Distressed Health Care

We support you with the necessary restructuring measures for your hospital and work with you to optimize its strategic direction.

Distressed
Health Care

Political decisions are placing hospitals under enormous financial pressure. Starting with the change in remuneration for inpatient services to the DRG system from 2001, requirements have been tightened continuously. Increased demands for resource provision are coupled with reimbursements that can no longer readily cover these costs. The additional burdens recently decided under the Nursing Staff Minimum Levels Act and the new MDK Act are currently causing financial problems to grow significantly.

Inadequate strategic alignment and multiple inefficiencies in day-to-day operations regularly lead to a slide into the red. This confronts those responsible and the hospital owners with serious challenges and often painful decisions that can even result in the facility being closed.

To prevent this, decisive action is required—now.

It is clearly evident that for a great many hospitals—and therefore their owners—“business as usual”, i.e., continuing with merely “gentle optimization”, will no longer be sufficient. Instead, new paths that can be implemented consistently must be identified and pursued.
In the short term, the restructuring instruments provided for by the legislator offer effective improvements. They can be used to fundamentally reshape the business model, overcome liquidity crises, and reorganize liabilities. Depending on the situation, the various instruments are applied in a targeted and effective manner. The following restructuring scenarios are possible:

We provide support in all phases of business development and restructuring. Our consulting services are never limited to a single perspective. On the contrary, we always take strategic and operational aspects into account and examine the relevant parameters from every angle.

Roadmap

Each roadmap is tailored to your organization and designed to provide clear guidance and orientation for everyone involved. As a rule, however, we always start by assessing solvency.

Assessment of
solvency

Assessment of the
going-concern forecast

Preparation of an IDW S6 report
or insolvency plan

Preparation of a reference-date financial status report

Preparation of a financial plan for the current and following year

Preparation in accordance with statutory requirements

Measures to restore solvency

Measures to regain a positive going-concern forecast

Measures for sustainable turnaround within integrated corporate planning

Operational capabilities

We assess business models and development concepts neutrally—also in coordination with the group of financiers.
We implement development, restructuring, and even closure plans consistently.
We prepare a going-concern forecast and also support communication and coordination with the owners and the group of financiers.
As part of implementing the restructuring measures, we assume overall or partial responsibility as interim management, CRO, or project manager.

Team

This newly established partnership has brought together the major and highly successful restructuring expert Schneider Geiwitz and Antegrad GmbH, which specializes in operational (!) corporate development in the hospital/healthcare sector.

In this highly specific and critical situation, we support the owners with advice and hands-on implementation.

Our team combines expertise in corporate development, healthcare concept development, legal consulting, acquisition and application of funding, hospital (crisis) management, hospital restructuring, and insolvency administration.

Together, we provide a unique Distressed Health Care consulting portfolio that includes a comprehensive compendium of concrete solution approaches and measures. Our focus is on speed in strategy development and implementation, with the goal of financial recovery and safeguarding.

Do you have questions or would you like further information?

Then contact us directly.
Your contact person: Gerhard Becker

At a glance

Antegrad
optimizes
hospital operations

We help your healthcare organization achieve better strategy and organization at every level.
We support you in the following areas:

Organizational development

We support you in
developing a suitable structure and organization for your healthcare organization.

Portfolio development

We take a close look at your specialist departments and, on that basis, develop the ideal portfolio for your specific target market.

Development & management of the entire tertiary area

We improve performance and efficiency across all sub-areas of your organization—from catering services to the central sterile services department.

Corporate management systems

With a customized corporate management system, your hospital becomes more transparent and visions are implemented with ease.

Interim management

As interim managers, we help you improve your management, implement changes, and support you at every level.

Cooperation development & merger

We support you in cooperating with other organizations, develop the allocation of responsibilities, and create a win-win situation.

Digitalization &
IT development

We provide expert support on your path to digitalization—from the approach concept and digital strategy development through to implementation.

Business management & training

Antegrad develops efficient management systems, supports their implementation, and provides further training for executives.