessly integrate with existing EHR/PM systems, providing AI-driven workflow automation and predictive analytics that reduce manual intervention and enhance accuracy. This integrated approach has helped rural hospitals achieve measurable improvements in clean claim rates and net collection performance.

3. Which state and national benchmarking datasets do you draw from (e.g., Flex Monitoring Team, CAHMPAS, RUPRI, MedPAC), and how do you present benchmarks like cost per patient or revenue per service line?

Ovation takes a comprehensive approach to benchmarking by aggregating performance data from numerous external sources to develop localized perspectives on provider needs across identified service areas. Sources include:

• Flex Monitoring Team CAH Financial Indicators

• CAHMPAS

• CMS Cost Reports (HCRIS)

• MedPAC datasets

• AHA Annual Survey data

• HealthTrust benchmarking data

• State hospital association comparative datasets

• Proprietary Ovation client benchmarking database

4. Describe your approach to optimizing payer mix and reimbursement strategy for rural hospitals — any recent wins worth mentioning?

Ovation approaches optimizing payer mix and reimbursement strategy by focusing on three core components: a 360° Claims Integrity Audit that identifies documentation gaps and reimbursement variances, our Payer Contracting Optimization Program that enhances negotiation outcomes, and comprehensive chargemaster integrity reviews that ensure defensible pricing strategies. Recent engagements have consistently delivered financial improvements that offset engagement costs while enhancing ongoing reimbursement performance. We provide practical tools including our Pricing Infrastructure Toolkit with templates and validation resources, plus ongoing support through our Revenue Cycle Training Academy with KPI reporting and billing compliance programs.

A recent success story includes analysis using payer transparency data to demonstrate conclusively that one hospital system in a market received 30% to 50% higher reimbursement from Blue Cross/Blue Shield vs our hospital in the same market. This data led to productive

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2.3 Sustainability Planning

1. How do you structure an individualized sustainability plan, and how do you weight financial stability vs. operational enhancement vs. community engagement components?

Each participating hospital will receive a sustainability framework addressing financial performance, workforce challenges, operational efficiency, service-line strategy, community partnerships, telehealth opportunities, technology optimization, and funding opportunities. Plans will include short-term, medium-term, and long-term implementation priorities.

2. What funding strategies have you helped CAHs pursue — HRSA grants, USDA Community Facilities, state rural health programs, RHTP, foundation funding — and what’s your success rate?

Ovation works closely with its leadership and advisory client base to analyze and pursue outside funding opportunities. In particular, the company closely follows state driven RHTP funding opportunities, advises our clients, and assists them in grant request preparation. Ovation actively assists clients and prospects in identifying alternative financing options along with grant opportunities.

3. How do you incorporate telehealth, EHR optimization, and data analytics into sustainability plans without overextending limited CAH IT resources?

Critical Access Hospitals face the complex challenge of modernizing their technology infrastructure while operating with severely constrained IT resources and budgets. Ovation understands that CAHs cannot afford to overextend themselves pursuing multiple technology initiatives simultaneously, yet they must advance telehealth, EHR optimization, and data analytics to remain viable and serve their rural communities effectively.

Ovation’s structured, phased implementation approach eliminates the resource strain that typically overwhelms CAH IT departments. Rather than forcing your team to build processes from scratch, we provide ready-made frameworks that integrate seamlessly with your existing EHR/PM systems. Our prioritized workplan guides sequencing and accountability, ensuring you tackle the highest-impact initiatives first based on your specific resource constraints and strategic goals. This methodology has enabled similar CAHs to achieve measurable ROI within 6-12 months while maintaining operational stability.

Our approach leverages managed services and external expertise to provide the specialized knowledge your team needs without the overhead of additional full-time staff. We focus on solutions that emphasize automation and AI-driven workflow efficiency, delivering real-time dashboards and KPI tracking that provide immediate insights without requiring extensive IT infrastructure. Through strategic alignment with your mission and deep understanding of rural healthcare challenges, Ovation ensures your technology investments enhance both financial sustainability and clinical outcomes. Your CAH will be set up to achieve the digital transformation necessary for long-term success while preserving the resources needed to continue serving your community’s healthcare needs.

4. Describe your approach to facilitating community stakeholder partnerships. Who

OvationHC.com Page 7 do you typically convene, and what does a “support network” look like in practice?

