BarneyRehabilitationHospitalBusinessOverviewVoorhees,Nj

OUR VISION

ThevisionofBarneyRehabHospitalistoprovideaclinicallyintegratedcontinuumofpost‐acutecareresultinginpeopleregainingtheirlives.ItisthepolicyofBarneyRehabilitationHospitalthatallteammemberswillactinamannerconsistentwiththemission,philosophyandoperatingpoliciesoftheHospital.Inaccordancewiththeseprinciplesandpolicies,teammemberswill:Showrespectforthedignityoftheindividualwhetherpatient,familymember,co‐worker,clientoranyotherperson.Providethehighestqualityclinicalandcustomer‐relatedservicesDemonstratefairnessandhonestyinallinteractionswiththepublic.Adheretotheirprofessionalcodesandpracticeguidelines.Provideanaccurateportrayaloftheservicesandoutcomesoftheprogram.Beethicalinallmarketingandpublicrelationsactivities.

IntroductionVoorhees Township located in Camden County, New Jersey is less than 20 miles east of Philadelphia, and midway between New York and Washington, D.C. The community is very welcoming to new business making it ideal for business growth and potential in an expanding economy. The population in Voorhees is about 29,000 with about 4,600 in the over 65 group. Camden County has a population of about 520,000 with 65,000 over 65 years of age. There are over 10 senior living centers in Voorhees but the community is lacking a physical rehabilitation hospital to meet the needs of this growing elder population. The “Baby Boomers” are just beginning to enter our senior age group and within just a few years the over 65 group will be the major group in the United States. In fact, seniors will double in numbers within the next twenty years.

Business Overview:

Patients expect and deserve quality medical care. Physicians, by nature, want what is best for their patients. With the advent of specialty hospitals, physicians can own, run, and control a superior center designed to deliver the highest quality health care. Neurosurgeons who manage their own hospital may set the standards for medical excellence, with patient satisfaction as their primary focus. Only a few generations ago, physician-owned hospitals were common.

Sadly, communities all over the United States haven’t enough hospitals to accommodate the growing demands of the geriatric patient. Perhaps the most significant specialty hospital to meet the needs of the geriatric population is a physical rehabilitation hospital. Voorhees does not have a rehabilitation hospital within the community. Now is the time to plan and establish such a facility.

Community Leaders in Voorhees are very supportive of a rehabilitation hospital and have assured us they will lend a hand in any way necessary to bring the hospital to the community. Physicians have expressed to us the need for rehabilitation services and are looking forward to a hospital for their patients. While an adult physical rehabilitation hospital treats the needs of all adult patients, the geriatric population makes up about 95% of the patients treated in a rehab hospital. This is easy to understand when we realize that rehabilitation diagnoses are often associated with illnesses and incidents that occur, as we get older. For instance strokes, amputations, fractures of femurs, poly arthritis and traumatic brain injuries are just a few of the diagnostic categories that are treated in a rehabilitation hospital. The professionals working in the hospital include physicians, physical therapists, occupational therapists, speech pathologists, social services, psychologists, and recreational therapists. These groups of professionals work together as a multidisciplinary team to treat the patient. Their goal is to provide integrated care to disabled individuals in order to assist these individuals in reaching the highest functional level of independence and return the patient to a quality life. It is very important to the community to establish a physical rehabilitation hospital in Voorhees. The hospital will also provide an outpatient department to offer a continuum of care for the patient after they have been discharged from the hospital. This is very important to total patient care and maintenance. A Wellness Program for all seniors within the community has been planned. This program will assist geriatrics in maintaining a healthy and independent lifestyle. The hospital is also planning to offer a Traumatic Brain Injury Unit. This unit will specialize in treating the patient that has sustained a closed head injury. We are very excited about this facility and expect that the hospital will become a regional hub for the treatment of these injuries. We anticipate hiring around 150 employees to support hospital services. Many of these employees are medical professionals and will certainly add to the economy. Community members that we have been in contact with are looking forward to not only the hospital providing a much-needed service but also creating additional jobs in the area. We have an obligation to ensure that health care services like rehabilitation are available to all who need these specialized services but specially our seniors in Voorhees and surrounding areas. This hospital will provide these services. However, given the current economic situation as well as the approval of health care reform as of Dec 2009. The New Inpatient Rehab hospital development will presents us with an opportunity to integrate the full range of acute, post-acute, and senior care across a major market. This innovative approach is in alignment with the intent of the new Obama healthcare reform initiatives to improve the quality and efficiency of care at all types of inpatient facilities

