1. Initial Consultation

Every management relationship begins with a confidential consultation. During this stage, we listen carefully to your goals, challenges, and long-term vision for your hospital. This is a collaborative conversation where we outline what a management partnership with Kerith Brook Health could look like, explain the steps in the process, and begin to establish trust and transparency from the start.

2. Signing the NDA (Non-Disclosure Agreement)

Before sharing any sensitive details, we put confidentiality in writing. The NDA protects your institution’s financial, operational, and strategic information, ensuring that all conversations and documentation remain secure. This step gives you the peace of mind to speak openly about the realities of your organization without fear of misuse or exposure.

3. Non-Binding Letter of Intent (LOI)

Once there is mutual alignment, we move forward with a non-binding LOI. This document lays out the framework for exploring a management relationship, clarifies the services under consideration, and sets expectations for both parties while keeping flexibility intact. It signals our commitment to pursue the process seriously while allowing you to remain in control of final decisions.

4. Submission of Financials

After the LOI is signed, we request your institution’s key financial records — including recent balance sheets, income statements, and supporting documents. These materials allow us to understand your hospital’s current financial position and form the basis of a thorough operational and performance review.

5. Financial & Operational Review

Our internal team conducts a deep dive into your financial and operational health. We examine areas such as revenue cycle performance, staffing structures, payer mix, regulatory compliance, and community utilization patterns. This review helps us identify immediate opportunities for stabilization and long-term strategies for growth, ensuring that the eventual management plan is tailored to your unique circumstances.

6. Fair Market Value (FMV) Analysis by Third-Party Accounting Firm

To ensure complete objectivity and compliance, we bring in a separate, independent accounting firm to conduct a Fair Market Value (FMV) analysis. This step is critical because federal and state regulations require that management contracts be priced at FMV to avoid compliance risks with Stark Law, Anti-Kickback Statutes, and other healthcare regulations. The independent review provides transparency, validates that the management fees are fair to both parties, and protects your institution legally and financially.

7. Management Proposal

With the FMV analysis in hand, Kerith Brook Health prepares a detailed management proposal. This document outlines the scope of services, reporting structures, performance goals, and compensation terms — all aligned with both your institution’s needs and the independent FMV findings. Our proposal is designed to be comprehensive, actionable, and practical for your board and leadership team to evaluate.

8. Agreement & Negotiations

Once the proposal is presented, we work hand-in-hand with your leadership and legal counsel to finalize terms. This stage ensures the agreement reflects both parties’ priorities, provides clarity on roles and responsibilities, and secures alignment on long-term strategy. Negotiations are approached collaboratively, with the goal of building a strong foundation for a sustainable partnership.

9. Implementation & Transition

After the agreement is signed, our team begins the transition process. We implement new systems, streamline processes, and provide immediate leadership support to stabilize operations. From HR and payroll to revenue cycle management and compliance programs, our approach is to integrate seamlessly with your staff while minimizing disruption to patient care.

10. Ongoing Partnership & Support

Our role does not end with transition. We provide continuous oversight, performance monitoring, and strategic leadership tailored to your institution’s evolving needs. Our team tracks results, benchmarks progress, and works proactively to address challenges before they become roadblocks.

11. Seamless Communication Throughout the Contract

Transparency and collaboration are cornerstones of our management philosophy. We maintain ongoing, open communication with your board, leadership team, and community stakeholders. This ensures that you are never left in the dark — you’ll always have clear visibility into the decisions being made, the data driving those decisions, and the results being achieved under our management.