Professional Bio:

Bio and Background

Jeanne M. Goche, MA, JD – President and CEO

Jeanne Goche is the President/CEO of Solutions in Health Care Management, a financial advisory firm specializing in the health care industry.  Originally working up through payer, regulatory, and provider organizations in the health care sector, she now has over 20 years of experience in health care turnaround and stabilization, including debt restructuring, merger/acquisition, and executive management services.  Jeanne provides astute insights in this extraordinarily complex industry where her experience in operations, finance, and strategic planning provides exceptional guidance for her clients.    

Jeanne has served as interim CEO and CFO simultaneously for several organizations.  She has directly overseen additional C-suite and operational roles in critical areas such as revenue cycle, human resources, clinic management, and physician and leadership recruitment as needed in crisis situations.  Jeanne has:

• Completed turnarounds for two “tweener” hospitals (Sole Community Hospitals – SCHs), a provider sector distinguished for financial difficulties in the current reimbursement environment;
• Pulled provider organizations with inadequate cash-on-hand for payroll from the brink of closure or bankruptcy to stabilization and eventual market leadership; and
• Provided an assessment and operational improvement plan for a senior living community (skilled nursing facility, independent living, assisted living) that created an operating margin and allowed successful adjustment of bond covenants with the lender.
• Been appointed as Patient Care Ombudsman for nursing home bankruptcy.

Jeanne adds deep value to special situations, including those where sale of all or part of an organization is needed.  Her understanding of the crucial and complicated integration of provider finance and operations gives her clients valuable insight into and beyond the financial statements and “big data.”

Jeanne’s broad financial and operational experience in multiple health care organizations gives her a sage ability to assess new situations and versatility in strategic planning.  Jeanne has confidence in quickly building essential relationships in the complicated health care organization, as well as with workout professionals, lenders, bond holders, equity holders, and unions.  She uses listening and clarity of communication with a facilitation style that drives effective collaboration with diverse teams.  

To date, Jeanne’s clients have all remained operating as successful health care organizations.  While she works quickly as called for in crisis situations, Jeanne also sets priorities carefully in recognition of the special role health care plays in communities and creates turnaround options that avoid large layoffs.  She has a long record of successful collaboration with physicians.  Finally, she has exceptional strength in overall strategic planning and finding cash within the complex financial processes in the existing organization. 

Jeanne received an MA in hospital and health administration and JD from the University of Iowa.  Her financial advisory accomplishments have a basis in her earlier work at Blue Cross Blue Shield, an insurance regulatory agency, and an academic medical center.  Here are some of her results in these settings:

Payer Sector -

• Oversaw acquisition of health maintenance organization (HMO), eliminating a competitor and doubling HMO membership
• Led acquisition of third-party administrator (TPA), adding new products and 100,000 new clients
• Introduced new products for individual market: preferred provider organization (PPO), long-term care insurance, and Medicare Supplement

Provider Sector -

• Oversaw financially successful strategic plan for mushrooming managed care market
• Built managed care revenue cycle system; integrated managed care contracts, claims operations, clinical operations, and financial reporting for perfect revenue cycle score by outside auditor
• Ended Radiology temporary agency costs - $1 million/year
• Restructured OR achieving record-breaking case volume and 90% room utilization
• Created: Radiation Oncology department, women’s services, and emergency medicine residency
• Consolidated over 20 labs into central laboratory

She is the recipient of the U.S. Health Resources and Services Administration (HRSA) Award for meeting Organ Donation Breakthrough Collaborative goals ahead of schedule with her pioneering work involving health systems, organ procurement organizations, and transplant teams.  Jeanne is the Secretary/Treasurer of the International Women’s Insolvency & Restructuring Confederation (IWIRC), Midwest Network, as well as Co-editor for the Intensive Care section of the American Bankruptcy Institute (ABI) Journal. 

She has served on the Legislative Review Committee, Commercial/Bankruptcy Law Section of the Iowa State Bar Association (ISBA).  She is a Grassroots Advocacy member of the National Rural Healthcare Association (NRHA) and is a frequent speaker/lecturer on health care management.  She has developed revenue cycle and finance curricula for Texas A&M, Bradley University, and Drake University, one time partnering with the Health Care Financial Management Association (HFMA).

Below are some highlights of her experiences:

• Led nursing home strategic turnaround with market and cost report improvements;
• Conducted due diligence for corporate acquisitions;
• Revitalized finance operations amassing cash (several million dollars) to support a refinancing application for one client and health care system acquisition for another;
• Brought nursing home under intense scrutiny into substantial compliance with state standards;
• Restructured organization from 700 to 600 FTEs almost exclusively through attrition;
• Stabilized new medical center acquisition for large health care system;
• Oversaw cost report modifications for values of $1-2 million/client;
• Led team efforts renegotiating vendor contracts for annual savings of $1-2 million/client;
• Averted staff departures and accomplished valuable recruitments for various clients involving nursing, physicians, NPs, CRNAs, lab, PAs, pharmacy, radiology, and C-suite administration;
• Rebuilt revenue cycle, pension, and accounts payable structures.