Anuschka Healthcare Group Barney Rehabilitation Hospital has partner with Anuschka Group for the management and operational services for the hospital. Established in 1998, Anuschka Group, Inc. has been a leading provider of physical rehabilitation program management services in hospitals, skilled nursing facilities and other long-term care facilities throughout the United States. We also own and operate a total of 50 rehabilitation and long-term acute care hospitals. Our Skilled Nursing Rehabilitation Services division serves skilled nursing and other long-term care facilities, and outpatient care facilities by providing and managing therapy services for both the short-stay patient and long-term care resident. The division also provides consulting and billing services for long-term care providers as well as therapy/nurse staffing solutions for the state of Texas and Louisiana through Amed Medical Staffing Services. Our Hospital Rehabilitation Services division manages hospital-based inpatient rehabilitation facilities (IRFs), medical/surgical therapies and outpatient therapy programs. Within our Hospital division, we own and operate freestanding IRFs and long-term acute care hospitals through joint venture partnerships with market leading acute care providers. Anuschka Healthcare Group, help hospitals identify strategies to drive efficiencies, increase revenue and achieve clinical excellence across their post-acute continuum of care, from med/surg therapies and transitional care to IRF and outpatient rehabilitation services. We have a demonstrated ability to help hospitals adapt and thrive in an ever-changing reimbursement environment.

Anuschka Healthcare Group, LLC provides program and care management services across the post-acute continuum of care. Our scope of expertise

and unique model of care coordination ensure the seamless transition of patients to the right level of care, at

the right time, with superior outcomes.

BUSINESS MODELS

Our flexible business models offer an array of collaborative opportunities for our clients' evolving post-acute needs.

Program Management Services We provide solutions for hospitals, skilled nursing facilities and other healthcare providers looking to optimize vacant space, free up acute care beds, fill an unmet need for therapy services or improve performance in an existing rehabilitation program through full-service, staffing or management only agreements.

Joint Ownership Agreements Through joint venture partnerships, we allow healthcare providers to take advantage of our clinical and management expertise to create innovative programs for their market, while sharing the risks. Our joint venture relationships typically result in the development of freestanding facilities.

Consulting Services We have the expertise to provide analysis and action planning on a consulting basis or to provide remote management when necessary.

What Will Sets Us Apart

Our People BRH will recruits and retains the nation’s top rehabilitation professionals who are driven by our vision of helping people regain their lives and daily exercise our core values of excellence, integrity, teamwork and fun. We back our employees with competitive compensation and benefits, advanced training, educational offerings and professional development support. State-of-the-Art Technology Through Palm® technology and our web-based patient tracking system, our rehab programs are able to provide real-time data on patient functional improvements, program demographics, satisfaction levels, sources of referral and key performance measures.

Electronic data transfer also results in full Medicare compliance with accurate and timely billing and reporting. Evidence-Based Practices We will implement only the evidence -based programs with Clinical Practice Guidelines for patient diagnoses such as stroke, brain injury, spinal cord injury and Parkinson’s disease. The guidelines, founded on evidence-based practices, standardize and enhance the quality of patient care we deliver across the continuum of care while helping improve Out comes and reduce costs. They also serve as validation and groundwork for our specialty programs. Dennis While the healthcare industry has historically fared better than others during economic downturns, recessionary pressures can have far-reaching effects on a company’s ability to raise additional capital. In contrast, our strong capital position enhances our competitive advantage in a challenging market by giving us greater flexibility with potential partners searching for solutions to economic constraints and allowing us to continue to evaluate growth opportunities. It also finances our investments in technologies that enable further efficiencies and keep us on the cutting edge. An IT Roadmap Government efforts to reduce healthcare costs will continue to challenge us to develop more efficient and innovative ways to deliver care. As technology takes a central role in emerging discussions on healthcare reform, we once again are positioning ourselves at the technology forefront. We will be advancing to the next generation in point-of-care technology. We also will be upgrading our therapy management system with a web-based platform that offers important new functionalities, including integrated labor management, an online patient scheduler, and an insurance verification and authorization tool. These enhancements are part of an IT roadmap we’ve outlined to further automate, streamline and standardize the processes that drive our business. Positioning for Growth In 2011, the first wave of Baby Boomers will enter Medicare, significantly increasing demand for the restorative, self-sustaining treatment we provide. Our efforts will continue to center on meeting this growing demand by executing the long-range strategic plan that has guided us over the past few years. Our plan, together with a healthy balance sheet and an expanding post-acute market, create opportunity for our continued growth and prosperity.