Ovation’s approach to facilitating community stakeholder partnerships begins with a client hospital’s market assessment and strategic planning process. The market assessment identifies key stakeholders, while hospital leadership and the board provide input to ensure a comprehensive stakeholder profile. Stakeholder interviews are a critical component of the strategic planning process, providing insights that help shape the hospital's strategic direction.

The strategic plan serves as the foundation for annual business plans and is reviewed and revised on a three-year cycle. The hospital boards, medical staff, community health providers, governmental leaders, business leaders, patients, and lay community members generally comprise the stakeholder group used in strategic planning. Ovation guides hospital and board leaders to participate in community stakeholder service, relationship building, and mutual support.

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3.1 Quality Assurance

1. Which industry standards and healthcare compliance frameworks does your work adhere to (e.g., CMS Conditions of Participation, TJC, state licensure, HIPAA), and how do you document compliance?

Ovation operates across 47 states serving over 500 healthcare clients, requiring comprehensive adherence to multiple regulatory frameworks including CMS Conditions of Participation, The Joint Commission standards, state licensure requirements, and HIPAA compliance. Our shared services model inherently supports regulatory compliance by strengthening infrastructure and protecting critical systems. Each Ovation service line hosts monthly meetings with clients to review compliance and results of operations. For revenue cycle clients, we measure accuracy and compliance through the process of charge capture, claims filing, and revenue collection.

For spend management clients, we review purchase contract compliance and identify new savings opportunities. Our IT management service provides thorough audit trails through all systems that reduce vulnerability and document transactions. Finally, for our leadership advisory clients, we hold monthly operating reviews to discuss hospital operations across the board.

2. What does your QA plan look like for an engagement like this? How do you measure progress and effectiveness of changes and training programs?

Across all service lines, Ovation’s QA plan for healthcare engagements centers on ensuring sustainable operational improvements. Monthly reviews of KPI’s and ad hoc reviews, as needed, ensure that the data points routinely monitored are acted upon and receive follow up to ensure sustainability. Ovation’s performance optimization team is available to serve as project managers for larger implementation plans, keeping all parties involved on track to complete initiatives and monitor their ongoing impact.

1. How do you systematically collect, integrate, and close the loop on CAH staff feedback during an engagement?

Ovation collects staff feedback through stakeholder interviews, leadership meetings, department-level discussions, and routine project touchpoints. Feedback is integrated into the assessment, recommendation development, and implementation planning processes to ensure proposed changes align with operational realities and staff workflows. Throughout the engagement, Ovation works closely with hospital leadership and frontline teams to communicate progress, address concerns, and refine initiatives based on ongoing input. This continuous feedback loop helps promote staff engagement, improve adoption of recommended changes, and support long-term sustainability.

4.1 Reporting and Documentation

1. What does a typical monthly progress report from your team include, and can you share a redacted sample?

Ovation’s monthly progress reports provide comprehensive visibility into the hospital’s operations through structured, actionable insights that drive measurable improvement. Multiple sample reports are attached to this submission.

2. How do you manage deliverable schedules across multiple workstreams (training materials, assessments, sustainability plans), and what tooling do you use to keep

OvationHC.com Page 9 clients informed of status?

For this project, Ovation will provide a dedicated Executive Strategic Advisor to both the state and the hospitals served. Ovation’s performance optimization team will assist the Executive Advisor in establishing a detailed project work plan and conduct regular meetings to ensure initiatives remain on track toward completion.

3. What’s the structure of your final comprehensive report, and how do you ensure findings and recommendations translate into actions the CAH can execute post-engagement?

Ovation’s final comprehensive assessment report will deliver a standardized assessment of the 28 critical access hospitals across all dimensions of performance and a recommended prioritization of which hospitals to be served more in-depth. Additionally, the report will deliver a plan of implementation for the other elements of the engagement over time.

Engagement execution is supported through Ovation’s performance optimization team. We provide structured workplans with clear accountability measures and follow-through protocols, backed by our proven track record of client relationships spanning over 30 years. Our approach includes regular review sessions to discuss implementation progress and necessary refinements, ensuring that strategic initiatives translate into measurable outcomes. This collaborative framework positions the hospital for sustainable improvement while maintaining the flexibility to adapt solutions as your community’s needs evolve.

