Meet the Partners
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Reid Bruehl Reid Bruel brings to Balfour Concord a diverse background that includes over a decade of healthcare experience. Prior to joining Balfour Concord in 2001, he served as Director of Physician Relations for a not-for-profit hospital system in Kentucky. In this capacity, he developed primary and ancillary care centers and negotiated the acquisition of physician practices. As a Project Manager with Balfour Concord, Reid has managed hospital addition/renovation and replacement facility projects ranging from $5 million to $55 million. Reid also manages Medical Office Building development projects ranging from 20,000 to 150,000 sq ft. While on a project, he manages all phases of the development process which includes: site selection/site due diligence, regulatory approval coordination, total project budgeting and scheduling, team formation, design and construction oversight, and transition/occupancy coordination. EXPERTISE: Proven Facility Development Strategies The Facility Development Strategy consists of two key components; scope definition and implementation or program management. Whether an expansion, renovation or replacement facility is being contemplated, utilizing proven strategies is imperative to the success of any healthcare development project. Reid and the Balfour Concord team will guide your organization through the development and implementation of a hospital modernization project including:
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J. Todd Robinson J. Todd Robinson, AIA, a principal with ESa, has spent the majority of his 27 years with the firm as Senior Designer specializing in healthcare. He has been responsible for the design and project management of new, renovated, and expanded healthcare facilities throughout the United States. Todd was recognized by Healthcare Design magazine in 2006 as being among the 20 architects nationally who are making a “significant difference in advancing the design of healthcare facilities.” He has extensive experience in designing medical centers, rural and regional hospitals, managing such projects from inception to completion. Todd has particular expertise in creating staff efficiencies through design, incorporating evidence-based design components, and he has a thorough knowledge of the complete design and construction processes all while integrating current market trends. Todd is often sought by the healthcare media as an expert source regarding healthcare facility design issues and presents to conferences across the country. EXPERTISE: Overcoming Challenges through Design Hospitals face many operational challenges and many do so with lean budgets. Todd Robinson and the ESa team work with healthcare leaders to design cost-effective, patient-centered environments with operational efficiencies and flexibility for future needs. Good design, even on a tight budget, can optimize a hospital’s environment by including enticements to increase patient base, recruit physicians, maximize clinical efficiencies, eliminate duplication, streamline workflow, and much more. ESa helps clients achieve design success by:
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Stephen T. Moore Steve Moore is chair of Hinshaw & Culbertson LLP’s national Health Care Specialty practice group and Director of the firm's Western Illinois Region. He joined the firm in March 1984 and served as Partner in Charge of the Rockford office for many years until appointed Regional Director in 2005. Among his numerous professional activities, Steve has served on the Board of Directors of the Illinois Association of Healthcare Attorneys and as Chairman of the Business Law Section of the Winnebago County Bar Association. He is also a member of the American Health Lawyers Association. Following graduation from law school, Mr. Moore served as an Assistant Attorney General of the Iowa Department of Justice, and law clerk to the Chief Justice of the Iowa Supreme Court. Steve has been recognized by his peers as a Leading Lawyer in the category of Health Law. He holds the AV® Peer Review Rating from Martindale-Hubbell, its highest rating for ethics and legal ability. In 2005, 2006 and again in 2007, He was named as a “Super Lawyer” in the area of Health Care Law by Illinois Super Lawyers magazine. EXPERTISE: The Legal and Regulatory Challenges Facing Change Construction of a replacement hospital and major renovation programs pose many legal and regulatory challenges. Understanding the issues and legal protocol is required for successful implementation. From negotiating contracts with architects, engineers and construction contractors to closing on the financing of the project without a sound legal strategy hospital leadership is vulnerable. Steve and the Hinshaw & Culbertson team guide clients through the federal, state and local regulatory requirements which must be satisfied to construct a replacement hospital, including:
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Michelle Rathman Michelle Rathman, founder of Impact! Communications, Inc. has been on the cutting edge of strategic communications since 1989. Impact! is an innovative public relations, advertising and marketing firm, and our primary focus is healthcare systems and organizations in the field of wellness. Michelle and her team advise healthcare leadership on effective communication strategies, while guiding them through organizational change. Her work includes building identity and brand presence, engaging community and strategic partners, developing customized approaches to decrease outmigration, recruiting top physicians, enhancing service areas in order to remain competitive and capture diverse payer mixes, all while helping clients advance their mission to serve. Michelle was the driving force behind a unique fusion of rural and academic medicine and consults with top executives and CEOs on all subjects that require an effective communication strategy, including dealing with change and crisis. In 2007, one of Michelle’s signature community relations programs received national recognition as a finalist for “Marketing Program of the Year”. Her savvy advice can be found in numerous business publications and she was featured in a cover story in Entrepreneur Magazine on how to incorporate philanthropy into business. EXPERTISE: THE HUGE IDEA: Building a Winning Strategic Communications Playbook Many hospitals watch community members drive past their facility while on their way to a competitor -- even though they often times have the same technology, medical services and better customer service. Why? If you build it, will they come? Strategic, controlled and intricately planned communications is essential to any hospital planning a major renovation or replacement project. Impact’s signature program, “THE HUGE IDEA” is interactive, thought-provoking and a departure from the conventional approaches to developing a marketing plan. Creativity after all, is the thing that drives vision. During the HUGE IDEA sessions, leadership teams create their organization’s own ‘Playbook’ in order to map out and manage the marketing, public and media relations that are all essential to a modernization project. When You Do It with Impact we help clients:
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Nessy Shems Nessy Shems is Managing Director of the Health Care Finance group for PiperJaffray. His focus is on designing and implementing leverage capital solutions for a variety of healthcare borrowers. In addition to working with numerous health care organizations around the country, Nessy has completed many financings for rural and critical access hospitals throughout the country. Through his work, PiperJaffray has been the number one underwriter of tax-exempt bond transactions in the Midwest for the past 10 years. Nessy takes a very “hands on” approach to managing financings for his clients. This includes ongoing involvement through all phases of any transaction, from conceptualizing the plan of finance to the closing of the issue. He also stays in close contact with each client between transactions to apprise them of market conditions that have created economic opportunities with respect to their overall balance sheet strategies. EXPERTISE: Access to Equity Health care is a capital intensive business. A recent survey reports that nearly 75% of CFO’s will significantly increase their hospitals’ capital spending over the next five years to replace deteriorating fixed assets and upgrade technology, increase in-patient and/or out-patient capacity, and to stay ahead of the competition. Yet there is a mounting dichotomy among hospitals as the strong are getting stronger and the weak are getting weaker. Many weaker (typically rural/small) hospitals are caught in a situation where volume growth is pushing demand for capital, but in many cases their internal cash flow can’t keep up with their capital needs. As a result, the capital needs of many rural and critical access hospitals are more extensive after years of deferred maintenance due to limited access to capital. Today, many of those hospitals are planning expansion or renovation projects.Through Nessy and PiperJaffray, clients will:
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Glenn Meyers Glenn Myers is the Operations Manager for Robins & Morton. Since 1946, Robins & Morton has grown from a modest construction operation into one of the top contractors in the United States. Their portfolio of more than 800 successful projects is the result of their commitment to quality construction. Glenn provides comprehensive coordination between the hospital and architect to ensure both the planning and execution of the projects exceeds expectations. His vast knowledge of hospital construction is evident in each of his projects which have ranged from $6 million to $56 million. EXPERTISE - The Plan Becomes Reality Once the planning is complete and the financing secured, after you have a finalized a design that will bring your healthcare organization to higher level in your community, it is time to build and now you have begin a new phase of your modernization project! How long should it take, should you use local contractors and is it important to work with a construction manager? The role of a construction manager is not just building the project; it is about bringing experience and value to the team so that building the project is as painless as possible. A critical decision for any owner planning a healthcare construction project is the selection of an experienced healthcare Construction Manager/General Contractor that believes in the partnering concept as it relates to their interaction with the owner, architect, and consultants with ultimate success of the project being the focus of all team members. Glenn Meyers and the Robins and Morton team provide extensive and expert consultation in the following areas:
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©2008 Impact Communications, Inc.