AdvancedTreatmentandTrackingBRH with Anuschka Healthcare Group is an industry leader in the use of

technology to document therapy. Using Palm®* technology and our proprietary reporting system, we provide:

• Real-time treatment data • Frequent, multi-level reports to assist you in making prompt, proactive decisions

• Electronic data transfer to most billing systems Clinical Programming

Wiihabilitation The Wii, Nintendo’s sports-themed package of virtual reality games,

is becoming an ever more important tool in rehabilitation. Wiihabilitation clinical guidelines explain how the Wii can be reasonably incorporated into Therapy while fulfilling the requirements for medical necessity, and provide

recommended Medicare billing codes for the activities.

Moving Forward Moving forward is a series of educational material for BRH patient

diagnoses, providing patients and families with a diagnosis overview and Information on bowel and bladder management, diet and exercise, sexuality,

travel and resources, as they relate to their illness or injury.

Facilities/ProgramsOurprofessionalstaffatBRHwithitsyearsofmanagementandclinicalexperiencewillassistinestablishthefollowingprograms:

InpatientRehabFacilities InpatientRehabUnits ComprehensiveOutpatientRehabFacilities TherapyServices AcuteCareFacilities GeriatricPsychiatricHospital/Unit IntensiveOutpatientProgram Hospice RuralHealthClinics SkilledNursing ResidentialCareFacilities

InpatientRehabilitationFacility(IRF)

IRF’Sarespecialtyhospitalsthattreatpatientswhohavesustainedadebilitatinginjuryorillness.Theirgoalisforthepatienttoachievethemostindependentandproductivelifestylepossible.WhetheryouwanttobuildanewPhysicalRehabilitationHospitalorwishtoexpandand/orenhancetheperformanceofyourcurrentservices,BRHwillassistyouintakingtherightroutetoprovidethehighestqualityserviceinthemostcosteffectivemannertopatients,physicians,andyourcommunity.

PatientProfile

OurPhysicalRehabilitationprogramsoffertheuniquebenefitsofinterdisciplinarycaretopatientswithdisablingconditions,suchas:

Stroke BraininjurySpinalcordinjury ArthritisCongenitaldeformity NeurologicaldisordersAmputation BurnsMajormultipletrauma Jointreplacement Hipfracture

ServicesOffered

Inpatientrehabilitationbenefitspatientswhoareabletotolerateintensivetherapyandwhocanexpecttoimprovetheircondition.Ourteamofrehabilitationprofessionalshelpsyouprovideservicesthatinclude:

PhysicianPhysiatrist/RehabTrained Psychology

RehabilitationNursing Speech/LanguagePathology

PhysicalTherapy SocialWork

OccupationalTherapy CaseManagement

ComprehensiveOutpatientRehabilitationFacility(CORF)

A CORF is a medical facility established and operated exclusively for the purpose of providing diagnostic, therapeutic, and restorative services for the rehabilitation of injured, disabled, or sick persons, at a single fixed location, by or under the supervision of a physician. CORF’S have nine different billing codes as compared to three for a typical Outpatient Therapy Department. CovereditemsandservicesataCORFinclude:

Doctors’services Physical,occupational,andrespiratorytherapy,andspeech‐languagepathologyservices

Prostheticandorthoticdevices,includingtesting,fitting,ortrainingintheuseofthesedevices

Socialandpsychologicalservices Nursingcareprovidedbyorunderthesupervisionofaregisteredprofessionalnurse

Drugsandbiologicalthatyoucannotgiveyourself Suppliesanddurablemedicalequipment

FacilityBenefitsLetBRHshowyouhowyouwillexperienceoneorallofthefollowing:

Improvedcontinuityandqualityofcare Improvedproductivity Increasedpatientandphysiciansatisfaction Enhancedprofitability Improvedprogramdevelopment

OutpatientTherapyServices(ORF)

ANOutpatientTherapyDepartmentprovidescomprehensiveservicesforpatientsofallagesinawidevarietyofsettings,includinghospitals,nursingcenters,medicalspecialtyunits,andotherhealthcareproviders.ATherapyServicesProgramcoversallaspectsofmanagement,fromadministrationthroughtheactualdeliveryofservices.WedevelopyourProgramwithsensitivitytothefinancial,regulatory,andreimbursementissuesrelatingtotherapyinyourcommunityandstate.