Supplemental - Company Context

1. What is your company’s mission, history, and core business in Critical Access Hospital financial and operational improvement services?

Ovation’s mission is to strengthen hospitals, empower leaders, and sustain independence by delivering smarter strategies, lower costs, and stronger margins for community and independent healthcare organizations. With over 45 years of experience serving thousands of hospitals across 47 states, Ovation has established itself as a premier provider of shared services designed to enhance hospital and health system performance. Our core business offerings include revenue cycle management, spend management, leadership advisory, and technology services, all specifically tailored to meet the unique needs of Critical Access Hospitals.

For Critical Access Hospitals, Ovation provides comprehensive financial improvement services through end-to-end revenue cycle management solutions that enhance collections, accelerate cash flow, and reduce cost-to-collect, with proven results such as $4 million in additional patient revenue for a 20-bed CAH. Our operational improvement services deliver measurable outcomes including 12% supply spend savings per facility through spend management, up to 20% IT cost reductions with 99.9% network availability through technology services, and strategic guidance through our leadership advisory services to strengthen long-term viability and care access.

2. What are your company’s key competitive differentiators and unique strengths in Critical Access Hospital financial and operational improvement consulting?

Critical Access Hospitals face the dual challenge of maintaining financial viability while delivering essential care to rural communities with limited resources. Ovation Healthcare addresses these pressures through proven methodologies that deliver measurable financial and operational improvements.

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Our 45-year legacy in healthcare has produced a comprehensive shared services model specifically designed for rural hospitals. This approach combines end-to-end revenue cycle management with strategic spend optimization across all organizational expenditures, from supply chain to pharmacy management. Unlike competitors who offer generic solutions, Ovation’s services include governance frameworks and implementations built from hands-on

CAH experience. This eliminates the need for hospitals to develop new processes from scratch while ensuring sustainable improvements rather than just delivering reports.

The results speak directly to CAH sustainability concerns: our clients consistently achieve higher HCAHPS scores, increased days cash on hand, and 25% reductions in net days in accounts receivable. Our leadership advisory services further strengthen long-term viability by helping executives navigate complex financial challenges while maintaining community care access.

3. What is your company’s organizational structure, size, locations, and key partnerships or affiliations relevant to Critical Access Hospital consulting and rural healthcare work?

Ovation Healthcare operates with a client-centric organizational structure where every team member is aligned to serve clients, functioning as health system operators, administrators, strategists, and consultants. We maintain a significant presence across 46 states with partnerships spanning over 500 clients, ranging from critical access hospitals to large health systems, with headquarters located in Brentwood, Tennessee. Our extensive network enables us to deliver tailored rural healthcare solutions that address the unique needs of individual communities and hospitals. Ovation’s comprehensive service model includes revenue cycle management, spend management, leadership advisory, and technology services specifically designed to strengthen the long-term viability of critical access hospitals and improve rural healthcare access. Ovation is made up of 1100+ team members across all lines of business.

Executives that will be assigned to this project are Mississippi, Alabama, and Tennessee residents who can all have easy access to travel for onsite visits, as needed. Additional Ovation team members across the country will be deployed as needed to support various initiatives.

Supplemental - Mandatory Requirements

1. What documentation demonstrates your company has been in business providing goods and services similar in requirements and scale to this IFB for a minimum of 15 years?

Ovation Healthcare has been continuously operating for over 45 years, far exceeding the 15-year minimum requirement, with extensive documentation of our service delivery across leadership advisory, spend management, revenue cycle management, and technology services.

Specific documentation demonstrating our experience includes case studies such as our 30+ year partnership with Cody Regional Health and comprehensive market assessments for various facilities. Our proven track record of delivering healthcare services at the required scale and complexity, combined with our decades of continuous operation, provides comprehensive evidence of our qualifications to meet the IFB requirements.

2. What licenses, certifications, and accreditations does your organization possess and maintain that are relevant to providing Critical Access Hospital consulting services?

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Ovation team member’s certifications include the following:

Organizational

• HIPAA Security Risk Assessment (SRA)

• AICPA SOC2

Revenue cycle

• AHIMA

• RHIA

• RHIT

• CPC

• CCS

Technology Services

• Certified Information Systems Security Professional (CISSP)

• Certified Protection Professional (CPP)

• Certified Fraud Examiner (CFE), Senior Systems Security Manager (SSSM).

Finance

• HFMA

• CPA

• CHFP

Project management

• PMP

Academic

• MBA

• MSHA

• PhD

• Master of Science - Information Security (MSISM)

3. What professional liability insurance and general liability insurance coverage does your organization maintain, including coverage amounts and carrier information?

Certificate of Liability Insurance attached to this submission.

Supplemental - Technical Capabilities

1. What is your methodology for conducting a statewide needs assessment to identify at least 12 vulnerable Critical Access Hospitals requiring chargemaster reviews and action plans?

Ovation’s methodology for conducting statewide Critical Access Hospital needs assessments combines comprehensive market analysis with targeted vulnerability identification to systematically locate hospitals requiring priority intervention. Our approach begins with detailed market assessments analyzing demographics, insurance coverage, utilization patterns, and provider supply validation using both client data and external resources. Additionally, the balance sheet, income statements, revenue cycle reports, volume reports, and spend data analysis provide the foundation for us to identify vulnerable CAHs through a multi-dimensional risk assessment.

2. What is your approach to designing and facilitating revenue cycle management roundtable sessions specifically for Critical Access Hospital Chief Financial Officers?

Our facilitation methodology emphasizes peer-to-peer learning through structured, step-by-step workplans that guide sequencing, accountability, and follow-through. Each session includes a https://ovationhc.com/wp-content/uploads/2026/05/5.19.26-Ovation-Healthcare-COI.pdf

OvationHC.com Page 12 comprehensive toolkit with practical templates, validation tools, governance frameworks, and implementation guides that eliminate the need to build new processes from scratch. We focus on measurable outcomes through real-time dashboards, KPI tracking including denial rates and Days in A/R, and benchmarking against industry standards. Our approach integrates clinical, revenue cycle, and finance functions to ensure recommendations are operationally feasible and sustainable, with particular attention to risk adjustment optimization and HCC coding accuracy.

Four facilitated CFO roundtables will be conducted statewide. Session topics include financial benchmarking, revenue cycle optimization, reimbursement strategies, cost reporting, denial prevention, and long-term sustainability. Sessions will incorporate peer learning, case studies, implementation tools, and action planning.

3. What is your methodology for conducting market share and outmigration assessments to help Critical Access Hospitals identify new patient service opportunities and improve existing service lines?

Ovation will analyze patient origin and destination patterns, service utilization, referral leakage, and market demand. Findings will identify opportunities to recapture patients, strengthen service lines, and improve financial sustainability.

What sets our methodology apart is the integration of market intelligence with operational expertise. Beyond identifying service opportunities, we translate findings into actionable strategies through our RCM solutions that improve collections and cash flow, spend management services that optimize operational costs, and leadership advisory support that strengthens long-term viability. Our clients typically see measurable improvements in both market position and financial performance within the first year of implementation.

4. What billing and coding curriculum do you offer for Critical Access Hospitals, and what is your delivery approach for ensuring course effectiveness across multiple sessions?

Billing and coding education will be delivered through a structured curriculum addressing CAH reimbursement, documentation improvement, coding accuracy, denial prevention, compliance requirements, and revenue integrity. Training will include baseline assessments, live instruction, supporting materials, and follow-up performance measurements.

5. What is your chargemaster review methodology and process for identifying and correcting errors in procedures, codes, and charges at Critical Access Hospitals?

The chargemaster review methodology is designed to help Critical Access Hospitals identify pricing inconsistencies, revenue code errors, and opportunities to improve chargemaster accuracy and compliance.

The review begins with an electronic analysis of the hospital's chargemaster using specialized revenue integrity software. This analysis identifies potential issues including revenue code discrepancies, revenue code-to-CPT mismatches, pricing inconsistencies, invalid code combinations, and other charge capture concerns. Following the software review, identified exceptions are evaluated and prioritized based on compliance risk, reimbursement impact, and operational significance. The review focuses on chargemaster accuracy, pricing structure, revenue code assignment, and opportunities to improve consistency across services.

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Upon completion, the hospital receives a summary of findings and recommendations, including identified revenue code corrections, pricing considerations, and opportunities to strengthen chargemaster maintenance processes. Findings are reviewed with hospital leadership to support implementation and ongoing chargemaster integrity.