TherapyServicesProgramsaredesignedtohelppatientsgainmaximumindependenceandmakeasuccessfultransitiontoeverydaylife.

Specificservicesinclude:

PhysicalTherapy RecreationalTherapyOccupationalTherapy SocialWorkSpeech/LanguagePathology CommunityEducationCoordinator

AcuteCare/GeneralHospitalAnAcuteCareHospitaloffersshort‐termcaretoitspatients.AcuteCareHospitalsstrivetoprovidequalityserviceswithpositivepatientoutcomes.Costeffectivenessisveryimportanttothedeliveryofservices.Mosthospitalsoffercomprehensiveservicesandacontinuumofcaretomeettheneedsofthecommunitiestheyserve.MedicalServicesmayinclude:

EmergencyDepartment GeneralSurgery Radiology/Imaging Laboratory PhysicalTherapy NursingServices Pharmacy Respiratory

Investment Highlights Summary FormoreinformationonpartneringwithBRH,contact:CleoKirkland,CFOatckdranch@aol.comCell:601­585­3153.

We are also accepting EB5 investors

Whenyoupartnerwithus,youwillexperienceBarneyRehabilitationHospitalalongwithAnuschkaHealthcareGroupwhospecializesinpartneringwithhealthcareproviderstodelivervaluable,innovativeprogramsthatmeettheneedsofthecommunity.Inourmorethan27years,wehavecontinuallydemonstratedourexpertiseinanticipatingandadaptingtochangesandopportunitiesinthemarketplace,whilehelpingourclientsdeliverthehighestqualityrehabilitationservicesfortheirpatients.

11 2010HEALTCHAREIMPACTSNew Jobs Through Better Health Care Health Care Reform Could Boost Employment by 250,000 to 400,000 a Year this Decade David Cutler Center for American Progress Neeraj Sood Leonard D. Schaeffer Center for Health Policy and Economics January 9, 2010 Proactive management will be key to health system Survival in 2010, experts say January 05, 2010 | Diana Manos, Senior Editor

Medicare to adjust payments to Rehab facilities August 01, 2008 | Bernie Monegain, Contributing Editor

WASHINGTON – The Centers for Medicare & Medicaid Services set new nursing home payment rates for 2009 and issued a final rule to on payment for services for people who need the intensive rehabilitation services provided by Inpatient Rehabilitation Facilities, or IRFs.

The final rule on rehabilitation payments will appear in the August 8 Federal Register and will be effective for fiscal year 2009, beginning Oct. 1, 2008.

Rehabilitation patients are recovering from serious illnesses or injuries, such as stroke, spinal cord injuries, severe burns and amputations. There are currently more than 1,200 facilities that are paid as IRFs.

Medicare payment rates to nursing homes will increase by $780 million next year, CMS officials announced. The change is the result of a 3.4 percent increase in the annual market basket calculation of the cost of goods and services included in a skilled nursing facility stay.

CMS projects that Medicare payments to inpatient rehabilitation facilities under the final rule will be approximately $5.6 billion in fiscal year 2009.

"The payment rates and policies adopted in this final rule will make it possible for beneficiaries who are severely impaired by illness or injury, but who are able to participate in an intensive program of rehabilitation, to obtain high quality care in an inpatient setting," said CMS Acting Administrator Kerry Weems.

Since 2002, Medicare has paid rehabilitation hospitals and rehabilitation units in acute care hospitals for inpatient stays under the IRF prospective payment system. Under this system, patients are classified into case-mix groups, taking into account the patient's physical and cognitive status.

Medicare establishes a weight for each case-mix group based on the average resources required for treating a patient in that group. Medicare makes a single payment to the facility based on a base rate, which is updated annually for inflation. The base rate is further adjusted to account for specific characteristics and the location of the facility.

The payment rates set by the IRF for rehabilitation therapy services are higher than would be paid for services in other settings, such as hospital outpatient departments, skilled nursing facilities or in the home health setting, because these patients have more severe and more complex medical conditions that need more intensive and coordinated rehabilitation services.

The final rule sets the inflation update for the standard federal rate at zero percent for 2009.

"The rule CMS is adopting today will help to ensure that people with Medicare have access to rehabilitation services that are appropriate to their medical conditions, and that will help them reach their maximum level of recovery as quickly as possible," said Weems.

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