This approach provides hospitals with a practical and efficient review process that helps improve chargemaster accuracy, support compliant billing practices, and identify potential revenue integrity opportunities.

6. What is your approach to implementing changes and delivering services using a cohort-based model with multiple Critical Access Hospitals working together?

Ovation understands that Critical Access Hospitals face the dual challenge of maintaining operational independence while achieving the efficiencies that come from collaborative partnerships. Our cohort-based implementation approach addresses this by providing structured frameworks that enable shared learning and resource optimization without compromising each facility’s unique community focus.

Our methodology centers on a comprehensive toolkit built specifically for CAH environments, including practical templates, validation tools, governance frameworks, and prioritized workplans that guide sequencing and accountability across your cohort. This eliminates the need to build processes from scratch while ensuring each hospital can customize solutions to their local needs. We begin with detailed data intake and workflow validation across all facilities, followed by department interviews and comprehensive reviews that inform leadership-ready insights and execution tools tailored to each hospital’s operational context.

7. What is your facility-level outcome tracking methodology for establishing baselines, setting goals, and measuring outcomes throughout the engagement with each Critical Access Hospital?

Ovation’s facility-level outcome tracking methodology for Critical Access Hospitals begins with establishing comprehensive baselines through detailed market assessments that analyze demographics, insurance coverage, community health indicators, and five-year projections by service line. We leverage demand rates aggregated from numerous external sources to develop localized perspectives on provider needs, ensuring benchmarks are relevant to each community’s unique circumstances. Our collaborative approach starts with project kick-off meetings where we align with your leadership team on specific objectives, governance structures, and data requirements, creating a foundation for measurable success.

Our tracking methodology focuses on proven financial and operational KPIs that directly impact Critical Access Hospital sustainability. These outcomes are supported by our comprehensive toolkit featuring practical templates, validation tools, governance frameworks, and implementation guides that streamline progress monitoring while reducing your internal workload. Our prioritized workplans guide sequencing and accountability, ensuring sustainable improvement rather than just delivering reports.

Data accuracy and reliability are maintained through our technology services that strengthen infrastructure and protect critical systems, while our revenue cycle management prevents billing errors at the front end. We communicate results through structured PowerPoint and PDF reports, conducting collaborative review sessions with stakeholders to discuss findings, answer

OvationHC.com Page 14 questions, and refine approaches. This methodology adapts to each hospital’s specific challenges through our experienced operator’s lens, empowering your leadership team to sustain independence while achieving measurable improvements in financial performance, operational efficiency, and patient care outcomes that strengthen your community’s healthcare foundation.

8. What is your stakeholder communication management protocol for ensuring all required parties are included in project communications, including emails, conference calls, and video calls?

Ovation employs a comprehensive stakeholder communication management protocol that begins with a structured project kick-off meeting to establish governance, identify all required parties, and set communication expectations. Our protocol includes appointing dedicated point persons to coordinate deliverables and meeting schedules, utilizing practical templates and governance frameworks to ensure no critical stakeholder is overlooked, and maintaining structured engagement processes with data intake, department interviews, and workflow validation. We implement escalation procedures for addressing inadvertent exclusions and conduct regular audits through our compliance suite to continuously improve communication effectiveness. Ovation’s approach leverages virtual meeting capabilities and tailored communication strategies across our service areas, ensuring consistent stakeholder engagement while reducing internal workload through our proven toolkit built from extensive hands-on experience. Given the wide geographic dispersion of Ovation’s workforce, on-site participation in meetings and workshops is always available.

Supplemental - Past Performance

1. What is your account management structure and approach for assigning a dedicated account representative to work directly with the Mississippi Office of Rural Health throughout this engagement?

Ovation’s account management structure is fundamentally organized around the client, ensuring every team member is aligned to serve clients effectively through a dedicated, client-centric approach. Ovation team members are experienced hospital operators, including CAH facilities, with expertise across all disciplines of hospital management.

For the Mississippi Office of Rural Health engagement, Paul Storey, Executive Strategic Advisor, will be the dedicated representative to Mississippi. Paul resides in Birmingham, AL and can easily travel to Mississippi, as needed. Paul brings more than 30 years of healthcare leadership experience, including service as a hospital CEO and senior administrative roles across large and small, urban and rural, for-profit and nonprofit hospitals. Additionally, while serving as President of Helen Keller Hospital, Paul also held responsibility for Red Bay Hospital, a critical access hospital in Northwest Alabama. Experts across all of Ovation’s business lines will be involved as needed throughout the engagement.

2. What is the composition, qualifications, and relevant expertise of the consulting team you would assign to this Critical Access Hospital engagement, including their credentials and experience in rural healthcare and CAH-specific work?

The team assigned to this project includes:

Paul Storey – Executive Strategic Advisor and project lead

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Amber Ackerson – CEO of Rural Med, a wholly owned subsidiary of Ovation Ginnie Berg – Director of Strategy Ryan Nestrick – Executive Strategic Advisor Dennis Rookwood – VP, Performance Optimization Suzette Duhee – VP, Finance

Other Ovation team members will provide support and expertise to the engagement as well.

Monthly Operating Report Package

Sample Reports

Open Inventory Analysis: Presents aging data segmented by financial class and payer

KPI Scorecard: Monitors the effectiveness of the Revenue Cycle aligned to SLAs or designated metrics requested by client

3Service Level Agreement (SLA)

Cash Analysis: Evaluates cash flow performance based on posting month and liquidation according to service months

Denial Reporting

Sample Reports

Initial Denial Trends: Demonstrates the progression of initial denial across different perspectives

Denial Category Trending: Enables detailed analysis of denial categories across different time periods

Denial Drill-Through: Enables detailed drill-through into denial queries for analysis and trending by payer or billed service

SPEND MANAGEMENT

GPO Spend Trends

Contract Performance

Rebate Overview

Contract Awards

OVATION PARTNERSHIP PROGRAM – ENDO TECHNOLOGIES

Endo Technologies is a Tennessee-based provider of Olympus endoscopy equipment, specializing in sales, maintenance, and repair services for medical practices. The company emphasizes integrity, transparency, and strong customer service, backed by a technical team with more than 70 years of combined experience. Its oƯerings include colonoscopes, gastroscopes, video processors, light sources, and nationwide technical support. Endo Technologies focuses on delivering customized endoscopy solutions that help clinicians provide high-quality patient care. Attached is information regarding service contracts and refurbished equipment.

HEALTHTRUST AWARDS

On June 1, 2026, dual plus SWVE-source agreements for Kits – Admission, Maternity and Personal will go into eƯect with the following suppliers:

ABC Health (New)

XYZ Health

Total spend: $3.2 million Total HealthTrust estimated savings: 1.2%

Med/Surg Standardization & Optimization

Physician Preference Item Benchmarking

Purchased Services – Category Benchmark Review

Capital Equipment - Active Group Buys

Capital Equipment Benchmarking Results

Initiative Tracking – Top Initiatives

GPO Work Plan Review

Recalls & Safety Notices

ACTIVE RECALLS

SAFETY NOTICES

BD Medical Infusion Pumps, Sets, and Needleless Products Priority: Medium

Reported: May 26, 2026

Category: Infusion Pumps, Sets, and Needleless Products

Supplier: BD Medical

Contract: 990

Items Impacted: 2204 -0007 – Alaris™ LVP 20D Set

Summary: BD is reporting an advance notice of a temporary, near -term supply constraint that may impact the following BD Alaris ™ Infusion System Set:

AƯected SKU: - 2204 -0007 – Alaris™ LVP 20D Set

Due to current demand dynamics, customers may experience intermittent, short -term stock availability for this SKU. This situation is expected to be temporary. To support equitable access across the care community, we respectfully ask customers to consider the following actions where clinically appropriate:

• Reduce utilization where clinically appropriate

Global Supply Update

All Vendors - Exam Glove Allocation

Global shipping disruptions in the Middle East—particularly the closure of the Strait of Hormuz—are aƯecting the supply of key raw materials used to produce nitrile gloves, including naphtha and butadiene. This is creating industry-wide challenges for nitrile glove manufacturing.

Although there is inventory available now, manufacturers are planning 4–6 months ahead due to the uncertainty. To maintain stable supply and prevent over-purchasing, nitrile gloves have been placed on 100% allocation across the industry, with many suppliers implementing similar restrictions.

Ovation Learning Institute

Ovation Learning Institute, (OLI), education sessions are complimentary. Simply use the unique code assigned to your facility. Register here: The Learning Institute - Ovation Healthcare

HealthTrust Education